Prevalence of irritable bowel syndrome among university students - The roles of worry, neuroticism, anxiety sensitivity and visceral anxiety
Prevalence of irritable bowel syndrome among university students - The roles of worry, neuroticism, anxiety sensitivity and visceral anxiety
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DOI：
10.1016/s0022-3999(03)00019-9
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发表时间：
2003-12-01
影响因子：
4.7
通讯作者：
Naliboff, BD
中科院分区：
文献类型：
--
作者：
Hazlett-Stevens, H;Craske, MG;Naliboff, BD
目的：探讨大学生肠易激综合征(IBS)与广泛性焦虑症(GAD)、慢性焦虑、神经质、焦虑敏感性、内脏感觉焦虑的关系。方法：对大学生进行IBS和GAD自评量表、宾夕法尼亚州立大学焦虑问卷(PSWQ)、艾森克人格问卷中的神经质分量表、焦虑敏感指数(ASI)等5个项目的测试。结果：学生中IBS的患病率及其相关特征与以前的社区调查研究相似，只是大学样本的症状严重程度较低。IBS患者GAD发生率较高，焦虑、神经质、焦虑敏感和内脏焦虑程度较高。Logistic回归分析进一步表明，特定于内脏感觉的焦虑程度是IBS诊断状态的最强预测因素。结论：虽然焦虑的各个方面都与IBS有关，但对内脏感觉的特殊焦虑似乎是最重要的因素。焦虑相关变量之间的关联的含义，特别是对内脏感觉的焦虑，进行了讨论。(C)2003 Elsevier Inc.保留所有权利。
Objective: Relationships between presence of irritable bowel syndrome (IBS) and generalized anxiety disorder (GAD), chronic worry, neuroticism, anxiety sensitivity and anxiety about visceral sensations were examined among university students. Methods: College student participants were administered self-report diagnostic measures of IBS and GAD, the Penn State Worry Questionnaire (PSWQ), the Neuroticism subscale of the Eysenck Personality Questionnaire, the Anxiety Sensitivity Index (ASI) and five additional items designed to measure visceral anxiety. Results: The prevalence of IBS and its associated characteristics among students were similar to previous community survey studies, with the exception of lower symptom severity in the university sample. IBS was associated with a higher frequency of GAD and greater worry, neuroticism, anxiety sensitivity and visceral anxiety. Logistic regression analyses further showed that the measure of anxiety specific to visceral sensations was the strongest predictor of IBS diagnostic status. Conclusion: While various aspects of anxiety appear related to IBS, specific anxiety about visceral sensations appears to be the most significant factor. Implications of the associations between anxiety-related variables, particularly anxiety about visceral sensations, are discussed. (C) 2003 Elsevier Inc. All rights reserved.