Department of Obstetrics and Gynaecology, University of Sydney, Royal North Shore Hospital, St Leonards, NSW, Australia.
J Psychosom Res. 2011 Apr;70(4):372-7. doi: 10.1016/j.jpsychores.2010.11.009. Epub 2011 Feb 12.
Functional gastrointestinal-like disorders (FGIDs) are prevalent among eating disorder (ED) patients. The aims are to explore the relationship between quality of life related to eating disorders (QOL ED) and FGIDs.
Consecutive ED patients, 18-45 years old, completed the Rome II, QOL ED, Irritable Bowel Syndrome QOL (IBS-QOL) and Bowel Symptom Severity Index (BSSI) questionnaires on admission to hospital for treatment of their ED.
Despite the high prevalence of FGIDs (93%), only IBS is clearly correlated with QOL ED scores. The QOL ED subscores significantly related are ED feelings, psychological feelings and effect on daily living. These subscores contain items such as fearing loss of control over your body and feelings, being preoccupied with thoughts of body weight and shape, feeling confused and that eating and exercise have a negative effect on work/study. There were no relationships between QOL ED behavior and individual FGIDs or categories of FGIDs. The QOL ED and IBS-QOL are highly correlated, and there is a positive linear relationship between the QOL ED global and IBS-QOL total and BSSI scores.
The presence of IBS (but not other FGIDs) in ED patients is strongly related to eating disordered and psychological feelings. The poorer the QOL ED is, the poorer the IBS-QOL is and the more severe the IBS symptoms are.
功能性胃肠病样障碍(FGIDs)在饮食障碍(ED)患者中很常见。目的是探讨与饮食障碍相关的生活质量(QOL ED)与 FGIDs 之间的关系。
连续的 ED 患者,18-45 岁,在入院接受 ED 治疗时完成了罗马 II 标准、QOL ED、肠易激综合征生活质量(IBS-QOL)和肠症状严重指数(BSSI)问卷。
尽管 FGIDs 的患病率很高(93%),但只有 IBS 与 QOL ED 评分明显相关。与 QOL ED 评分显著相关的 QOL ED 子评分是 ED 感觉、心理感觉和对日常生活的影响。这些子评分包含害怕失去对身体的控制感和感觉、对体重和体型的想法、感到困惑和饮食、运动对工作/学习有负面影响等项目。QOL ED 行为与个别 FGIDs 或 FGIDs 类别之间没有关系。QOL ED 和 IBS-QOL 高度相关,QOL ED 全球和 IBS-QOL 总分与 BSSI 评分之间存在正线性关系。
ED 患者中存在 IBS(而非其他 FGIDs)与饮食紊乱和心理感觉密切相关。QOL ED 越差,IBS-QOL 越差,IBS 症状越严重。