THE PECULIARITIES OF PSYCHOLOGICAL DISADAPTATION OF PATIENTS WITH GASTROESOPHAGEAL REFLUX DISEASE
DOI:
https://doi.org/10.11603/2415-8798.2019.2.10019Keywords:
gastroesophageal reflux disease, mental disorders, anxiety, depression, psychological dysadaptationAbstract
The article presents up-to-date data concerning psychosomatic problem in medicine, in particular world experience of studying disorders of psychological of adaptation in patients with gastroesophageal reflux disease (GERD), as well as own researches data. When using psychological tests, detection rate of anxiety and depression in patients with GERD was 100 and 91.2 % respectively. The research studies revealed that presence of psychological dysadaptation in patients with GERD makes it impossible to achieve a stable remission of the underlying disease and necessitates appropriate correction.
The aim of the study – to determine the specificity of psychological dysaptation of the patients with gastroesophageal reflux disease.
Materials and Methods. 45 patients with GERD were under our supervision. To verify the diagnosis we used an endoscopic examination of the upper gastrointestinal tract that was performed using flexible Olympus-type fibrogastrostocks according to the generally accepted technique.
Results and Discussion. Among 45 patients there were 31 women and 14 men, the age of patients varied from 19 to 70 years, the mean age was (45.67±2.32) years. The anamnesis showed that the duration of the disease varied from 7 months to 20 years. At the same time a history of 1 to 5 years showed more often: in 51.1 % of the patients. The average duration of illnesses of the examined patients was (7.77±1.35) years.
Conclusions. According to MRI, changes in the psychological status of the examined patients with GERD were detected in 76.7 %. The most significant of them were: depression (63.3 %), hypochondria (43.3 %) and psychasthenia (20.0 %).
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