1.Concomitant Functional Gastrointestinal Symptoms Influence Psychological Status in Korean Migraine Patients.
Jeong Wook PARK ; Young Seok CHO ; Soo Yeon LEE ; Eun Sun KIM ; Hyunjung CHO ; Hae Eun SHIN ; Gyoung Im SUH ; Myung Gyu CHOI
Gut and Liver 2013;7(6):668-674
BACKGROUND/AIMS: Migraine is frequently accompanied by symptoms consistent with functional gastrointestinal disorders (FGIDs). This study evaluated the prevalence of functional gastrointestinal symptoms and assessed the symptoms' relationship with the concomitant functional symptoms of anxiety, depression, and headache-related disability. METHODS: This prospective study included 109 patients with migraine who were recruited from a headache clinic at a teaching hospital. The participants completed a self-administered survey that collected information on headache characteristics, functional gastrointestinal symptoms (using Rome III criteria to classify FGID), anxiety, depression, and headache-related disability. RESULTS: In total, 71% of patients met the Rome III criteria for at least one FGID. In patients with FGID, irritable bowel syndrome was the most common symptom (40.4%), followed by nausea and vomiting syndrome (24.8%) and functional dyspepsia (23.9%). Depression and anxiety scores were significantly higher in patients meeting the criteria for any FGID. The number of the symptoms consistent with FGID in individual patients correlated positively with depression and anxiety. CONCLUSIONS: FGID symptoms defined by the Rome III criteria are highly prevalent in migraine. These symptoms correlate with psychological comorbidities, such as depression and anxiety.
Adolescent
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Adult
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Aged
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Anxiety/epidemiology/psychology
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Comorbidity
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Depression/epidemiology/psychology
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Disability Evaluation
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Dyspepsia/epidemiology/psychology
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Female
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Gastrointestinal Diseases/*epidemiology/*psychology
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Humans
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Male
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Middle Aged
;
Migraine Disorders/*epidemiology/*psychology
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Nausea/epidemiology/psychology
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Prevalence
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Prospective Studies
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Republic of Korea
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Vomiting/epidemiology/psychology
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Young Adult
2.Functional Gastrointestinal Disorders in Young Military Men.
Chang Seok BANG ; Yeon Soo KIM ; Jin Hyung HAN ; Yong Sub LEE ; Gwang Ho BAIK ; Jin Bong KIM ; Ki Tae SUK ; Jai Hoon YOON ; Dong Joon KIM
Gut and Liver 2015;9(4):509-515
BACKGROUND/AIMS: To estimate the prevalence and evaluate the associated psychological factors of functional gastrointestinal disorders (FGIDs) in males in their twenties who are currently enrolled in military service. METHODS: A total of 1,073 men in the Korean army were asked to complete questionnaires based on the Rome III criteria and Symptom Checklist-90-revised (SCL-90R). The prevalence of FGIDs was estimated, and the associated psychological factors were evaluated. RESULTS: A total of 967 men participated. The total prevalence of FGIDs was 18.5% (age-adjusted prevalence, 18.1%; 95% confidence interval [CI], 15.3% to 20.8%). The total SCL-90R scores were higher in men with FGIDs than men without FGIDs (24 [interquartile range, 13 to 44] vs 13 [5 to 28], p<0.001) and higher in men with overlapping syndromes than in those with single FGIDs (31 [18 to 57] vs 14 [5.75 to 29], p<0.001). Somatization (odds ratio [OR], 1.141; 95% CI, 1.09 to 1.20; p<0.001), obsessive-compulsive behaviors (OR, 1.084; 95% CI, 1.03 to 1.14; p=0.002) and depression (OR, 0.943; 95% CI, 0.90 to 0.99; p=0.020) were identified as independent predictive factors for FGIDs. CONCLUSIONS: FGIDs are common among men in their twenties who are fulfilling their military duty. Somatization and obsessive-compulsive features from the tense atmosphere are associated with the development or progression of FGIDs. Patients who exhibit overlapping syndromes require greater attention given their more severe psychopathology.
Depression/complications
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Gastrointestinal Diseases/*epidemiology/psychology
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Humans
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Male
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Military Personnel/psychology/*statistics & numerical data
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Obsessive-Compulsive Disorder/complications
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Prevalence
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Psychopathology
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Republic of Korea/epidemiology
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Somatoform Disorders/complications
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Surveys and Questionnaires
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Young Adult