《中国康复理论与实践》

《中国康复理论与实践》 ›› 2010, Vol. 16 ›› Issue (3): 273-274.

• 论文 • 上一篇    下一篇

肠易激综合征患者社会功能与抑郁、焦虑的关系

史月仙1，戴天刚1，易鹏程1，黄修仁2   

  1. 1.浙江省象山县第三人民医院精神科，浙江象山县 315711；2.浙江省象山县红十字台胞医院消化内科，浙江象山县 315731。
  • 收稿日期:2010-01-14 修回日期:1900-01-01 出版日期:2010-03-25 发布日期:2010-03-25
  • 通讯作者: 戴天刚

Relationship between Social Disability and Anxiety and Depression in Patients with Irritable Bowel Syndrome

SHI Yue-xian, DAI Tian-gang, YI Peng-cheng, et al.   

  1. Zhejiang Xiangshan Third Hospital, Xiangshan 315711, Zhejiang, China
  • Received:2010-01-14 Revised:1900-01-01 Published:2010-03-25 Online:2010-03-25

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摘要：

目的探讨肠易激综合征(IBS)患者的社会功能缺陷与情绪障碍的关系及抗焦虑、抑郁治疗的相关性。方法采用社会功能缺陷筛选量表（SDSS）、汉密尔顿焦虑量表（HAMA）、汉密尔顿抑郁量表（HAMD）分别对168例IBS患者进行社会功能评估和焦虑、抑郁的测试；把有社会功能缺陷的68例患者随机分成两组，对两组施以内科常规治疗和解释性心理治疗，同时，对研究组患者加用帕罗西汀治疗。2个月后再次用SDSS进行评定。结果IBS患者的社会功能缺陷发生率为40.5%；伴抑郁或/和焦虑者社会功能缺陷发生率较高。治疗后研究组SDSS评分显著低于对照组（P<0.001）。结论治疗IBS患者的情绪障碍能有效改善其社会功能缺陷，提高患者生活质量。

关键词: 肠易激综合征, 情绪障碍, 社会功能, 焦虑, 抑郁

Abstract: ObjectiveTo investigate the relationship between the social disability and emotion disorder of the patients with irritable bowel syndrome (IBS). Methods168 patients with IBS were assessed with Social Disability Screening Schedule (SDSS), Hamilton Anxiety Rating Scale, and Hamilton Depression Rating Scale. The patients with SDSS≥2 were divided into 2 groups, and accepted the medical routine therapy and explanatory psychotherapy for 2 months, while the patients in the research group (n=35) received the antidepressive. Then they were assessed with SDSS again. ResultsThe incidence of social disability in IBS patients was 40.5%, and increased in those who combined with anxiety and/or depression. The SDSS score of the research group was lower than that of the control group after the treatment. ConclusionThe social disability can be found in the patients of IBS, especially in those with emotion disorder, and can be improved by the antidepressive.

Key words: irritable bowel syndrome (IBS), emotion disorder, social ability, anxiety, depression