INFLUENCE OF PSYCHOSOMATIC DISORDERS ON AGGRAVATION OF GASTROESOPHAGEAL REFLUX DISEASE WITH ACCOMPANYING CHRONIC OBSTRUCTIVE PULMONARY DISEASE IN YOUNG PATIENTS
DOI:
https://doi.org/10.11603/1811-2471.2023.v.i3.13884Keywords:
depression, anxiety, reflux, obstruction, scales, young peopleAbstract
SUMMARY. The influence of psychosomatic disorders on the exacerbation of gastroesophageal reflux disease with concomitant chronic obstructive pulmonary disease in young patients.
Violation of the motor-evacuation function due to gastroesophageal reflux disease (GERD) is associated with the presence of psychosomatic disorders. Chronic obstructive pulmonary disease (COPD) is the third nosological cause of death. In the combined course of GERD and COPD, psychosomatic disorders are a factor in aggravating the manifestations. It is important to identify, prevent the factors of exacerbation and progression of diseases in young patients.
The aim – to determine the impact and magnitude of the manifestation of psychosomatic disorders, such as depression and anxiety in patients with GERD with and without concomitant COPD.
Material and Methods. 130 people aged 26.5±8.5 years were selected for the study. 3 groups were formed: 1st – 60 patients with GERD with concomitant COPD, 2nd – 50 patients with isolated GERD, 3rd – 20 practically healthy people. Questionnaires were used to assess the psychosomatic state: HADS, Beck Depression, Spilberg, Sheehan and Beck Anxiety Scales.
Results. According to all scales show, that indicators of depression prevailed in the first group of patients; anxiety – in the second.
The final data improved significantly after the treatment, but the ratios remained. And in the second group of patients the changes are not as noticeable as in the first.
Conclusions. The relationship between the presence of depressive and anxiety disorders in patients with combined GERD and COPD and anxiety in patients with isolated GERD was revealed.
After treatment, psychosomatic indicators reliably improve.
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