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The Dyspepsia Educational Tool As a Novel Aid in Dyspepsia Management
Published on: June 29, 2019
Nonulcer dyspepsia associated with psychiatric disorder
F J Kane1, J Strohlein, R G Harper
1University of Arkansas for Medical Sciences, Little Rock.
Southern Medical Journal
|June 1, 1993
Summary
Many adults experience dyspepsia without a clear physical cause. This study found strong links between gastrointestinal symptoms, like nonulcer dyspepsia, and anxiety and depression disorders.
Area of Science:
- Gastroenterology
- Psychiatry
Background:
- Dyspepsia affects 1-2% of adults, with 25-40% lacking a physical explanation for symptoms.
- Chest pain and gastrointestinal (GI) symptoms often prompt motility studies.
Purpose of the Study:
- To investigate the association between psychiatric diagnoses and GI symptoms in patients undergoing motility studies.
- To compare patients with and without known heart disease regarding psychiatric comorbidities and GI symptoms.
Main Methods:
- Retrospective follow-up study of 390 patients (278 responders) who underwent motility studies.
- Patients completed self-rating questionnaires on GI, anxiety, panic, and depression symptoms, including the Brief Symptom Inventory.
- Comparison between patients with and without known heart disease.
Main Results:
- High prevalence of generalized anxiety disorders (>70%), panic disorder (>30%), and major depression (>35%) in both cardiac and non-cardiac groups.
- GI symptoms consistent with nonulcer dyspepsia were significantly associated with psychiatric diagnoses.
- Anxiety and depressive states showed a strong correlation with dyspepsia and other non-ulcer GI symptoms.
Conclusions:
- Anxiety and depressive disorders are strongly linked to dyspepsia and other functional GI symptoms.
- Psychiatric evaluation may be crucial for patients presenting with unexplained GI complaints.
- The findings highlight the significant overlap between gastrointestinal and psychiatric conditions.
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