CAJ | 학술논문

目的探讨肠易激综合征(Irritable Bowel Syndrome,IBS)患者情绪、人格特质、述情特点、疾病观念与求医行为及家庭情况等因素及相关的危险因素.方法 2010年7月至2012年1月在云南省第二人民医院消化科门诊及病房,通过方便取样对126例符合罗马Ⅲ标准的IBS患者,进行腹部症状及严重程度调查,同时进行焦虑自评量表(SAS)、抑郁自评量表(SDS)、家庭环境量表(FES)、系统家庭动力学自评量表(SSFD)、艾森克人格问卷(EPQA)、多伦多述情障碍量表(TAS)、疾病观念与求医行为量表(ICHSB)等问卷调查,并将调查结果与126例健康志愿者进行比较.结果 1.IBS组抑郁、焦虑、家庭环境因子V、艾森克因子N和因子总分、多伦多述情障碍因子Ⅱ[分别为(40.23±6.96)分,(38.73±7.49)分,(6.78±1.57)分,(13.67±5.37)分,(43.11±7.12)分,(23.12±4.42)分],高于对照组[分别为(36.43±7.25)分,(32.08 ±7.25)分,(5.72±2.01)分,(11.22±5.43)分,(39.38±6.75)分,(20.92±3.95)分]；多伦多述情障碍因子Ⅲ(14.73±4.13)分低于对照组(15.11±3.48)分,差异具有显著性(P＜0.05).2.腹部症状与抑郁、焦虑、系统家庭动力学因子Ⅲ和因子总分、疾病观念与求医行为因子Ⅱ呈正相关,与家庭环境因子Ⅰ和因子Ⅸ呈负相关.3.焦虑、成功性、年龄、缺乏识别情感和躯体感受的能力为危险因素,受教育年限为保护因素.结论 IBS患者易伴有抑郁、焦虑情绪,家庭成员支持少、家庭规则不明确者症状重；焦虑、竞争性活动、缺乏识别情感和躯体感受的能力为危险因素.
목적 탐토장역격종합정(Irritable Bowel Syndrome,IBS)환자정서、인격특질、술정특점、질병관념여구의행위급가정정황등인소급상관적위험인소.방법 2010년7월지2012년1월재운남성제이인민의원소화과문진급병방,통과방편취양대126례부합라마Ⅲ표준적IBS환자,진행복부증상급엄중정도조사,동시진행초필자평량표(SAS)、억욱자평량표(SDS)、가정배경량표(FES)、계통가정동역학자평량표(SSFD)、애삼극인격문권(EPQA)、다륜다술정장애량표(TAS)、질병관념여구의행위량표(ICHSB)등문권조사,병장조사결과여126례건강지원자진행비교.결과 1.IBS조억욱、초필、가정배경인자V、애삼극인자N화인자총분、다륜다술정장애인자Ⅱ[분별위(40.23±6.96)분,(38.73±7.49)분,(6.78±1.57)분,(13.67±5.37)분,(43.11±7.12)분,(23.12±4.42)분],고우대조조[분별위(36.43±7.25)분,(32.08 ±7.25)분,(5.72±2.01)분,(11.22±5.43)분,(39.38±6.75)분,(20.92±3.95)분]；다륜다술정장애인자Ⅲ(14.73±4.13)분저우대조조(15.11±3.48)분,차이구유현저성(P＜0.05).2.복부증상여억욱、초필、계통가정동역학인자Ⅲ화인자총분、질병관념여구의행위인자Ⅱ정정상관,여가정배경인자Ⅰ화인자Ⅸ정부상관.3.초필、성공성、년령、결핍식별정감화구체감수적능력위위험인소,수교육년한위보호인소.결론 IBS환자역반유억욱、초필정서,가정성원지지소、가정규칙불명학자증상중；초필、경쟁성활동、결핍식별정감화구체감수적능력위위험인소.
Objective To investigate the relationship of emotional character,personality character,alexithymia character.disease concept,healthy seeking behaviors,family environment and family dynamics with irritable bowel syndrome(IBS) patients.Methods 126 IBS patients and 126 controls were evaluated by the questionnaires of Self-Rating Anxiety Scale (SAS),Self-Rating Depression scale (SDS),Family Environment Scale (FES),Selfrating Scale of Systemic Family Dynamics (SSFD),Eysenck Personality Questionnaire (EPQ),Toronto Alexithymia scale (TAS),self-rating scale of illness conception and health seeking behavior (ICHSB).Results 1.The scores of SAS,SDS,achievement orientation in FES,nervous and the total scores of EPQ,factor Ⅱ and factor Ⅲ in TAS were significantly higher in IBS patients than those in healthy subjects ((40.23 ±6.961) vs (36.43 ±7.25),(38.73 ±7.49) vs (32.08 ± 7.25),(6.78 ± 1.57) vs (5.72 ±2.01),(13.67 ± 5.37) vs (11.22 ± 5.43),(43.11 ±7.12) vs(39.38 ±6.75),(23.12 ±4.42) vs(20.92 ±3.95),(14.73 ±4.13) vs(15.11 ± 3.48)).2.The symptoms of IBS patients were positively correlated to the severity of depression,anxiety,systemic logic in SSFD and factor Ⅱ in ICHSB.The symptoms of IBS patients were negatively correlated to the severity of intimacy and the sense of organization in FES.3 The risk factors of IBS were anxiety,achievement orientation,age,the factor Ⅱ of TAS.Education level had protective role to IBS.Conclusion The IBS patients have certain psychological problems such as depression,anxiety,competitiveness,lacking self-confident,tension,alexithymia,and lacking of the ability to distinguish between emotion and physical feelings and loving fantasy.