Author/Authors :
Fakhraei، Bahareh نويسنده Non-Communicable Diseases Research Center, Fasa University of Medical Sciences, Fasa, IR Iran , , Firouzabadi، Ali نويسنده Department of Psychiatry, Research Center for Psychiatry and Behavioral Sciences, Hafez Hospital, School of Medicine, Shiraz University of Medical Sciences, Shiraz, IR Iran , , Farjam، Mojtaba نويسنده Department Of Pharmacology, Fasa University of Medical Sciences, Shiraz, IR Iran , , Fattahi، Mohammad Reza نويسنده Gastroenterohepatology Research Center, Shiraz University of Medical Sciences, Shiraz, IR Iran Fattahi, Mohammad Reza , Kazemi، Mohamad Hasan نويسنده Gastroenterohepatology Research Center, Shiraz University of Medical Sciences, Shiraz, IR Iran , , Alizade Naini، Mahvash نويسنده Gastroenterohepatology Research Center, Shiraz University of Medical Sciences, Shiraz, IR Iran , , Moini، Maryam نويسنده Section of Gastroenterology and Hepatology, Department of Internal Medicine, Department of Medi-cine, Shiraz University of Medical Sciences, Shiraz, Iran. ,
Abstract :
Functional gastrointestinal (GI) disorders are very common and many patients with such disorders are not satisfied with treatment outcomes. Psychological aspects of functional disorders need special attention that may play an important role in patient management. In this study, psychology evaluation was performed for a population of patients with functional bowel disorders. One hundred patients with functional bowel disorders including 50 patients with irritable bowel syndrome (IBS) referred to GI clinics were candidates for psychiatry evaluation; of those 60 patients completed the study. Psychiatric disorders were diagnosed using a structured clinical interview based on diagnostic and statistical manual of mental disorders IV (DSM IV). Of 60 patients with functional bowel disorders (including 39 IBS), 51 (85%) were diagnosed with at least one psychiatry disorder. The most common disorders were dysthymia (25%) and obsessive-compulsive disorder (20%). There was no significant difference between IBS patients and other functional bowel disorders regarding the prevalence of psychiatric disorders. Psychiatric disorders are very prevalent among patients with functional bowel disorders. Prompt diagnosis and appropriate management of associated psychiatric disorders along with GI targeted treatments may lead to a better outcome in these patients.
