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Relationship between Depression and Constipation: Results from a Large Cross-sectional Study in Adults.
Peyman Adibi1, Maryam Abdoli2, Hamed Daghaghzadeh1
1Gastroenterology and Hepatology Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
Depression significantly increases the risk of functional constipation in adults. This association was observed in both genders but was notably stronger in men, highlighting the importance of mental health screening for gastrointestinal issues.
Area of Science:
- Gastroenterology
- Psychiatry
- Epidemiology
Background:
- Emerging evidence suggests a link between depression and functional constipation.
- This study investigates the association between depression and the risk of functional constipation, examining potential gender differences.
Purpose of the Study:
- To determine if depression is associated with an increased risk of functional constipation.
- To explore whether this association differs between men and women.
Main Methods:
- A cross-sectional study involving 3,362 adults aged 18-55 years.
- Functional gastrointestinal symptoms assessed using the modified Rome III questionnaire.
- Psychological health evaluated using the Hospital Anxiety and Depression Scale; depression defined as a score of 8 or higher.
Main Results:
- The prevalence of depression was 28.6% and constipation was 23.9%.
- Depressed individuals had a significantly higher risk of constipation (Adjusted Odds Ratio [AOR] = 1.69).
- The association between depression and constipation was stronger in men (AOR = 2.28) than in women (AOR = 1.55).
Conclusions:
- Depression is a significant risk factor for functional constipation.
- Mental health evaluations are crucial for patients with functional gastrointestinal disorders, especially those with constipation.
- The stronger association in men warrants further investigation into gender-specific mechanisms.
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