International Journal of Biomedical and Clinical Sciences
Articles Information
International Journal of Biomedical and Clinical Sciences, Vol.5, No.2, Jun. 2020, Pub. Date: Apr. 30, 2020
A Cross-sectional Study on Prevalence and Predictors of Irritable Bowel Syndrome Among Medical Students of Melaka-Manipal Medical College, Malaysia
Pages: 95-104 Views: 1221 Downloads: 347
Authors
[01] Ranjula Dissanayake, Faculty of Medicine, Melaka Manipal Medical College, Manipal Academy of Higher Education, (MAHE), Melaka, Malaysia.
[02] Safiya Mariyam Mohamed Nawas, Faculty of Medicine, Melaka Manipal Medical College, Manipal Academy of Higher Education, (MAHE), Melaka, Malaysia.
[03] Ahmad Zubair Bin Mohd Johari, Faculty of Medicine, Melaka Manipal Medical College, Manipal Academy of Higher Education, (MAHE), Melaka, Malaysia.
[04] Nursyafiqah Mohd Narowi, Faculty of Medicine, Melaka Manipal Medical College, Manipal Academy of Higher Education, (MAHE), Melaka, Malaysia.
[05] Melissa Bidah Sim Mei Hua, Faculty of Medicine, Melaka Manipal Medical College, Manipal Academy of Higher Education, (MAHE), Melaka, Malaysia.
Abstract
There were a few risk factors that can contribute to Irritable Bowel Syndrome (IBS). IBS seemed to be undiagnosed as symptoms might not be irritable for them to continue their daily life. We conducted this study to assess the prevalence, awareness and risk factors associated with IBS among medical students at Melaka-Manipal Medical College. This was an analytical cross-sectional study with a self-administered questionnaire consisted of 3 parts was distributed. The first part consisted of socio-demographic characteristics and symptoms predicting IBS. The second part was Rome IV diagnostic criteria, to classify the IBS. The third part consisted of a scale of Depression, Anxiety and Stress (DASS-42). This questionnaire was distributed to medical students in semester 6 & 7. Chi-square test was used to find an association between socio-demographic characteristics, stress, anxiety and depression with Irritable bowel syndrome. Depression, stress and anxiety had a significant association with Irritable Bowel Syndrome. Students with depression had an odds ratio of 16.91, 95% CI of 3.59-79.57, chi-square value of 20.468 and p-value of <0.001. Students with stress had an odds ratio of 10.43, 95% CI of 2.24-48.68, chi-square value of 12.572 and p-value was <0.001. Students with anxiety had an odds ratio of 19.20, 95% CI of 4.07-90.65, chi-square value of 22.993 and p-value was <0.001. In general, medical students with depression, stress and anxiety were more likely to develop IBS compared to those without the problems. Our findings suggest that undergraduate medical students in Melaka MMMC who were in semester 6 and 7 had a positive significant association between depression, anxiety and stress and irritable bowel syndrome. 10% of the students had IBS that related to stress, anxiety and depression.
Keywords
Cross-sectional, Irritable Bowel Syndrome, Medical Students, Prevalence, Predictors
References
[01] Sir Stanley Davidson, Davidsons principle and practice of medicine, 23rd edition, edited by stuarr H Ralston, Ian D Penman, Mark Wj Strachan, Richard P Hobson, page-825.
[02] Max J Schmulson, and Douglas A Drossman, What Is New in Rome IV, Journal of Neurogastroenterology and Motility, 2017, 23 (2): 151-163.
[03] Peery AF, Dellon ESJ, et al. burden of gastrointestinal disease in the United States; 2012 update. Gastroenterology. 2012 August.
[04] Drossman D, Sandler R, Mckee D, Lovitz A; bowel patterns among subjects not seeking healthcare. Use of a questionnaire to identify a population with bowel dysfunction, 2012.
[05] Miwa H. Prevalence of irritable bowel syndrome in Japan: internet survey using Rome III criteria. Patient Prefer Adherence. 2008; 2: 143–147. source: [PMC free article] [PubMed] [Google Scholar].
[06] Tan YM, et al. J gastroenterol hepatol. 2003 NCIB.
[07] Changhyun Lee, Eunyoung Doo, Ji Min Choi, Seung-ho Jang, Han-Seung Ryu, Ju Yup Lee, Jung Hwan Oh, Jung Ho Park, Yong Sung Kim. The Increased Level of Depression and Anxiety in Irritable Bowel Syndrome Patients Compared with Healthy Controls: Systematic Review and Meta-analysis [Internet]. 2017 July; 23 (3): 349-362. Available from: https://doi.org/10.5056/jnm16220
[08] S. S. Naeem, E. U. Siddiqui, A. N. Kazi, A. A. Memon, S. T. Khan, and B. Ahmed, “Prevalence and factors associated with irritable bowel syndrome among medical students of Karachi, Pakistan: across-sectional study,” BMC Research Notes, Vol. 5, article no. 255, 2012.
