Probst B, von Wietersheim J, Wilke E, Feiereis H
Klinik für Psychosomatik und Psychotherapie, Medizinische Universität zu Lübeck.
Z Psychosom Med Psychoanal. 1990;36(3):258-75.
63 patients with Crohn's disease and 58 patients with ulcerative colitis were tested with the "Fragebogen zur sozialen Integration" (FSI, questionnaire of social adjustment), the "Freiburger Persönlichkeitsinventar" (FPI) and a semistandardized interview and were compared with surgical controls. Activity, course and symptoms of the disease were registered. We found significant restrictions in working and lesiure activities, partnership and sexual life in patients with inflammatory bowel disease. Social adjustment of patients with Crohn's disease was more dependent on disease activity than in patients with ulcerative colitis. Social impairment in patients with Crohn's disease correlated with higher stool frequency and abdominal pain, in patients with ulcerative colitis with reduced general state of health, tiredness and limpness. In the "Freiburger Persönlichkeitsinventar" (FPI) the patients with chronic inflammatory bowel disease described themselves significantly more nervous, inhibited, reserved and less aggressive, sociable and composed. The FPI scores in patients with Crohn's disease depended more on disease activity and on somatic symptoms than in patients with ulcerative colitis.
对63例克罗恩病患者和58例溃疡性结肠炎患者使用“社会融入问卷”（FSI）、“弗莱堡人格问卷”（FPI）并进行半标准化访谈进行测试，并与手术对照组进行比较。记录疾病的活动情况、病程和症状。我们发现炎症性肠病患者在工作、休闲活动、伴侣关系和性生活方面存在显著限制。克罗恩病患者的社会适应比溃疡性结肠炎患者更依赖于疾病活动。克罗恩病患者的社会功能损害与更高的排便频率和腹痛相关，溃疡性结肠炎患者的社会功能损害与健康状况下降、疲劳和乏力相关。在“弗莱堡人格问卷”（FPI）中，慢性炎症性肠病患者将自己描述为明显更紧张、内向、保守，攻击性、社交性和沉稳性更低。克罗恩病患者的FPI得分比溃疡性结肠炎患者更依赖于疾病活动和躯体症状。
