Anxiety and Depression Comorbidities in Irritable Bowel Syndrome
Lyubchenko М. Bibekova Z. Zarovnyy К.
2022Professionalnye Izdaniya
Psychiatry, Psychotherapy and Clinical Psychology
2022#13Issue 3293 - 299 pp.
Irritable bowel syndrome (IBS) is a chronic disease characterized by abdominal pain and changes in stool in the absence of organic changes in the intestinal mucosa. At the same time, concomitant (comorbid) mental conditions (neurotic disorders) are common, but it is unclear whether they precede the symptoms or are caused by them. The aim of our study was to find out the differences in the severity of anxiety and / or depression (if any) in patients with different types of IBS. The study group included 93 patients (mean age (38±11) years; a total of 67 women and 26 men) diagnosed with IBS. They all completed a structured questionnaire with demographic and clinical data. Anxiety and depression were assessed using the Hamilton Anxiety Rating Scale (HAM-A) and the Hamilton Depression Scale (HAM-D). The distribution of IBS subtypes was as follows: IBS with diarrhea (IBS-D) 47%, IBS with constipation (IBS-C) 29%, mixed IBS (IBS-М) 24%. Anxiety and/or depression were found in 62.36%. Comparison between the subgroups revealed that patients with IBS-D were more likely to have anxiety (62.07%), and patients with IBS-C had depression (90.48%). Higher indicators on the anxiety scale were found in patients with IBS-М (23±2.9). These features should be taken into account in the clinical management of these patient subgroups.
anxiety , constipation , depression , diarrhea , functional disorders , irritable bowel syndrome
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Karaganda Medical University, Karaganda, Kazakhstan
Regional Center for Mental Health, Karaganda, Kazakhstan
Karaganda Medical University
Regional Center for Mental Health
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