ABSTRACT
Background/Aims@#Accumulating evidence based on a few studies suggests a relationship between depression and functional constipation. This study examined whether depression is associated with a higher risk of functional constipation and whether it is gender specific. @*Methods@#This cross-sectional study was carried out on 3,362 adults aged 18-55 years. In this study, functional gastrointestinal symptoms were determined using an Iranian reliable and valid version of the modified Rome III questionnaire. The Iranian validated version of the hospital anxiety and depression scale was used to evaluate the psychological health. Scores of eight or more on the depression subscale in the questionnaire were considered the presence of depression. Simple and multiple binary logistic regression were used for data analysis. @*Results@#The mean±SD age of participants was 36.29±7.87 years, and 58.5% were female. The prevalence of depression and constipation in the study sample was 28.6% and 23.9%, respectively. In the full adjusted model, in the total sample, depressed people showed a significantly higher risk of constipation; adjusted OR (AOR), 1.69 (95% CI, 1.37-2.09). Although a significant association was observed between depression and constipation in both genders, the association was stronger in men than women (AOR, 2.28; 95% CI, 1.50, 3.63 vs. AOR, 1.55; 95% CI, 1.21, 1.99). @*Conclusions@#These study findings showed that depressed people are at a significantly higher risk of being affected by constipation. The current study findings justify the importance of mental health evaluations in all patients with functional gastrointestinal disorders, particularly among constipated individuals.
ABSTRACT
Today investing about the role of contributing emotional factors in etiology and treatment of functional gastrointestinal disorders was an interesting subject for many researches. The purpose of the present study was to assess the relationship between emotional intelligence and somatization in patients with functional gastrointestinal disorders. This study was descriptive and correlation. In this study 240 patients with functional gastrointestinal disorders [42 male and 198 female] were selected by the convenience sampling and participated in the study by filling baron emotional intelligence scale [1970] and Modified somatic Perception Questionnaire [MSPQ]. Data was analyzed and used Pearson correlation and multiple regressions. The results show that emotional intelligence had significant relationship in patients with functional gastrointestinal disorders. There was an association between increasing in scores of emotional intelligence and decreasing in scores of somatization. Also, adaptability and stress management among dimensions of emotional intelligence had significant and contrary relationship with somatization. The results of regression analysis show that emotional intelligence predicts 10 percentages of somatization scores in these patients. The results of the study highlight the protective role of emotional intelligence in physical and psychological health and provide useful information for medical and psychological treatment of patients with functional gastrointestinal disorders
ABSTRACT
The Unified treatment approach [UP], an emotion-focused cognitive-behavioral therapy that holds emotional processes as a central target of treatment, is applicable for disorders with strong emotional components. The aim of this study was to examine the effectiveness of emotion regulation intervention derivative from the UP on emotional problems and quality of life among patients with functional gastrointestinal disorders. The study was a randomized clinical trial. Sixteen patients with functional gastrointestinal disorders were entered in treatment process, in term of the qualification criteria. The intervention was conducted in 12 group sessions during 2 hours. The tests of DASS and SF-36 was used to evaluate the efficiency of intervention. Data were analyzed using descriptive statistics and covariance analysis. The results of the covariance analysis showed that there was significant decrease in severity of depression [p<0.01], anxiety [p <0.05] and stress [p <0.01] and also significant increase in quality of life [p <0.01] in intervention group. Emotional regulation intervention on the basis of the UP was effective in decrease of severity of emotional symptoms [depression, anxiety, stress] and increase of quality of life patients with psychosomatic disorders. So, the UP, transdiagnostic therapy have proper efficacy in improvement emotional regulation and quality of life patients with functional gastrointestinal disorders
ABSTRACT
There is a growing interest of clinical and epidemiological researches in the field of functional gastrointestinal disorders in our society. Accordingly, validated and culturally adapted instruments are required for appropriate measurement of variables specially the quality of life. The aim of our study was the linguistic validation of the Irritable Bowel Syndrome-Quality of Life questionnaire [IBS-QOL] for Iranian IBS patients with Persian language. Following the standard forward-backward translation method, the IBSQOL was translated into the Persian language and completed by 141 IBS patients. Patients also completed the IBS Symptom Severity Scale [IBS-SSS] and Hospital Anxiety and Depression Scale [HADS]. One-week retest was performed on 30 randomly selected patients. Internal consistency and test-retest reliability were assessed using Cronbach's alpha and intraclass correlation coefficient [ICC], respectively. To analyze the discriminant validity, the IBS-QOL scores was correlated to the IBS-SSS and HADS scores. According to the results, reliability analyses were acceptable for all of the IBS-QOL domains [Cronbach's alpha=0.68 to 0.90 and ICCs=0.77 to 0.91]. Discriminant validity was supported by the presence of correlations of the IBS-QOL scores with disease severity [r=-0.628], depression [r=-0.692], and anxiety [r=-0.711] scores; P<0.001. These results indicate that the Persian version of the IBS-QOL is a reliable instrument with sufficient psychometric requirements to assess quality of life in Iranian IBS patients with Persian language