Predictive Factors of Impaired Quality of Life in Korean Patients With Inactive Inflammatory Bowel Disease Association With Functional Gastrointestinal Disorders and Mood Disorders

Title
Predictive Factors of Impaired Quality of Life in Korean Patients With Inactive Inflammatory Bowel Disease Association With Functional Gastrointestinal Disorders and Mood Disorders
Author(s)
장병익김은수[김은수]조광범[조광범]박경식[박경식]김경옥전성우[전성우]Min K. Jung[Min K. Jung]김은수[김은수]양창헌[양창헌]DGSG[DGSG]
Keywords
HEALTH-RELATED QUALITY; IBS-LIKE SYMPTOMS; ULCERATIVE-COLITIS; CROHNS-DISEASE; IMPACT; REMISSION; POPULATION; PREVALENCE; DEPRESSION; OUTCOMES
Issue Date
201304
Publisher
LIPPINCOTT WILLIAMS & WILKINS
Citation
JOURNAL OF CLINICAL GASTROENTEROLOGY, v.47, no.4, pp.E38 - E44
Abstract
Background and Aim: Inflammatory bowel disease is a chronic and relapsing inflammatory disorder of the intestine and has a great effect on patients' health-related quality of life (HRQOL). Some patients in remission are known to show functional gastrointestinal disorders (FGIDs) and mood disorders (MDs), which may also negatively impact HRQOL. The aim of this study was to evaluate predictors of impaired HRQOL in inactive inflammatory bowel disease (IBD) patients. Methods: Patients presenting a long-standing remission during the previous year completed questionnaires of EuroQol, Rome III criteria for FGID, and Hospital Anxiety and Depression Survey. Demographic data including age, sex, employment status, education, smoking, and location of residence were also collected. Results: Among the 513 patients with IBD, 226 (Crohn's disease 107 and ulcerative colitis 119, age 39.01 +/- 15.63, male 141) defined in remission were enrolled. Overall, 147 (65.0%) had at least 1 FGID with irritable bowel syndrome being the most common disorder (36.3%). Anxiety and depression were identified in 27.4% and 33.6%, respectively. Participants with FGID or MD had a significantly lower HRQOL status than those without disorders (P < 0.01). Among various demographic and clinical variables, aged 40 or older [odds ratio (OR), 2.342; 95% confidence interval (CI), 1.195-4.590; P = 0.01], irritable bowel syndrome (OR, 3.932; 95% CI, 1.937-7.982; P < 0.01), and anxiety (OR, 2.423; 95% CI, 1.067-5.502; P = 0.03) were significant independent predictors of impaired HRQOL in inactive IBD patients. Conclusions: FGID and MD are common in Korean quiescent IBD patients. Appropriate management should be administered according to age of patients and presence of concomitant FGID and MD to improve patients' HRQOL.
URI
http://hdl.handle.net/YU.REPOSITORY/26030http://dx.doi.org/10.1097/MCG.0b013e318266fff5
ISSN
0192-0790
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의과대학 > 내과학교실 > Articles
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