The Eurasian Journal of Medicine
Original Article

Irritable Bowel Syndrome in Dialysis Patients and Symptom Check List Revised (SCL 90-R) Screening

1.

Department of Internal Medicine, Cumhuriyet University School of Medicine, Sivas, Turkey

2.

Department of Gastroenterology, Cumhuriyet University School of Medicine, Sivas, Turkey

3.

Department of Internal Medicine, Tire State Hospital, İzmir, Turkey

4.

Department of Nephrology, Cumhuriyet University School of Medicine, Sivas, Turkey

Eurasian J Med 2021; 53: 220-226
DOI: 10.5152/eurasianjmed.2021.20412
Read: 115 Downloads: 64 Published: 28 October 2021

Objective: Irritable bowel syndrome (IBS) is a frequently seen functional bowel disease. Although not lifethreatening, it impairs quality of life and leads to economic losses. IBS symptoms are widespread in dialysis patients. Psychopathological disorders are known to increase in both IBS and dialysis patients. The purpose of this study was to investigate the prevalence of IBS, IBS-related factors, and psychopathological disorders in patients.

Materials and Methods: One hundred fifty patients followed-up in hemodialysis (HD) or peritoneal dialysis (PD) programs were included in this prospective study. Patients were divided into groups with and without diagnoses of IBS based on the Rome-III diagnostic criteria. The Symptom Check List Revised (SCL90-R) test was then applied to the patients. Patients with and without IBS were compared according to the scores
obtained from the questionnaire.

Results: IBS was determined in 59 (39.3%) of the dialysis patients. The prevalence of IBS was significantly higher in women (P = .030). The presence of coronary artery disease (CAD) and use of erythropoietin (EPO) were significantly higher in patients with IBS (P = .029, P = .031). Somatization, obsessive-compulsive disorder, interpersonal sensitivity, depression, anxiety, phobic anxiety, psychoticism, and additional items were also higher in patients with IBS. Subscale scores for somatization, depression, and additional parameters in dialysis patients with IBS were above the threshold values for screening.

Conclusion: IBS is common in dialysis patients. The presence of CAD or use of EPO were frequently observed in dialysis patients with IBS, and psychopathologies in depression, somatization, and additional subparameters were also higher in these patients.

Cite this article as: Yılmaz A, Gökçen P, Yılmaz H, Hüzmeli C, Yılmaz A. Irritable bowel syndrome in dialysis
patients and symptom check list revised (SCL 90-R) screening. Eurasian J Med. 2021; 53(3):220–226

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