Parry Sally D, Corbett Sally, James Peter, Barton J Roger, Welfare Mark R
University of Newcastle Faculty of Medicine, UK.
J Health Psychol. 2003 Nov;8(6):693-704. doi: 10.1177/13591053030086004.
Functional gastro-intestinal disorders (FGID) like irritable bowel syndrome (IBS) are common and can develop after gastro-enteritis. Illness representations may be important influences on the development of post-infectious FGIDs. Here, we studied both the relationship between prior chronic symptoms (FGIDs) and illness perception during an acute illness (bacterial gastro-enteritis) as well as the relationship between illness perception during an acute illness (bacterial gastro-enteritis) and the subsequent development of chronic abdominal symptoms. Two hundred and seventeen people with recent gastro-enteritis completed a questionnaire asking about gut symptoms consistent with a diagnosis of IBS, functional dyspepsia or functional diarrhoea and the Illness Perception Questionnaire. Those without a prior FGID were followed up and completed a similar gut questionnaire at six months. People with a prior FGID had significantly more symptoms and scored significantly higher on the timeline and consequence scores than those without. People who developed a FGID had a non-significantly higher number of symptoms and higher consequence and timeline scores than those who did not. Neither comparative group differed in the control/cure scores or causation scores. The implications of the findings are discussed.
功能性胃肠疾病（FGID），如肠易激综合征（IBS）很常见，且可能在肠胃炎后发生。疾病表征可能对感染后FGID的发展有重要影响。在此，我们研究了既往慢性症状（FGID）与急性疾病（细菌性肠胃炎）期间的疾病认知之间的关系，以及急性疾病（细菌性肠胃炎）期间的疾病认知与随后慢性腹部症状发展之间的关系。217名近期患肠胃炎的人完成了一份问卷，询问与IBS、功能性消化不良或功能性腹泻诊断相符的肠道症状，以及疾病认知问卷。对那些既往无FGID的人进行随访，并在六个月时完成一份类似的肠道问卷。与无既往FGID的人相比，有既往FGID的人症状明显更多，在时间线和后果评分上得分显著更高。发生FGID的人比未发生FGID的人症状数量略多，后果和时间线评分更高。两组在控制/治愈评分或因果评分方面没有差异。对研究结果的意义进行了讨论。
