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Psychological distress in duodenal ulcer and acute gastroduodenitis

A controlled study

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Abstract

The aim of the study was to assess psychological distress in duodenal ulcer (DU) and acute gastroduodenitis (AGD). Sixty-one consecutive, unselected patients (DU=25; AGD=36) were compared with their respective controls matched for age, sex, level of formal education, and social class. Psychological distress was assessed using the Kellner-Sheffield Symptom Rating Test. In order to reduce to the minimum the possible effects of the duration of the symptoms and awareness of the diagnosis, the study was carried out before diagnosis on subjects whose symptoms were of recent onset. The DU and AGD patients had higher mean scores than the controls for neuroticism and anxiety; moreover the mean scores for depression and somatization of the AGD patients were also higher than those of the controls. On the basis of these data, the authors discuss the possibility that gastroduodenitis might be an independent entity or part of the spectrum of acid peptic (ulcer) disease.

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References

  1. Davies DT, Wilson ATM: Observation on the life history of chronic peptic ulcer. Lancet 2:1353–1360, 1937

    Google Scholar 

  2. Hasegawa Y, Takahashi M, Ohsawa H, Kawahara H, Sato S, Sato A: Psychosomatic factors as a contributory cause in the occurrence and recurrence of peptic ulcer. Jpn J Med 18:109–114, 1979

    Google Scholar 

  3. Jones FA: Clinical and social problem of peptic ulcer. Br Med J 1:719–723, 1957

    Google Scholar 

  4. Alp MH, Court JH, Kerr Grant A: Personality pattern and emotional stress in the genesis of gastric ulcer. Gut 11:773–777, 1970

    PubMed  Google Scholar 

  5. Piper DW, Greig M, Thomas J, Shinners J: Personality pattern of patients with chronic gastric ulcer. Study of neuroticism and extroversion in a gastric ulcer and a control population. Gastroenterology 73:444–446, 1977

    PubMed  Google Scholar 

  6. Guldahl M: The effect of trimipramine (Surmontil®) on masked depression in patients with duodenal ulcer. A double-blind study. Scand J Gastroenterol 12 (Suppl. 43):27–31, 1977

    PubMed  Google Scholar 

  7. Mechanic D: The concept of illness behavior. J Chron Dis 15:189–194, 1962

    PubMed  Google Scholar 

  8. Piper DW, Ariotti D, Greig M, Brown R: Chronic duodenal ulcer and depression. Scand J Gastroenterol 15:201–203, 1980

    PubMed  Google Scholar 

  9. Whitehead R: Mucosal biopsy of the gastrointestinal tract.In Major Problems in Pathology, Vol 3. London, Saunders, 1973

    Google Scholar 

  10. Greenlaw R, Sheahan DG, De Luca V, Miller D, Myerson D, Myerson P: Gastroduodenitis. A broader concept of peptic ulcer disease. Dig Dis Sci 25:660–672, 1980

    PubMed  Google Scholar 

  11. Goldthorpe JH, Hope K: The Social Grading of Occupations. Oxford, Oxford University Press 1974

    Google Scholar 

  12. Brown GW, Harris T, Copeland JR: Depression and loss. Br J Psychiatry 130:1–18, 1977

    PubMed  Google Scholar 

  13. Kellner R, Sheffield BF: A self-rating scale of distress. Psychol Med 3:88–100, 1973

    PubMed  Google Scholar 

  14. Fava GA, Kellner R: Versione italiana del Symptom Rating Test di Kellner e Sheffield.In Nuovi metodi in Psicometria. R Canestrari (ed) Firenze, Organizzazioni Speciali, 1982

    Google Scholar 

  15. Fava GA, Perini GI, Santonastaso P, Veller Fornasa C: Life events and psychological distress in dermatologic disorders. Br J Med Psychol 53:277–282, 1980

    PubMed  Google Scholar 

  16. Siegel S: Nonparametric Statistics for the Behavioral Sciences. New York, McGraw-Hill, 1956

    Google Scholar 

  17. Guilford JP: Fundamental Statistics in Psychology and Education. New York, McGraw-Hill, 1956

    Google Scholar 

  18. Lipowski ZJ: Psychosomatic medicine in the seventies. Am J Psychiatry 134:233–244, 1977

    PubMed  Google Scholar 

  19. Engel GL: Memorial lecture: The psychosomatic approach to individual susceptibility to disease. Gastroenterology 67:1085–1093, 1974

    PubMed  Google Scholar 

  20. Engel GL: The need for a new medical model: A challenge for biomedicine. Science 196:129–136, 1977

    PubMed  Google Scholar 

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Magni, G., Salmi, A., Paterlini, A. et al. Psychological distress in duodenal ulcer and acute gastroduodenitis. Digest Dis Sci 27, 1081–1084 (1982). https://doi.org/10.1007/BF01391444

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  • DOI: https://doi.org/10.1007/BF01391444

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