Caetano Ana Célia, Oliveira Dinis, Gomes Zaida, Mesquita Edgar, Rolanda Carla
Department of Gastroenterology, Braga Hospital, Portugal (Ana Célia Caetano, Dinis Oliveira, Carla Rolanda).
Life and Health Sciences Research Institute (ICVS), School of Health Sciences, University of Minho, Braga (Ana Célia Caetano, Carla Rolanda).
Ann Gastroenterol. 2017;30(4):433-437. doi: 10.20524/aog.2017.0145. Epub 2017 Apr 11.
Psychological assessment is not commonly performed nor easily accepted by coloproctological patients. Our aim was to evaluate the psychological component of coloproctological disorders using uncommon tools.
The 21-Item Depression Anxiety and Stress Scale and the Pescatori projective test were applied to coloproctological outpatients of the Gastroenterology Department of our hospital as well as to healthy volunteers.
Seventy patients (median age 47 years, 22 male) divided in 4 groups (functional constipation, constipated irritable bowel syndrome, benign anorectal disease and perianal Crohn's disease) and 52 healthy volunteers (age 45 years, 18 male) completed the tests. Proctological patients showed higher scores of depression (P<0.001), anxiety (P<0.001), and stress (P<0.001) compared to healthy participants. Compared to the control group, patients with functional constipation, irritable bowel syndrome and perianal Crohn's disease maintained the highest scores in all subscales (P<0.05), while patients with benign anorectal disease only had higher anxiety and stress (P<0.001) scores. The patients' also showed lower scores in the Pescatori projective test (P=0.012). A weak association between the projective test and the depression subscale was found (P=0.05).
Proctological patients had higher scores of depression, anxiety and stress and lower scores in the Pescatori projective test compared to healthy controls.
心理评估在结直肠疾病患者中并不常见，也不易被接受。我们的目的是使用不常见的工具评估结直肠疾病的心理成分。
将21项抑郁焦虑压力量表和佩斯卡特里投射测验应用于我院消化内科的结直肠门诊患者以及健康志愿者。
70例患者（中位年龄47岁，男性22例）分为4组（功能性便秘、便秘型肠易激综合征、良性肛肠疾病和肛周克罗恩病），52名健康志愿者（年龄45岁，男性18例）完成了测试。与健康参与者相比，结直肠疾病患者的抑郁（P<0.001）、焦虑（P<0.001）和压力（P<0.001）得分更高。与对照组相比，功能性便秘、肠易激综合征和肛周克罗恩病患者在所有子量表中的得分均最高（P<0.05），而良性肛肠疾病患者仅焦虑和压力得分较高（P<0.001）。患者在佩斯卡特里投射测验中的得分也较低（P=0.012）。发现投射测验与抑郁子量表之间存在弱关联（P=0.05）。
与健康对照组相比，结直肠疾病患者的抑郁、焦虑和压力得分更高，在佩斯卡特里投射测验中的得分更低。
