Abstract

Objective: To investigate the effect of psychological stress on IBS among adolescents. Methodology: This cross-sectional study was conducted in Jazan city, and 227 adolescents diagnosed with IBS were selected using snow ball technique . We used a structured questionnaire that covered demographic characteristics, IBS symptoms (based on the Rome III criteria), and perceived stress (PSS-10). Descriptive statistics and correlation test was used to assess the correlation between stress levels and IBS symptoms.
Results: The majority of participants were female (90%) and aged 15-18 years (71%). Over half (55%) reported IBS symptoms, and 44% had a family history of IBS. The mean PSS score was 20.7±5.5, indicating moderate stress. Commonly reported symptoms included abdominal pain and cramping (71.8%), lack of energy (74.9%), and nausea (81.5%). A positive correlation was observed between psychological stress and IBS symptoms (r=0.186, p=0.005).
Conclusion: Psychological stress is significantly associated with IBS symptoms among adolescents. Stress-reduction programs and educational interventions targeting adolescents are recommended to improve coping strategies and reduce the impact of IBS on quality of life.

Key words: Irritable Bowel Syndrome, stress, functional gastrointestinal disorder, adolescents.