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Background: Irritable bowel syndrome (IBS) is a common functional gastrointestinal disorder influenced by multiple psychosocial factors, including anxiety. Physicians, particularly those working in primary healthcare settings, are exposed to high occupational stress, potentially increasing their risk for both anxiety and IBS.
Objective: This study aimed to determine the prevalence of IBS among family physicians in Tabuk, Saudi Arabia, and to explore its association with anxiety levels.
Methods: An analytical cross-sectional study was conducted between May 2024 and April 2025 among 300 family physicians working in primary healthcare centers (PHCCs) in Tabuk, Saudi Arabia. Participants were selected using a systematic random sampling technique. Data were collected using a self-administered online questionnaire that included the Rome IV criteria for IBS and the Generalized Anxiety Disorder-7 (GAD-7) scale. A pilot study was conducted with 20 physicians to validate the questionnaire. Data analysis was performed using IBM SPSS Statistics for Windows, version 28. Logistic regression was used to assess predictors of IBS. Statistical significance was set at p < 0.05.
Results: The prevalence of IBS among participants was 187 (62.3%), and 125 (41.7%) reported mild anxiety. Moderate anxiety was observed in 34 (11.3%) and severe anxiety in 28 (9.3%). Anxiety severity was significantly associated with IBS (p = 0.001). Physicians with mild anxiety had 5.5 times higher odds of IBS compared to those with minimal anxiety (odds ratio (OR): 5.5, 95% confidence interval (CI): 3.1-9.8). A positive family history of IBS (183, 61.0%) and lower BMI were also significantly associated with IBS prevalence. The job title showed a borderline association (p = 0.053).
Conclusion: This study revealed a high prevalence of IBS and anxiety among family physicians in Tabuk. Anxiety severity, family history of IBS, and BMI were significant predictors. These findings highlight the need for psychological screening and stress management programs for healthcare professionals.
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http://dx.doi.org/10.7759/cureus.88138 | DOI Listing |
Cochrane Database Syst Rev
September 2025
Department of Family Medicine, University of Alberta, Edmonton, Alberta, Canada.
Background: Opioid use disorder (OUD) is commonly treated in specialized care settings with long-acting opioid agonists, also known as opioid agonist therapy, or OAT. Despite the rise in opioid use globally and evidence for a 50% reduction in mortality when OAT is employed, the proportion of people with OUD receiving OAT remains small. One initiative to improve the access and uptake of OAT could be to offer OAT in a primary care setting; primary care clinics are more numerous, might reduce the visibility and potential stigma of receiving treatment for OUD, and may facilitate the care of other medical conditions that are unrelated to OUD.
View Article and Find Full Text PDFPalliat Med Rep
May 2025
Department of Supportive Care, Division of Palliative Care, University Health Network, Toronto, Canada.
Background: Serious illness communication skills (SICS) are essential competencies for clinicians to possess. Unfortunately, SICS teaching is not routinely taught and many clinician teachers (CTs) never received training on how to teach them. We funded two cohorts of CTs to learn an evidence-based approach to SICS teaching to scale a unified approach to such training.
View Article and Find Full Text PDFPalliat Med Rep
May 2025
Family Medicine, Hamilton Health Sciences, Grimsby, Canada.
Background: In Canada, access to palliative care varies across jurisdictions. Many health care professionals lack core palliative care competencies. To help build capacities, a pilot education program was conducted at a community hospital in Southwestern Ontario (Canada).
View Article and Find Full Text PDFGlob J Qual Saf Healthc
August 2025
Creighton University School of Medicine, Phoenix, AZ, USA.
Introduction: Generalized anxiety disorder (GAD) is a common mental health condition encountered in primary care settings. GAD screening, diagnosis, and management are challenging, among other issues that capture the attention of primary care physicians (PCPs). Measurement-based care (MBC) involves the systematic assessment of patients' symptoms and treatment progress using standardized tools.
View Article and Find Full Text PDFClin Interv Aging
September 2025
Siaal Research Center for Family Medicine and Primary Care, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer- Sheva, Israel.
Purpose: Providing essential end-of-life care for patients with advanced dementia depends on physicians' ability to identify eligible individuals and refer them to hospice services. In practice, however, such referrals are often delayed-or not made at all. This study aimed to examine the factors associated with physicians' knowledge and attitudes toward referring patients with advanced dementia to home hospice care, and to compare characteristics of those who refer with those who do not.
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