Personality and physical symptoms in nonpsychiatric patients with functional gastrointestinal disorder

被引:67
作者
Tanum, L [1 ]
Malt, UF [1 ]
机构
[1] Univ Oslo, Natl Hosp, Dept Psychosomat & Behav Med, N-0027 Oslo, Norway
关键词
aggression; functional gastrointestinal disorders; irritable bowel syndrome; nonulcer dyspepsia; neuroticism; pain;
D O I
10.1016/S0022-3999(00)00219-1
中图分类号
R749 [精神病学];
学科分类号
100205 [精神病与精神卫生学];
摘要
Objective: We investigated the relationship between personality and reported pain and somatic distress in patients with functional gastrointestinal disorder (FGD) without psychopathology. Methods: Fifty-six patients and 55 controls completed Buss-Durkee Hostility Inventory (BDHI), NEO Personality Inventory (NEO-PI), Eyscnck Personality Questionnaire (EPQ: N+ L scales), and Giessener Physical Complaints Checklist (GBB). Patients also completed McGill Pain Questionnaire (MPQ) and Visual Analogue Scale (VAS) for abdominal pain and target symptom (abdominal distress). Results: Patients displayed significantly higher levels of neuroticism and covert aggression than controls. Number of words chosen (NWC) to describe pain and sensory pain index (MPQ), but not pain intensity on VAS, were predicted by indirect aggression - and less so by neuroticism - in females and covert aggression in males (stepwise regression model). Patients reported far more extraintestinal somatic complaints than controls. Conclusion: Out of nine dimensions of hostility and five dimensions of personality, only neuroticism and concealed aggression are increased in FGD patients without psychiatric comorbidity compared with healthy controls. These personality traits influence pain reports and should be taken into account when evaluating and treating patients with FGD. Neuroticism and concealed aggression are most likely markers of vulnerability to FGD and not merely reflections of being chronic ill or explained by sample bias secondary to illness behavior. (C) 2001 Elsevier Science Inc. All rights reserved.
引用
收藏
页码:139 / 146
页数:8
相关论文
共 42 条
[1]
Functional gastrointestinal disorders: psychological, social, and somatic features [J].
Bennett, EJ ;
Piesse, C ;
Palmer, K ;
Badcock, CA ;
Tennant, CC ;
Kellow, JE .
GUT, 1998, 42 (03) :414-420
[2]
BIAGGIO MK, 1985, ADV PERSONALITY ASSE, P71
[3]
BLOMHOFF S, UNPUB PHOBIC ANXIETY
[4]
BRAEHLER E, 1983, GIESSENER BESCHWERDE
[5]
BOWEL DISTRESS AND EMOTIONAL CONFLICT [J].
BROOK, A .
JOURNAL OF THE ROYAL SOCIETY OF MEDICINE, 1991, 84 (01) :39-42
[6]
METAANALYSIS OF FACTOR-ANALYSES - AN ILLUSTRATION USING THE BUSS-DURKEE HOSTILITY INVENTORY [J].
BUSHMAN, BJ ;
COOPER, HM ;
LEMKE, KM .
PERSONALITY AND SOCIAL PSYCHOLOGY BULLETIN, 1991, 17 (03) :344-349
[7]
AN INVENTORY FOR ASSESSING DIFFERENT KINDS OF HOSTILITY [J].
BUSS, AH ;
DURKEE, A .
JOURNAL OF CONSULTING PSYCHOLOGY, 1957, 21 (04) :343-349
[8]
COSTA PT, 1994, PERSONALITY DISORDER
[9]
PSYCHOLOGICAL-FACTORS IN THE IRRITABLE-BOWEL-SYNDROME [J].
CREED, F ;
GUTHRIE, E .
GUT, 1987, 28 (10) :1307-1318
[10]
CROWELL MD, 1994, AM J GASTROENTEROL, V89, P1973