Christodoulou G N, Gargoulas A, Papaloukas A, Marinopoulou A, Rabavilas A D
Psychother Psychosom. 1979;32(1-4):297-301. doi: 10.1159/000287399.
Thirty children (20 girls and 10 boys, aged 6-16 years) with primary peptic ulcers, matched in paris for age, sex and socio-economic standard to a group of 30 ulcer-free controls, were submitted to a structured psychiatric interview, a structured 'present psychiatric state' examination and to personality and intelligence tests. With one exception all patients suffered from duodenal ulcer; 3 male patients had personalities with psychopathic elements, 7 patients had nicknames, 5 suffered from psychiatric disorders, 3 had attempted suicide in the past, and 3 had had homosexual experiences. These parameters were negative in all controls. The patients had lower mean IQ, worse scholastic adaptation, more anxious and overprotective parents, higher frequency of faddiness in food and lower frequency of nail-biting than the controls. Psychotraumatic events had preceded the onset of ulcer symptomatology in 11 cases. The findings are discussed and the contribution of psychological factors in the pathogenesis of childhood peptic ulcer is stressed.
30名患有原发性消化性溃疡的儿童（20名女孩和10名男孩，年龄6 - 16岁），在年龄、性别和社会经济水平方面与30名无溃疡的对照组儿童进行匹配，接受了结构化精神科访谈、结构化“当前精神状态”检查以及人格和智力测试。除1例例外，所有患者均患有十二指肠溃疡；3名男性患者具有精神病态人格特征，7名患者有绰号，5名患有精神疾病，3名曾有过自杀未遂经历，3名有过同性恋经历。所有对照组的这些参数均为阴性。与对照组相比，这些患者的平均智商较低，学业适应较差，父母焦虑且过度保护，挑食频率较高，咬指甲频率较低。11例患者在溃疡症状出现之前有精神创伤事件。对研究结果进行了讨论，并强调了心理因素在儿童消化性溃疡发病机制中的作用。
