Logo-aim
Arch Iran Med. 2020;23(12): 821-826.
doi: 10.34172/aim.2020.109
  Abstract View: 241
  PDF Download: 161

Original Article

Irritable Bowel Syndrome: Psychological Disorder or Poverty? Results of a Large Cross-sectional Study in Iran

Saba Alvand 1 ORCID logo, Zahra Mohammadi 1, Laleh Rashidian 1, Bahman Cheraghian 2, Zahra Rahimi 3, Leila Danehchin 4, Yousef Paridar 5, Farhad Abolnezhadian 6,7, Mohammad Noori 8, Seyed Ali Mard 9, Sahar Masoudi 1, Ali Akbar Shayesteh 9* ORCID logo, Hossein Poustchi 1* ORCID logo

1 Liver and Pancreatobiliary Diseases Research Center, Digestive Diseases Research Institute, Tehran University of Medical Sciences, Tehran, Iran
2 Alimentary Tract Research Center, Imam Khomeini Hospital Clinical Research Development Unit, Department of Biostatistics and Epidemiology, School of Public Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
3 Department of Biostatistics and Epidemiology, School of Public Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
4 Behbahan Faculty of Medical Sciences, Behbahan, Iran
5 School of medicine, Dezful University of Medical Sciences, Dezful, Iran
6 Shoshtar Faculty of Medical Sciences, Shoshtar, Iran
7 Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
8 Abadan Faculty of Medical Sciences, Abadan, Iran
9 Alimentary Tract Research Center, Imam Khomeini Hospital Clinical Research Development Unit, School of medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
*Corresponding Author: Ali Akbar Shayesteh, MD; Imam Khomeini Hospital, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran. Tel: +98-21- 82415141; Fax: +98-2 1-82415400; Email: shayestehaliakbar5@gmail.com. Hossein Poustchi, MD, PhD; North Kargar St., Shariati Hospital, Digestive Diseases Research Institute, Tehran, 1411713135, Iran. Tel: +98-21-82415141; Fax: +98-21-82415400 Email: h.poustchi@gmail.com

Abstract

Background: Irritable bowel syndrome (IBS) is a functional disease with no exact laboratory or imaging findings. IBS is more common in areas with a history of psychological trauma and war. This study aims to report the prevalence and possible determinants of IBS in southwestern Iran, an area with a notable history of war.

Methods: We randomly enrolled 1849 permanent residents in 29 cities aged 20 to 65 years. A validated for Farsi version Rome III criteria and a questionnaire, including demographic data and health history, were administered to each subject. Participants who fulfilled the Rome III criteria were categorized into three groups: Diarrhea dominant (IBS-D), Constipation dominant (IBS-C), and Mixed type (IBS-M).

Results: The total prevalence of IBS was 3.2%, with 70% of subjects being of Arab descent (P=0.004). IBS was more common in females, singles, illiterate subjects, and people younger than 30 years; however, none of these differences were statistically significant. People with depression, anxiety, self-report of psychological disorders, and very low socioeconomic status had a significantly higher prevalence of IBS (P<0.05). After multivariable logistic regression analysis, very low socioeconomic status had an independent role in IBS predictivity (OR: 2.28, 95% CI: 1.01–5.15).

Conclusion: This study shows a higher prevalence of IBS symptoms in a population-based study in the region compared to counterparts in other regions of Iran. Considering the higher prevalence of self-reported psychological disorders, further studies are recommended to focus on the exact diagnosis of mental disorders and their influence on IBS.

Keywords: Iran, Irritable bowel syndrome, Mental disorders, Prevalence, Socioeconomic factors
Cite this article as: Alvand S, Mohammadi Z, Rashidian L, Cheraghian B, Rahimi Z, Danehchin L, et al. Irritable bowel syndrome: psychological disorder or poverty? Results of a large cross-sectional study in Iran. Arch Iran Med. 2020;23(12):821–826. doi: 10.34172/aim.2020.109.
First Name
 
Last Name
 
Email Address
 
Comments
 
Security code


Abstract View: 241

Your browser does not support the canvas element.


PDF Download: 161

Your browser does not support the canvas element.