Raj Kiran Donthu, Abdul S Mohammed, Nagula Omkar Ambika Sasi Kiran, Prasanna K Kancharlapalli, Ahlada Pallem
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Limited research has explored these factors in the context of functional gastrointestinal disorders (FGIDs) and non-functional gastrointestinal disorders (non-FGIDs), especially in culturally diverse populations.</p><p><strong>Aim: </strong>To investigate the relationship between QOL and stressful life events in patients with FGID and non-FGID.</p><p><strong>Materials and methods: </strong>This study involved 200 participants diagnosed with FGID using ROME IV criteria and non-FGID clinically. The research utilized a socio-demographic questionnaire, the Psychological General Well-Being Index (QOL), and the Presumptive Stressful Life Events Scale (PSLES).</p><p><strong>Results: </strong>Among FGID patients, functional dyspepsia was the common diagnosis, while erosive gastritis was more prevalent among non-FGID patients. A significant association in QOL was observed between FGID and non-FGID (<i>P</i> < 0.001), with FGID patients exhibiting lower scores. Overall, a mild negative correlation was found between QOL and PSLES (r = -0.20, <i>P</i> = 0.003). Stressful life events contributed to 13% variance of QOL in non-FGID patients.</p><p><strong>Conclusion: </strong>This study highlights the impact of stressful life events on QOL in both FGID and non-FGID patients. While FGID patients experienced poorer QOL, non-FGID also showed QOL reductions with recent life events. Understanding these associations can aid clinicians in comprehensive patient care, emphasizing the importance of addressing psycho-social factors alongside clinical symptoms. Cultural nuances influencing stress perception and its relation to gastrointestinal disorders merit further investigation.</p>","PeriodicalId":13534,"journal":{"name":"Industrial Psychiatry Journal","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11553618/pdf/","citationCount":"0","resultStr":"{\"title\":\"A cross-sectional study of stressful life events and quality of life among FGID and non-FGID patients.\",\"authors\":\"Raj Kiran Donthu, Abdul S Mohammed, Nagula Omkar Ambika Sasi Kiran, Prasanna K Kancharlapalli, Ahlada Pallem\",\"doi\":\"10.4103/ipj.ipj_341_23\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Gastrointestinal disorders, both non-functional and functional, are prevalent among the general population, and understanding these in relation to psychological factors is crucial for clinicians to design effective management strategies. Psycho-social factors, including stressful life events, significantly impact disease outcomes and quality of life (QOL). Limited research has explored these factors in the context of functional gastrointestinal disorders (FGIDs) and non-functional gastrointestinal disorders (non-FGIDs), especially in culturally diverse populations.</p><p><strong>Aim: </strong>To investigate the relationship between QOL and stressful life events in patients with FGID and non-FGID.</p><p><strong>Materials and methods: </strong>This study involved 200 participants diagnosed with FGID using ROME IV criteria and non-FGID clinically. The research utilized a socio-demographic questionnaire, the Psychological General Well-Being Index (QOL), and the Presumptive Stressful Life Events Scale (PSLES).</p><p><strong>Results: </strong>Among FGID patients, functional dyspepsia was the common diagnosis, while erosive gastritis was more prevalent among non-FGID patients. A significant association in QOL was observed between FGID and non-FGID (<i>P</i> < 0.001), with FGID patients exhibiting lower scores. Overall, a mild negative correlation was found between QOL and PSLES (r = -0.20, <i>P</i> = 0.003). Stressful life events contributed to 13% variance of QOL in non-FGID patients.</p><p><strong>Conclusion: </strong>This study highlights the impact of stressful life events on QOL in both FGID and non-FGID patients. While FGID patients experienced poorer QOL, non-FGID also showed QOL reductions with recent life events. Understanding these associations can aid clinicians in comprehensive patient care, emphasizing the importance of addressing psycho-social factors alongside clinical symptoms. 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引用次数: 0
摘要
背景：非功能性和功能性胃肠道疾病在普通人群中普遍存在，了解这些疾病与心理因素的关系对于临床医生设计有效的管理策略至关重要。社会心理因素（包括生活压力事件）对疾病的预后和生活质量（QOL）有重大影响。针对功能性胃肠病（FGID）和非功能性胃肠病（Non-FGID），尤其是针对不同文化背景的人群，对这些因素进行的研究十分有限。目的：研究功能性胃肠病和非功能性胃肠病患者的 QOL 与生活压力事件之间的关系：本研究涉及 200 名根据 ROME IV 标准诊断为 FGID 和非 FGID 的临床参与者。研究采用了社会人口学问卷、心理综合幸福指数（QOL）和推定生活压力事件量表（PSLES）：结果：在 FGID 患者中，功能性消化不良是常见诊断，而糜烂性胃炎在非 FGID 患者中更为普遍。在 FGID 和非 FGID 之间观察到 QOL 存在明显关联（P < 0.001），FGID 患者的评分较低。总体而言，QOL 与 PSLES 之间存在轻度负相关（r = -0.20，P = 0.003）。在非FGID患者中，生活压力事件导致了13%的QOL差异：本研究强调了生活压力事件对 FGID 和非 FGID 患者 QOL 的影响。虽然 FGID 患者的 QOL 较差，但非 FGID 患者的 QOL 也会随着近期生活事件的发生而降低。了解这些关联有助于临床医生对患者进行全面护理，并强调在治疗临床症状的同时解决社会心理因素的重要性。影响压力感知的文化细微差别及其与胃肠道疾病的关系值得进一步研究。
A cross-sectional study of stressful life events and quality of life among FGID and non-FGID patients.
Background: Gastrointestinal disorders, both non-functional and functional, are prevalent among the general population, and understanding these in relation to psychological factors is crucial for clinicians to design effective management strategies. Psycho-social factors, including stressful life events, significantly impact disease outcomes and quality of life (QOL). Limited research has explored these factors in the context of functional gastrointestinal disorders (FGIDs) and non-functional gastrointestinal disorders (non-FGIDs), especially in culturally diverse populations.
Aim: To investigate the relationship between QOL and stressful life events in patients with FGID and non-FGID.
Materials and methods: This study involved 200 participants diagnosed with FGID using ROME IV criteria and non-FGID clinically. The research utilized a socio-demographic questionnaire, the Psychological General Well-Being Index (QOL), and the Presumptive Stressful Life Events Scale (PSLES).
Results: Among FGID patients, functional dyspepsia was the common diagnosis, while erosive gastritis was more prevalent among non-FGID patients. A significant association in QOL was observed between FGID and non-FGID (P < 0.001), with FGID patients exhibiting lower scores. Overall, a mild negative correlation was found between QOL and PSLES (r = -0.20, P = 0.003). Stressful life events contributed to 13% variance of QOL in non-FGID patients.
Conclusion: This study highlights the impact of stressful life events on QOL in both FGID and non-FGID patients. While FGID patients experienced poorer QOL, non-FGID also showed QOL reductions with recent life events. Understanding these associations can aid clinicians in comprehensive patient care, emphasizing the importance of addressing psycho-social factors alongside clinical symptoms. Cultural nuances influencing stress perception and its relation to gastrointestinal disorders merit further investigation.
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