Psychological illness is commonly associated with functional gastrointestinal disorders and is important to consider during patient consultation: a population-based studyReportar como inadecuado




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BMC Medicine

, 3:8

First Online: 13 May 2005Received: 16 September 2004Accepted: 13 May 2005DOI: 10.1186-1741-7015-3-8

Cite this article as: Ålander, T., Svärdsudd, K., Johansson, SE. et al. BMC Med 2005 3: 8. doi:10.1186-1741-7015-3-8

Abstract

BackgroundSome individuals with functional gastrointestinal disorders FGID suffer long-lasting symptoms without ever consulting their doctors. Our aim was to study co-morbidity and lifestyle differences among consulters and non-consulters with persistent FGID and controls in a defined adult population.

MethodsA random sample of the general adult Swedish population was obtained by a postal questionnaire. The Abdominal Symptom Questionnaire ASQ was used to measure GI symptomatology and grade of GI symptom severity and the Complaint Score Questionnaire CSQ was used to measure general symptoms. Subjects were then grouped for study by their symptomatic profiles. Subjects with long-standing FGID n = 141 and subjects strictly free from gastrointestinal GI symptoms n = 97 were invited to attend their local health centers for further assessment.

ResultsSubjects with FGID have a higher risk of psychological illness OR 8.4, CI954.0–17.5 than somatic illness OR 2.8, CI951.3–5.7 or ache and fatigue symptoms OR 4.3, CI952.1–8.7. Subjects with psychological illness have a higher risk of severe GI symptoms than controls; moreover they have a greater chance of being consulters. Patients with FGID have more severe GI symptoms than non-patients.

ConclusionThere is a strong relation between extra-intestinal, mental and somatic complaints and FGID in both patients and non-patients. Psychological illness increases the chance of concomitantly having more severe GI symptoms, which also enhance consultation behaviour.

Electronic supplementary materialThe online version of this article doi:10.1186-1741-7015-3-8 contains supplementary material, which is available to authorized users.





Autor: Ture Ålander - Kurt Svärdsudd - Sven-Erik Johansson - Lars Agréus

Fuente: https://link.springer.com/







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