青少年功能性胃肠病患者的情绪调节障碍。

Emotional dysregulation in adolescents with functional gastrointestinal disorders.

机构信息

Department of Pediatric Gastroenterology, Van Yüzüncü Yıl University Faculty of Medicine, Turkey.

Department of Pediatric Gastroenterology, Kırıkkale University Faculty of Medicine, Turkey.

出版信息

Arab J Gastroenterol. 2020 Mar;21(1):24-27. doi: 10.1016/j.ajg.2020.02.002. Epub 2020 Mar 13.

DOI:10.1016/j.ajg.2020.02.002

PMID:32179047

Abstract

BACKGROUND AND STUDY AIMS

In various gastrointestinal system diseases, emotional dysregulation has been shown to reduce pain tolerance and increase the severity of the disease. Increased emotional dysregulation during the adolescence period causes gastrointestinal symptoms to be more frequent and severe. In this study, Child Depression Inventory (CDI) scores were investigated in patients admitted to our clinic with functional gastrointestinal disorders.

PATIENTS AND METHODS

According to Rome IV criteria, 200 patients with functional abdominal pain and dyspepsia aged 12-17 years were included in this study. 100 patients without a chronic disease were taken as control group. Patients completed the self-report questionnaires about symptoms, school performance, nutrition and sports habits. We used Child Depression Inventory (CDI) to assess the patients' depression.

RESULTS

The mean age of study group was 15.29 ± 1.48 years (12-17 years), median 16 years; 80% (160/200) were girls. The mean age of control group was 14.96 ± 1.66 years (12-17 years), median 15 years; 70% (70/100) were girls. There is no difference between the two groups for age and gender. Median depression score was 12.5 (range, 0-53) in the study group and 10.0 (range, 0-41) in the control group and a significant difference was found between the two groups (p = 0.014). School performance was revealed as 'very good' in 112 (56%) children in the study group and in 24 (24%) children in the control group and a significant difference was found between the two groups (p < 0.001). A negative correlation was found between school performance and depressive symptoms.

CONCLUSION

It is not clear that emotional dysregulation induces FGIDs or FGIDs cause emotional dysregulation. But it is known that these diseases are common in the adolescent age group. Incorporating social and physical activities into the educational processes of adolescents will have favorable effects on their academic performance as well as emotional regulation.

摘要

背景与研究目的

在各种胃肠道系统疾病中，情绪失调已被证明会降低疼痛耐受力并加重疾病的严重程度。青春期情绪失调的增加会导致胃肠道症状更加频繁和严重。在这项研究中，我们调查了因功能性胃肠疾病就诊的患者的儿童抑郁量表（CDI）评分。

患者与方法

根据罗马 IV 标准，纳入了 200 名年龄在 12-17 岁的功能性腹痛和消化不良患者，将 100 名无慢性病的患者作为对照组。患者完成了关于症状、学业表现、营养和运动习惯的自我报告问卷。我们使用儿童抑郁量表（CDI）评估患者的抑郁情况。

结果

研究组的平均年龄为 15.29±1.48 岁（12-17 岁），中位数为 16 岁；80%（160/200）为女孩。对照组的平均年龄为 14.96±1.66 岁（12-17 岁），中位数为 15 岁；70%（70/100）为女孩。两组在年龄和性别方面无差异。研究组的抑郁评分中位数为 12.5（范围 0-53），对照组为 10.0（范围 0-41），两组之间存在显著差异（p=0.014）。研究组中 112 名（56%）儿童的学业表现为“非常好”，对照组中为 24 名（24%）儿童，两组之间存在显著差异（p<0.001）。学业表现与抑郁症状呈负相关。