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Abdelaziz HA, Ellakany WI, Ellakany A, Dean YE, Rouzan SS, Bamousa BAA, Shebl MA, Elawady SS, Verma S, Gir D, Sbitli T, Zaki I, Motwani L, Eweis R, Iqbal N, Shah J, Aiash H. The relationship between anxiety and irritable bowel syndrome symptoms among females: A cross-sectional study in Egypt. Medicine (Baltimore) 2023; 102:e34777. [PMID: 37565849 PMCID: PMC10419348 DOI: 10.1097/md.0000000000034777] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/30/2023] [Accepted: 07/26/2023] [Indexed: 08/12/2023] Open
Abstract
There is a scarcity of studies focusing on irritable bowel syndrome (IBS) and anxiety in Egypt. Accordingly, our study aimed to assess the association between anxiety and IBS symptomatology among Egyptian females. Three hundred eighty-three females (145 IBS and 238 controls) were included in the study, and data were obtained using structured predesigned questionnaires. IBS and anxiety symptoms were assessed according to the Rome IV criteria and the Arabic version of the beck anxiety inventory, respectively. Both IBS and non-IBS groups showed increased anxiety during the pandemic, without a significant difference between both groups (P value = .657). Higher levels of education were significantly associated with severe anxiety (P value = .031). Multivariate analysis of IBS patients showed that intermediate education was significantly associated with 75% lower odds for increased IBS symptoms compared with illiterate or read-and-write IBS patients [odds ratio (OR): 0.25, 95% confidence interval (CI) 0.06-0.95, P value = .042]. Urban residence was significantly associated with 13.5 times greater odds of increased IBS symptoms, compared with rural residence (OR: 13.48, 95% CI 3.55-51.25, P value < .001). Moreover, patients who lost their job during the pandemic were 12.9 times more likely to have increased symptoms (OR: 12.89, 95% CI 1.84-90.15, P value = 0.01). A unit increase in patients age and beck anxiety inventory score was associated with 68% and 75% greater odds for increased IBS symptoms, respectively (OR: 1.68, 95% CI 1.12-2.53, P value = .012; OR: 1.75, 95% CI 1.08-2.84, P value = .024). Increasing anxiety is associated with increased IBS symptoms. Therefore, IBS patients should be screened for anxiety, and the role of psychiatric management of anxiety in the amelioration of IBS symptoms must be explored.
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Affiliation(s)
| | | | - Ahmed Ellakany
- Alexandria University, Faculty of Medicine, Al Attarin, Egypt
| | - Yomna E. Dean
- Alexandria University, Faculty of Medicine, Al Attarin, Egypt
| | - Samah S. Rouzan
- Alexandria University, Faculty of Medicine, Al Attarin, Egypt
| | | | - Mohamed A. Shebl
- Cairo University, Kasr Al-Ainy, Faculty of Medicine, Old Cairo, Egypt
| | - Sameh Samir Elawady
- Neuro-endovascular Surgery Department, Medical University of South Carolina (MUSC), South Carolina
| | - Suman Verma
- Maharishi Markandeshwar Medical College, Mullana, Haryana, India
| | - Deepak Gir
- Maharishi Markandeshwar Medical College, Mullana, Haryana, India
| | - Taher Sbitli
- Alfaisal University, College of Medicine, Riyadh, Saudi Arabia
| | - Ibram Zaki
- Beni Suef University, Faculty of Medicine, Beni Suef, Egypt
| | - Lakshya Motwani
- Nathiba Hargovandas Lakhmichand (NHL) Municipal Medical College, Ahmedabad, Gujarat, India
| | - Ramy Eweis
- Beni Suef University, Faculty of Medicine, Beni Suef, Egypt
| | - Naila Iqbal
- Shadan Institute of Medical Sciences, Peeramcheru, Hyderabad, India
| | - Jaffer Shah
- Kateb University, Medical Research Center, Kabul, Afghanistan
| | - Hani Aiash
- SUNY Upstate Medical University, Medicine, Cardiovascular Perfusion, and Surgery Departments, NY
- Suez Canal University, Family Medicine Department, El Sheikh Zayed, Egypt
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