Citation

Jiang C, Xu Y, Sharma S, Zhang L, Wang H, Song J, Qian W, Bai T, Hou X. Journal of Neurogastroenterology and Motility 2019; 25(2): 233-240.

Copyright

(Copyright © 2019)

DOI

10.5056/jnm18028

PMID

unavailable

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. © 2019 The Korean Society of Neurogastroenterology and Motility.

Language: en

Keywords

adult; human; Depression; Child abuse; Suicide; sexual abuse; female; male; abdominal pain; depression; anxiety; college student; suicidal behavior; major clinical study; social psychology; cross-sectional study; demography; Chinese; physical abuse; irritable colon; Article; abdominal discomfort; bloating; young adult; Irritable bowel syndrome; emotional abuse