The impact of irritable bowel syndrome on daily functioning: Characterizing and understanding daily consequences of IBS
The impact of irritable bowel syndrome on daily functioning: Characterizing and understanding daily consequences of IBS
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DOI：
10.1111/nmo.12982
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发表时间：
2017-04-01
影响因子：
3.5
通讯作者：
Keefer, L.
中科院分区：
文献类型：
--
作者：
Ballou, S.;Keefer, L.
背景资料：尽管肠易激综合征（IBS）的经济和社会心理负担有充分的证据，但很少有研究关注IBS对日常活动的影响。本研究旨在量化IBS患者的日常活动障碍，并评估障碍，IBS，生活质量和精神症状之间的关系。方法：共有179名符合罗马-III标准的IBS参与者完成了一项在线研究调查，评估以下变量：（i）IBS对日常活动的影响，（ii）共病精神病诊断，（iii）症状严重程度，（iv）生活质量，（v）IBS相关的特定认知情感因素。关键结果：该样本报告了由于IBS导致的高度损害，其中76%的样本报告了至少五个不同日常生活领域的某种程度的IBS相关损害。损伤率显着较高的参与者谁符合标准的焦虑，抑郁，和/或惊恐disorder.Conclusions & Infections：这项研究有助于现有的文献，表现出高水平的日常损害IBS患者，特别是那些谁符合标准的焦虑，抑郁，惊恐障碍。这些研究结果支持IBS患者的综合心理和医疗护理的重要性，并强调了评估和干预行为回避/损害的效用，特别是在那些表现出精神病诊断的体征或症状的人中。
Background: Despite the well-documented economic and psychosocial burden of irritable bowel syndrome (IBS), few studies have focused on the impact of IBS on daily activities. This study aims to quantitate impairment in daily activities among IBS patients and to evaluate the relationship between impairment, IBS, quality of life, and psychiatric symptoms.Methods: A total of 179 participants meeting ROME-III criteria for IBS completed an online research survey evaluating the following variables: (i) the impact of IBS on daily activities, (ii) comorbid psychiatric diagnoses, (iii) symptom severity, (iv) quality of life, and (v) symptom-specific cognitive affective factors related to IBS.Key Results: This sample reported a high degree of impairment due to IBS, with 76% of the sample reporting some degree of IBS-related impairment in at least five different domains of daily life. Rates of impairment were significantly higher for participants who met criteria for anxiety, depression, and/or panic disorder.Conclusions & Inferences: This study contributes to existing literature by demonstrating a high level of daily impairment among patients with IBS, particularly those who meet criteria for anxiety, depression, and panic disorder. These findings support the importance of integrated psychosocial and medical care for IBS patients, and highlight the utility of evaluation and intervention for behavioral avoidance/ impairment especially among those who exhibit signs or symptoms of psychiatric diagnoses.