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COVID-19 对伴有焦虑和/或抑郁的肠易激综合征患者的影响。

Impact of COVID-19 on Individuals With Irritable Bowel Syndrome and Comorbid Anxiety and/or Depression.

机构信息

Division of Gastroenterology, School of Medicine.

School of Social Work.

出版信息

J Clin Gastroenterol. 2022 Feb 1;56(2):e149-e152. doi: 10.1097/MCG.0000000000001515.

Abstract

GOALS

The goal of this study was to describe the influence of the COVID-19 pandemic on ability to engage in activities and the influence on psychological distress and gastrointestinal symptoms among individuals with irritable bowel syndrome (IBS) and comorbid anxiety and/or depression.

BACKGROUND

Individuals with IBS and comorbid anxiety and/or depression report increased symptoms and decreased quality of life compared with individuals with IBS alone. The current COVID-19 pandemic has the potential to further influence symptoms among individuals with IBS and comorbid anxiety and/or depression.

STUDY

Individuals who met the Rome-IV IBS criteria and reported mild to severe anxiety and/or depression were included. Participants completed an online survey with questions about anxiety, depression, impact of COVID on activities and symptoms, and demographics.

RESULTS

Fifty-five individuals participated in the study. The COVID-19 pandemic most commonly influenced their ability to spend time with friends and family, shop for certain types of food, and access health care. Participants also reported increased stress (92%), anxiety (81%), and depressive symptoms (67%). Finally, around half the sample reported increases in abdominal pain (48%), diarrhea (45%), or constipation (44%).

CONCLUSIONS

The COVID-19 pandemic is related to self-reported increases in psychological distress and gastrointestinal symptoms among individuals with IBS and comorbid anxiety and/or depression. Additional research is needed to intervene on these symptoms.

摘要

目的

本研究旨在描述 COVID-19 大流行对肠易激综合征(IBS)合并焦虑和/或抑郁患者活动能力的影响,以及对其心理困扰和胃肠道症状的影响。

背景

与仅患有 IBS 的患者相比,患有 IBS 合并焦虑和/或抑郁的患者报告症状增加,生活质量下降。目前的 COVID-19 大流行有可能进一步影响患有 IBS 合并焦虑和/或抑郁的患者的症状。

研究

本研究纳入了符合罗马 IV IBS 标准且报告有轻至重度焦虑和/或抑郁的患者。参与者完成了一项在线调查,内容涉及焦虑、抑郁、COVID 对活动和症状的影响以及人口统计学等问题。

结果

共有 55 名患者参与了本研究。COVID-19 大流行最常影响他们与朋友和家人共度时光、购买特定类型的食物和获得医疗保健的能力。参与者还报告了压力增加(92%)、焦虑增加(81%)和抑郁症状增加(67%)。最后,约一半的样本报告腹痛(48%)、腹泻(45%)或便秘(44%)增加。

结论

COVID-19 大流行与 IBS 合并焦虑和/或抑郁患者报告的心理困扰和胃肠道症状增加有关。需要进一步研究以干预这些症状。

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