Journal of Korean Biological Nursing Science

Korean society of Biological Nursing Science (한국기초간호학회)
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The Prevalence, Subtypes and Risk Factors of Irritable Bowel Syndrome by ROME III among Korean University Students

ROME III에 의한 국내 대학생의 과민성 장 증후군의 유병률, 증상유형 및 위험요인

  • Park, Mi-Jung (Department of Nursing, Daebul University) ;
  • Lee, Kyung-Sook (Department of Nursing, Gangneung-Wonju National University) ;
  • Jeong, Jae-Sim (Department of Clinical Nursing, University of Ulsan College of Medicine) ;
  • Kim, Joo-Hyun (Department of Nursing, Kangwon National University) ;
  • Choi, Jung-An (The Research Institute of Nursing Science, Seoul National University) ;
  • Shin, Gi-Soo (Department of Nursing, Red Cross College of Nursing) ;
  • Choe, Myoung-Ae (College of Nursing, Seoul National University)
  • 박미정 (대불대학교 간호학과) ;
  • 이경숙 (강릉원주대학교 간호학과) ;
  • 정재심 (울산대학교 임상전문대학원) ;
  • 김주현 (강원대학교 간호대학) ;
  • 최정안 (서울대학교 간호대학 간호과학연구소) ;
  • 신기수 (적십자간호대학 간호과) ;
  • 최명애 (서울대학교 간호대학)
  • Received : 2011.03.15
  • Accepted : 2011.04.20
  • Published : 2011.04.30
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Abstract

Purpose: The purpose of the present study was to investigate the prevalence, subtypes and risk factors of irritable bowel syndrome by ROME-III among Korean university students. Methods: This study was descriptive survey research. The sampls were 796 and variables were measured by structured questionaire. Rome-III criteria was used for diagnosis of IBS. The gathered data were analyzed with %, $x^2$-test, t-test, logistic regression by SPSS win 17.0. Results: The students with IBS were 61 (7.7%) and the most of the subtype was IBS-M (42.6%). Meal (times/day), breakfast, stress, quality of sleep, neuroticism, bodily pain, general health, social function, role emotional restriction, mental health, somatization, obcessive-compulsive state, depression, anxiety, hostility, global severity index, positive symptom distress index, positive symptom were significantly different between IBS group and non-IBS group. The prevalence of IBS was low in the higher score of role emotional in general health state. There were more 2 times students who had score of the obsessive-compulsive in psychological health over the 50 than below the 50 in IBS group. Conclusion: 7.7% of students were diagnosed by Rome-III criteria and the most of the sybtype was IBS-M. The risk factors of IBS were role emotional restriction, obsessive-compulsive state.

