Self-Reported Physical Health, Mental Health, and Comorbid Diseases Among Women With Irritable Bowel Syndrome, Fibromyalgia, or Both Compared With Healthy Control Respondents
Self-Reported Physical Health, Mental Health, and Comorbid Diseases Among Women With Irritable Bowel Syndrome, Fibromyalgia, or Both Compared With Healthy Control Respondents
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患有肠易激综合症、纤维肌痛或两者兼有的女性与健康对照组受访者相比，自我报告的身体健康、心理健康和合并症
DOI：
10.7556/jaoa.2012.112.11.726
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发表时间：
2012
期刊：
影响因子：
--
通讯作者：
G. Fraser
中科院分区：
文献类型：
--
作者：
Peter R. Przekop;M. G. Haviland;Yan Zhao;K. Oda;K. Morton;G. Fraser
抽象上下文：医生经常遇到功能性疼痛障碍的患者，如肠易激综合征（IBS），纤维肌痛（FM）及其共同发生。虽然这些疾病的诊断完全是通过患者的症状报告，但很少有关于患者对这些疾病的看法的比较研究。目的：比较4组患者对这些疾病的感知-3组患有IBS、FM或两种疾病（IBS + FM）的老年女性临床组和1组年龄相仿的无IBS或FM女性对照组-使用他们对有关压力生活事件、一般身心健康以及一般医疗、疼痛和精神共病的调查问题的回答。方法：使用生物心理社会宗教和健康研究调查的数据，从妇女的反应进行了比较，关于一些变量。为了比较4组的压力相关和身心健康状况，使用单因素方差分析和χ2检验（分别采用Tukey-Kramer和Tukey事后检验），α设置为0.05。结果：本研究包括3811名妇女。对照组、IBS组、FM组和IBS加FM组的参与者编号为3213（84.3%），366人（9.6%）、161例（4.2%）和71例（1.9%），平均（标准差）年龄分别为62.4（13.6）、64.9（13.7）、63.2（10.8）和61.1（10.9）岁。总体而言，对照组的参与者报告的终身创伤和主要生活压力源较少，身心健康状况较好，合并症少于3个临床组的受访者，这些差异具有统计学显著性和实质性。与FM或IBS + FM的受访者相比，IBS受访者报告的创伤和主要生活压力源较少，健康状况更好（评分和共病数据）。总体而言，患有这两种疾病的受访者报告了最严重的压力源和身心健康状况，并报告了更多诊断的医疗，疼痛和精神病合并症。结论：结果显示，对照组和3个临床组的受访者对生活质量指标和健康状况的看法存在统计学显著性差异。
Abstract Context: Physicians often encounter patients with functional pain disorders such as irritable bowel syndrome (IBS), fibromyalgia (FM), and their co-occurrence. Although these diseases are diagnosed exclusively by patients' report of symptoms, there are few comparative studies about patients' perceptions of these diseases. Objective: To compare perceptions of these conditions among 4 groups—3 clinical groups of older women with IBS, FM, or both disorders (IBS plus FM) and 1 similarly aged control group of women with no IBS or FM—using their responses to survey questions about stressful life events, general physical and mental health, and general medical, pain, and psychiatric comorbidities. Method: Using data from the Biopsychosocial Religion and Health Study survey, responses from women were compared regarding a number of variables. To compare stress-related and physical-mental health profiles across the 4 groups, 1-way analyses of variance and χ2 tests (with Tukey-Kramer and Tukey post hoc tests, respectively) were used, with α set to .05. Results: The present study comprised 3811 women. Participants in the control group, the IBS group, the FM group, and the IBS plus FM group numbered 3213 (84.3%), 366 (9.6%), 161 (4.2%), and 71 (1.9%), respectively, with a mean (standard deviation) age of 62.4 (13.6), 64.9 (13.7), 63.2 (10.8), and 61.1 (10.9) years, respectively. In general, participants in the control group reported fewer lifetime traumatic and major life stressors, better physical and mental health, and fewer comorbidities than respondents in the 3 clinical groups, and these differences were both statistically significant and substantial. Respondents with IBS reported fewer traumatic and major life stressors and better health (ratings and comorbidity data) than respondents with FM or respondents with IBS plus FM. Overall, respondents with both diseases reported the worst stressors and physical-mental health profiles and reported more diagnosed medical, pain, and psychiatric comorbidities. Conclusion: The results revealed statistically significant, relatively large differences in perceptions of quality of life measures and health profiles among the respondents in the control group and the 3 clinical groups.
DOI：
10.1016/j.jpain.2009.06.001
发表时间：
2009-08
期刊：
The journal of pain
影响因子：
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作者：
Williams DA;Clauw DJ
通讯作者：
Clauw DJ
影响因子：
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作者：
Bradley, Rebekah G.;Binder, Elisabeth B.;Ressler, Kerry J.
通讯作者：
Ressler, Kerry J.
影响因子：
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作者：
Giesecke, T;Williams, DA;Clauw, DJ
通讯作者：
Clauw, DJ