肠易激综合征患者的心理健康状况分析

Analyses on psychological health status in the patients with IBS

目的探讨肠易激综合征(IBS)与心理健康状况之间的关系.方法采用心理卫生自评量表(SCL-90)、抑郁自评量表(SDS)、焦虑自评量表(SAS)对40例IBS患者进行了调查.结果IBS组在躯体化、强迫症状、抑郁、焦虑、恐怖、偏执因子分及总分方面均高于对照组和急性胃炎组(P<0.05);IBS组SDS,SAS分值均高于对照组(P<0.05).结论IBS患者存在一定程度的心理异常,心理因素可能在IBS发病过程中起重要作用.

AIM： To investigate the relation between irritable bowel syndrome （ IBS ） and psychological health status. METHODS： Forty patients with IBS were assessed with Symptom Checklist-90 （ SCL-90 ）, self-rating depression scale （ SDS ） and self-rating anxiety scale （SAS）. RESULTS： Such factors as Somatization, Compulsion, Depression, Anxiety, Phobic anxiety, Paranoid ideation scores and total scores of SCL-90 in IBS patients were significantly higher than those in control group and acute gastritisgroup （P 〈0.05）. The scores of SDS and SAS in IBS patients were also significantly higher than those in control group （ P 〈 0. 05 ）. CONCLUSION： The abnormal psychological health status may play an important role in the mechanism of IBS.