Keywords

References

  1. Cash, B., Sullivan, S., & Barghout, V. (2005). Total costs of IBS: Employer and managed care perspective. American Journal of Managed Care, 11, S7-S16.
  2. Derogegatis, L. R., Rickels, K., & Rocks, A. F. (1976). The SCL-90 and the MMPI: A step in the validation of a new self report scale. British Journal of Psychiatry, 128, 280-289. https://doi.org/10.1192/bjp.128.3.280
  3. Drossman, D. A. (2006). Rome III: The new criteria. Chinese Journal of Digestive Diseases, 7, 181-185. https://doi.org/10.1111/j.1443-9573.2006.00265.x
  4. Drossman, D. A., Corazziari, E., & Ilalley, N. J. (1999). A multinational consensus document on functional gastrointestinal disorders. Gut, 45(Suppl II), 111-118.
  5. Ford, A. C., Forman, D., Bailey, A. G., Axon, A. T., Moayyedi, P. (2008). Irritable bo-wel syndrome: A 10-yr natural history of symptoms and factors that influence consultation behavior. American Journal of Gastroenterology, 103, 1229-1239. https://doi.org/10.1111/j.1572-0241.2007.01740.x
  6. Gwee, K. A. (2005). Irritable bowel syndrome in developing countriesa disorder of civilization or colonization. Neurogastroenterol Motil, 17, 317-324. https://doi.org/10.1111/j.1365-2982.2005.00627.x
  7. Han, S. H., & Lee, Y. L. (2006). Selected summary; Prevalence of irritable bowel syn-drome in Korea: Population based survey using the Rome II criteria. Korean Journal of Neurogastroenterol Motil, 12, 183.
  8. Hu, W. H., Wong, W. M., Lam, C. L., Lam, K. F., Hui, W. M., Lai, K. C., et al. (2008). Anxiety but not depression determines health care-seeking behaviour in Chinese patients with dyspepsia and irritable bowel syndrome: A population-based study. Alimentary Pharmacology and Therapeutics, 16, 2081-2088.
  9. Hwang, S. Y., Choi, C. H., Rhie, S. Y., Do, M. Y., & Lee, S. H. (2006). The frequency and related factors of irritable bowel syndrome in health check up subjects. Korea Journal of Neurogastroenterol Motil, 12, 136-143.
  10. Ji, S. W., Park, H., Choi, J. P., Lee, T. H., Lee, D. Y., & Lee, S. Y. (2003). Validation of Rome-II criteria for functional gastrointestinal disorders in Korean patients. Korean Journal of Gastroentol, 41, 183-189.
  11. Jones, R., Latinovic, R., Charlton, J., & Gulliford M. (2006). Physical and psychological co-morbidity in irritable bowel syndrome: a matched cohort study using the General Prectice Research Database. Alimentary Pharmacology and ‚erapeutic, 24, 879-886. https://doi.org/10.1111/j.1365-2036.2006.03044.x
  12. Jung, D., Park, H., Kim, M., (2008). Study of irritable bowel syndrome, self-esteem, depression and physical health in female university students. Journal of Korean Academy of Women's health Nursing, 14, 306-313. https://doi.org/10.4069/kjwhn.2008.14.4.306
  13. Kim, K., Kim, J. H., & Won, H. T. (1989). Korean mannual of symptom chicklist-90 version. Seoul: ChungAng Aptitude Publishing Co.
  14. Koloski, N. A., Talley, N. J., & Boyce, P. M. (2001). Predictors of health care seeking for irritable bowel syndrome and nonulcer dyspepsia: A critical review of the literature on symptom and psychosocial factors. American Journal of Gastroenterolgy, 96, 1340-1349. https://doi.org/10.1111/j.1572-0241.2001.03789.x
  15. Koloski, N. A., Talley, N. J., & Boyce, P. M. (2005). A history of abuse in community subjects with irritable bowel syndrome and functional dyspepsia: The role of other psychosocial variables. Digestion, 15, 86-96.
  16. Korean Council for University Education, KCUE (2006).
  17. Korea Health Statistics 2009: Korea National Health and Nutrition Examination Survey (KNHANES IV-3, 2010).
  18. Ko, S. B., Jang, S. J., Kang, M. K., Cha, B. S., & Park, J. K. (1997). Reliability and validity on measurement instrument for health status assessment in occupational workers. The Korean Journal of Prevent Medicine, 30, 251-265.
  19. Lee, S. H. (2002). The prevalence of characteristics of irritable bowel syndrome in Korean population. Unpublished doctoral dissertation, Hanyang University, Seoul.
  20. Longstreth, G. F. (2005). Definition and classification of irritable bowel syndrome: current consensus and controversies. Gastroenterology Clinics North America, 34, 173-187. https://doi.org/10.1016/j.gtc.2005.02.011
