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探索叙利亚医院环境中肠易激综合征与心理社会、人口统计学和健康因素之间的关系。

Exploring the relationship between irritable bowel syndrome and psychosocial, demographic, and health factors in Syrian hospital settings.

作者信息

Ataya Jamal, Swileh Nour, Alchawa Zaher, Kabboul Haya, Alnassif Alsheikh Raneem, Schkeif Nadim, Khazma Hiba, Shok Hiba, Wassouf Ahmad

机构信息

Faculty of Medicine, University of Aleppo, Aleppo, Syria.

Faculty of Medicine, Damascus University, Damascus, Syria.

出版信息

BMC Psychiatry. 2025 Jul 16;25(1):708. doi: 10.1186/s12888-025-07138-y.

Abstract

BACKGROUND

Irritable bowel syndrome (IBS) is a prevalent and complex gastrointestinal disorder that profoundly affects patients' quality of life. This study, the first of its kind in Syria, explores the intricate relationship between IBS and demographic factors, with a focus on gender, age, socioeconomic status, the presence of chronic diseases, and psychological status.

METHODS

A cross-sectional study of 562 participants was conducted in Damascus to investigate the prevalence of IBS and its association with psychological distress. Participants were assessed using a structured questionnaire that collected data on demographic factors, chronic diseases, and psychological distress. Statistical analysis, including chi-square, t-tests and one-way Anova, were performed to identify associations between these factors and IBS prevalence.

RESULTS

The results revealed a higher prevalence of IBS among females and participants aged 40-50. Socioeconomic status was found to play a significant role, with lower income levels correlating with a higher likelihood of IBS. Furthermore, participants with chronic diseases exhibited an elevated likelihood for IBS, emphasizing the importance of considering comorbidities in IBS management. IBS was strongly associated with psychological distress, with a higher prevalence of depression and distress among participants with IBS. Weight was also associated with IBS, with a higher BMI linked to an increased likelihood of the condition.

CONCLUSION

This study highlights the multifaceted nature of IBS, and underscores the need for a comprehensive approach that integrates the physical and psychological aspects of its assessment and management. While this research provides valuable insights, it also acknowledges its limitations and calls for further investigation to elucidate the underlying mechanisms of these associations and develop tailored interventions for participants with IBS.

摘要

背景

肠易激综合征(IBS)是一种常见且复杂的胃肠道疾病,严重影响患者的生活质量。本研究是叙利亚的首例此类研究,探讨了IBS与人口统计学因素之间的复杂关系,重点关注性别、年龄、社会经济地位、慢性病的存在以及心理状态。

方法

在大马士革对562名参与者进行了一项横断面研究,以调查IBS的患病率及其与心理困扰的关联。使用结构化问卷对参与者进行评估,该问卷收集了有关人口统计学因素、慢性病和心理困扰的数据。进行了包括卡方检验、t检验和单因素方差分析在内的统计分析,以确定这些因素与IBS患病率之间的关联。

结果

结果显示,女性和40 - 50岁的参与者中IBS患病率较高。发现社会经济地位起着重要作用,收入水平较低与IBS的可能性较高相关。此外,患有慢性病的参与者患IBS的可能性增加,强调了在IBS管理中考虑合并症的重要性。IBS与心理困扰密切相关,IBS参与者中抑郁症和困扰的患病率较高。体重也与IBS有关,较高的体重指数与该疾病的可能性增加有关。

结论

本研究突出了IBS的多面性,并强调需要一种综合方法,将其评估和管理的身体和心理方面结合起来。虽然这项研究提供了有价值的见解,但它也承认其局限性,并呼吁进一步调查以阐明这些关联的潜在机制,并为IBS参与者制定量身定制的干预措施。

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