Details

Autor(en) / Beteiligte

• Jang, Seung-Ho
• Ryu, Han-Seung
• Choi, Suck-Chei
• Lee, Sang-Yeol

Titel

Psychological factors influence the overlap syndrome in functional gastrointestinal disorders and their effect on quality of life among firefighters in South Korea

Ist Teil von

• Journal of digestive diseases, 2016-04, Vol.17 (4), p.236-243

Ort / Verlag

Australia: Blackwell Publishing Ltd

Erscheinungsjahr

2016

Link zum Volltext

Quelle

Access via Wiley Online Library

Beschreibungen/Notizen

• Objective The aim of this study was to investigate the predictor variables that could influence overlap syndrome in functional gastrointestinal disorders (FGID) among firefighters in Korea. Methods Data collected from 1217 firefighters in Korea were reviewed. FGID were diagnosed according to the Rome III diagnostic criteria. Psychological factors were measured by self‐reported questionnaires. The scores for depression, anxiety, quality of life (QOL) and occupational job stress were analyzed. The correlation between psychological factors and QOL was analyzed and a stepwise multiple regression analysis was performed. Results FGID were observed in 461 (37.9%) participants. In those with FGID, functional heartburn (FH) was most common (32.2%), followed by functional dyspepsia (12.2%). Patients with overlap syndrome had the highest depression, anxiety and occupational stress score than those having non‐overlap syndrome and healthy controls, respectively (depression: F = 142.29, η2 = 0.190; anxiety: F = 88.33, η2 = 0.127; occupational stress: F = 43.68, η2 = 0.067; all P < 0.001). Healthy controls had the highest QOL score (F = 73.39, P < 0.001, η2 = 0.108). Pychological factors were significantly correlated with QOL in the overlap syndrome of FGID. After the stepwise selection, the final model explained 45.6% of predictable variance and contained four significant variables: depression, self‐esteem, occupational stress and anxiety. Conclusions Psychological factors are associated with the overlap syndrome of FGID. Acknowledging this common comorbidity may facilitate the recognition and treatment of patients with FGID.