Psychosomatic Patients in a Psychiatric Clinic

1989 ◽  
Vol 18 (2) ◽  
pp. 145-152 ◽  
Author(s):  
Santosh K. Chaturvedi ◽  
Albert Michael
Keyword(s):  
Rheumatoid Arthritis ◽  
Irritable Bowel Syndrome ◽  
Peptic Ulcer ◽  
Heart Disease ◽  
Psychiatric Patients ◽  
Psychiatric Clinic ◽  
Psychosomatic Disorders ◽  
Urban Background ◽  
Psychosomatic Problems ◽  
Irritable Bowel

This study reports lifetime prevalence of certain “psychosomatic disorders” in psychiatric patients in India. The “psychosomatic disorders” studied were peptic ulcer, bronchial asthma, rheumatoid arthritis, ischemic heart disease and irritable bowel syndrome. One percent of psychiatric patients had these psychosomatic illnesses. Ten of the fifteen cases had two psychosomatic illnesses. Patients with psychosomatic disorders were significantly more often older in age ( p = 0.003) and from an urban background ( p = 0.05) as compared to other psychiatric patients. Depression was the commonest diagnosis, and was significantly ( p = 0.01) more often diagnosed in the psychosomatic patients. Psychosis was not diagnosed in patients with psychosomatic disorders. This article emphasizes the need for identifying concomitant psychosomatic problems in psychiatric patients for their appropriate management.

Peptic Ulcer, Non-Ulcer Dyspepsia and Irritable Bowel Syndrome in the Netherlands and Japan

1993 ◽  
Vol 28 (sup200) ◽  
pp. 33-41 ◽  
Author(s):  
R. J. Schlemper ◽  
S. D. J. Van Der Werf ◽  
J. P. Vandenbroucke ◽  
I. Biemond ◽  
C. B. H. W. Lamers
Keyword(s):  
Irritable Bowel Syndrome ◽  
Peptic Ulcer ◽  
The Netherlands ◽  
Non Ulcer Dyspepsia ◽  
Irritable Bowel

scholarly journals Helicobacter Pylori as a Risk Factor for Post Infectious Irritable Bowel Syndrome

2022 ◽  
pp. 1-3
Author(s):  
Essamaddin Ahmed Abdelhamid Ibrahim ◽  
Keyword(s):  
Helicobacter Pylori ◽  
Irritable Bowel Syndrome ◽  
Peptic Ulcer ◽  
Triple Therapy ◽  
Analytical Study ◽  
Ulcer Disease ◽  
Standard Triple Therapy ◽  
Irritable Bowel ◽  
Post Infectious ◽  
Structured Questionnaire

Backgrounds: Helicobacter Pylori is a common pathogen leading cause of peptic ulcer disease. Several studies linked Helicobacter Pylori infection and the development of irritable bowel syndrome. Aims: We investigated the effectiveness of standard triple therapy and the association between H.Pylori infection and the development of post infectious irritable bowel syndrome. Materials and methods: Prospective analytical study was conducted and we appointed 200 H.Pylori positive patients, they consented and subjected to structured questionnaire and received standard triple therapy (14 days course of proton pump inhibitor (PPI), clarithromycin and either amoxicillin or metronidazole). After three months all patients re-evaluated regarding their symptoms and tested for eradication. Additionally we evaluated the association between H.Pylori infection and irritable bowel syndrome

The Mother-Child Interaction in Psychosomatic Disorders, Ann M. Garner and Charles Wenar, Urbana, Illinois, University of Illinois Press, 1959, 290 pp., $6.00

PEDIATRICS ◽  
1960 ◽  
Vol 26 (6) ◽  
pp. 1058-1058
Author(s):  
Milton J. E. Senn
Keyword(s):  
Rheumatoid Arthritis ◽  
Ulcerative Colitis ◽  
Peptic Ulcer ◽  
Public Schools ◽  
Psychosomatic Disorders ◽  
University Of Illinois ◽  
Child Interaction ◽  
Sick Children ◽  
Patient Service ◽  
The University

