PREVALENCE OF IRRITABLE BOWEL SYNDROME AND ITS ASSOCIATION WITH STRESS AND OTHER RISK FACTORS AMONG UNIVERSITY STUDENTS OF PESHAWAR
Keywords:
Irritable Bowel Syndrome, Depression, Stress, Anxiety, University studentsAbstract
Objectives: To find out the prevalence of Irritable Bowel Syndrome (IBS) among university students of Peshawar. To
quantify anxiety levels of the students using DASS-21 scoring system. To find the association between the DASS-21 score
and Irritable Bowel Syndrome (IBS) and to find the association of Irritable Bowel Syndrome (IBS) with other risk factors.
Material and Methods: Questionnaires from students studying in different universities of Peshawar were collected
during the months of March and April 2018. A total 520 students responded. The questionnaire asked for relevant bio
data that included name, age, gender, address, university name and the year/semester they were studying in. There
were also questions relating to any symptoms relating to Irritable Bowel Syndrome (IBS) that they had experienced
in the past three months, if they had family history for Irritable Bowel Syndrome (IBS) and if they were allergic to any
substance. The last portion of the questionnaire contained questions that were used in assessment of anxiety levels of
the students using DASS-21 scoring system.
Results: Total number of respondents were 520. Of these, the Irritable Bowel Syndrome (IBS) cases recorded were
103 (19.8%). Of the 103 Irritable Bowel Syndrome (IBS) patients, 53 (51.5%) were female and 50 (48.5%) were male.
Among the Irritable Bowel Syndrome (IBS) patients, 28 (27.2%) had extremely severe anxiety, 13 (12.6%) had severe
anxiety, 28 (27.2%) had moderate anxiety, 9 (8.7%) had mild anxiety and 25 (24.3%) had normal levels of anxiety. 12
(11.7%) of the students having Irritable Bowel Syndrome (IBS) were extremely depressed, 19 (18.4%) students were
severely depressed, 21 (20.4%) were moderately depressed, 17 (16.5%) were mildly depressed and 34 (33%) were
normal. The levels of stress in Irritable Bowel Syndrome (IBS) patients was also assessed. Those who had extremely
severe stress were 6 (5.8%); 20 (19.4%) had severe stress, 15 (14.5%) had moderate stress, 20 (19.4%) were mildly
stressed and 42 (40.8%) were normal. The highest number of Irritable Bowel Syndrome (IBS) patients i.e. 35 (34%)
worked for 10-20 hours; 30 Irritable Bowel Syndrome (IBS) patients (29%) had 30-40 working hours; 19 Irritable Bowel
Syndrome (IBS) patients (18.4%) worked for 20-30 hours; Irritable Bowel Syndrome (IBS) patients working for more
than 40 hours were 19 (18.4%). 11 (10.7%) of the Irritable Bowel Syndrome (IBS) patients were smokers. 28 (27.2%)
patients had a positive family history for Irritable Bowel Syndrome (IBS).
Conclusion: Irritable Bowel Syndrome (IBS) is predominantly found in females. It is more common in people having
high levels of anxiety.
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