Pontone S, Ridola L, Marianetti M, Pontone P, Petrarca L, Mina C, Angelini R, Standoli M, Filippini A
Departments of Surgical Sciences, "Sapienza" University of Rome.
Departments of Gastroenterology Unit, "Sapienza" University of Rome, "Polo Pontino" Hospital, Latina, Italy.
Clin Ter. 2015 Nov-Dec;166(6):238-43. doi: 10.7417/CT.2015.1894.
Psychological disorders are often associated with diseases of the upper digestive tract. Although emotions can influence gastrointestinal function in healthy individuals, psychological setting in upper gastrointestinal patients are unclear. We evaluate the psychological alterations prevalence in outpatients submitted to upper endoscopy.
A total of 130 patients (50 males and 80 females; mean age 54±17 years) submitted to upper gastrointestinal endoscopy, were enrolled over the period May 2009 - September 2010. Subjects were asked to complete questionnaires before endoscopic examination. Alexithymia, anxiety, depression and coping style were assessed using the Toronto Alexithymia Scale, Spielberger Trait Anxiety Inventory, Beck Depression Inventory and Coping Inventory for Stressful Situations, respectively.
Coping impairment, Alexithymia, Anxiety and Depression were found respectively in 80.3%, 25.4%, 24.6% and 17.2%, often in association. Task-oriented, emotion-oriented and avoidance-oriented alterations were found in 41.8%, 40% and 30.6%, respectively. No correlations were demonstrated between diagnosis of upper gastrointestinal disease and psychometric results.
In our study, a high prevalence of psychometric alterations in gastrointestinal outpatients was unconnected with endoscopic findings, especially considering coping style alterations. This aspect should be taken into account in patients management and a long-term follow-up should clarify a possible role of these factors in patients prognosis and compliance.
心理障碍常与上消化道疾病相关。虽然情绪可影响健康个体的胃肠功能，但上消化道疾病患者的心理状况尚不清楚。我们评估了接受上消化道内镜检查的门诊患者的心理改变患病率。
2009年5月至2010年9月期间，共纳入130例接受上消化道内镜检查的患者（50例男性和80例女性；平均年龄54±17岁）。受试者在接受内镜检查前被要求完成问卷调查。分别使用多伦多述情障碍量表、斯皮尔伯格特质焦虑量表、贝克抑郁量表和应激情境应对量表评估述情障碍、焦虑、抑郁和应对方式。
应对障碍、述情障碍、焦虑和抑郁的发生率分别为80.3%、25.4%、24.6%和17.2%，且常同时存在。任务导向型、情绪导向型和回避导向型改变的发生率分别为41.8%、40%和30.6%。上消化道疾病的诊断与心理测量结果之间未显示出相关性。
在我们的研究中，胃肠道门诊患者心理测量改变的高患病率与内镜检查结果无关，尤其是考虑到应对方式的改变。在患者管理中应考虑这一方面，长期随访应阐明这些因素在患者预后和依从性方面可能发挥的作用。
