PSYCHIATRIC-ILLNESS IN PATIENTS WITH INFLAMMATORY BOWEL-DISEASE
PSYCHIATRIC-ILLNESS IN PATIENTS WITH INFLAMMATORY BOWEL-DISEASE
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DOI：
10.1136/gut.28.12.1600
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发表时间：
1987-12-01
期刊：
影响因子：
24.5
通讯作者：
ALLAN, RN
中科院分区：
文献类型：
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作者：
ANDREWS, H;BARCZAK, P;ALLAN, RN
使用简单的自评问卷（HAD量表）和详细的评估（DSM-III）对162名连续就诊于炎性肠病（91例克罗恩病，71例溃疡性结肠炎）的患者进行焦虑和抑郁的评估。溃疡性结肠炎和克罗恩病的精神疾病总体患病率（DSM-III）分别为34%和33%。在溃疡性结肠炎患者中，精神疾病的存在与目前的身体疾病之间没有统计学上的显著关联。与身体健康的克罗恩病患者相比，精神疾病在身体疾病患者中更为常见：50% vs 8% (p < 0.01)，使用（HAD）标准66% vs 37% （p < 0.001）。病人的存在介于精神疾病和身体疾病之间。精神科健康者：根据DSM-III标准为50% vs 8% (p < 0.01)，使用（HAD）标准为66% vs 37% （p < 0.001）。精神疾病的存在对身体恢复有不利影响。17%的人在精神疾病中康复，53%的人在精神健康中康复（p < 0.025）。在这个医疗环境中，HAD量表被评估为精神疾病的筛查方法，其敏感性为76%，特异性为79%。
One hundred and sixty two consecutive patients attending a clinic for inflammatory bowel disease (91 Crohn''s, 71 ulcerative colitis) were assessed for the presence of anxiety and depression using a simple self-rating questionnaire (HAD scale) and a detailed evaluation (DSM-III). The overall prevalence of psychiatric illness (DSM-III) in ulcerative colitis and Crohn''s disease was 34% and 33% respectively. There was no statistically significant association in ulcerative colitis patients between the presence of pyschiatric illness and the present physical illness. Psychiatric illness was more common in the physically ill patients with Crohn''s disease, compared with those who were well: 50% v 8% (p < 0.01), using (HAD) criteria 66% v 37% (p < 0.001). The presence of patients between the presence of psychiatric illness and the presence of physical illness. Psychiatric who were well: 50% v 8% (p < 0.01) by DSM-III criteria, using (HAD) criteria 66% v 37% (p < 0.001). The presence of psychiatric illness adversely affected physical recovery. Seventeen per cent recovered when psychiatrically ill v 53% when psychiatrically well (p < 0.025). The HAD scale was assessed as a screening method for psychiatric illness in this medical setting and had a sensitivity of 76% and a specificity of 79%.