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Related Experiment Videos

Hostility in patients with chronic constipation.

D L Dumitraşcu1, M Acalovschi, O Pascu

  • 1Third Medical Department, Iuliu Haţieganu University of Medicine and Pharmacy, Cluj-Napoca.

Romanian Journal of Internal Medicine = Revue Roumaine De Medecine Interne
|May 24, 2000
PubMed
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Patients with chronic constipation exhibit increased hostility, a personality trait linked to psychosomatic disorders. This heightened hostility appears to be a characteristic of functional bowel disorders rather than solely a symptom of constipation.

Area of Science:

  • Psychosomatic Medicine
  • Gastroenterology
  • Personality Psychology

Background:

  • Chronic constipation is associated with personality changes.
  • Hostility is a significant personality factor implicated in psychosomatic disorders.
  • Understanding the psychological profile of patients with chronic constipation is crucial for comprehensive care.

Purpose of the Study:

  • To investigate the prevalence and levels of hostility in patients diagnosed with chronic constipation.
  • To explore whether hostility is a general feature of chronic constipation or specific to certain functional bowel disorder subtypes.

Main Methods:

  • Sixty patients with chronic constipation were assessed using the hostility scale of the Minnesota Multiphasic Inventory (MMPI).
  • Patients were categorized into four groups based on symptom presentation: functional chronic constipation, irritable bowel syndrome (IBS) with constipation and pain, IBS with constipation, pain, and bloating, and IBS with constipation alternating with diarrhea.

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  • A control group of twenty-five healthy individuals was included for comparison.

    • Main Results:

    • All patient groups with chronic constipation demonstrated significantly higher hostility scores compared to the control group (p < 0.01 to p < 0.001).
    • Mean hostility scores varied across the constipation subgroups, with Group I (functional chronic constipation) scoring 68 ± 9, Group II (IBS with pain) 62 ± 12, Group III (IBS with pain and bloating) 70 ± 14, and Group IV (IBS alternating diarrhea) 56 ± 12.
    • The control group exhibited a mean hostility score of 40 ± 12.

    Conclusions:

    • Hostility is significantly increased in individuals suffering from chronic constipation.
    • The findings suggest that elevated hostility is more characteristic of functional bowel disorders, which encompass chronic constipation, rather than being solely a symptom of constipation itself.
    • This highlights the importance of considering psychological factors, such as hostility, in the management of functional gastrointestinal disorders.