Adelman A M, Shank J C
Department of Family Medicine, University of Maryland School of Medicine, Baltimore.
Fam Med. 1988 Jul-Aug;20(4):266-70.
Although abdominal pain is a common presenting complaint in the family practice setting, its natural history and psychosocial associations have not been clearly described. A prospective study was conducted of 92 patients who presented with abdominal pain to the University of Iowa and Cedar Rapids Family Practice Centers between September 1982 and March 1983. Patients were given a self-administered questionnaire for measuring stress, family functioning, and psychological symptoms. All patients were followed for at least six weeks. Resolution of the pain was documented by chart audit, telephone, or mail follow-up. Two-thirds of the patients experienced resolution of their pain within six to eight weeks. The scores on the Hopkins Psychological Symptom Checklist, Family APGAR, and the Daily Hassles Stress Scale did not predict resolution of pain. Age, sex, education, occupation, and final diagnosis also did not predict resolution of pain. Marital status was not associated with pain resolution, though widowed and separated individuals more often had pain at follow-up.
尽管腹痛是家庭医疗环境中常见的就诊主诉，但其自然病程及心理社会关联尚未得到清晰描述。1982年9月至1983年3月期间，对爱荷华大学和锡达拉皮兹家庭医疗中心92例腹痛患者进行了一项前瞻性研究。患者填写了一份用于测量压力、家庭功能和心理症状的自填式问卷。所有患者至少随访六周。通过病历审查、电话或邮件随访记录疼痛缓解情况。三分之二的患者在六至八周内疼痛缓解。霍普金斯心理症状清单、家庭APGAR量表和日常烦恼压力量表的得分并不能预测疼痛缓解情况。年龄、性别、教育程度、职业和最终诊断也不能预测疼痛缓解情况。婚姻状况与疼痛缓解无关，不过丧偶和分居者在随访时更常出现疼痛。
