Psychosocial Factors Associated With Irritable Bowel Syndrome Development in Chinese College Freshmen
Jiang Chen, Xu Yan, Sharma Stuti, Zhang Lei, Wang Huan, Song Jun, Qian Wei, Bai Tao, Hou Xiaohua,
소속 상세정보
( Jiang Chen )
Huazhong University of Science and Technology Tongji Medical College Union Hospital Division of Gastroenterology
( Xu Yan )
Huazhong University of Science and Technology Tongji Medical College Union Hospital Division of Gastroenterology
( Sharma Stuti )
Huazhong University of Science and Technology Tongji Medical College Union Hospital Division of Gastroenterology
( Zhang Lei )
Huazhong University of Science and Technology Tongji Medical College Union Hospital Division of Gastroenterology
( Wang Huan )
Huazhong University of Science and Technology Tongji Medical College Union Hospital Division of Gastroenterology
( Song Jun )
Huazhong University of Science and Technology Tongji Medical College Union Hospital Division of Gastroenterology
( Qian Wei )
Huazhong University of Science and Technology Tongji Medical College Union Hospital Division of Gastroenterology
( Bai Tao )
Huazhong University of Science and Technology Tongji Medical College Union Hospital Division of Gastroenterology
( Hou Xiaohua )
Huazhong University of Science and Technology Tongji Medical College Union Hospital Division of Gastroenterology
Abstract
Background/Aims: The role of psychosocial factors on irritable bowel syndrome (IBS) in adolescents is incompletely understood. The aim of this study is to investigate the association between the psychosocial factors and the risk of developing IBS in college freshmen.
Methods: A cross-sectional survey was conducted in a randomly selected freshmen population in Wuhan China (n = 2449). Questionnaire evaluated demographics and psychosocial risks. The population was divided into 3 groups: non-discomfort, chronic abdominal discomfort and IBS. The association between the development of IBS and psychosocial factors was analyzed by ordinal and multiple logistic regression analysis.
Results: A total of 2053 (83.8%) completed this survey (mean age, 18.2 ± 0.9 years; female, 35.6%). Among them, 82 (4.0%) fulfilled the Rome III criteria for IBS. Female (odds ratio [OR], 3.31; 95% confidence interval [CI], 2.47-4.45), experience of abuse (OR, 2.44; 95% CI, 1.10-5.56), and suicidal intention (OR, 2.17; 95% CI, 1.15-4.17) were more likely to have IBS. Compared with chronic abdominal discomfort, however, depression (OR, 5.55; 95% CI, 1.36-22.71) was the only dependent risk factor for IBS.
Conclusion: The prevalence of IBS in college freshmen is 4.0%, and to the freshmen, psychosocial factors such as experience of abuse, depression, and suicidal intention were associated with high risk of developing IBS.
키워드
Child abuse; Depression; Irritable bowel syndrome; Suicide
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