Psikiyatrik hastalar ve irritabl barsak sendromu
Psychiatric patients and irritable bowel syndrome
Özet
Giriş ve amaç: Bu çalışmanın amacı, psikiyatri poliklinigine müracaat eden ardışık 88 hastada irritabl barsak sendromu sikligini araştırmak ve kontrol grubu ile karsilastirmaktir. Gereç ve yöntem: Psikiyatrik hastalarda tanısal değerlendirme DSM-IV kriterlerine göre yapildi. Irritabl barsak sendromu tanısı ise hem hasta hem de kontrol grubunda (106 kisi) ROMA-2 kriterlerine göre konuldu. Bulgular: Psikiyatrik hastalarda 44/88 hastada (%50) irritabl barsak sendromu saptanırken, kontrol grubunda 27/106 kiside (%25,5) bulundu(p<0.001). Sonuç: Psikiyatrik rahatsizlik ile irritabl barsak sendromu arasında yakin ilişki vardır, bu nedenle irritabl barsak sendromu tanısı konan hastalara psikiyatrik muayene yapilmali ve tedavide göz önünde bulundurulmalidir.
Abstract
Background and aims: The aim of the study was to investigate the incidence of irritable bowel syndrome in 88 patients sequentially admitted to the psychiatry clinic and to compare them with a control group. Materials and methods: DSM-IV criteria was used for the psychiatric evaluation. ROMA-2 criteria was used for the diagnosis of irritable bowel syndrome in both groups. Results: Irritable bowel syndrome was diagnosed in 44 out of 88 psychiatric patients (50%) and in 27 out of 106 for control group subjects (25.5%) (p<0.001). Thus there was a close relationship between irritable bowel syndrome and psychiatric disorders. Conclusions: Psychiatric examination should be carried out in irritable bowel syndrome patients and any psychiatric problem must be taken into account during therapy.
