The diagnostic criteria for psychosomatic research-revised (DCPR-R) in a National China multicenter cohort of patients with irritable bowel syndrome and overlapping gastroesophageal reflux disease.

IF 2.5 3区 医学 Q2 GASTROENTEROLOGY & HEPATOLOGY
Peicai Li, Yanping Tang, Lei Liu, Lei Yang, Li Yang, Zhongmei Sun, Yanxia Gong
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引用次数: 0

Abstract

Background and aims: Past studies have shown a substantial overlap between irritable bowel syndrome (IBS) and gastroesophageal reflux disease (GERD). This study investigated the prevalence of DCPR-revised (DCPR-R) syndromes in patients with IBS alone and those with overlapping IBS-GERD. We also explored the relationship of these syndromes with various psychological scales.

Methods: In total, 341 patients from the Chinese IBS cohort completed the GerdQ scale and a series of psychological questionnaires. Semi-structured interviews were conducted to evaluate DCPR-R, as well as scores on the Psychosocial Index (PSI), Psychosomatic Symptom Scale (PSSS), World Health Organization (WHO)-5 Well-being Index, Euthymia Scale, Patient Health Questionnaire-9, and 7-item Generalized Anxiety Disorder Scale.

Results: Compared with patients with IBS alone, patients with overlapping IBS-GERD had a significantly higher prevalence of DCPR-R syndromes, particularly in areas such as demoralization, persistent somatization, despair-related demoralization, hypochondriasis, disease phobia, anniversary reaction, thanatophobia, and conversion symptoms. Patients with two or more types of DCPR-R syndromes were more likely to exhibit psychological disorders. In patients with IBS alone, the WHO-5 Well-being Index and PSI well-being scores were predictive of two or more DCPR-R syndromes. For patients with overlapping IBS-GERD, the PSSS score was an independent predictor.

Conclusion: This study highlights key differences in psychosomatic factors between patients with IBS alone and those with overlapping IBS-GERD. The DCPR-R syndromes and various psychological scales offer valuable tools for diagnosing and assessing these differences.

中国全国肠易激综合征和重叠性胃食管反流病患者多中心队列中的心身医学研究诊断标准修订版(DCPR-R)。
背景和目的:过去的研究表明肠易激综合征(IBS)和胃食管反流病(GERD)之间有很大的重叠。本研究调查了单独IBS患者和重叠IBS- gerd患者中dpr -修正(dpr -r)综合征的患病率。我们还探讨了这些症状与各种心理量表的关系。方法:中国IBS队列341例患者完成GerdQ量表和一系列心理问卷。采用半结构化访谈评估dpr - r,以及心理社会指数(PSI)、心身症状量表(PSSS)、世界卫生组织(WHO)-5幸福指数、精神状态量表、患者健康问卷-9和7项广泛性焦虑障碍量表的得分。结果:与单独IBS患者相比,重叠IBS- gerd患者的dpr -r综合征患病率明显更高,特别是在士气低落、持续躯体化、绝望相关士气低落、疑病症、疾病恐惧症、周年反应、死亡恐惧症和转换症状等方面。患有两种或两种以上dpr - r综合征的患者更容易出现心理障碍。在单独患有肠易激综合征的患者中,WHO-5幸福指数和PSI幸福评分可预测两种或更多的dpr - r综合征。对于重叠IBS-GERD患者,PSSS评分是一个独立的预测因子。结论:本研究强调了单独IBS患者与合并IBS- gerd患者心身因素的关键差异。dpr - r综合征和各种心理量表为诊断和评估这些差异提供了有价值的工具。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
BMC Gastroenterology
BMC Gastroenterology 医学-胃肠肝病学
CiteScore
4.20
自引率
0.00%
发文量
465
审稿时长
6 months
期刊介绍: BMC Gastroenterology is an open access, peer-reviewed journal that considers articles on all aspects of the prevention, diagnosis and management of gastrointestinal and hepatobiliary disorders, as well as related molecular genetics, pathophysiology, and epidemiology.
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