Welch G W, Stace N H, Pomare E W
Aust N Z J Med. 1984 Apr;14(2):101-4. doi: 10.1111/j.1445-5994.1984.tb04267.x.
The aim of the study was to investigate the specificity of psychological profiles in female Irritable Bowel Syndrome (IBS) patients by a comparison with a gastrointestinal patient control group and with a normal population control group. The results showed that the IBS patients scored significantly higher than the normal population sample on three test scales: Anxiety, Phobic and Somatisation. Our results thus support the conclusion of earlier authors that a moderate degree of psychoneurotic disorder exists amongst IBS patients. However, the patient control group also scored significantly higher than the normal control group on two factors (Phobic and Somatisation), and the comparison between the IBS group and the patient control group did not reveal any significant differences. It is suggested that attention to the psychological needs of both IBS and other gastrointestinal disease patients should form an important part of the management strategy, particularly in the former--where a consistently clear benefit for any particular therapy has yet to be shown.
本研究的目的是通过与胃肠疾病患者对照组和正常人群对照组进行比较，调查女性肠易激综合征（IBS）患者心理特征的特异性。结果显示，IBS患者在焦虑、恐惧和躯体化这三个测试量表上的得分显著高于正常人群样本。因此，我们的结果支持了早期作者的结论，即IBS患者中存在中度的精神神经症性障碍。然而，患者对照组在恐惧和躯体化这两个因素上的得分也显著高于正常对照组，IBS组与患者对照组之间的比较未发现任何显著差异。建议关注IBS患者和其他胃肠疾病患者的心理需求应成为管理策略的重要组成部分，尤其是对于前者——尚未显示任何特定治疗有持续明确的益处。
