Features of Psychoneurological Disorders in Patients with Relapsed Duodenal Ulcer
Journal Title: Гастроентерологія - Year 2014, Vol 1, Issue 51
Abstract
The aim of the study was to conduct a comprehensive assessment of the psychoneurological status, in particular depression and anxiety disorders, the level of social maladjustment, alexithymia in patients with relapsed duodenal ulcer (DU). We examined 25 patients with duodenal ulcer in age from 21 to 55 years, who underwent inpatient treatment on the basis of gastroenterology department of the regional clinical hospital, and 15 healthy individuals who meet clinical group’s age composition. The diagnosis of DU was made according to standardized protocols of diagnosis and treatment of diseases of the digestive system in accordance with the order of Ministry of Healthcare of Ukraine № 271 dated 13.06.2005. To assess the psychoneurological status we used Hamilton Rating Scale for Depression and Hamilton Anxiety Rating Scale, which were filled by clinical interview. To determine the presence of stress life events in the morphogenesis of peptic ulcer we used Т. Holmes — R. Rahe comparative scale of social adaptation in modification of Marx et al. (1975). Calculation of integral indicators of social maladjustment has been carried out using scores of stress load of a life event. By indicators of social maladjustment in more than half of the surveyed patients with DU the level of stress resistance to maladjustment factors assessed as low — (378.0 ± 34.8) points. In patients with recurrent duodenal ulcer the level of alexithymia was (53.7 ± 0.3) points (p < 0.05), personality type has been characterized as alexithymiс one.
Authors and Affiliations
V. M. Kulayets
Keywords
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