For a number of years the Department of Psychiatry at the University of Illinois maintained an in-patient service for physically sick children whose illness seemed to stem from psychologic difficulties. This ward for psychosomatic patients served children with bronchial asthma, rheumatoid arthritis, ulcerative colitis, peptic ulcer and atopic eczema. The staff, made up chiefly of psychiatrists and psychologists included a pediatrician, an educator and an occupational therapist. From their experiences here the staff started research with ambulant patients who lived in their own homes, attended public schools, and who might have had periods of hospitalization previously but were not in-patients when studied intensively for the psychologic etiology of their illnesses.

Social Desirability and Irritable Bowel Syndrome

1992 ◽  
Vol 22 (1) ◽  
pp. 99-103 ◽  
Author(s):  
Brenda B. Toner ◽  
Eileen Koyama ◽  
Paul E. Garfinkel ◽  
Kursheed N. Jeejeebhoy ◽  
Ines Di Gasbarro
Keyword(s):  
Irritable Bowel Syndrome ◽  
Social Desirability ◽  
Psychiatric Patients ◽  
Self Report ◽  
Control Group ◽  
Social Desirability Scale ◽  
Significant Group ◽  
Assessment And Treatment ◽  
Irritable Bowel ◽  
And Control

The Marlowe-Crowne Social Desirability Scale, a 33-item self-report questionnaire, was administered to an age-matched sample of twenty-five irritable bowel syndrome (IBS) patients, twenty-four psychiatric patients meeting a diagnosis of major depression, and nineteen controls. As predicted, planned comparisons analysis showed a significant group effect: IBS group scores were significantly higher than both depressed and control group scores ( p < .05). Implications of this social desirability response set for the psychological assessment and treatment of IBS are discussed.

Prevalence of Irritable Bowel Syndrome in Obsessive–Compulsive Disorder

CNS Spectrums ◽  
2006 ◽  
Vol 11 (1) ◽  
pp. 21-25 ◽  
Author(s):  
Prakash S. Masand ◽  
Nancy J. Keuthen ◽  
Sanjay Gupta ◽  
Subhdeep Virk ◽  
Barbara Yu-Siao ◽  
...  
Keyword(s):  
Irritable Bowel Syndrome ◽  
Obsessive Compulsive Disorder ◽  
Psychiatric Patients ◽  
Diagnostic Interview ◽  
Control Group ◽  
Medical Patients ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Irritable Bowel ◽  
Rome I

ABSTRACTIntroduction:Irritable bowel syndrome (IBS) occurs more frequently in psychiatric patients, especially those with anxiety and mood disorders.Methods:We sought to determine the prevalence and phenomenology of IBS in patients diagnosed with obsessive-compulsive disorder (OCD). A semi-structured diagnostic interview was administered to patients seeking treatment for OCD in outpatient settings. Structured questions regarding gastrointestinal functioning and IBS symptoms were administered. IBS was diagnosed by a gastroenterologist using Rome I criteria.Results:Thirty-seven patients (35.1%) with OCD met criteria for IBS. Of these, 53.8% had IBS with both diarrhea and constipation, 30.8% had diarrhea-predominant IBS, and 15.4% had constipation-predominant IBS.The prevalence rate of IBS in an age- and sex-matched control group (n=40) of medical patients in a family practice was 2.5%. IBS prevalence rates were significantly higher for OCD patients than control subjects (P=.0002).Conclusion:IBS and psychiatric illness have high rates of bi-directional comorbidity. This study shows that 35.1% of patients with OCD satisfied criteria for IBS in contrast to 2.5% of the controlled subjects. In most patients the IBS was characterized by both diarrhea and constipation. While taking the initial history clinicians should inquire about bowel symptoms in patients presenting with psychiatric illnesses, including OCD. SSRIs could potentially worsen such symptoms and lead to non-adherence.

