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肠易激综合征患者中强迫症的患病率:一项横断面研究。

The prevalence of obsessive-compulsive disorder in patients with irritable bowel syndrome: A cross-sectional study.

作者信息

Davarinejad Omran, RostamiParsa Fatemeh, Radmehr Farnaz, Farnia Vahid, Alikhani Mostafa

机构信息

Clinical Research Development Center, Imam Khomeini and Mohammad Kermanshahi and Farabi Hospitals, Kermanshah University of Medical Sciences, Kermanshah, Iran.

Substance Abuse Prevention Research Center, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran.

出版信息

J Educ Health Promot. 2021 Feb 27;10:50. doi: 10.4103/jehp.jehp_812_20. eCollection 2021.

Abstract

BACKGROUND

Irritable bowel syndrome (IBS) is one of the most common gastrointestinal diseases, and obsessive-compulsive disorder (OCD) is one of the main causes of this disease. The present study was aimed to investigate the prevalence of OCD in patients with IBS.

MATERIALS AND METHODS

The present research is a cross-sectional survey study. The research sample included 120 patients with IBS who referred to Imam Reza Hospital and gastrointestinal clinics in Kermanshah (Iran) in the 3 months of April, May, July in 2019 that were selected using the census sampling method, and demographic information, clinical and medical records were collected. Data analysis was performed using frequency, percentage, and Chi-square.

RESULTS

Among the patients who were studied, 58 of them (48.3%) were women and 62 (51.7%) were men, the results showed that the prevalence of OCD in patients with IBS was 14.96 and the symptoms of washing, checking, skepticism and slowness-repetition had the highest prevalence, respectively. These symptoms were more common in women than in men. There was also a significant relation between OCD prevalence in patients with IBS and with female gender, age-range 30-21 years, single, and history of OCD in the patient's immediate family and close relatives ( < 0.05), but there was no significant relationship between OCD prevalence in patients with IBS and level of education, occupation, income status, and place of residence.

CONCLUSION

Due to the high prevalence of OCD in patients with IBS, the interaction of gastroenterologists and psychiatrists to treat irritable bowel syndrome is very important.

摘要

背景

肠易激综合征(IBS)是最常见的胃肠道疾病之一,而强迫症(OCD)是该疾病的主要病因之一。本研究旨在调查肠易激综合征患者中强迫症的患病率。

材料与方法

本研究为横断面调查研究。研究样本包括2019年4月、5月、7月这3个月转诊至伊朗克尔曼沙赫伊玛目礼萨医院和胃肠诊所的120例肠易激综合征患者,采用普查抽样方法选取,收集了人口统计学信息、临床和医疗记录。使用频率、百分比和卡方检验进行数据分析。

结果

在研究的患者中,58例(48.3%)为女性,62例(51.7%)为男性,结果显示肠易激综合征患者中强迫症的患病率为14.96,其中洗涤、检查、怀疑和缓慢重复症状的患病率最高,这些症状在女性中比男性更常见。肠易激综合征患者中强迫症患病率与女性性别、30 - 21岁年龄范围、单身以及患者直系亲属和近亲中有强迫症病史之间也存在显著关系(<0.05),但肠易激综合征患者中强迫症患病率与教育程度、职业、收入状况和居住地点之间无显著关系。

结论

由于肠易激综合征患者中强迫症患病率较高,胃肠病学家和精神科医生相互协作治疗肠易激综合征非常重要。

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