Blewett A, Allison M, Calcraft B, Moore R, Jenkins P, Sullivan G
St. Cadoc's Hospital, Caerleon, Gwent, England.
Psychosomatics. 1996 Mar-Apr;37(2):155-60. doi: 10.1016/S0033-3182(96)71582-7.
A link between irritable bowel syndrome (IBS) and psychiatric illness is well recognized. The authors set out to establish whether a group with a risk of poor outcome IBS could be identified at presentation to a general hospital clinic in a prospective series of 70 subjects. Potential risk factors showed no correlation with IBS outcome at 6-9 months. There was a high rate of persistent mental illness. Clinicians offering specialist care for IBS should consult with psychiatric services to provide assessment irrespective of IBS outcome if major psychopathology is not to be neglected.
肠易激综合征（IBS）与精神疾病之间的联系已得到充分认可。作者着手在前瞻性研究的70名受试者中确定，在综合医院门诊就诊时，是否能够识别出一组预后不良的肠易激综合征患者。潜在风险因素与6至9个月时的肠易激综合征预后无相关性。持续性精神疾病的发生率较高。为肠易激综合征提供专科护理的临床医生应与精神科服务部门协商，以便在不忽视重大精神病理学问题的情况下，无论肠易激综合征的预后如何都能进行评估。
