Hubungan Masalah Perilaku pada Remaja dengan Irritable Bowel Syndrome

Abstract

Latar belakang. Irritable bowel syndrome (IBS) merupakan nyeri perut berulang pada remaja yang paling banyak terjadi. Oleh karena itu, IBS akan menimbulkan gangguan perilaku yang serius pada remaja. Tujuan. Menganalisis hubungan antara masalah perilaku dengan IBS pada remaja. Metode. Penelitian potong lintang semua siswa SMA Nurul Iman. Pencatatan dilakukan meliputi karakteristik umum dan pemeriksaan fisis. Selanjutnya dilakukan uji Rome III (irritable bowel syndrome) dan PSC-17 (masalah perilaku). Analisis statistik digunakan analisis bivariat dengan uji chi-square. Hasil. Dari siswa SMA Nurul Iman didapatkan 180 subyek yang memenuhi kriteria inklusi dan tidak memenuhi kriteria eksklusi. Prevalensi IBS 58 (32,2%) subyek, terdiri atas 22 subtipe konstipasi, 23 subtipe diare, dan 13 subtipe campuran. Prevalensi masalah perilaku 40,6%, terdiri atas 28,9% masalah perilaku internalisasi, 2,8% masalah eksternalisasi, 0,6% masalah perilaku perhatian, dan 8,4% variasi dari 3 gangguan. Faktor risiko terjadinya IBS, antara lain, mengonsumsi daging olahan, teh, makan terburu-buru, serta di-bully. Terdapat hubungan yang bermakna antara IBS dengan masalah perilaku (p=0,001). Nilai Odds Ratio yang diberikan 3,015 (IK95%=1,580-5,754) Kesimpulan. Remaja yang mengalami IBS mempunyai risiko yang meningkat untuk terjadinya masalah perilaku. Sari Pediatri 2017;18(6):492-7Kata kunci: masalah perilaku, irritable bowel syndrome, remaja Association between Behavioral Problems among Irritable Bowel Syndrome Adolescents Yudianita KesumaBackground. Irritable bowel syndrome (IBS) is the most common recurrent abdominal pain in adolescence, causing serious impairments on behavioral problems. Objective. To assess for an association between IBS and behavioral problems in adolescences. Methods. Subjects in this cross-sectional study were adolescences who attended Nurul Iman high school. Their general characteristics and physical examination results were recorded. We administered the Criteria Rome III for IBS and the Pediatric Symptom Checklist 17 (PSC 17) for behavioral problems. Data was analyzed by Chi-square test. Results. We enrolled 180 adolescences as student in Nurul Iman high school. Prevalences of IBS was 32,2%, consisting of subtype IBS constipation (37,9%), subtype IBS Diarrhea (39,7%), and subtype IBS Mixed (22,4%). The prevalence of behavioral disorders was 40,6%, consisting of internalization (28,9%), externalization (2,8%), attentive problems (0,6%) and various combinations of three problems (8,4%). A significant association was found between IBS and behavioral problems (P=0.001; PR=3.015; 95%CI=1.580-5.754). Conclusion. IBS is significantly associated with behavioral problems. Sari Pediatri 2017;18(6):492-7

Prevalence and risk factors of irritable bowel syndrome in adolescents

“…Female gender had an odds ratio of 2.8 for risk of IBS compared to male gender, though the result was not significantly different. Two other Indonesian studies in Jakarta 3 and Palembang, South Sumatera, 12 by reported similar findings. This result may be due to varying populations and unequal gender ratio of the subjects analyzed.…”

“…However, a school-based study in Jakarta reported a significant association between corporal punishment and IBS (P=0.034). 3 Other school-based studies in Palembang, South Sumatera 12 and Korea 13 also found that psychosocial factors such as behavior problems and stress were connected to IBS. A mental health review of the school environment revealed many stressors that can affect children's mental health.…”

“…10 Females may be at higher risk of IBS because of hormonal influence and stress. 12 The psychosocial factor is an important part of the biopsychosocial model in the etiology of IBS. We analyzed corporal punishment as one such psychosocial stressor, but found no significant association between corporal punishment and IBS.…”

<p>Association Between Irritable Bowel Syndrome and Sleep Disturbance in Adolescents</p>

“…Previous studies have identified several factors associated with the incidence of IBS in adolescents, including history of abuse, type of food, and diet. 10,11 Of 8 Natalita's study found 40 subjects (62.5%) suffering from sleep disturbances using the SDSC questionnaire, with the most frequent type being sleep-wake disorder (25%). Based on the examination performed in this study, there were 42 subjects (65.6%) who suffered from sleep disorders using the SDSC questionnaire, with 71.4% sensitivity and 54.5% specificity.…”

Faktor yang Berhubungan dengan Kejadian Sakit Perut Berulang pada Anak Usia 7-12 Tahun di Kecamatan Padang Timur

“…Hal tersebut berkaitan dengan ketersediaan nutrisi dan pelayanan kesehatan, serta kualitas kesehatan yang sehat. 14 Faktor risiko yang tidak memiliki hubungan bermakna dengan kejadian sakit perut berulang pada penelitian kami adalah usia, jenis kelamin, tingkat penghasilan orang tua, riwayat sakit perut berulang pada keluarga kandung. Keberagaman kelompok usia yang diteliti, definisi atau kriteria diagnosis, dan jenis kuesioner yang digunakan menyebabkan perbedaan hasil penelitian kami dengan penelitian lainnya terhadap faktor yang mempengaruhi kejadian sakit perut berulang.…”