Wicki W, Angst J
Psychologisches Institut, Universität Bern.
Psychother Psychosom Med Psychol. 1992 Nov;42(11):371-80.
The prevalence rates and the course of functional gastrointestinal disorders in addition to psychopathology and psychosocial factors which are assumed to be associated with functional disorders were longitudinally investigated in an epidemiological cohort study of young adults aged 21-30 from the Canton of Zurich (Switzerland), by means of four interviews. Case definition was based on operational criteria concerning frequency and duration of symptoms reported by the subjects. One-year prevalence rates of (functional) stomach complaints and intestinal complaints were found to vary between 8.7 and 12.7 percent, and 9.1 and 11.1 percent, respectively, depending an the year of the interview. Subjects with stomach complaints scored higher on depression, anxiety and hostility (Hopkins Symptom Check List, Freiburger Persönlichkeitsinventar) then the controls. These associations were less strong among subjects with intestinal complaints. In addition, both complaints were found to be associated with scores on a life events measure, with distress from the social network, and with lack of social support.
在一项针对瑞士苏黎世州21至30岁年轻人的流行病学队列研究中,通过四次访谈纵向调查了功能性胃肠疾病的患病率、病程,以及被认为与功能性疾病相关的精神病理学和社会心理因素。病例定义基于受试者报告的症状频率和持续时间的操作标准。根据访谈年份不同,(功能性)胃部不适和肠道不适的一年患病率分别在8.7%至12.7%和9.1%至11.1%之间变化。有胃部不适的受试者在抑郁、焦虑和敌意方面(采用霍普金斯症状清单、弗莱堡人格问卷)得分高于对照组。这些关联在有肠道不适的受试者中较弱。此外,发现这两种不适都与生活事件量表得分、社交网络困扰以及缺乏社会支持有关。