[09] Travel Medicine E-Book By Jay S. Keystone, Phyllis E. Kozarsky, Bradley A. Connor, Hans D. Nothdurft, Marc Mendelson, Karin Leder 4th edition, page number 221.
[10] Morris-Yates A, Talley NJ, Boyce PM, et al. Evidence of a genetic contribution to functional bowel disorder. Am J Gastroenterol. 1998; 93: 1311–7. [PubMed] [Google Scholar].
[11] Meshal Khaled Alaqeel, Nasser Abdullah Alowaimer, Anas Fahad Alonezan, Nawaf Yousef Almegbel, and Fahad Yousef Alaujan, Prevalence of Irritable Bowel Syndrome and its Association with Anxiety among Medical Students at King Saud bin Abdulaziz University for Health Sciences in Riyadh, 2017 Jan-Feb; 33 (1): 33–36.
[12] Levy RL, Jones KR, Whitehead WE, et al. Irritable bowel syndrome in twins: heredity and social learning both contribute to etiology. Gastroenterology. 2001; 121: 799–804. [PubMed] [Google Scholar].
[13] A Cross-Sectional Study of the Association between Overnight Call and Irritable Bowel Syndrome in Medical Students [Internet]. Malcolm Wells, Lee Roth, Morgan McWilliam, Kim Thompson, and Nilesh Chande, Jun 2012 [cited January 2020] available from https://new.hindawi.com/journals/cjgh/2012/865915/
[14] Lifestyle and psychological factors related to irritable bowel syndrome in nursing and medical school students. [Internet] Yukiko Okami, Takako Kato, Gyozen Nin, Kiyomi Harada, Wataru Aoi, Sayori Wada, Akane Higashi, Yusuke Okuyama, Susumu Takakuwa, Hiroshi Ichikawa, Motoyori Kanazawa & Shin Fukudo, 24 August 2011 [cited January 2020] available from: https://link.springer.com/article/10.1007/s00535-011-0454-2
[15] Are Food Constituents Relevant to Irritable Bowel Syndrome in Young Adults? - A Rome III Based Prevalence Study of the Korean Medical Students, Hyun Joo Jung, Moo In Park, Won Moon, Seun Ja Park, Hyung Hun Kim, Eun Ji Noh, Gyu Jin Lee, Joo Hoon Kim, and Dong Gyu Kim,[Internet] 17 July 2011 [cited January 2020] available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3155066/.
[16] Thompson WG, Irvine EJ, Pare P, Ferrazzi S, Rance L. Functional disorders in Canada: First population-based survey using Rome II criteria with suggestions for improving the questionnaire. Dig Dis Sci. 2002; 47: 225–235. Source: [PubMed] [Google Scholar]
[17] Han SH, Lee OY, Bae SC, et al. Prevalence of irritable bowel syndrome in Korea: population-based survey using the Rome II criteria. J Gastroenterol Hepatol. 2006; 21: 1687–1692. source: [PubMed] [Google Scholar].
[18] Shen L, Kong H, Hou X. Prevalence of irritable bowel syndrome and its relationship with psychological stress status in Chinese university students. J Gastroenterol Hepatol. 2009; 24: 1885–1890. [PubMed] [Google Scholar].
[19] Locke GR, 3rd, Yawn BP, Wollan PC, Melton LJ, 3rd, Lydick E, Talley NJ. Incidence of a clinical diagnosis of the irritable bowel syndrome in a United States population. Aliment Pharmacol Ther. 2004; 19: 1025–1031. source: [PubMed] [Google Scholar].
[20] Saito YA, Schoenfeld P, Locke GR III. The epidemiology of irritable bowel syndrome in North America: a systematic review. Am J Gastroenterol. 2002; 97 (8): 1910–1915 source: https://doi.org/10.1111/j.1572-0241.2002.05913.x. PubMed Google Scholar.
[21] Ho KY, Kang JY, Seow A. Prevalence of gastrointestinal symptoms in a multiracial Asian population, with particular reference to reflux‐type symptoms. Am J Gastroenterol 1998; 93: 1816–22. Source: [PubMed].
[22] Gaber OH (2016) The Relationship between Irritable Bowel Syndrome, Depression, Anxiety, and Stress among Sample of Irritable Bowel Patients - Predictive Study. J Psychol Clin Psychiatry 5 (4): 00290.
[23] Saito YA, Petersen GM, Larson JJ, Atkinson EJ, Fridley BL, de Andrade M, et al. Familial aggregation of irritable bowel syndrome: a family case-control study. Am J Gastrology.
600 ATLANTIC AVE, BOSTON,
MA 02210, USA
+001-6179630233
AIS is an academia-oriented and non-commercial institute aiming at providing users with a way to quickly and easily get the academic and scientific information.
Copyright © 2014 - American Institute of Science except certain content provided by third parties.