Deparment of Internal Medicine, Health Sciences University, Ümraniye Training and Research Hospital, Istanbul, Turkey.
Department of Public Health, Faculty of Medicine, Bahçesehir University, Istanbul, Turkey.
Riv Psichiatr. 2020 Sep-Oct;55(5):292-296. doi: 10.1708/3457.34461.
The aim of this study is to evaluate psychiatric symptoms in patients with irritable bowel syndrome (IBS) and investigate the relationship of traumatic life events with the disease.
Fifty-four patients and fifty healthy controls were included in this study. Psychiatric symptoms were measured with the Symptom Checklist-90-R (SCL-90R), State-Trait Anxiety Inventory (STAI) and sociodemographic information form were used. All scales were applied to both IBS cases and healthy control groups.
Somatization, obsessive-compulsive disorder, anger hostility, additional items and total scores of SCL-90-R were higher in the IBS group compared to the control group. Trait anxiety was significantly higher in the IBS group and state anxiety, significantly higher in the control group. In those with a personal history of traumatic events, all subscales and total scores of SCL-90-R were increased significantly. Scores of psychiatric scales, which indicate stressful life events, were significantly higher before the onset of abdominal pain.
Environmental factors that cause considerable emotional distress, such as chronic stress, trauma, and abuse, have been linked to IBS and the severity of symptoms. Therefore, it is important to consider the psychiatric symptoms in the management of IBS.
本研究旨在评估肠易激综合征（IBS）患者的精神症状，并探讨创伤性生活事件与该病的关系。
本研究纳入了 54 例患者和 50 名健康对照者。采用症状自评量表-90 项复核表（SCL-90R）、状态-特质焦虑量表（STAI）和社会人口学信息表评估精神症状。所有量表均应用于 IBS 病例组和健康对照组。
与对照组相比，IBS 组的躯体化、强迫症状、人际敏感、敌对、偏执和精神病性因子分及 SCL-90R 总分较高。IBS 组特质焦虑得分显著高于对照组，状态焦虑得分显著高于对照组。在有创伤性生活事件个人史的患者中，SCL-90R 的所有分量表和总分均显著升高。在腹痛发作前，提示生活压力事件的精神科量表评分显著升高。
与 IBS 及症状严重程度相关的环境因素包括慢性应激、创伤和虐待等，可引起明显的情绪困扰。因此，在 IBS 的管理中考虑精神症状非常重要。
