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Psychologic aspects of flatulent dyspepsia.
R G Watson1, R J Younge, S A Lewis
1Dept. of Medicine, Queen's University of Belfast, Northern Ireland.
Scandinavian Journal of Gastroenterology
|September 1, 1987
Summary
Psychologic factors contribute to dyspepsia, particularly flatulent dyspepsia. Patients with dyspepsia, regardless of gallbladder status, reported more somatic symptoms, suggesting emotional distress is a key factor.
Area of Science:
- Gastroenterology
- Psychosomatic Medicine
Background:
- Dyspepsia, especially flatulent dyspepsia, is often linked to psychologic and social factors.
- Flatulent dyspepsia has historically been associated with gallbladder disease.
Purpose of the Study:
- To investigate psychologic and social factors in flatulent dyspepsia.
- To compare dyspeptic patients with and without gallbladder disease, and post-cholecystectomy patients.
Main Methods:
- Utilized the Middlesex Hospital Questionnaire and Life Events Inventory.
- Conducted detailed, semi-structured interviews with subjects.
- Compared three groups of flatulent dyspepsia patients with controls.
Main Results:
- Dyspeptic patients (with or without gallbladder disease, post-cholecystectomy) showed significantly more somatic symptoms than controls.
- Greater emotional upset was indicated in dyspeptic patients.
- Stressful life events showed little correlation with symptom development.
Conclusions:
- Psychologic distress, indicated by somatic symptoms, is a significant factor in flatulent dyspepsia.
- The aetiology of flatulent dyspepsia appears more related to emotional upset than stressful life events.