肠-大脑相互作用障碍中的工作生产力和活动障碍:来自罗马基金会全球流行病学研究的数据
Åsa Frändemark1, Hans Törnblom1, Jóhann Páll Hreinsson1
1Department of Molecular and Clinical Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
United European gastroenterology journal
|June 19, 2023
概括
肠-大脑相互作用障碍 (DGBI) 显著影响工作生产力和日常活动. 心理困扰和症状严重程度等因素加剧了这种影响,凸显了进一步研究的需要.
科学领域:
- 胃肠病学 胃肠病学
- 公共卫生 公共卫生
- 职业健康 职业健康 职业健康
背景情况:
- 肠-大脑相互作用障碍 (DGBI) 在全球范围内很常见,但它们对工作生产力的影响未得到充分研究.
- 现有的研究还没有广泛探讨DGBI和与工作有关的障碍之间的关系.
研究的目的:
- 为了比较DGBI和没有DGBI的个体的工作生产力和活动障碍 (WPAI).
- 在被诊断为DGBI的个体中识别与WPAI相关的因素.
主要方法:
- 一项大型基于人口的队列研究,涉及8个国家 (德国,以色列,意大利,日本,荷兰,波兰,西班牙,瑞典) 的16820名受试者.
- 通过互联网调查,利用了DGBI的罗马IV诊断标准,并通过互联网调查评估了WPAI,一般健康 (WPAI:GH),心理困扰 (PHQ-4) 和体质症状严重程度 (PHQ-15).
主要成果:
- 与没有DGBI的人相比,患有DGBI的人 (7111名受试者) 的缺勤率,出席率和整体工作障碍显著增加.
- 在DGBI患者中,观察到WPAI增加,受影响的解剖区域数量更高.
- 男性性别,疲劳,心理困扰,身体症状严重程度和受影响的解剖区域数量独立地与DGBI患者的整体工作障碍有关.
结论:
- 在一般人群中,DGBI与大量的劳动生产力和活动损害有关.
- 心理困扰,疲劳,身体症状严重程度和DGBI的程度对工作障碍有很大影响.
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