Revista Clínica de Medicina de Familia
versión impresa ISSN 1699-695X
DIAZ CARDENAS, Shyrley; DIAZ CABALLERO, Antonio y ARRIETA VERGARA, Katherine Margarita. Psychosocial, sociodemographic, cultural and family factors associated with Irritable Bowel Syndrome. Rev Clin Med Fam [online]. 2010, vol.3, n.2, pp.78-82. ISSN 1699-695X.
Objective. To describe the psychosocial factors, demographic, cultural and family associated with irritable bowel syndrome in adults. Method. Case-control study in 754 patients, 256 diagnosed with Irritable Bowel Syndrome (cases) and 498 patients without disease (controls) between 30 and 60 years in three private health institutions Cartagena randomly selected, non should be cognitively impaired, diagnosis of cancer of the colon, stomach, pancreas, rectum or suffer from gastro intestinal tract. Measurements. We filled out a questionnaire that included the test Golberg (anxiety and depression), social adjustment scale of Holmes and Rahe (stress) and the Family APGAR (family functioning). Was performed univariate and bivariate analysis was measured by calculating the strength of association Odd ratio, confidence intervals 95 %, X2 to find the value of p. Results. 79.1% of cases had stress, 71.48 % depression and 73.49 % anxiety. All these factors acted as risk factors for disease (OR= 8,54; 95 % CI 5,8-12,45, p = 0,000) (OR= 5,76; 95 % CI 4,07-8,17; p = 0,000) (OR= 6,25; 95 % CI 4,4-8,91; p = 0,000) respectively, as dysfunctional families, friends do not support and the social habits such as coffee (OR = 1,44; 95 % CI: 1,04 - 1,99, p = 0,02 ) (OR = 1,67; 95 % CI 1,21 - 2,31; p = 0,001) (OR = 1,78; 95% CI 1,29 -2,44; p = 0,002) respectively. Conclusions. Psychosocial factors such as depression, anxiety and stress are risk factors that predispose to or complicate develop Irritable Bowel Syndrome.
Palabras clave : Irritable Bowel Syndrome; Anxiety; Depression; Stress.