+ Site Statistics
References:
54,258,434
Abstracts:
29,560,870
PMIDs:
28,072,757
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Anxiety but not depression determines health care-seeking behaviour in Chinese patients with dyspepsia and irritable bowel syndrome: A population-based study



Anxiety but not depression determines health care-seeking behaviour in Chinese patients with dyspepsia and irritable bowel syndrome: A population-based study



Alimentary Pharmacology & Therapeutics 16(12): 2081-2088



Aims: To study the prevalence of dyspepsia and irritable bowel syndrome and the effects of co-existing anxiety and depression on health care utilization by a population survey in Chinese. Methods: Ethnic Chinese households were invited to participate in a telephone survey using a validated bowel symptom questionnaire and the hospital anxiety and depression scale. Gastrointestinal symptoms were classified as dyspepsia and irritable bowel syndrome according to the Rome I criteria and gastro-oesophageal reflux disease by the presence of weekly heartburn or acid regurgitation. The anxiety and depression scores were compared between patients who sought medical attention and those who did not, using multiple logistic regression analysis. Results: One thousand, six hundred and forty-nine subjects completed the interview (response rate, 62%). The population prevalences of dyspepsia, irritable bowel syndrome and gastro-oesophageal reflux disease were 18.4%, 4.1% and 4.8%, respectively. Dyspepsia and irritable bowel syndrome were associated with anxiety, depression, medical consultation, sick leave and adverse effects on social life. The degree of anxiety was an independent factor associated with health care-seeking behaviour in both dyspeptics (P = 0.003) and irritable bowel syndrome patients (P = 0.036). Conclusions: Irritable bowel syndrome and dyspepsia are associated with anxiety, depression, significant social morbidity, health care utilization and days off work. Anxiety is an independent factor in determining health care utilization in patients with dyspepsia and irritable bowel syndrome.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 010191573

Download citation: RISBibTeXText

PMID: 12452941

DOI: 10.1046/j.1365-2036.2002.01377.x


Related references

Symptoms but not psychological factors predict health care seeking in subjects with irritable bowel syndrome and dyspepsia A population-based study. Gastroenterology 112(4 SUPPL ): A835, 1997

Anxiety and depression: a common feature of health care seeking patients with irritable bowel syndrome and food allergy. Hepato-Gastroenterology 45(23): 1559-1564, 1998

Gender difference on the symptoms, health-seeking behaviour, social impact and sleep quality in irritable bowel syndrome: a Rome II-based survey in an apparent healthy adult Chinese population in Taiwan. Alimentary Pharmacology and Therapeutics 21(12): 1497-1505, 2005

Predictors of health care seeking for irritable bowel syndrome: a population based study. Gut 41(3): 394-398, 1997

Predictors of health care seeking for irritable bowel syndrome: a population based study. Gut 41(3): 394-398, 1998

Predictors of conventional and alternative health care seeking for irritable bowel syndrome and functional dyspepsia. Alimentary Pharmacology & Therapeutics 17(6): 841-851, 15th March, 2003

The relationship between complaint-related cognitions in referred patients with irritable bowel syndrome and subsequent health care seeking behaviour in primary care. Family Practice 13(1): 12-17, 1996

Is health care seeking for irritable bowel syndrome and functional dyspepsia a socially learned response to illness?. Digestive Diseases and Sciences 50(1): 153-162, 2005

Prevalence of constipation and irritable bowel syndrome and their impact on health care seeking in the elderly A population-based study. Gastroenterology 108(4 SUPPL ): A33, 1995

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 Gastroenterology 96(5): 1340-1349, 2001

Prevalence, bowel habit subtypes and medical care-seeking behaviour of patients with irritable bowel syndrome in Northern Greece. European Journal of Gastroenterology and Hepatology 21(2): 183-189, 2010

Anxiety and depression determine health care utilisation in Hong Kong patients with dyspepsia A population based study. Journal of Gastroenterology & Hepatology 12(SUPPL ): A198, 1997

Anxiety and depression are co-factors determining health care utilisation in patients with dyspepsia A Hong Kong population based study. Gastroenterology 112(4 SUPPL ): A153, 1997

Anxiety, depression and distress among irritable bowel syndrome and their subtypes: An epidemiological population based study. Advanced Biomedical Research 5: 183, 2016

Cluster analysis of symptoms and health seeking behaviour differentiates subgroups of patients with severe irritable bowel syndrome. Gut 52(11): 1616-1622, 2003