Anxiety but not depression determines health care-seeking behaviour in Chinese patients with dyspepsia and irritable bowel syndrome: a population-based study
Anxiety but not depression determines health care-seeking behaviour in Chinese patients with dyspepsia and irritable bowel syndrome: a population-based study
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DOI：
10.1046/j.1365-2036.2002.01377.x
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发表时间：
2002-12-01
影响因子：
7.6
通讯作者：
Wong, BCY
中科院分区：
文献类型：
--
作者：
Hu, WHC;Wong, WM;Wong, BCY
目的：通过对中国人群的调查，研究消化不良和肠易激综合征的患病率以及焦虑和抑郁共存对医疗保健利用的影响。方法：邀请华裔家庭参加电话调查，使用经过验证的肠道症状问卷和医院焦虑和抑郁量表。根据罗马I标准将胃肠道症状分类为消化不良和肠易激综合征，根据每周胃灼热或反酸的存在将胃食管反流病分类。焦虑和抑郁评分之间的患者谁寻求医疗照顾和那些谁没有，采用多元Logistic回归analysis.Results：一千六百四十九名受试者完成了采访（响应率，62%）进行了比较。消化不良、肠易激综合征和胃食管反流病的人群患病率分别为18.4%、4.1%和4.8%。消化不良和肠易激综合征与焦虑、抑郁、医疗咨询、病假和对社会生活的不良影响有关。结论：肠易激综合征和消化不良患者的焦虑、抑郁、社会病率、医疗服务利用率和休假天数均与患者的就医行为有关。焦虑是决定消化不良和肠易激综合征患者卫生保健利用的独立因素。
Aims: To study the prevalence of dyspepsia and irritable bowel syndrome and the effects of co-existing anxiety and depression on health care utilization by a population survey in Chinese.Methods: Ethnic Chinese households were invited to participate in a telephone survey using a validated bowel symptom questionnaire and the hospital anxiety and depression scale. Gastrointestinal symptoms were classified as dyspepsia and irritable bowel syndrome according to the Rome I criteria and gastro-oesophageal reflux disease by the presence of weekly heartburn or acid regurgitation. The anxiety and depression scores were compared between patients who sought medical attention and those who did not, using multiple logistic regression analysis.Results: One thousand, six hundred and forty-nine subjects completed the interview (response rate, 62%). The population prevalences of dyspepsia, irritable bowel syndrome and gastro-oesophageal reflux disease were 18.4%, 4.1% and 4.8%, respectively. Dyspepsia and irritable bowel syndrome were associated with anxiety, depression, medical consultation, sick leave and adverse effects on social life. The degree of anxiety was an independent factor associated with health care-seeking behaviour in both dyspeptics (P = 0.003) and irritable bowel syndrome patients (P = 0.036).Conclusions: Irritable bowel syndrome and dyspepsia are associated with anxiety, depression, significant social morbidity, health care utilization and days off work. Anxiety is an independent factor in determining health care utilization in patients with dyspepsia and irritable bowel syndrome.