The relationships between functional gastrointestinal diseases and psychological factors, diet and lifestyles: a network analysis
10.3760/cma.j.cn112138-20220111-00036
- VernacularTitle:基层官兵功能性胃肠疾病与精神心理因素、饮食及生活习惯相关性的网络分析
- Author:
Jiaqiang DONG
1
;
Yangyang PAN
;
Yulong SHANG
;
Changcun GUO
;
Yongquan SHI
;
Xia ZHU
;
Qun YANG
;
Lei REN
;
Ying HAN
Author Information
1. 空军军医大学第一附属医院消化内科，西安 710032
- Keywords:
Gastrointestinal diseases;
Psychology;
Food habits;
Life style
- From:
Chinese Journal of Internal Medicine
2022;61(12):1336-1342
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the relationship between common functional gastrointestinal diseases symptoms with psychological factors, diet and lifestyles by using the network analysis method which has achieved great success in the field of psychology in recent years.Method:A questionnaire survey was conducted in two military units using the cluster sampling method during July 2020, and a total of 1 805 subjects were included. Functional gastrointestinal disease symptoms were evaluated with the Gastrointestinal Symptom Rating Scale (GSRS). The state, trait anxiety scale and stress response scale were used to evaluate the mental and psychological state by self-evaluation. R was used to build the network and calculate statistical parameters.Results:1 486 of the 1 805 subjects (82.3%) had experienced functional gastrointestinal diseases symptoms within 2 weeks, but most of them were mild. Network analysis shows that there was a strong interaction between digestive system symptoms with different clinical manifestations (Spearman coefficient ranges 0.31-0.56). There was a clear relationship between functional gastrointestinal symptoms and mental and psychological factors (Spearman coefficient ranges 0.16-0.27), but there was no clear interaction with diet, age, education level, body mass index, etc. Functional gastrointestinal diseases symptoms were connected with mental and psychological factors through two nodes: stress and indigestion. The stability coefficient of node strength correlation was 0.75, indicating that the network was stable.Conclusions:The current study revealed the network structure and features of functional gastrointestinal diseases symptoms with mental and psychological factors. The key linking nodes provided potential interfering target for controlling functional gastrointestinal symptoms related to mental and psychological factors.
