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Psychological factors and somatic symptoms in functional dyspepsia. A comparison with duodenal ulcer and healthy controls.

Abstract

One hundred patients with functional dyspepsia, 100 patients with duodenal ulcer and 100 healthy controls were assessed on anamnestic factors, somatic symptoms and psychological measures. Patients with functional dyspepsia had significantly higher levels of state-trait anxiety, general psychopathology, depression, a lower general level of functioning and more somatic complaints from different organ systems, especially the musculo-skeletal system, compared to patients with duodenal ulcer and healthy controls. Patients with functional dyspepsia had more frequent dyspepsia symptoms and a longer disease history than duodenal ulcer patients. Discriminant analyses using a model of fifteen psychological and anamnestic variables, classified correctly 71.5% of the subjects due to diagnoses. The test for multiple somatic complaints (Giessener Beschwerdebogen) was the most important discriminating factor (Eigenvalue 0.78). Seventy-five per cent of the patients were correctly classified, 71% by diagnosis with respect to diagnoses of duodenal ulcer and functional dyspepsia using frequency of dyspeptic symptoms as discriminating factor (Eigenvalue 0.40). Functional dyspepsia seems to be a disease entity of its own, distinct from duodenal ulcer and strongly associated with psychological factors.

Authors+Show Affiliations

,

Department of Psychiatry, Haukeland University Hospital, Norway.

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Source

Journal of psychosomatic research 38:4 1994 May pg 281-91

MeSH

Adaptation, Psychological
Adult
Anxiety Disorders
Depressive Disorder
Diagnosis, Differential
Duodenal Ulcer
Dyspepsia
Female
Humans
Life Style
Male
Middle Aged
Patient Care Team
Personality Assessment
Psychophysiologic Disorders
Sick Role
Somatoform Disorders
Stress, Psychological

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

8064646

Citation

Haug, T T., et al. "Psychological Factors and Somatic Symptoms in Functional Dyspepsia. a Comparison With Duodenal Ulcer and Healthy Controls." Journal of Psychosomatic Research, vol. 38, no. 4, 1994, pp. 281-91.
Haug TT, Svebak S, Wilhelmsen I, et al. Psychological factors and somatic symptoms in functional dyspepsia. A comparison with duodenal ulcer and healthy controls. J Psychosom Res. 1994;38(4):281-91.
Haug, T. T., Svebak, S., Wilhelmsen, I., Berstad, A., & Ursin, H. (1994). Psychological factors and somatic symptoms in functional dyspepsia. A comparison with duodenal ulcer and healthy controls. Journal of Psychosomatic Research, 38(4), pp. 281-91.
Haug TT, et al. Psychological Factors and Somatic Symptoms in Functional Dyspepsia. a Comparison With Duodenal Ulcer and Healthy Controls. J Psychosom Res. 1994;38(4):281-91. PubMed PMID: 8064646.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Psychological factors and somatic symptoms in functional dyspepsia. A comparison with duodenal ulcer and healthy controls. AU - Haug,T T, AU - Svebak,S, AU - Wilhelmsen,I, AU - Berstad,A, AU - Ursin,H, PY - 1994/5/1/pubmed PY - 1994/5/1/medline PY - 1994/5/1/entrez SP - 281 EP - 91 JF - Journal of psychosomatic research JO - J Psychosom Res VL - 38 IS - 4 N2 - One hundred patients with functional dyspepsia, 100 patients with duodenal ulcer and 100 healthy controls were assessed on anamnestic factors, somatic symptoms and psychological measures. Patients with functional dyspepsia had significantly higher levels of state-trait anxiety, general psychopathology, depression, a lower general level of functioning and more somatic complaints from different organ systems, especially the musculo-skeletal system, compared to patients with duodenal ulcer and healthy controls. Patients with functional dyspepsia had more frequent dyspepsia symptoms and a longer disease history than duodenal ulcer patients. Discriminant analyses using a model of fifteen psychological and anamnestic variables, classified correctly 71.5% of the subjects due to diagnoses. The test for multiple somatic complaints (Giessener Beschwerdebogen) was the most important discriminating factor (Eigenvalue 0.78). Seventy-five per cent of the patients were correctly classified, 71% by diagnosis with respect to diagnoses of duodenal ulcer and functional dyspepsia using frequency of dyspeptic symptoms as discriminating factor (Eigenvalue 0.40). Functional dyspepsia seems to be a disease entity of its own, distinct from duodenal ulcer and strongly associated with psychological factors. SN - 0022-3999 UR - https://www.unboundmedicine.com/medline/citation/8064646/Psychological_factors_and_somatic_symptoms_in_functional_dyspepsia__A_comparison_with_duodenal_ulcer_and_healthy_controls_ L2 - http://www.diseaseinfosearch.org/result/2394 DB - PRIME DP - Unbound Medicine ER -