Department of Gastroenterology, General Hospital of Northern Theater Command, No. 83 Wenhua Road, Shenyang, 110840, Liaoning Province, China.
Department of Gastroenterology, Liaoning Electric Center Hospital, Shenyang, China.
Adv Ther. 2024 Aug;41(8):3173-3182. doi: 10.1007/s12325-024-02911-z. Epub 2024 Jun 20.
Gastrointestinal symptoms as well as depression and anxiety can negatively affect the effectiveness of military training and combat in general. This cross-sectional study aimed to determine the prevalence of gastrointestinal symptoms in recruits and further validate their associations with depression and anxiety.
A self-report questionnaire was sent to the recruits in an army in April 2022, which primarily included the Symptom Rating Scale (GSRS) for the assessment of gastrointestinal symptoms, the Bristol Stool Scale (BSS) for stool consistency and shape, the Patient Health Questionnaire-9 (PHQ-9) for depression, and the 7-item Generalized Anxiety Disorder scale (GAD-7) for anxiety. Correlation of gastrointestinal symptoms with depression and anxiety was evaluated.
Overall, 467 recruits were included. Their median age was 21.0 years old (range: 18.0-24.0), and 98.1% of them were male. The proportion of gastrointestinal symptoms, abnormal stools, depression, and anxiety was 69.2% (n = 323), 11.3% (n = 53), 17.6% (n = 82), and 12.2% (n = 57), respectively. The recruits with gastrointestinal symptoms evaluated by GSRS had significantly higher prevalence of depression (P < 0.001) and anxiety (P < 0.001) than those without. GSRS score positively correlated with PHQ-9 (r = 0.440, P < 0.001) and GAD-7 score (r = 0.386, P < 0.001).
Gastrointestinal symptoms are very common in recruits, and positively correlate with depression and anxiety.
胃肠道症状以及抑郁和焦虑会对军事训练的有效性产生负面影响。本横断面研究旨在确定新兵胃肠道症状的患病率，并进一步验证其与抑郁和焦虑的相关性。
2022 年 4 月，我们向某陆军部队的新兵发放了一份自报式问卷，主要包括胃肠道症状评估的症状评定量表（GSRS）、粪便稠度和形状的布里斯托粪便量表（BSS）、用于评估抑郁的患者健康问卷-9（PHQ-9）和用于评估焦虑的 7 项广泛性焦虑障碍量表（GAD-7）。评估了胃肠道症状与抑郁和焦虑的相关性。
共有 467 名新兵被纳入研究。他们的中位年龄为 21.0 岁（范围：18.0-24.0），98.1%为男性。胃肠道症状、异常粪便、抑郁和焦虑的比例分别为 69.2%（n=323）、11.3%（n=53）、17.6%（n=82）和 12.2%（n=57）。GSRS 评估的有胃肠道症状的新兵中，抑郁（P<0.001）和焦虑（P<0.001）的患病率明显更高。GSRS 评分与 PHQ-9（r=0.440，P<0.001）和 GAD-7 评分（r=0.386，P<0.001）呈正相关。
胃肠道症状在新兵中非常常见，与抑郁和焦虑呈正相关。
