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沙特阿拉伯哈伊勒肠易激综合征患者的焦虑和抑郁:旨在更好地理解心理作用

Anxiety and Depression Among Patients With Irritable Bowel Syndrome in Hail, Saudi Arabia: Towards a Better Understanding of the Psychological Role.

作者信息

Salem Alharbi Mohammed, Alharbi Renad Meshal, Almutairi Maha Qasem, Khan Farida Habib, Alsulami Ethar Abed, Alenezi Abdulaziz Mohammed

机构信息

Department of Medicine, University of Hail College of Medicine, Hail, SAU.

Department of Medicine, King Faisal Specialist Hospital and Research Centre, Riyadh, SAU.

出版信息

Cureus. 2024 Nov 8;16(11):e73290. doi: 10.7759/cureus.73290. eCollection 2024 Nov.

Abstract

INTRODUCTION

Patients with irritable bowel syndrome (IBS) often experience psychiatric disorders such as anxiety and depression. This study examined the association between IBS and anxiety and depression and explored how these variables interact with various IBS indices in the general population of Hail, Saudi Arabia.

METHODS

This cross-sectional descriptive study utilized standardized assessments for diagnosing IBS, anxiety, and depression. An online questionnaire was distributed to individuals in the Hail region.

RESULTS

A total of 687 participants completed the questionnaire, of whom 508 (74%) were female. According to IBS diagnostic criteria, only 176 (26%) of participants had IBS. Based on the patient health questionnaire (PHQ) criteria for depression, 497 (72%) of participants were identified as depressed. Similarly, the generalized anxiety disorder (GAD) criteria indicated that 633 (92%) of participants suffered from GAD. The diagnosis of IBS was significantly associated with GAD, depression, and psychological symptoms such as annoyance, irritability, and concern about daily tasks.

CONCLUSION

There is a significant association between IBS and anxiety and depression, suggesting that psychiatric disorders should be routinely screened for in patients with IBS. Recognizing and treating these comorbidities can improve outcomes for individuals with IBS.

摘要

引言

肠易激综合征(IBS)患者常伴有焦虑和抑郁等精神障碍。本研究调查了沙特阿拉伯海勒地区普通人群中IBS与焦虑和抑郁之间的关联,并探讨了这些变量如何与各种IBS指标相互作用。

方法

本横断面描述性研究采用标准化评估来诊断IBS、焦虑和抑郁。向海勒地区的个人发放了一份在线问卷。

结果

共有687名参与者完成了问卷,其中508名(74%)为女性。根据IBS诊断标准,只有176名(26%)参与者患有IBS。根据患者健康问卷(PHQ)的抑郁标准,497名(72%)参与者被确定为抑郁。同样,广泛性焦虑障碍(GAD)标准表明,633名(92%)参与者患有GAD。IBS的诊断与GAD、抑郁以及烦恼、易怒和对日常任务的担忧等心理症状显著相关。

结论

IBS与焦虑和抑郁之间存在显著关联,这表明应对IBS患者常规筛查精神障碍。识别并治疗这些合并症可改善IBS患者的预后。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c845/11625521/525de538657a/cureus-0016-00000073290-i01.jpg

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