ACID PERCEPTION IN GASTROESOPHAGEAL REFLUX DISEASE IS DEPENDENT ON PSYCHOSOCIAL FACTORS

被引:57
作者
JOHNSTON, BT
LEWIS, SA
COLLINS, JSA
MCFARLAND, RJ
LOVE, AHG
机构
[1] QUEENS UNIV BELFAST,DEPT MED,BELFAST,ANTRIM,NORTH IRELAND
[2] QUEENS UNIV BELFAST,DEPT MENTAL HLTH,BELFAST,ANTRIM,NORTH IRELAND
关键词
GASTROESOPHAGEAL REFLUX DISEASE; ESOPHAGEAL PH MONITORING; PERSONALITY; PSYCHOLOGY;
D O I
10.3109/00365529509093228
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Background: Our aim-was to contrast the psychosocial profiles of patients with gastro-oesophageal reflux disease whose symptoms correlate well with acid reflux against those whose symptoms do not. Methods: One hundred and one patients presenting with heartburn for the first time underwent oesophageal pH monitoring, and 82 (81%) experienced symptoms during the recording. On the basis of how well their symptoms correlated with acid reflux, patients were divided into symptom-positive and symptom-negative groups. These two groups were then compared on the basis of four questionnaires looking at different psychosocial factors. Results: Symptom-negative patients displayed significantly higher levels of trait anxiety (44.5 versus 38.7; p < 0.05) and hysteria (5.6 versus 4.1; p < 0.05). The adequacy of their social support structures was significantly lower (6.2 versus 7.3; p < 0.05). No difference in daily hassles or uplifts was found. Conclusion: Significant psychosocial differences are noted in patients with poor symptom-reflux correlation. These differences may help explain the aetiology of such patients' symptoms.
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页数:5
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