Psychological disorders in patients with chronic constipation
- PMID: 24834176
- PMCID: PMC4017427
Psychological disorders in patients with chronic constipation
Abstract
Aim: The aim of present study was to screen two categories of psychiatric disorders in chronic functional constipation.
Background: It has been established that the prevalence of mood and anxiety disorders among patients with functional gastrointestinal disorders is higher than in the general population.
Patients and methods: Fifty four constipated patients were recruited from patients referred to the motility disorder department of Research Center for Gastroentrology and Liver Diseases, and screened for psychiatric disorders using HADS (Hospital Anxiety and Depression Scale) and MINI (Mini International Neuropsychiatric Interview).
Results: The results showed a relatively high prevalence of anxiety and depression both in HADS (33.3% and 22.2% respectively) and MINI (33.3% and 31.5% respectively).
Conclusion: Based on our results the prevalence of mood and anxiety disorders in constipated patients is much higher than general population and in order to reduce health care costs for constipated patients, we need to have an intervention program for comorbid psychological dysfunctions which affect the course of gastrointestinal disorders.
Keywords: Functional Gastrointestinal Disorder; Rome III criteria; psychiatric disorders.
References
-
- Henningsen P, Zimmermann T, Sattel H. Medically unexplained physical symptoms, anxiety, and depression: a meta-analytic review. Psychosom Med. 2003;65:528–33. - PubMed
-
- Van Oudenhove L, Demyttenaere K, Tack J, Aziz Q. Central nervous system involvement in functional gastrointestinal disorders. Best Pract Res Clin Gastroenterol. 2004;18:663–80. - PubMed
-
- Lydiard RB. Irritable bowel syndrome, anxiety, and depression: what are the links? J Clin Psychiatr. 2001;62:38–45. - PubMed
-
- Van Dijk M, Benninga MA, Grootenhuis MA, Nieuwenhuizen AM, Last BF. Chronic childhood constipation: a review of the literature and the introduction of a protocolized behavioral intervention program. J Patient Educ Counsel. 2007;67:63–77. - PubMed
-
- Burket RC, Cox DJ, Tam AP, Ritterband L, Borowitz S, Sutphen J, et al. Does ‘‘stubbornness’’ have a role in pediatric constipation? J Dev Beha Pediatr. 2006;27:106–11. - PubMed
LinkOut - more resources
Full Text Sources
Medical