抑郁症状与功能性胃肠病(FGIDs)之间的关系:睡眠障碍和躯体症状的连锁中介效应

IF 4.7 2区 医学 Q1 PSYCHIATRY
Jiana Wang, Nana Meng, Kun Chen, Xinyuan Huang, Lin Feng, Cong Yang, Zhe Li, Xun Sun
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引用次数: 0

摘要

背景:三分之二以上的功能性胃肠病(FGIDs)患者都有不同程度的心理健康问题。尽管研究表明功能性胃肠病与抑郁症状、睡眠障碍和躯体症状有关,但这些变量之间的内在机制仍然未知。我们的目标是建立一个模型,概述 FGIDs 中这些心理维度之间的相互作用,从而为如何提高患者的幸福感提供有价值的见解。 研究方法本研究采用方便抽样法,对在消化内科就诊的患者进行调查。采用罗马Ⅳ标准(肠易激综合征采用罗马Ⅲ标准)对238名患者进行了调查。调查问卷包括医院焦虑和抑郁症状量表、匹兹堡睡眠质量指数和患者健康问卷-12。采用引导法研究了睡眠障碍和躯体症状在抑郁症状与 FGIDs 关系中的连锁中介作用。 结果显示相关分析显示,抑郁症状与睡眠障碍、躯体症状和 FGIDs 呈正相关。睡眠障碍与躯体症状和 FGIDs 呈正相关。躯体症状与 FGID 呈正相关。链式中介效应分析表明,抑郁症状不仅能影响 FGIDs,还能通过以下三个间接路径影响 FGIDs:睡眠障碍和躯体症状的中介作用、睡眠障碍和躯体症状的链式中介作用以及中介效应大小分别占总效应的 7.2%、7.7% 和 2.5%。 结论本研究有助于了解抑郁症状与 FGID 之间关系的内在机制。它提醒我们,在治疗 FGIDs 患者时,不仅要提供充分的心理支持以改善患者的心理状况,还要关注患者睡眠质量和躯体症状的改善。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

The Relationship Between Depressive Symptoms and Functional Gastrointestinal Disorders (FGIDs): The Chain Mediating Effect of Sleep Disorders and Somatic Symptom

The Relationship Between Depressive Symptoms and Functional Gastrointestinal Disorders (FGIDs): The Chain Mediating Effect of Sleep Disorders and Somatic Symptom

Background: More than two-thirds of patients with functional gastrointestinal disorders (FGIDs) experience various degrees of mental health issues. Although studies indicate that FGIDs are related to depressive symptoms, sleep disorders, and somatic symptoms, the underlying mechanism between these variables remains unknown. Our objective was to establish a model that outlines the interactions between these psychological dimensions in FGIDs and, thus, provide valuable insights into how to enhance the well-being of affected individuals.

Methods: This study used the convenient sampling method to enroll patients who visited the digestive internal medicine department. A total of 238 patients were investigated using the Rome IV criteria (irritable bowel syndrome used Rome Ⅲ criteria). A questionnaire including the Hospital Anxiety and Depressive Symptoms Scale, the Pittsburgh Sleep Quality Index, and the Patient Health Questionnaire-12 was used. The chain mediating roles of sleep disorders and somatic symptoms in the relationship between depressive symptoms and FGIDs were examined by the bootstrap method.

Results: Correlation analysis revealed that depressive symptoms were positively related to sleep disorders, somatic symptoms, and FGIDs. Sleep disorders were positively related to somatic symptoms and FGIDs. Somatic symptoms were positively related to FGIDs. Chain mediating effect analysis showed that depressive symptoms can not only affect FGIDs but also through three indirect paths, as follows: the mediating role of sleep disorders and somatic symptoms, the chain mediating roles of sleep disorders and somatic symptoms, and the mediating effect size accounted for 7.2%, 7.7%, and 2.5% of the total effect, respectively.

Conclusions: This study is conducive to understanding the internal mechanism underlying the relationship between depressive symptoms and FGIDs. It reminds us that when treating FGIDs patients, we should not only provide adequate psychological support to improve but also pay attention to improvements in their sleep quality and somatic symptoms.

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来源期刊
Depression and Anxiety
Depression and Anxiety 医学-精神病学
CiteScore
15.00
自引率
1.40%
发文量
81
审稿时长
4-8 weeks
期刊介绍: Depression and Anxiety is a scientific journal that focuses on the study of mood and anxiety disorders, as well as related phenomena in humans. The journal is dedicated to publishing high-quality research and review articles that contribute to the understanding and treatment of these conditions. The journal places a particular emphasis on articles that contribute to the clinical evaluation and care of individuals affected by mood and anxiety disorders. It prioritizes the publication of treatment-related research and review papers, as well as those that present novel findings that can directly impact clinical practice. The journal's goal is to advance the field by disseminating knowledge that can lead to better diagnosis, treatment, and management of these disorders, ultimately improving the quality of life for those who suffer from them.
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