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2011, Number 3

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Rev Fac Med UNAM 2011; 54 (3)

Irritable bowel syndrome in medical students

Bautista CR, Ortiz ERM, Muñoz JS

Language: Spanish
References: 19
Page: 4-11
PDF size: 248.69 Kb.


ABSTRACT

Objective: To estimate the prevalence of IBS in medical students and calculate both its association with anxiety, depression and stress, and its impact on students’ academic performance.
Material and methods: Research design: a comparative, analytical cross-sectional study. Probabilistic multistage sampling for the selection of students regardless of age and sex was used. Clinical history, anxiety record, Beck depression inventory, life event records and the academic record were used as data sources.
Results: 219 students were chosen; 58% of them were women in which the prevalence of IBS was 24.7. The prevalence of anxiety was 94%, depression 38% and stress 60%. Women were the most affected (P‹0.05). The grade point average of student who suffered from IBS was 8.25+0.37 and the average of failed subjects was 2.68+2.26 (P›0.05). Stress was associated with IBS OR=6.6 with IC95% 3.2-13.7; anxiety OR=38.6 with IC95% 11.4-199.2; and depression OR=49 with IC95% 2.2-11.1.
Conclusions: IBS is associated with anxiety, depression and stress. Meaningful differences were found between women and men. IBS does not affect the students’ academic performance.


REFERENCES

  1. Córdova Pluma VH, Ibarrola Calleja JL, Hegewisch Orozco ME, Argüelles Domenzain P, Vargas González M, De la Torre Sánchez MC, et al. Frecuencia del síndrome de intestino irritable en la consulta de medicina interna y cirugía general en tres centros de atención medica en Ciudad de México. Med Int Mex. 2008;24(2):120-4.

  2. Viera AJ, Hoag S, Joseph Shaughnessy. Management of irritable bowel syndrome. Am Fam Physician. 2002;66(10): 1867-75.

  3. Keller J, Layer P. Intestinal and anorectal motility and functional disorders. Best Pract Res Clin Gastroenterol. 2009; 23(3):407-23.

  4. Valenzuela J, Alvarado J, Cohen H, Damiao A, Francisconi C, Frugone L. Un consenso Latinoamericano sobre el síndrome de intestino irritable. Gastroenterol Hepatol. 2004;27: 325-43.

  5. Sander V. Diagnosing irritable bowel syndrome. Rev Gastroenterol Disord. 2003;3(Suppl 2):12-7.

  6. Camillen M. Management of the irritable bowel syndrome. Gastroenterology. 2001;120:652-68.

  7. Snape WJ Jr. Current concepts in the management of the irritable bowel syndrome. Rev Gastroenterol Mex. 1994; 59:127-32.

  8. Talley NJ. When to conduct testing in patients with suspected irritable bowel syndrome. Rev Gastroenterol Disord. 2003;3(Suppl 3):18-24.

  9. Ramírez-Mayans J, Mata Rivera N, Cervantes Bustamante R, Zárate Mondragón F, García Campos M. Síndrome de intestino irritable. Acta Pediatr Mex. 2007;24(5):297-303.

  10. Whitehead WE, Palsson O, Jones KR. Systematic review of the comorbidity of irritable bowel syndrome with other disorders: what are the causes and implications? Gastroenterology. 2002;122:1140-56.

  11. Leyva-Jimenez R, Olvera-Torres P, Álvarez-Cordova MM, Alcántar-Saldivar EL. Síndrome de intestino irritable en el adulto que acude a una unidad de medicina familiar. Rev Med Inst Mex Seguro Soc. 2006;44(5):473-9.

  12. El-Serag HB. Impact of irritable bowel syndrome: prevalence and effect on health-rekated quality of life. Rev Gastroenterol Disord 2003;3(Suppl 2): 3-11.

  13. Rivas A, Vargas C, Torres F, López S, Graterol F, Raffaele P. Prevalencia de síntomas asociados al síndrome de intestino irritable, según criterios de Roma II, en estudiantes de medicina de la escuela José María Vargas de la universidad central de Venezuela. Caracas, mayo 2005. Rev Soc Venez Gastroenterol. 2006;60(4):302-5.

  14. Cruz Ruiz M, Ortiz Herrera R, Muñiz Jurado D, Padierna Luna JL. Asociación de depresión y ansiedad en pacientes con síndrome de intestino irritable. Rev Gastroenterol Mex. 2007;72(1): 29-33

  15. Hunt MG, Milonova M, Moshier S. Catastrophizing the Consequences of Gastrointestinal Symptoms in Irritable Bowel Syndrome. Journal of Cognitive Psychotherapy: An International Quarterly. 2009;23(2):160-73.

  16. Whitehead WE. Patient subgrup in irritable bowel syndrome that can defined can be symptom evaluation and physical examination. Am Journal Med 2002;10:33-40.

  17. Vinaccia S, Contreras F, Bedoya MC, Carrillo LM, Cuartas MJ, López N, Cano EJ. Conducta anormal de enfermedad en pacientes con enfermedades gastrointestinales. Psicología y Salud. 2004;14(1):31-41.

  18. Cain KC, Jarrett ME, Burr RL, Rosen S, Hertig VL, Heitkemper MM. Gender Differences in Gastrointestinal, Psychological, and Somatic Symptoms in Irritable Bowel Syndrome. Dig Dis Sci. 2009;54(7):1542-9.

  19. 1Smith RC, Greenbaum DS, Vancouver JB, Henry RC, Reinhart MA, Greenbaum RB, Dean HA, Mayle JE. Gender differences in Manning criteria in the irritable bowel syndrome. Gastroenterology 1991;100(3):591-5.




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