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Irritable bowel syndrome is strongly associated with generalized anxiety disorder: a community study
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Summary: Background No previous study has examined the comorbidity of Irritable Bowel Syndrome (IBS) and Generalized Anxiety Disorder (GAD) in a general population using standardized diagnostic methods. Aim To examine the prevalence, comorbidity and risk correlates of IBS and GAD in a general population. Methods A random community‐based telephone survey was conducted. The questionnaire covered symptoms of IBS, GAD, core depressive symptoms, help‐seeking behaviour and functional impairment on the Sheehan Disability Scale. Results A total of 2005 participants completed the interview. The current prevalence of IBS was 5.4% and the 12‐month prevalence of GAD was 4%. GAD was five times more common among IBS respondents than non‐IBS respondents (OR: 5.84, P < 0.001), whereas IBS was 4.7 times more common among GAD respondents than among non‐GAD respondents (OR: 6.32, P < 0.001). Core depressive symptoms (OR: 6.25, P < 0.01) and education level (OR: 5.918, P = 0.021) were risk correlates of GAD among IBS respondents. Comorbid respondents were more impaired than respondents having either disorder alone, but were not more likely to seek professional help than IBS‐only respondents. Conclusion Irritable Bowel Syndrome and GAD comorbidity was common and added to impairment in the community. The strong association between psychiatric morbidity and IBS observed in referral centres was not a consequence of increased help‐seeking behaviour.
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“The OR for IBS was 5.84 among respondents with GAD compared to those without GAD and the OR for GAD was 6.32 for respondents with IBS compared to those without it (both, p < 0.001), showing considerable co-morbidity between these disorders.”
From Irritable Bowel Syndrome and Co-morbid Gastrointestinal and Extra-gastrointestinal Functional Syndromes (2010) · cites this paper as [52]
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“Lee et al.52 studied the co-morbidity of IBS and GAD in a community-based sample of 2,005 adolescents and adults from Hong Kong. They showed an overall prevalence of 5.4% for IBS using the Rome III diagnostic criteria and 4.0% for GAD.52”
From Irritable Bowel Syndrome and Co-morbid Gastrointestinal and Extra-gastrointestinal Functional Syndromes (2010) · cites this paper as [52]
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Metadata
- Authors
- LEE, S., WU, J., MA, Y. L., TSANG, A., GUO, W. ‐., & SUNG, J.
- Affiliations
- Chinese University of Hong Kong (HK)
- Corresponding author
- LEE, S.
- Venue
- Alimentary Pharmacology & Therapeutics
- Publisher
- Wiley
- Published
- 2009-08-18
- Volume
- 30
- Issue
- 6
- Pages
- 643-651
- ISSN
- 0269-2813 (ISSN-L)
- 1365-2036
- OpenAlex
- W2021246452
- Cited by
- 136
- References
- 38
- Citations by year
- 2026: 1 · 2025: 6 · 2024: 8 · 2023: 9 · 2022: 3 · 2021: 6 · 2020: 11 · 2019: 12 · 2018: 5 · 2017: 4 · 2016: 8 · 2015: 6 · 2014: 18 · 2013: 6 · 2012: 15
- FWCI
- 11.69
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Alimentary Pharmacology & Therapeutics (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Gastroenterology › Gastrointestinal motility and disorders
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- irritable bowel syndrome, generalized anxiety disorder, comorbidities, prevalence, depressive symptoms, help-seeking, functional disability, Sheehan Disability Scale, risk factors, educational attainment, community survey
- MeSH terms
- Adolescent, Adult, Depressive Disorder, Female, Humans, Male, Middle Aged, Psychiatric Status Rating Scales, Surveys and Questionnaires, Risk Factors, Socioeconomic Factors, Comorbidity, Prevalence, Irritable Bowel Syndrome, Young Adult
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