The Relationship between Some Demographic Characteristics and Clinical Symptoms in Patients with Gastrointestinal Diseases

Document Type : Original Article (s)

Authors

1 Associate Professor, Department of Psychiatry, School of Medicine, Behavioral Sciences Research Center, Isfahan University of Medical Sciences, Isfahan, Iran

2 Resident, Department of Psychiatry, Psychosomatic Research Center, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

3 Student of Medicine, Behavioral Sciences Research Center, Student Research Committee, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

4 Associate Professor, Department of Psychiatry, School of Medicine, Psychosomatic Research Center, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

5 Associate Professor, Department of Internal Medicine, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

6 Associate Professor, Department of Biostatistics, Biostatistics Research Center, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran

Abstract

Background: Psychosomatic medicine is a field of medical sciences concentrated on the effects of social, psychological and behavioral factors on human body. The relationship between some gastrointestinal (GI) diseases and psychiatric disorders has been previously investigated. However, little research has been conducted on the relation between GI symptoms of psychosomatic diseases and psychiatric disorders.Methods: In this retrospective study, 1802 cases with GI diseases who referred to the psychosomatic clinic (Isfahan, Iran) during 2005-2010 were evaluated. An attempt was made to find correlations between GI symptoms of psychosomatic diseases and psychiatric disorders.Findings: No significant relationships were found between GI symptoms and gender, educational level, and marital status. However, age and nausea were significantly correlated (P = 0.002). Anxiety was the most common psychiatric symptom with a frequency of 814. In addition, mood disorders were the most common disease in patients with GI symptoms. Moreover, the most prevalent mood disorder was major depression. On the other hand, abdominal pain was found to be significantly related with psychiatric disorders (P = 0.039). Conclusion: Our results showed mood disorders to be the most common disorder in patients with GI diseases who referred to the psychosomatic clinic. Therefore, patients with medically unexplained GI symptoms are required to be evaluated for mood disorders , especially major depressive disorder.

Keywords


  1. Sarno JE. The Divided Mind. 1st ed. New York: HarperCollins e-books; 2009.
  2. Levenson JL. Essentials of Psychosomatic Medicine. 1st ed. Washington, DC: American Psychiatric Publishing; 2006.
  3. Servan-Schreiber D, Tabas G, Kolb R. Somatizing patients: part II. Practical management. Am Fam Physician 2000; 61(5): 1423-2.
  4. Melmed RN. Mind, Body, and Medicine. 1st ed. New York: Oxford University Press; 2001.
  5. Varis K. Psychosomatic factors in gastrointestinal disorders. Ann Clin Res 1987; 19(2): 135-42.
  6. Afridi MI, Siddiqui MA, Ansari A. Gastrointestinal somatization in males and females with depressive disorder. J Pak Med Assoc 2009; 59(10): 675-9.
  7. Varis K. Psychosomatic factors in gastrointestinal disorders. Ann Clin Res 1987; 19(2): 135-42.
  8. Hernandez DE, Arandia D, Dehesa M. Role of psychosomatic factors in peptic ulcer disease. J Physiol Paris 1993; 87(4): 223-7.
  9. Haug TT, Mykletun A, Dahl AA. The association between anxiety, depression, and somatic symptoms in a large population: the HUNT-II study. Psychosom Med 2004; 66(6): 845-51.
  10. Ewhrudjakpor C. Socio-demographics, life event stressors and psychosomatic disorders among public servants in the Niger Delta region of Nigeria. International Journal of Sociology and Anthropology 2009; 1(3): 055-61.
  11. Mohamed SN, Weisz GM, Waring EM. The relationship of chronic pain to depression, marital adjustment, and family dynamics. Pain 1978; 5(3): 285-92.
  12. Gove WR, Hughes M, Style CB. Does marriage have positive effects on the psychological well-being of the individual? J Health Soc Behav 1983; 24(2): 122-31.
  13. Jansson C, Nordenstedt H, Wallander MA, Johansson S, Johnsen R, Hveem K, et al. Severe gastro-oesophageal reflux symptoms in relation to anxiety, depression and coping in a population-based study. Aliment Pharmacol Ther 2007; 26(5): 683-91.
  14. Roohafza HR, Sadeghi M, Emami A. Smoking in youth: Isfahan Healthy Heart Project (IHHP). Hakim 2003; 6(2): 61-8.
  15. Ashley MJ. Smoking and diseases of the gastrointestinal system: an epidemiological review with special reference to sex differences. Can J Gastroenterol 1997; 11(4): 345-52.
  16. Nakao M, Yano E. Somatic symptoms for predicting depression: one-year follow-up study in annual health examinations. Psychiatry Clin Neurosci 2006; 60(2): 219-25.
  17. Schmulson M, Adeyemo M, Gutierrez-Reyes G, Charua-Guindic L, Farfan-Labonne B, Ostrosky-Solis F, et al. Differences in gastrointestinal symptoms according to gender in Rome II positive IBS and dyspepsia in a Latin American population. Am J Gastroenterol 2010; 105(4): 925-32.
  18. Kane FJ, Jr., Strohlein J, Harper RG. Nonulcer dyspepsia associated with psychiatric disorder. South Med J 1993; 86(6): 641-6.
  19. Jerndal P, Ringstrom G, Agerforz P, Karpefors M, Akkermans LM, Bayati A, et al. Gastrointestinal-specific anxiety: an important factor for severity of GI symptoms and quality of life in IBS. Neurogastroenterol Motil 2010; 22(6): 646-e179.
  20. Chaturvedi SK, Michael A. Psychosomatic patients in a psychiatric clinic. Int J Psychiatry Med 1988; 18(2): 145-52.
  21. Mussell M, Kroenke K, Spitzer RL, Williams JB, Herzog W, Lowe B. Gastrointestinal symptoms in primary care: prevalence and association with depression and anxiety. J Psychosom Res 2008; 64(6): 605-12.