Abstract:
UNLABELLED:Recent evidence suggests that psychological factors may affect esophageal as well as intestinal motility. To study this further, we compared the psychological profiles of 20 irritable bowel patients and 20 patients with recurrent noncardiac chest pain associated with high-amplitude peristaltic contractions in the distal esophagus, the "nutcracker esophagus." Three control groups with 20 patients each also were evaluated. The Millon Behavioral Health Inventory was administered to all subjects. This is a 150-item self-report instrument developed to assess psychological impact of medical illnesses in nonpsychiatric populations. The nutcracker and irritable bowel patients differed significantly (P less than 0.05) from controls on scales of gastrointestinal susceptibility and somatic anxiety, suggesting that these patients react to psychological stress with an increase in symptom frequency and severity. They also tend to be hypochondriacal and seek early medical care. Irritable bowel patients, however, have a more generalized disorder, as they also scored significantly higher (P less than 0.05) than the other groups on three general measures of depression and anxiety. CONCLUSION:as previously observed in the irritable bowel syndrome, emotional factors may modulate pain perception in the nutcracker esophagus. Simple psychometric instruments like the Millon Behavioral Health Inventory may be useful in identifying these patients who may benefit from psychotropic drugs or behavior modification.
journal_name
Dig Dis Scijournal_title
Digestive diseases and sciencesauthors
Richter JE,Obrecht WF,Bradley LA,Young LD,Anderson KOdoi
10.1007/BF01300697subject
Has Abstractpub_date
1986-02-01 00:00:00pages
131-8issue
2eissn
0163-2116issn
1573-2568journal_volume
31pub_type
杂志文章abstract::The development of experimental cholecystitis produced by lysophosphatidylcholine is associated with reversal of the normal absorptive characteristics of gallbladder mucosa, resulting in the intraluminal accumulation of water, glycoprotein, and protein. The purpose of the present study was to attempt to ascertain if t...
journal_title:Digestive diseases and sciences
pub_type: 杂志文章
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journal_title:Digestive diseases and sciences
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journal_title:Digestive diseases and sciences
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journal_title:Digestive diseases and sciences
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journal_title:Digestive diseases and sciences
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journal_title:Digestive diseases and sciences
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journal_title:Digestive diseases and sciences
pub_type: 临床试验,杂志文章
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journal_title:Digestive diseases and sciences
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doi:
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journal_title:Digestive diseases and sciences
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更新日期:1994-02-01 00:00:00
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更新日期:1996-07-01 00:00:00
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journal_title:Digestive diseases and sciences
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更新日期:2012-11-01 00:00:00