Analysis of 41 cases with functional dyspepsia complicated by psychological disorders

VernacularTitle:具心理障碍的功能性消化不良41例临床分析
Author: Qibin JIA ; Li LI ; Ying YIN ; Yujing FAN ; Yu LAN
Publication Type:Journal Article
Keywords: Dyspepsia; Anxiety; Depression
From: Chinese Journal of General Practitioners 2011;10(3):207-209
CountryChina
Language:Chinese
Abstract: In our gastroenterology clinic from Jun. 2008 to Jan. 2009, 20. 9% (277/1320) patients were diagnosed with functional dyspepsia (FD) and 14. 8% (41/277) of them with psychological problems according to Minnesota Multiphasic Personality Inventory (MMPI). In those with psychological disorders,92.7% were found with somatization, 60. 9% with depression and anxiety, 97.6% with abdominal pain,75.6% with bloating, 63.4% with early fullness and 36. 6% with nausea. More than 80% patients with anxiety and depression complained irritability, worry, fatigue, poor concentration, memory loss and insomni.a. After 4 weeks of psychological consultation and anti-depression treatment, 5 patients had significant improvement, 31 had improvement and 3 had no response. The overall response rate was 87. 8%.In summary,there is a high prevalence of depression and anxiety in population with FD. Hypochondria and somatization are common among these patients. Psychological consultation with anxiolytic drugs may have good therapeutic effects.