Inability to cope with environmental stress: peptic ulcers in mentally retarded persons.
Inability to cope with environmental stress: peptic ulcers in mentally retarded persons.
复制标题
无法应对环境压力：智障人士的消化性溃疡。
DOI：
10.1016/0022-3999(85)90085-6
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发表时间：
1985
影响因子：
4.7
通讯作者：
Valdes,CD
中科院分区：
文献类型：
--
作者：
Chaney,RH;Eyman,RK;Givens,CA;Valdes,CD
精神发育迟滞的人在一个机构的保护性环境发展更多的消化性溃疡比一般人群。我们试图确定他们的身体和精神障碍是否与这种疾病有关。将37名精神发育迟滞的制度化溃疡患者与37名年龄和性别匹配的非溃疡对照组进行比较，这些对照组在智商和精神发育迟滞诊断方面也相似。逐步判别分析表明，溃疡组更受慢性疾病和无法走动的限制。另外，两组的不同之处在于溃疡患者比非溃疡受试者有更多的脑瘫、更多的视力缺陷、更多的运动和括约肌控制受限。我们的结论是，无助于应对环境的需求产生的压力足以诱发消化性溃疡，即使在严重的弱智人士。
Mentally retarded persons in the protective environment of an institution developed more peptic ulcers than the general population. We sought to determine whether their physical and mental handicaps may have a relationship to this disease. Thirty seven mentally retarded institutionalized ulcer patients were compared to 37 non-ulcer controls matched for age and sex, who were also similar in IQ and mental retardation diagnoses. A stepwise discriminant analysis demonstrated that the ulcer group was more limited by chronic diseases and inability to ambulate. Also differenting the groups were ulcer patients having more cerebral palsy, more visual deficit, and more limited motor and sphincter control than non-ulcer subjects. We conclude that helplessness in responding to environmental demands produces stress sufficient to induce peptic ulcers, even in severely mentally retarded persons.