Estudio predictivo de los síntomas psicofisiológicos del estrés crónico y su relación con el síndrome de intestino irritable en estudiantes de medicina de una universidad pública en México
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dic 31, 2024
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Blanca Elizabeth Pozos-Radillo
https://orcid.org/0000-0002-2284-9043
María de Lourdes Preciado-Serrano
https://orcid.org/0000-0002-0329-808X
Ana Rosa Plascencia-Campos
https://orcid.org/0000-0002-8693-3455
Armando Morales-Fernández
https://orcid.org/0000-0002-9249-7522
Rosa María Valdez-López
https://orcid.org/0000-0003-1961-374X
Martin Acosta-Fernandez
https://orcid.org/0000-0003-2075-2325
https://orcid.org/0000-0002-2284-9043
María de Lourdes Preciado-Serrano
https://orcid.org/0000-0002-0329-808X
Ana Rosa Plascencia-Campos
https://orcid.org/0000-0002-8693-3455
Armando Morales-Fernández
https://orcid.org/0000-0002-9249-7522
Rosa María Valdez-López
https://orcid.org/0000-0003-1961-374X
Martin Acosta-Fernandez
https://orcid.org/0000-0003-2075-2325
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Resumen
El síndrome de intestino irritable se reporta frecuentemente en la población general. Los estudios demuestran que el estrés coexiste con esta afección. El propósito de este estudio fue identificar los síntomas físicos y psicológicos del estrés crónico, como predictores del síndrome de intestino irritable en estudiantes de medicina de una universidad pública en México. Se evaluó una muestra representativa y aleatoria de 561 estudiantes, en 2014. Se utilizó el Inventario de Síntomas de Estrés y los Criterios de ROMA III. Se llevó a cabo el análisis de regresión múltiple. Los resultados mostraron que los síntomas psicofisiológicos del estrés crónico: dificultad para concentrarse, ganas de comer a todas horas, mandíbula apretada, dolor abdominal, debilidad-mareos, sentirse ansioso y estreñimiento fueron predictores de la presencia del Síndrome de Intestino Irritable Por lo que, se recomienda implementar programas educativos, encaminados a la identificación y prevención oportuna de los síntomas psicofisiológicos del estrés crónico como riesgo para la presencia del síndrome de intestino irritable en los estudiantes de medicina.
Keywords
estrés crónico, síndrome de intestino irritable, estudiantes de medicina, trastornos psicofisiológicos, Méxicochronic stress, irritable bowel syndrome, medical students, psychophysiological disorders, Mexico
References
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Bautista, C. R., Ortiz, E. R., Muñoz, J. S. (2011). Irritable bowel syndrome in medical students. Revista de la Facultad de Medicina de la UNAM, 54, 4-11. Retrieved from
http://www.cmhnaaa.org.pe/ojs/index.php/rcmhnaaa/article/view/202
Builes, G. S. M., & Fernández, G. J. L. (2017). Prevalence of stress as a risk in workers of the society of San Vicente de Paúl, Medellín headquarters. (Bachelor thesis, psychologist degree). Degree in Psychology University of Antioquia School of Social and Human Sciences, Medellín, Colombia. Retrieved from http://200.24.17.74:8080/jspui/bitstream/fcsh/1001/1/BuilesSara_2017_PrevalenciaEstresRiesgo.pdf
Byrd, R., McKinney, J. (2012). Individual, interpersonal, and institutional level factors associated with the mental health of college students. Journal Of American College Health, 60, 185-193. Retrieved from https://doi.org/10.1080/07448481.2011.584334
Correa-Prieto, F. (2015). Academic stress in medical students of the Cesar Vallejo University, in Piura 2013. Revista Del Cuerpo Médico Del HNAAA, 8(2), 80-84. Retrieved from
http://www.cmhnaaa.org.pe/ojs/index.php/rcmhnaaa/article/view/202
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Díaz, M. (2010). Academic stress and coping in medical students. Humanidades Médicas, 2010, 10, 2-10. Available from http://scielo.sld.cu/pdf/hmc/v10n1/hmc070110.
