ĐẶC ĐIỂM LÂM SÀNG RỐI LOẠN LO ÂU LAN TỎA Ở BỆNH NHÂN HỘI CHỨNG RUỘT KÍCH THÍCH

Ninh Đinh Vũ Ngọc; Trung Nguyễn Xuân; Khang Đặng Trần; Đạt Nguyễn Trọng; Nga Dương Thanh

doi:10.59354/ydth175.2024.295

Keywords:

Generalized anxiety disorder, irritable bowel syndrome

Abstract

Objective: Study clinical features of generalized anxiety disorders in irritable bowel syndrome patients.

Subject and methods: Cross-sectional descriptive study of 163 patients diagnosed with irritable bowel syndrome treated at Military Hospital 175 from June 2022 to March 2023.

Results: The proportion of male patients is 58.3%. The age group ≥ 40 accounts for 80%. The average age of the subject group is 55.7 ± 15.7 years. The prevalent rate of anxiety disorder is 30.1%, severe level is 34.7%, moderate level is 38.8% and mild level is 26.5%. Sleep disturbance is seen in 100% of patients, the rate of being easily fatigued, restlessness, difficulty concentrating is in the range from 73.4% to 87.7%, irritability and muscle tension account for 26.6% and 24.5%, respectively.

Conclusion: Clinical features of anxiety disorders in irritable bowel syndrome patients are useful for clinicians understanding of the disorders, supporting diagnosis and treatment generally and effectively.

References

Oka P., et al. Global prevalence of irritable bowel syndrome according to Rome III or IV criteria: a systematic review and meta-analysis. Lancet Gastroenterol Hepatol. 2020.

Patel RS, Goyal H, Satodiya R, Tankersley WE. Relationship of Cannabis Use Disorder and Irritable Bowel Syndrome (IBS): An Analysis of 6.8 Million Hospitalizations in the United States. Substance use & misuse. 2019:1-10.

Phan Trung Nam, Trần Quốc Khánh. Nghiên cứu rối loạn lo âu, trầm cảm bằng thang điểm HADS ở bệnh nhân hội chứng ruột kích thích. Tạp chí Y dược học Quân sự. 2023;4:103-13.

Nguyễn Thị Phương Thảo. Khảo sát tỉ lệ rối loạn lo âu lan tỏa và các yếu tố liên quan trên bệnh nhân hội chứng ruột kích thích: Đại học Y dược Thành phố Hồ Chí Minh; 2019.

Nguyễn Thúy Bích, Phan Trung Nam. Tỷ lệ mắc và một số yếu tố liên quan hội chứng ruột kích thích ở sinh viên y khoa Trường Đại học Y Dược, Đại học Huế. Tạp chí Y dược học - Trường Đại học Y Dược Huế. 2020;5(10):11-7.

Tarar ZI, Farooq U, Zafar Y, Gandhi M, Raza S, Kamal F, et al. Burden of anxiety and depression among hospitalized patients with irritable bowel syndrome: a nationwide analysis. Irish Journal of Medical Science (1971 -). 2023.

Banerjee A., et al. Anxiety and Depression in Irritable Bowel Syndrome. Indian J Psychol Med. 2017;39:741-5.

Grover M, Kolla BP, Pamarthy R, Mansukhani MP, Breen-Lyles M, He J-P, et al. Psychological, physical, and sleep comorbidities and functional impairment in irritable bowel syndrome: Results from a national survey of U.S. adults. PLOS ONE. 2021;16(1):e0245323.

Kawoos Y., et al. Psychiatric Co-morbidity in Patients With Irritable Bowel Syndrome at a Tertiary Care Center in Northern India. Journal of Neurogastroenterology and Motility. 2017;23(4):555-60.

Lee S, Wu J, Ma YL, Tsang A, Guo W-J, Sung J. Irritable bowel syndrome is strongly associated with generalized anxiety disorder: a community study. 2009;30(6):643-51.