García Vega E, Fernández Rodríguez C, Sánchez Lombraña J L
Dpto. Psicología, Universidad de Oviedo.
Rev Esp Enferm Dig. 1994 Nov;86(5):791-5.
The present study describe epidemiology, clinics and psychology of 92 patients with Crohn's Disease. The study has been designed in order to assess the psychological repercussion and the way of life secondary to Crohn's Disease; and assess the relationship between environmental factors and behavioral reactions with the symptomatology. The psychological assessment show higher levels of neurosis (66.9% vs 50%), anxiety (55% vs 50%), depression (49.2 vs 35) and stress (13 vs 10) in these patients than in a normal population. The patients describe stresses related to Crohn's Disease: the disease's severity and chronicity, ineffectiveness of the medical treatment and the limited way of life; 83.9% of patients describe concurrent psychosocial stress not directly attributable to Crohn' Disease: conflicts with parents, friends, work. We confirm the utility of psychological treatment in the management of these patients.
本研究描述了92例克罗恩病患者的流行病学、临床特征和心理状况。本研究旨在评估克罗恩病继发的心理影响和生活方式;并评估环境因素与行为反应和症状之间的关系。心理评估显示,这些患者的神经症(66.9%对50%)、焦虑(55%对50%)、抑郁(49.2对35)和压力(13对10)水平高于正常人群。患者描述了与克罗恩病相关的压力:疾病的严重程度和慢性、医疗治疗的无效性以及有限的生活方式;83.9%的患者描述了并非直接归因于克罗恩病的并发心理社会压力:与父母、朋友、工作的冲突。我们证实了心理治疗在这些患者管理中的效用。