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J Neurogastroenterol Motil. 2017 Oct;23(4):555-560. English. Original Article. https://doi.org/10.5056/jnm16166
Kawoos Y , Wani ZA , Kadla SA , Shah IA , Hussain A , Dar MM , Margoob MA , Sideeq K .
Departments of Psychiatry, Government Medical College Srinagar, Srinagar, Jammu and Kashimir, India. yumankawoos@ymail.com
Gastroenterology, Government Medical College Srinagar, Srinagar, Jammu and Kashimir, India.
Department of Neurology, Sheri-Kashmir Institute of Medical Sciences, Srinagar, Jammu and Kashmir, India.
Preventive and Social Medicine, Government Medical College Srinagar, Srinagar, Jammu and Kashimir, India.
Abstract

Background/Aims

Irritable bowel syndrome (IBS) is a chronic psycho-physiological disorder. It is considered to be the most common functional gastrointestinal disorder, and about 50–90% of IBS patients have associated psychiatric co-morbidity. We aimed to study psychiatric co-morbidities in patients with IBS visiting a tertiary care center.

Methods

This was a cross-sectional case-control study conducted over a duration of one and a half years from January 2014 to July 2015. Patients were selected from the out-patient department of gastroenterology. About 160 patients with IBS who fulfilled the inclusion criteria and who gave written informed consent were selected as study cases. The healthy attendants of cases were selected as controls. A total of 200 controls were selected. Rome-III criteria were used to diagnose IBS. For diagnosing psychiatric disorders, we used the Mini International Neuropsychiatric Interview Schedule Plus.

Results

Mean age of our cases and controls was 39.7 ± 11.4 and 37.7 ± 9.6 years, respectively. Females outnumbered males in our cases as well as their controls by a ratio of 2:1 approximately. Psychiatric disorders were seen in 84.4% of IBS patients as compared to 41.5% in controls. Major psychiatric disorders seen in our patients were generalized anxiety disorders (30.0%) and depression (28.0%).

Conclusions

The majority of patients with IBS who present to a tertiary care center have co-morbid psychiatric disorders. We need to screen these patients for such co-morbidities and develop a holistic approach for better outcome in such cases.

Copyright © 2019. Korean Association of Medical Journal Editors.