Somatic symptoms often comorbid with benign anorectal disorders: a study of their significance
10.3760/cma.j.cn441530-20240918-00322
- VernacularTitle:关注肛周良性疾病伴有的躯体症状障碍
- Author:
Zhifeng ZHAO
1
;
Qingchuan ZHAO
1
Author Information
1. 第四军医大学西京消化病医院消化外科，西安 710032
- Publication Type:Journal Article
- Keywords:
Benign anorectal disorder;
Somatic symptoms disorder;
Psychological symptoms;
Gut-brain axis;
Psychotherapeutic intervention
- From:
Chinese Journal of Gastrointestinal Surgery
2024;27(12):1238-1242
- CountryChina
- Language:Chinese
-
Abstract:
Benign anorectal diseases represent a prevalent and intricate category of gastrointestinal disorders, encompassing conditions such as anal fissures, fistulas, hemorrhoids, incontinence, pain, and defecation disorders. These conditions include both anatomical abnormalities and functional disorders. Some patients continue to experience discomfort such as perianal discomfort, perineal heaviness, defecation difficulties, and abdominal bloating even after anatomical issues have been addressed, severely impairing social functioning. Generally, colorectal surgeons have paid little attention to somatic symptom disorder (SSD). This article introduced the manifestation of SSD in benign anorectal diseases from a psychosomatic perspective, advocating for the establishment of a biopsychosocial medical model in the diagnosis and treatment of these conditions to enhance patient rehabilitation outcomes. It is recommended that when benign anal diseases coexist with psychological disorders, SSD treatment should be used as a prerequisite. Surgical treatment should be considered only after the improvement of psychological disorders and SSD.
