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沙特阿拉伯吉赞地区肠易激综合征中与症状严重程度相关的焦虑因素

Anxiety-Related Factors Associated With Symptom Severity in Irritable Bowel Syndrome in Jazan, Saudi Arabia.

作者信息

Alhazmi Abdulaziz, Darraj Hussam, Abdali Hussain, Hakami Sultan M, Alatiyyah Abdullah, Dalak Mohammed, Hakami Khalid M, Ghalibi Ali, Abdulwali Hany, Jali Abdulrahman M, Alawi Yahya M, Hakami Shehab

机构信息

Pathology, College of Medicine, Faculty of Medicine, Jazan University, Jazan, SAU.

Surgery, College of Medicine, Faculty of Medicine, Jazan University, Jazan, SAU.

出版信息

Cureus. 2024 Feb 4;16(2):e53549. doi: 10.7759/cureus.53549. eCollection 2024 Feb.

Abstract

BACKGROUND

This study in Jazan, Saudi Arabia aims to identify anxiety-related factors associated with symptom severity in irritable bowel syndrome (IBS). IBS is a common gastrointestinal disorder causing abdominal pain and altered bowel habits. The prevalence of IBS in Saudi Arabia is estimated to be 10%-20% among the general population. Therefore, the present study aimed to determine anxiety-related factors associated with symptom severity in irritable bowel syndrome in Jazan, Saudi Arabia. Understanding these factors will provide insights into the overall impact of IBS on patients' quality of life.

METHODS

The study utilized a cross-sectional, descriptive observational design to examine the general population in Jazan, Saudi Arabia. The sample size of 385 individuals was calculated based on the population size and desired error margin. A convenience sampling technique was employed to select participants who met the inclusion criteria. A validated anonymous self-administered electronic survey was distributed through social media channels. The survey consisted of four sections gathering demographic information, personal risk factors, IBS types with anxiety and risk factors, and a questionnaire to determine the level of anxiety. A pilot study was conducted to improve the survey's clarity. Ethical considerations were followed, and data were analyzed using Statistical Package for Social Sciences (SPSS; IBM Corp., Armonk, NY, USA). Descriptive statistics and significance tests were performed.

RESULT

A study with 637 participants found a 31.08% prevalence of IBS, which was more common in females. Participants with IBS had a higher rate of chronic disease. There were no significant differences in demographic factors between IBS and non-IBS participants. The duration of IBS diagnosis varied, with the majority of IBS with diarrhea (IBS-D) sufferers being diagnosed five years prior. Symptom severity differed among IBS types, with those with an unspecified type reporting the highest percentage of severe symptoms. IBS types were also correlated with anxiety levels, with IBS-D sufferers reporting moderate anxiety and those with an unspecified type reporting severe anxiety.

CONCLUSION

A study with 637 participants found the prevalence of IBS to be 31.08%, with higher rates in females. IBS was associated with chronic diseases and higher anxiety levels. The findings emphasize the need for comprehensive management of IBS, including psychological interventions and dietary modifications, to improve patients' overall health and quality of life. Further research on genetic and modifiable risk factors is needed.

摘要

背景

在沙特阿拉伯吉赞开展的这项研究旨在确定肠易激综合征(IBS)中与症状严重程度相关的焦虑因素。IBS是一种常见的胃肠道疾病,会导致腹痛和排便习惯改变。据估计,沙特阿拉伯普通人群中IBS的患病率为10%-20%。因此,本研究旨在确定沙特阿拉伯吉赞肠易激综合征中与症状严重程度相关的焦虑因素。了解这些因素将有助于深入了解IBS对患者生活质量的总体影响。

方法

该研究采用横断面描述性观察设计,对沙特阿拉伯吉赞的普通人群进行调查。根据人口规模和预期误差幅度计算出385名个体的样本量。采用便利抽样技术选择符合纳入标准的参与者。通过社交媒体渠道发放一份经过验证的匿名自填式电子调查问卷。该调查包括四个部分,收集人口统计学信息、个人风险因素、伴有焦虑的IBS类型及风险因素,以及一份用于确定焦虑程度的问卷。开展了一项预试验以提高调查问卷的清晰度。遵循了伦理考量,并使用社会科学统计软件包(SPSS;美国纽约州阿蒙克市IBM公司)对数据进行分析。进行了描述性统计和显著性检验。

结果

一项有637名参与者的研究发现,IBS的患病率为31.08%,在女性中更为常见。IBS患者患慢性病的比例更高。IBS患者和非IBS患者在人口统计学因素方面没有显著差异。IBS诊断的持续时间各不相同,大多数腹泻型IBS(IBS-D)患者在五年前被诊断出来。症状严重程度在不同IBS类型之间存在差异,未定型IBS患者报告的严重症状比例最高。IBS类型也与焦虑水平相关,IBS-D患者报告中度焦虑,未定型患者报告重度焦虑。

结论

一项有637名参与者的研究发现,IBS的患病率为31.08%,女性患病率更高。IBS与慢性病和更高的焦虑水平相关。研究结果强调需要对IBS进行综合管理,包括心理干预和饮食调整,以改善患者的整体健康和生活质量。需要对遗传和可改变的风险因素进行进一步研究。

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