J Neurogastroenterol Motil.  2019 Apr;25(2):233-240. 10.5056/jnm18028.

Psychosocial Factors Associated With Irritable Bowel Syndrome Development in Chinese College Freshmen

• Jiang C
• Xu Y
• Sharma S
• Zhang L
• Wang H
• Song J
• Qian W
• Bai T
• Hou X

• KMID: 2449095
• DOI: http://doi.org/10.5056/jnm18028

Abstract

BACKGROUND/AIMS
The role of psychosocial factors on irritable bowel syndrome (IBS) in adolescents is incompletely understood. The aim of this study is to investigate the association between the psychosocial factors and the risk of developing IBS in college freshmen.
METHODS
A cross-sectional survey was conducted in a randomly selected freshmen population in Wuhan China (n = 2449). Questionnaire evaluated demographics and psychosocial risks. The population was divided into 3 groups: non-discomfort, chronic abdominal discomfort and IBS. The association between the development of IBS and psychosocial factors was analyzed by ordinal and multiple logistic regression analysis.
RESULTS
A total of 2053 (83.8%) completed this survey (mean age, 18.2 ± 0.9 years; female, 35.6%). Among them, 82 (4.0%) fulfilled the Rome III criteria for IBS. Female (odds ratio [OR], 3.31; 95% confidence interval [CI], 2.47-4.45), experience of abuse (OR, 2.44; 95% CI, 1.10-5.56), and suicidal intention (OR, 2.17; 95% CI, 1.15-4.17) were more likely to have IBS. Compared with chronic abdominal discomfort, however, depression (OR, 5.55; 95% CI, 1.36-22.71) was the only dependent risk factor for IBS.
CONCLUSION
The prevalence of IBS in college freshmen is 4.0%, and to the freshmen, psychosocial factors such as experience of abuse, depression, and suicidal intention were associated with high risk of developing IBS.

Keyword

Child abuse; Depression; Irritable bowel syndrome; Suicide

MeSH Terms

Adolescent
Asian Continental Ancestry Group*
Child
Child Abuse
China
Cross-Sectional Studies
Demography
Depression
Female
Humans
Intention
Irritable Bowel Syndrome*
Logistic Models
Prevalence
Psychology*
Risk Factors
Suicide