Welch G W, Hillman L C, Pomare E W
Br Med J (Clin Res Ed). 1985 Nov 16;291(6506):1382-4. doi: 10.1136/bmj.291.6506.1382.
An appreciable proportion of the general population have the irritable bowel syndrome but do not report it. Results of psychological assessments showed that outpatients with the syndrome and non-reporters of it were psychologically similar, but both groups showed more somatic distress than normal controls. Anxiety, depression, obsessive compulsion, and interpersonal sensitivity were similar in both groups with the syndrome and the normal controls. The preponderance of women referred to outpatient clinics may reflect sociological factors rather than the severity of the irritable bowel syndrome.
相当一部分普通人群患有肠易激综合征但并未报告。心理评估结果显示，患有该综合征的门诊患者和未报告者在心理方面相似，但两组都比正常对照组表现出更多的躯体痛苦。患有该综合征的两组与正常对照组在焦虑、抑郁、强迫和人际敏感性方面相似。转诊至门诊的女性居多可能反映了社会学因素，而非肠易激综合征的严重程度。
