Department of Psychiatry, Ordu Teaching and Research Hospital, Ordu, Turkey.
Department of Psychology, University of Kyrenia, Kyrenia, Turkish Republic of Northern Cyprus.
Psychiatry Res. 2018 Oct;268:368-372. doi: 10.1016/j.psychres.2018.06.046. Epub 2018 Jul 30.
Previous studies have identified a link between anger and somatization. However, little is known about the associations between anger and the development and progression of Functional Gastrointestinal Disorders (FGID). The study aim was to determine the associations between FGID and anger, anxiety, and depression. Participants in this cross-sectional observational study were 109 consecutive patients aged 18-64 years with FGID at Gastroenterology Clinic of Başkent University Hospital. A control group comprised of 96 individuals with no chronic gastrointestinal disorders recruited via snowball sampling. Sociodemographic and clinical information were obtained and participants completed the Hospital Anxiety and Depression Scale and the State-Trait Anger Expression Inventory-2. FGID participants scored higher than controls on depression, anxiety, state anger, and anger expression-in. When the FGID group was divided into upper and lower gastrointestinal symptom groups, the lower symptom group showed higher anger expression-out scores than the upper symptom group. Anger may contribute to the etiology and development of FGID. This is the first study to demonstrate a significant psychological difference between individuals with lower and upper FGID. Interdisciplinary collaboration with gastroenterologists and psychiatrists could strengthen FGID evaluation and may improve treatment compliance.
先前的研究已经确定了愤怒与躯体化之间存在关联。然而，对于愤怒与功能性胃肠疾病（FGID）的发展和进展之间的关联，人们知之甚少。本研究旨在确定 FGID 与愤怒、焦虑和抑郁之间的关联。本横断面观察性研究的参与者是 109 名年龄在 18-64 岁之间的连续 FGID 患者，他们在 Başkent 大学医院的胃肠病学诊所就诊。对照组由通过雪球抽样招募的 96 名无慢性胃肠道疾病的个体组成。收集了社会人口统计学和临床信息，参与者完成了医院焦虑和抑郁量表以及状态-特质愤怒表达量表-2。FGID 组在抑郁、焦虑、状态愤怒和愤怒表达-内方面的得分高于对照组。当 FGID 组分为上消化道和下消化道症状组时，下消化道症状组的愤怒表达-外得分高于上消化道症状组。愤怒可能有助于 FGID 的病因和发展。这是第一项表明上消化道和下消化道 FGID 患者之间存在显著心理差异的研究。与胃肠病学家和精神科医生的跨学科合作可以加强 FGID 的评估，并可能提高治疗的依从性。
