COVID-19 pandemic and lockdown stress consequences in people with and without Irritable Bowel Syndrome - 03/09/21

Doi : 10.1016/j.jemep.2021.100660

J.-M. Sabate ^a,^b,^⁎ , D. Deutsch ^a, C. Melchior ^c, A. Entremont ^d, F. Mion ^e, M. Bouchoucha ^a, S. Façon ^f, J.-J. Raynaud ^a, F. Zerbib ^g, P. Jouët ^b,^h
^a Gastroenterology Department, hôpital Avicenne, Paris 13 Nord, AP–HP, 125, rue de Stalingrad, Bobigny, France
^b INSERM U-987, Pathophysiology and Clinical Pharmacology of pain, Ambroise-Paré Hospital, 92100 Boulogne-Billancourt, France
^c Gastroenterology Department and INSERM CIC-CRB 1404, Rouen University Hospital and INSERM UMR 1073, Institute for Research and Innovation in Biomedicine, Normandy University, 76031 Rouen, France
^d 28, place du marché Saint-Honoré, 75001 Paris, France
^e Gastroenterology Department, hôpital Edouard-Herriot, 5, place d’Arsonval, 69437 Lyon, France
^f Association des patients souffrant du syndrome de l’intestin irritable (APSSII, www.apsssi.org), hôpital Avicenne, 125, rue de Stalingrad, Bobigny, France
^g Gastroenterology Department, hôpital Haut-Lévêque, 1, avenue Magellan, 33604 Pessac cedex, France
^h Gastroenterology Department, hôpital Ambroise-Paré, 9, avenue Charles de Gaulle, 92100 Boulogne-Billancourt, France

^⁎Corresponding author at: Gastroenterology Department, hôpital Avicenne, Paris 13 Nord, AP–HP, 125, rue de Stalingrad, Bobigny, France.Gastroenterology Department, hôpital Avicenne, Paris 13 Nord, AP–HP125, rue de StalingradBobignyFrance

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Summary

Background

While all resources have been mobilized to fight COVID-19, this study aimed to analyze the consequences of lockdown and pandemic stress in participants with and without Irritable Bowel Syndrome (IBS).

Methodology

An online survey was proposed to people with or without IBS during the exponential phase of the pandemic in France. The questionnaire included questions about socio-demographic data, conditions of confinement, activities carried out, IBS characteristics, measurement of stress level, consequences on sleep, fatigue, anxiety and depression, and quality of life (both perceived non-specific and specific for IBS).

Results/Discussion

From March 31 to April 15, 2020, 304 participants, 232 with IBS and 72 without were included in the survey (mean age: 46.8±16.8 years, female gender: 75.3%). Age, level of education, financial resources, living space per person and activities performed during confinement were identical in both groups. Stress linked to fear of COVID-19, lockdown and financial worries was at the same level in both groups, but the psychological consequences and deterioration of quality of life (QOL) were both higher in IBS participants. In a univariate analysis, teleworking, solitary confinement, and low household resources had a variable impact on the scores of depression, anxiety, fatigue and non-specific perceived QOL, but in a multivariate analysis, the only factor explaining a deterioration of non-specific QOL was the fact of suffering from IBS.

Conclusion/Perspectives

Stress linked to the COVID-19 pandemic and confinement is high and equivalent in both IBS and non-IBS participants, with higher psychological and QOL consequences in IBS patients who have altered coping capacities.

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Keywords : COVID-19, Irritable bowel syndrome, Pandemic, Quality of life, Stress