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目的探讨功能性胃肠病(FGIDs)患者焦虑、抑郁性情绪障碍的心理过程及心理活动水平。方法采用抑郁自评量表(SDS)和汉密顿焦虑量表(HAMA),对2007年4~11月南方医科大学南方医院消化科门诊收治的150例FGIDs患者,包括肠易激综合征(IBS)50例,功能性消化不良(FD)50例和胃食管反流病(GERD)50例及35名同期健康体检者进行心理测评。结果150例FGIDs患者SDS评分≥50分者100例(66.7%),HAMA评分≥14分者59例(39.3%),与对照组比较差异有统计学意义(P<0.05),但3种疾病间差异无统计学意义(P>0.05)。结论FGIDs患者存在着明显的抑郁和焦虑精神心理障碍,因此,对FGIDs的诊治过程中临床医生应高度重视精神心理因素。
Objective To investigate the psychological process and psychological activity of anxiety and depression disorders in patients with functional gastrointestinal disease (FGIDs). Methods A total of 150 patients with FGIDs admitted to the Department of Gastroenterology, Nanfang Hospital, Southern Medical University from April to November 2007, including SDS and HAMA, including irritable bowel syndrome 50 cases of IBS, 50 cases of functional dyspepsia (FD) and 50 cases of gastroesophageal reflux disease (GERD) and 35 healthy subjects during the same period. Results There were 100 cases (66.7%) with SDS score ≥50 in 150 FGIDs patients and 59 cases (39.3%) with HAMA score ≥14 points. There were significant differences between the two groups (P <0.05) There was no significant difference between the two groups (P> 0.05). Conclusion There are obvious depression and anxiety mental disorders in patients with FGIDs. Therefore, clinicians should attach great importance to mental and psychological factors in the treatment of FGIDs.