Faria, D. A .P ., & Maia, E. M . C. (2007). Nursing professionals’ anxiety and feelings in terminal situations in oncology. Rev. Latino Am. Enfermagem, 15(6), 1131–1137. http:// doi.org/10.1590/S0104-11692007000600012
González, C. N., Peña, D. F., Candía, J. P., & Durán, A. S. (2015). Relationship between sleep and constipation in the elderly chileans. Nutricion Hospitalaria, 31(1), 357-362. http://dx.doi.org/10.3305/nh.2015.31.1.7976
González, T., & Landero, R. (2008). Confirmation of a descriptive model of stress and psychosomatic symptoms using structural equations. Rev Panam Salud Pública, 23(1), 7-18. Retrieved from https://scielosp.org/article/ssm/content/raw/?resource_ssm_path=/media/assets/rpsp/v23n1/a02v23n1.pdf
Gulewitsch, M., Enck, P., Schwille-Kiuntke, J., Weimer, K., & Schlarb, A. (2013). Mental strain and chronic stress among university students with symptoms of irritable bowel syndrome. Gastroenterology Research and Practice. 25, 1223-1229. http://dx.doi.org/10.1155/2013/206574
Iftikhar, B., Naveed, H., Rehman, K.K., & Habib ur Rehman, K. H. (2018). Prevalence of Irritable Bowel Syndrome and its Risk Factors Among Medical Students of Peshawar, Pakistan. Pak J Med Res, 57(1), 24-28. Retrieved from https://search.proquest.com/docview/2031389490?pq-origsite=gscholar
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Lipp, E. N., & Guevara, J. H. (1994) Empirical validation of the inventory of stress symptoms (SSI). Estudios de Psicología. 11(3), 43-49.
Maturana, H. A., & Vargas, A. (2015). School stress, REV. MED. CLIN. CONDE, 26(1), 34-41. https://doi.org/10.1016/j.rmclc.2015.02.003
Meyer, S. L., Espinoza, A. R., & Quera, P. R. (2014). Infection: epidemiology, diagnostic and therapeutic strategies. REV. MED. CLIN. CONDES, 25(3), 473-484. Retrieved from https://reader.elsevier.com/reader/sd/pii/S0716864014700641?token=E06228EA9C69A65E497B699622A2443A03E81A9D6AFEA195F6C8A3352453D43E3AB31DABAC653E01BC98C0007C815281
Morales, G. S., & Navazo, B. L. (2006). Diarrhea caused by antibiotics. Rev. Esp. Enferm. Dig, 98(7), 541-550. Retrieved from http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1130-01082006000700008&lng=es&nrm=iso
Nishida, K., Sawada, D., Kuwano, Y., Tanaka, H., & Rokutan, K. (2019). Health Benefits of Lactobacillus gasseri CP2305 Tablets in Young Adults Exposed to Chronic Stress: A Randomized, Double-Blind, Placebo-Controlled Study. Nutrients, 11(8), 1-14. https://doi.10.3390/nu11081859.
