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Depression tied to work, school absenteeism in patients with chronic constipation

20 Apr 2018
Men suffering from poor mental health may engage in self-harm or display suicidal thoughts or actions.

Depression appears to be a stronger predictor of absenteeism than symptom severity in patients with chronic constipation, suggests a study, adding that depression may partly contribute to the indirect costs of chronic constipation.

Of the 148 consecutive patients (mean age 43 years; 87 percent female) enrolled in the study, 32 (21.6 percent) had high absenteeism and 36 (24.3 percent) visited the emergency department (ED) for constipation in the past year. Depression was likely in patients with high absenteeism (56.3 percent vs 18.5 percent; p<0.0001) and ED visits (47.2 percent vs 19.6 percent; p<0.01).

Multivariable adjustment and sensitivity analyses revealed that only depression (odds ratio [OR], 4.41; p<0.01) correlated with increased absenteeism, while a trend toward an association between depression and ED visits (OR, 2.57; p=0.067) was observed. In addition, no association was observed between symptom severity and high absenteeism or ED utilization.

The investigators carried out a cross-sectional cohort study of patients with chronic constipation who presented to a tertiary care centre for anorectal manometry to determine patient characteristics related to increased absenteeism and ED utilization.

Standardized instruments were used to evaluate disease severity, quality of life, somatization and psychiatric comorbidities. Multivariable logistic regression was used to determine the predictors of work and school absenteeism as well as ED visits for constipation.

“Chronic constipation is associated with significant direct and indirect economic costs,” the investigators said. “There has been limited study of the predictors of direct and indirect costs in a population with refractory constipation.”

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Most Read Articles
Tristan Manalac, 6 days ago
Left ventricular assist devices (LVADs) can reverse pulmonary hypertension secondary to left heart disease regardless of baseline pulmonary vascular resistance, according to a new study.
Yesterday
It appears that long-term consumption of fish and omega-3 fatty acid does not influence the risk of incident hypertension in middle-aged and older men, suggests a US study.
11 May 2019
Acute kidney injury (AKI) commonly occurs within a year after cancer diagnosis in paediatric patients and is tied to long-term deteriorations in renal function, a recent study has found.
11 May 2019
Women practicing exclusive breastfeeding for 6 months achieve greater postpartum weight loss compared with those exclusively breastfeeding for a shorter duration, according to data from the MILK* study.