  21. Masud, M. A., Hasan, M., Azad, Kahn A. K. (2001). Irritable bowel syndrome in a rural community in Bnagldesh: Prevalence, symptoms pattern, and health care seeking behavior. American Journal of Gastroenterology, 96, 1547-1552. https://doi.org/10.1111/j.1572-0241.2001.03760.x
  22. Mikocka-Walus, A., Turnbull, D., Moulding, N., Wilson, I., Andrews, J. M., & Holtmann G. (2008). Psychological comorbidity and complexity of gastrointestinal symptoms in clinically diagnosed irritable bowel syndrome patients. Journal of Gastroenterology and Hepatology, 23, 1137-1143. https://doi.org/10.1111/j.1440-1746.2007.05245.x
  23. Minocha, A., Bollineni, D., Johnson, W.D., Wigington, W. C. (2010). Racial differences in general health, suicidal thoughts, physical and sexual abuse in africanamericans and caucasians with irritable bowel syndrome. Southern Medical Journal, 103, 764-770. https://doi.org/10.1097/SMJ.0b013e3181e63653
  24. Myketun, A., Jacka, F., Williams, L., Pasco, J., Henry, M., Nicholson, G. C., et al. (2010). Prevalence of mood and anxiety disorder in self reported irritable bowel syndro-me (IBS). An epidemiological population based study of women. BMC Gastroenterology, 10, 88-96.
  25. Oh, J. J., Song, M. S., & Kim, S. M. (1998). Development and validation Korean sleep scale. Journal of Korean Academy of Nursing, 28, 563-572.
  26. Park, D. W. (2008). Prevalence and sociodemography of irritable bowel syndrome in Korea: A population-based survey using Rome II and Rome III diagnostic criteria. Unpublished master dissertation, Hanyang University, Seoul.
  27. Park, M. J., Choe, M. A., Kim, K. S., Hong, H. S., Lee, K. S., Jeong, J. S., et al. (2005). The review on characteristics, pathophysiology and risk factors of irritable bowel syndrome. Korean Journal of Rehabilitaton Nursing, 8, 129-138.
  28. Posserud, I., Agerforz, P., Ekman, R., Bjornsson, E. S., Abrahamsson, H., & Simren, M. (2004). Altered visceral perceptual and neuroendocrine response in patients with irritable bowel syndrome during mental stress. Gut, 53, 1102-1108. https://doi.org/10.1136/gut.2003.017962
  29. Sagami, Y., Shimada, J. T., Nomura, M. S., Endo, T. S., Karahashi, M. H., & Fukudo, S. (2004). Effect of a corticotropin releasing hormone receptor anatgonist on colonic sensory and motor function in patients with irritable bowel syndrome. Gut, 53, 958-964. https://doi.org/10.1136/gut.2003.018911
  30. Solmaz, M., Kavuk, I., & Sayar, K. (2003). Psychological factors in the irritable bowel syndrome. European Journal of Medical Research, 8, 549-556.
  31. Sperber, A. D., Shvartzman, P., Friger, M., & Fich, A. (2007). A comparative reappraisal of the Rome II and Rome III diagnostic criteria: Are we getting closer to the 'true' prevalence of irritable bowel syndrome? European Journal of Gastroenterology and Hepatology, 19, 441-447. https://doi.org/10.1097/MEG.0b013e32801140e2
  32. Talley, N. J., & Spiller, R. (2002). Irritable bowel syndrome: a little understood organic bowel disease? Lancet, 360, 555-564. https://doi.org/10.1016/S0140-6736(02)09712-X
  33. Talley, N. J., Zinsmeister, A. R., Melton, L. J. (1995). Irritable bowel syndrome in a community: symptom subgroups, risk factors, and health care utilization. Am J Epidemiol, 142, 76-83.
  34. Vandvik, P. O., Lydersen, S., & Farup, P. G. (2006). Prevalence, comorbidity and impact of irritable bowel syndrome in Norway. Scandinavian Journal of Gastroenterology, 41, 650-656. https://doi.org/10.1080/00365520500442542
  35. Whitehead, W. E., Palsson, O. S., Levy, P. R., Feld A. D., Turner, M., & Von Korff, M.(2007). Comorbidity in irritable bowel syndrome. American Journal of Gastroenterology, 102, 2767-2776. https://doi.org/10.1111/j.1572-0241.2007.01540.x
  36. Youn, J. H. (2004). A study on IBS and stress perceived by dollege women and their dietary habit and sleeping quality. Unpublished master's thesis, Ewha Womans University, Seoul.
  37. Yu, J. S. (2002). Update view of irritable bowel syndrome. Journal of Korean Life Insurance Medical Association, 21, 23-31.