Pérez, C.M. Constipation en Adultos. Revista Médica de Costa Rica y Centro América LXXIII. 2016, 620, 611-615. Retrieved from https://www.medigraphic.com/cgi-bin/new/resumenI.cgi?IDARTICULO=67687
Perveen, I., Parvin, R., Saha, M., Bari, S., Huda, N., & Ghosh, M. K. (2016). Prevalence of Irritable Bowel Syndrome (IBS), Migraine and Co-Existing IBS Migraine in Medical Students. Journal of Clinical and Diagnostic Research, 10(11), 9-13. https://doi.10.7860/JCDR/2016/20900.8832
Pozos-Radillo, B. E., Torres, T., Aguilera, M., Acosta, M., & González, G. (2008).Stress-associated factors in Mexican dentists. Braz Oral Res, 22(3), 223-228. https://doi.10.1590/s1806-83242008000300006
Pozos-Radillo, E., Preciado-Serrano, L., Plascencia A.R., Morales, F. A., & Valdez, L. R. Predictive study of academic stress with the irritable bowel syndrome in medicine students at a public university in Mexico. Jornal Libyan of Medicine, 13, 1479599. https://doi.org/10.1080/19932820.2018.1479599
Ramírez-Baena, L., Ortega-Campos, E., Gómez-Urquiza J. L., Cañadas-De la Fuente G. R., De la Fuente-Solana E. I., & Cañadas-De la Fuente G. A. (2019). A Multicentre Study of Burnout Prevalence and Related Psychological Variables in Medical Area Hospital Nurses. J. Clin. Med, 8(1), 92-104. http://doi.10.3390/jcm8010092
Sehonou, Jean., & Leoubou, R. S. (2018). Profil clinique et facteurs associés au syndrome de l’intestin irritable chez les étudiants en médecine à Cotonou, Bénin. Pan African Medical Journal, 31, 2-12. https://doi.10.11604/pamj.2018.31.123.16336
Shih, D. Q., & Kwan, L.Y. (2007). All roads lead to Rome: Update on Rome III criteria and new treatment options. Gastroenterol Rep, 1(2), 56-65. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3085189/pdf/nihms207167.pdf
Sohail, N. (2013). Stress and academic performance among medical students. Journal of the College of Physicians and Surgeons Pakistan, 23(1), 67-71. Retrieved from https://pdfs.semanticscholar.org/f22d/6d7c560864970ab13025b6be80f729eb7059.pdf
Teoman, G. C., Bayhun, N.E., Bulut, B., Topbaʂ, M., Can, G., & Türkyilmaz, S. (2016). Prevalence of irritable bowel sydrome and related factors among Karadeniz Technical University students. TAF Preventive Medicine Bulletin, 15(4), 293-297. http://doi. 10.5455/pmb.1-1447225211
Yang, L., Liang, L., Yi, Y., Yuxi, H., Yanli, Z., Miao, W., … Shukun, Y. A (2014). school-based study of irritable bowel síndrome in medical students in Beijing, China; prevalence and some related factors. Gastroenterology Research & Practice, 2014, 1-18. http:// doi.org/10.1155/2014/124261
Yuval, B. I., Eran, S., Sigal, L., Ami, S., Dov, A., Yaron, N., … Ram, D. (2016). Possible Involvement of avoidant attachment style in the relations between adult IBS and reported separation anxiety in childhood. Stress and Health, 32(5), 463–471. http://doi.10.1002/smi.2642
Aselton, P. (2012). Sources of stress and coping in American college students who have been diagnosed with depression. J Child Adolesc Psychiatr Nurs, 25, 119-123. https://doi.10.1111/j.1744-6171.2012.00341.x.
Bautista, C. R., Ortiz, E. R., Muñoz, J. S. (2011). Irritable bowel syndrome in medical students. Revista de la Facultad de Medicina de la UNAM, 54, 4-11. Retrieved from
http://www.cmhnaaa.org.pe/ojs/index.php/rcmhnaaa/article/view/202
Builes, G. S. M., & Fernández, G. J. L. (2017). Prevalence of stress as a risk in workers of the society of San Vicente de Paúl, Medellín headquarters. (Bachelor thesis, psychologist degree). Degree in Psychology University of Antioquia School of Social and Human Sciences, Medellín, Colombia. Retrieved from http://200.24.17.74:8080/jspui/bitstream/fcsh/1001/1/BuilesSara_2017_PrevalenciaEstresRiesgo.pdf
Byrd, R., McKinney, J. (2012). Individual, interpersonal, and institutional level factors associated with the mental health of college students. Journal Of American College Health, 60, 185-193. Retrieved from https://doi.org/10.1080/07448481.2011.584334
Correa-Prieto, F. (2015). Academic stress in medical students of the Cesar Vallejo University, in Piura 2013. Revista Del Cuerpo Médico Del HNAAA, 8(2), 80-84. Retrieved from
http://www.cmhnaaa.org.pe/ojs/index.php/rcmhnaaa/article/view/202
Cox, T., & Mackay, C. (1981). A transactional approach to occupational stress: Stress, work design, and productivity. Chichester, UK: Wiley Editions.
