Objective:To quantify the prevalence of Irritable Bowel Syndrome (IBS) among medical students of King Saud bin Abdulaziz University for Health Sciences (KSAU-HS) and to observe the association between anxiety and IBS.Methods:This cross-sectional observational study conducted during academic year 2015-2016 has used two self-administered, pre-validated questionnaires: Depression Anxiety Stress Scales-21 (DASS-21) and Rome III criteria. The sample size was 270, and proportional allocation was used to determine distribution of this sample across study population based on percentages of students in each academic year. Convenience sampling was used to select participants.Results:The overall prevalence of IBS was 21% (n=57), with a higher prevalence among females (26%, n=23) than males (19%, n=34). IBS was most and least prevalent among first-year students (14%, n=5) and fifth-year students (29%, n=21) respectively. Anxiety levels were normal, mild, moderate, and severe or extremely severe in 39% (n=105), 7% (n=19), 26% (n=70), and 27%. A significant association was found between gender & IBS and anxiety levels & IBS.Conclusion:The prevalence of IBS in this study was 21% and higher among females than males but were highest among fifth-year students for both genders. More than 50% of students had moderate or high levels of anxiety for both genders. The prevalence of IBS was highest among students of 5th fifth year. The study provides evidence that, as medical students of higher year of their under graduation were having higher level of anxiety which leads to IBS.
Aim: To assess the psychological impact of COVID-19 pandemic and estimate the prevalence of depression, anxiety, and stress on individuals during institutional quarantined in 2020 and reassess a year later to compare outcomes and investigates different associated factors. Study Design: An analytical cross-sectional and a follow-up study Place and Duration of Study: An institutional COVID-19 quarantine center, in Jeddah, Saudi Arabia, between May 2020 and July 2021 Methodology: A sample of 138 participants were recruited. After obtaining the participants demographics date and consent, an electronic questionnaire was distributed to assess participants psychological well-being using the 42-item depression, anxiety, and stress scales (DASS) twice, at the end of quarantine period and one year later, to compare outcomes and associated factors. Results: Out of all the sample (n=138), male represented 64.5% while female accounted for 35.5%. Half the participants (50.7%) were married comparing to 40.6% single and bachelor’s or higher degrees holders accounted for 61.6% while 26.8% had high school degree. The psychological health was assessed for all participants twice, resulting with prevalence of depression, anxiety, and stress during quarantine period of 34%, 33%, and 22% respectively and a decreased prevalence a year late (20%, 13%, and 9, respectively). The differences between the two psychological assessments were significant (depression: P = .02, anxiety: P< .001, stress: P = .005). Educational level was associated with stress at time of quarantine (P = .03). Marital status and employment status were significantly associated with participants depression levels a year after quarantine (P = .03, P = .04, respectively). Conclusion and Recommendations: The psychological well-being of quarantined participants was negatively impacted during this unlikable experience. Numerous demographic factors were significantly associated with the undesirable effects. We propose implementing a psychological assessment program in future quarantine centers to prevent further mental health impacts.
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