Cifci Ismail, Gokdemir Ozden, Aygun Olgu, Guldal Dilek
Family Healthcare Center-Department of Family Medicine, Ministry of Health, Karabağlar 27 nolu Esenyalı Aile Sağlığı Merkezi, Izmir, Turkey.
Department of Family Medicine, Izmir University of Economics, Faculty of Medicine, Izmir, Turkey.
Fam Pract. 2023 Mar 28;40(2):268-272. doi: 10.1093/fampra/cmac108.
BACKGROUND/INTRODUCTION: The aim of this study is to determine the prevalence of functional constipation (FC) in İzmir using ROME IV criteria, as well as to investigate the relationship of FC with various factors, particularly obsessive-compulsive disorder (OCD) and personality traits.
This study was designed as cross-sectional analytical research. The participants were those aged 18 and over who applied to Family Health Centers (FHC). Participants were randomly selected from 11 FHC. Data were collected via a face-to-face interview, a questionnaire designed by the researcher using ROME IV criteria, the OCD module in the Mini-International Neuropsychiatric Interview, and the Ten-Item Personality Inventory.
The study included 990 participants, 502 (50.7%) women and 488 (49.3%) men. According to the ROME IV criteria, 7% (n = 69) of the participants in our study had FC. OCD was found to be present in 13% of the cases. This rate was found to be significantly higher (P = 0.003). The emotional stability scores of FC patients were found to be significantly lower (P = 0.038).
FC is a common gastrointestinal system complaint in primary care and emphasizes the importance of the diagnostic approach, particularly in patients presenting with constipation due to treatment differences. Individuals with FC diagnoses had a significantly higher incidence of OCD, and their emotional stability levels were significantly lower. It should be noted that psychiatric diseases and personality traits may also play a role in this situation in individuals diagnosed with FC.
背景/引言：本研究旨在使用罗马IV标准确定伊兹密尔功能性便秘（FC）的患病率，并调查FC与各种因素的关系，特别是强迫症（OCD）和人格特质。
本研究设计为横断面分析研究。参与者为18岁及以上申请家庭健康中心（FHC）的人群。参与者从11个FHC中随机选取。数据通过面对面访谈、研究人员根据罗马IV标准设计的问卷、迷你国际神经精神访谈中的OCD模块以及十项人格量表收集。
该研究纳入了990名参与者，其中女性502名（50.7%），男性488名（49.3%）。根据罗马IV标准，本研究中有7%（n = 69）的参与者患有FC。发现13%的病例存在OCD。该比例显著更高（P = 0.003）。发现FC患者的情绪稳定性得分显著更低（P = 0.038）。
FC是初级保健中常见的胃肠道系统疾病，强调了诊断方法的重要性，特别是对于因治疗差异而出现便秘的患者。被诊断为FC的个体OCD发病率显著更高，且其情绪稳定性水平显著更低。应当注意，精神疾病和人格特质在被诊断为FC的个体中也可能在这种情况中起作用。
