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- Title
Irritable Bowel Syndrome: Psychological Disorder or Poverty? Results of a Large Cross-sectional Study in Iran.
- Authors
Alvand, Saba; Mohammadi, Zahra; Rashidian, Laleh; Cheraghian, Bahman; Rahimi, Zahra; Danehchin, Leila; Paridar, Yousef; Abolnezhadian, Farhad; Noori, Mohammad; Mard, Seyed Ali; Masoudi, Sahar; Shayesteh, Ali Akbar; Poustchi, Hossein
- Abstract
Background: Irritable bowel syndrome (IBS) is a functional disease with no exact laboratory or imaging findings. IBS is more common in areas with a history of psychological trauma and war. This study aims to report the prevalence and possible determinants of IBS in southwestern Iran, an area with a notable history of war. Methods: We randomly enrolled 1849 permanent residents in 29 cities aged 20 to 65 years. A validated for Farsi version Rome III criteria and a questionnaire, including demographic data and health history, were administered to each subject. Participants who fulfilled the Rome III criteria were categorized into three groups: Diarrhea dominant (IBS-D), Constipation dominant (IBS-C), and Mixed type (IBS-M). Results: The total prevalence of IBS was 3.2%, with 70% of subjects being of Arab descent (P = 0.004). IBS was more common in females, singles, illiterate subjects, and people younger than 30 years; however, none of these differences were statistically significant. People with depression, anxiety, self-report of psychological disorders, and very low socioeconomic status had a significantly higher prevalence of IBS (P < 0.05). After multivariable logistic regression analysis, very low socioeconomic status had an independent role in IBS predictivity (OR: 2.28, 95% CI: 1.01--5.15). Conclusion: This study shows a higher prevalence of IBS symptoms in a population-based study in the region compared to counterparts in other regions of Iran. Considering the higher prevalence of self-reported psychological disorders, further studies are recommended to focus on the exact diagnosis of mental disorders and their influence on IBS.
- Subjects
IRAN; ANXIETY; CONFIDENCE intervals; CONSTIPATION; MENTAL depression; DIARRHEA; IRRITABLE colon; MENTAL illness; QUESTIONNAIRES; RISK assessment; STATISTICAL sampling; MULTIPLE regression analysis; SOCIOECONOMIC factors; DISEASE prevalence; CROSS-sectional method; DESCRIPTIVE statistics; ODDS ratio
- Publication
Archives of Iranian Medicine (AIM), 2020, Vol 23, Issue 12, p821
- ISSN
1029-2977
- Publication type
Article
- DOI
10.34172/aim.2020.109