功能性便秘患者体征症状的身体和心理相关性:一个横截面研究
Zhifeng Zhao1, Bin Bai1, Shiqi Wang1
1State Key Laboratory of Cancer Biology & National Clinical Research Center for Digestive Diseases, Xijing Hospital of Digestive Diseases, Air Force Medical University, No.127, West Changle Road, 710032, Xi'an, Shaanxi Province, People's Republic of China.
BMC psychiatry
|February 16, 2024
概括
功能性便秘 (FC) 患者体征症状经历更严重的便秘,焦虑和抑郁. 解决体质症状严重程度 (SSS) 对于有效的FC诊断和治疗至关重要.
科学领域:
- 胃肠病学 胃肠病学
- 精神病体医学是一种精神病体医学.
- 临床心理学 临床心理学
背景情况:
- 功能性便秘 (FC) 受心理健康的影响,但FC患者体征症状的特征尚未研究.
- 身体症状显著影响功能性便秘的体验和严重程度.
研究的目的:
- 调查功能性便秘 (FC) 患者的临床特征,这些患者有体质症状 (SOM).
- 确定FC患者体质症状严重程度 (SSS) 的预测因素.
- 探索FC中压力因素和SSS之间的关系.
主要方法:
- 具有和没有显着体征症状的FC患者之间的临床参数比较 (SOM+与SOM-).
- 利用对体症状 (PHQ-15),抑郁 (PHQ-9),焦虑 (GAD-7) 和便秘 (KESS) 的验证问卷.
- 进行了相关性和后勤回归分析,以确定SSS的预测因素和与压力因素的关联.
主要成果:
- 与SOM-患者相比,患有体质症状 (SOM+) 的FC患者在性别,压力,睡眠,情绪,生活质量和解剖因素方面表现出显著的差异.
- 抑郁症 (PHQ-9),焦虑症 (GAD-7) 和便秘严重程度 (KESS) 是体质症状严重程度 (SSS) 的独立预测因素.
- 升高的SSS与与夫妇,父母和工作有关的压力因素有显著的关联.
结论:
- 功能性便秘患者身体症状呈现出更大的便秘,焦虑和抑郁.
- 身体症状评估对于功能性便秘的全面诊断和治疗计划至关重要.
- 心理困扰,体征症状和压力因素之间的相互作用凸显了在FC管理中需要综合护理方法的需要.
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