Díaz, M. (2010). Academic stress and coping in medical students. Humanidades Médicas, 2010, 10, 2-10. Available from http://scielo.sld.cu/pdf/hmc/v10n1/hmc070110.
Faria, D. A .P ., & Maia, E. M . C. (2007). Nursing professionals’ anxiety and feelings in terminal situations in oncology. Rev. Latino Am. Enfermagem, 15(6), 1131–1137. http:// doi.org/10.1590/S0104-11692007000600012
González, C. N., Peña, D. F., Candía, J. P., & Durán, A. S. (2015). Relationship between sleep and constipation in the elderly chileans. Nutricion Hospitalaria, 31(1), 357-362. http://dx.doi.org/10.3305/nh.2015.31.1.7976
González, T., & Landero, R. (2008). Confirmation of a descriptive model of stress and psychosomatic symptoms using structural equations. Rev Panam Salud Pública, 23(1), 7-18. Retrieved from https://scielosp.org/article/ssm/content/raw/?resource_ssm_path=/media/assets/rpsp/v23n1/a02v23n1.pdf
Gulewitsch, M., Enck, P., Schwille-Kiuntke, J., Weimer, K., & Schlarb, A. (2013). Mental strain and chronic stress among university students with symptoms of irritable bowel syndrome. Gastroenterology Research and Practice. 25, 1223-1229. http://dx.doi.org/10.1155/2013/206574
Iftikhar, B., Naveed, H., Rehman, K.K., & Habib ur Rehman, K. H. (2018). Prevalence of Irritable Bowel Syndrome and its Risk Factors Among Medical Students of Peshawar, Pakistan. Pak J Med Res, 57(1), 24-28. Retrieved from https://search.proquest.com/docview/2031389490?pq-origsite=gscholar
Lewis, S. J., & Heaton, K. W. (1997). Bowel movements form scale as a useful guide to intestinal transit time. Scandinavian Journal of Gastroenterology, 32, 920-924 http:// doi.org/10.3109/00365529709011203
Lipp, E. N., & Guevara, J. H. (1994) Empirical validation of the inventory of stress symptoms (SSI). Estudios de Psicología. 11(3), 43-49.
Maturana, H. A., & Vargas, A. (2015). School stress, REV. MED. CLIN. CONDE, 26(1), 34-41. https://doi.org/10.1016/j.rmclc.2015.02.003
Meyer, S. L., Espinoza, A. R., & Quera, P. R. (2014). Infection: epidemiology, diagnostic and therapeutic strategies. REV. MED. CLIN. CONDES, 25(3), 473-484. Retrieved from https://reader.elsevier.com/reader/sd/pii/S0716864014700641?token=E06228EA9C69A65E497B699622A2443A03E81A9D6AFEA195F6C8A3352453D43E3AB31DABAC653E01BC98C0007C815281
Morales, G. S., & Navazo, B. L. (2006). Diarrhea caused by antibiotics. Rev. Esp. Enferm. Dig, 98(7), 541-550. Retrieved from http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1130-01082006000700008&lng=es&nrm=iso
Nishida, K., Sawada, D., Kuwano, Y., Tanaka, H., & Rokutan, K. (2019). Health Benefits of Lactobacillus gasseri CP2305 Tablets in Young Adults Exposed to Chronic Stress: A Randomized, Double-Blind, Placebo-Controlled Study. Nutrients, 11(8), 1-14. https://doi.10.3390/nu11081859.
