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选择的人格特质和压力对肠易激综合征症状的影响。

Effect of selected personality traits and stress on symptoms of irritable bowel syndrome.

机构信息

Dietetics Unit, Department of Gastroenterology and Hepatology, Jagiellonian University Medical College Kraków, Poland.

Department of Gastroenterology and Hepatology, Jagiellonian University Medical College Kraków, Poland.

出版信息

Folia Med Cracov. 2020 Sep 28;60(2):29-41. doi: 10.24425/fmc.2020.135011.

DOI:10.24425/fmc.2020.135011
PMID:33252593
Abstract

Irritable bowel syndrome (IBS) is a chronic functional gastrointestinal disorder diagnosed on the basis of Rome IV criteria. Stress is an important contributor to the development of IBS symptoms, while personality, perceived self-efficacy, resilience, and coping strategies may be indirectly involved in the modulation of the body's response to various stressors. The aim of this study was to assess the effect of selected personality traits and stress with IBS symptoms. We enrolled 129 participants (59 men and 70 women) aged from 18 to 61 years. The study group included 94 patients with IBS, while the control group comprised 35 participants without a diagnosed psychosomatic disorder and chronic comorbidities. Participants were assessed using a self-designed questionnaire as well as the Coping Inventory for Stressful Situations, NEO-Five Factor Inventory, 25-item Resilience Coping Scale (Skala Pomiaru Prężności - SPP-25), and General Self-Efficacy Scale. We observed a significant effect of personality, perceived self-efficacy, resilience, and coping strategies in patients with IBS. Moreover, stress was shown to be associated with disease severity, while the type of a coping strategy was related to the frequency of symptoms. The groups differed in terms of personality traits such as resilience, self-efficacy, extraversion, and neuroticism. Our study confirms the significant effect of personality traits and coping strategies in patients with IBS.

摘要

肠易激综合征(IBS)是一种基于罗马 IV 标准诊断的慢性功能性胃肠道疾病。压力是 IBS 症状发展的一个重要因素,而个性、感知自我效能、韧性和应对策略可能间接地参与调节身体对各种压力源的反应。本研究旨在评估特定人格特质和压力对 IBS 症状的影响。我们招募了 129 名年龄在 18 至 61 岁之间的参与者(59 名男性和 70 名女性)。研究组包括 94 名 IBS 患者,而对照组包括 35 名没有诊断为身心障碍和慢性合并症的参与者。参与者使用自我设计的问卷以及应对压力情况的量表、NEO-五因素人格量表、25 项韧性应对量表(Skala Pomiaru Prężności - SPP-25)和一般自我效能感量表进行评估。我们观察到在 IBS 患者中,人格、感知自我效能、韧性和应对策略具有显著影响。此外,压力与疾病严重程度相关,而应对策略的类型与症状的频率相关。两个组在韧性、自我效能、外向性和神经质等人格特质方面存在差异。我们的研究证实了人格特质和应对策略在 IBS 患者中的显著影响。

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