scholarly journals AB0927-PARE WORK PRODUCTIVITY AND ACTIVITY IMPAIRMENT IN PATIENTS WITH SAPHO SYNDROME

2021 ◽  
Vol 80 (Suppl 1) ◽  
pp. 1484.3-1485
Author(s):  
L. Gong ◽  
C. Li
Keyword(s):  
Rheumatoid Arthritis ◽  
Irritable Bowel Syndrome ◽  
Ankylosing Spondylitis ◽  
General Health ◽  
Productivity Loss ◽  
Work Productivity ◽  
Sapho Syndrome ◽  
Activity Impairment ◽  
Irritable Bowel ◽  
Disease Specific

Background:Synovitis, acne, pustulosis, hyperostosis, and osteitis (SAPHO) syndrome is a rare disease, characterized by osteoarticular and cutaneous manifestations. Osteitis and hyperostosis are regarded as the core pathophysiological changes of SAPHO syndrome [1], which may lead to bone pain and loss of motor function. The Work Productivity and Activity Impairment (WPAI) questionnaire is an instrument to measure the impact of the disease on work productivity and activity, subsequently adapted for ankylosing spondylitis [2], rheumatoid arthritis [3], irritable bowel syndrome [4], and other chronic diseases [5]. However, no study has investigated the work productivity of patients with SAPHO syndrome.Objectives:The purpose of this study is to give an overview of work productivity loss in SAPHO patients through the work productivity and activity impairment (WPAI) questionnaire and investigate the relationship between the WPAI and other disease-related indicators.Methods:Patients for this cross-sectional study were recruited from Peking Union Medical College Hospital (Beijing, China). The questionnaires incorporating the WPAI were administered, along with demographic data, disease-specific measures, and general health variables. The construct validity of WPAI was evaluated by the correlations between WPAI outcomes and other measures. Wilcoxon rank-sum tests and non-parametric Kruskal-Wallis tests were used for comparison of WPAI outcomes between known-groups.Results:A total of 376 patients were included and 201 patients (53.5%) were employed. The median (interquartile range [IQR]) of absenteeism, presenteeism, work productivity loss and activity impairment were 0% (0-13%), 20% (0-40%), 20% (0-52%) and 30% (0-50%), respectively. All WPAI outcomes showed moderate to strong correlations to other generic and disease-specific measures (|r| =0.43-0.75), except for absenteeism. Increasing disease activity and worse health status are significantly associated with higher impairment of work productivity and activity.Conclusion:This study highlights the negative effects of SAPHO syndrome on patients’ work productivity and activity, indicating a good construct validity and discriminative ability of WPAI. For reducing the economic burden, it is important to improve the patients’ work productivity and daily activity with active intervention.References:[1]Liu S, Tang M, Cao Y, Li C. Synovitis, acne, pustulosis, hyperostosis, and osteitis syndrome: review and update. Therapeutic advances in musculoskeletal disease. 2020;12:1759720x20912865.[2]Reilly MC, Gooch KL, Wong RL, Kupper H, van der Heijde D. Validity, reliability and responsiveness of the Work Productivity and Activity Impairment Questionnaire in ankylosing spondylitis. Rheumatology (Oxford, England). 2010;49(4):812-819.[3]Zhang W, Bansback N, Boonen A, Young A, Singh A, Anis AH. Validity of the work productivity and activity impairment questionnaire--general health version in patients with rheumatoid arthritis. Arthritis research & therapy. 2010;12(5):R177.[4]Frandemark A, Tornblom H, Jakobsson S, Simren M. Work Productivity and Activity Impairment in Irritable Bowel Syndrome (IBS): A Multifaceted Problem. The American journal of gastroenterology. 2018;113(10):1540-1549.[5]Enns MW, Bernstein CN, Kroeker K, Graff L, Walker JR, Lix LM, et al. The association of fatigue, pain, depression and anxiety with work and activity impairment in immune mediated inflammatory diseases. PloS one. 2018;13(6):e0198975.Disclosure of Interests:None declared

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