Pérez, C.M. Constipation en Adultos. Revista Médica de Costa Rica y Centro América LXXIII. 2016, 620, 611-615. Retrieved from https://www.medigraphic.com/cgi-bin/new/resumenI.cgi?IDARTICULO=67687
Perveen, I., Parvin, R., Saha, M., Bari, S., Huda, N., & Ghosh, M. K. (2016). Prevalence of Irritable Bowel Syndrome (IBS), Migraine and Co-Existing IBS Migraine in Medical Students. Journal of Clinical and Diagnostic Research, 10(11), 9-13. https://doi.10.7860/JCDR/2016/20900.8832
Pozos-Radillo, B. E., Torres, T., Aguilera, M., Acosta, M., & González, G. (2008).Stress-associated factors in Mexican dentists. Braz Oral Res, 22(3), 223-228. https://doi.10.1590/s1806-83242008000300006
Pozos-Radillo, E., Preciado-Serrano, L., Plascencia A.R., Morales, F. A., & Valdez, L. R. Predictive study of academic stress with the irritable bowel syndrome in medicine students at a public university in Mexico. Jornal Libyan of Medicine, 13, 1479599. https://doi.org/10.1080/19932820.2018.1479599
Ramírez-Baena, L., Ortega-Campos, E., Gómez-Urquiza J. L., Cañadas-De la Fuente G. R., De la Fuente-Solana E. I., & Cañadas-De la Fuente G. A. (2019). A Multicentre Study of Burnout Prevalence and Related Psychological Variables in Medical Area Hospital Nurses. J. Clin. Med, 8(1), 92-104. http://doi.10.3390/jcm8010092
Sehonou, Jean., & Leoubou, R. S. (2018). Profil clinique et facteurs associés au syndrome de l’intestin irritable chez les étudiants en médecine à Cotonou, Bénin. Pan African Medical Journal, 31, 2-12. https://doi.10.11604/pamj.2018.31.123.16336
Shih, D. Q., & Kwan, L.Y. (2007). All roads lead to Rome: Update on Rome III criteria and new treatment options. Gastroenterol Rep, 1(2), 56-65. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3085189/pdf/nihms207167.pdf
Sohail, N. (2013). Stress and academic performance among medical students. Journal of the College of Physicians and Surgeons Pakistan, 23(1), 67-71. Retrieved from https://pdfs.semanticscholar.org/f22d/6d7c560864970ab13025b6be80f729eb7059.pdf
Teoman, G. C., Bayhun, N.E., Bulut, B., Topbaʂ, M., Can, G., & Türkyilmaz, S. (2016). Prevalence of irritable bowel sydrome and related factors among Karadeniz Technical University students. TAF Preventive Medicine Bulletin, 15(4), 293-297. http://doi. 10.5455/pmb.1-1447225211
Yang, L., Liang, L., Yi, Y., Yuxi, H., Yanli, Z., Miao, W., … Shukun, Y. A (2014). school-based study of irritable bowel síndrome in medical students in Beijing, China; prevalence and some related factors. Gastroenterology Research & Practice, 2014, 1-18. http:// doi.org/10.1155/2014/124261
Yuval, B. I., Eran, S., Sigal, L., Ami, S., Dov, A., Yaron, N., … Ram, D. (2016). Possible Involvement of avoidant attachment style in the relations between adult IBS and reported separation anxiety in childhood. Stress and Health, 32(5), 463–471. http://doi.10.1002/smi.2642
Cómo citar
Pozos-Radillo, B. E., Preciado-Serrano, M. de L., Plascencia-Campos, A. R., Morales-Fernández, A., Valdez-López, R. M., & Acosta-Fernandez, M. (2024). Estudio predictivo de los síntomas psicofisiológicos del estrés crónico y su relación con el síndrome de intestino irritable en estudiantes de medicina de una universidad pública en México. Universitas Psychologica, 23, 1–11. https://doi.org/10.11144/Javeriana.upsy23.psps
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