Arfaoui Dalenda, Elloumi Héla, Debbebi Wafa, Bel Hadj Ali Nejib, Ajmi Salem
Service de gastroentérologie, Sahloul.
Tunis Med. 2007 Mar;85(3):189-91.
The symptomatology of patients with ulcerative colitis or Crohn's disease is not only characterised by bowel related symptoms. There is indeed psychological and psychiatric comorbidity. Depression and anxiety seem to be more common. These disorders could be etiologically related or appear as a consequence of the disease. At present, it seems unlikely that psychogenic disorders or major stressful life events play an important role in the origin of the disesses or in their severity, although there are however neuro-endocrine-immune interactions. Minor daily stressful life events are however important for the quality of life of patients with ulcerative colitis and Crohn's disease.
溃疡性结肠炎或克罗恩病患者的症状不仅以肠道相关症状为特征。实际上存在心理和精神共病情况。抑郁和焦虑似乎更为常见。这些病症可能在病因上相关,或者是疾病的后果。目前,虽然存在神经 - 内分泌 - 免疫相互作用,但心理障碍或重大生活应激事件似乎不太可能在这些疾病的起源或严重程度中起重要作用。然而,日常的小应激生活事件对溃疡性结肠炎和克罗恩病患者的生活质量很重要。