التفاصيل البيبلوغرافية
| العنوان: |
Psychological Dysfunction Is Associated With Symptom Severity but Not Disease Etiology or Degree of Gastric Retention in Patients With Gastroparesis. |
| المؤلفون: |
Hasler, William L., Parkman, Henry P., Wilson, Laura A., Pasricha, Pankaj J., Koch, Kenneth L., Abell, Thomas L., Snape, William J., Farrugia, Gianrico, Lee, Linda, Tonascia, James, Unalp-Arida, Aynur, Hamilton, Frank |
| المصدر: |
American Journal of Gastroenterology (Springer Nature); Nov2010, Vol. 105 Issue 11, p2357-2367, 11p, 7 Charts |
| مصطلحات موضوعية: |
GASTROINTESTINAL diseases, PSYCHOLOGICAL distress, SEVERITY of illness index, BECK Depression Inventory, GASTRIC acid, ETIOLOGY of diseases, PATIENTS |
| مصطلحات جغرافية: |
UNITED States |
| الشركة/الكيان: |
NATIONAL Institute of Diabetes & Digestive & Kidney Diseases (U.S.) |
| مستخلص: |
OBJECTIVES:Gastroparesis patients may have associated psychological distress. This study aimed to measure depression and anxiety in gastroparesis in relation to disease severity, etiology, and gastric retention.METHODS:Beck Depression Inventory (BDI) and State-Trait Anxiety Inventory (STAI) scores for state (Y1) and trait (Y2) anxiety were obtained from 299 gastroparesis patients from 6 centers of the National Institute of Diabetes and Digestive and Kidney Diseases Gastroparesis Clinical Research Consortium. Severity was investigator graded as grades 1, 2, or 3 and patient reported by Gastroparesis Cardinal Symptom Index (GCSI) scores. Antiemetic/prokinetic medication use, anxiolytic and antidepressant medication use, supplemental feedings, and hospitalizations were recorded. BDI, Y1, and Y2 scores were compared in diabetic vs. idiopathic etiologies and mild (≤20%) vs. moderate (>20-35%) vs. severe (>35-50%) vs. very severe (>50%) gastric retention at 4 h.RESULTS:BDI, Y1, and Y2 scores were greater with increasing degrees of investigator-rated gastroparesis severity (P<0.05). BDI, Y1, and Y2 scores were higher for GCSI >3.1 vs. ≤3.1 (P<0.05). Antiemetic and prokinetic use and ≥6 hospitalizations/year were more common with BDI ≥20 vs. <20 (P<0.05). Anxiolytic use was more common with Y1≥46; antidepressant use and ≥6 hospitalizations/year were more common with Y2≥44 (P<0.05). BDI, Y1, and Y2 scores were not different in diabetic and idiopathic gastroparesis and did not relate to degree of gastric retention. On logistic regression, GCSI >3.1 was associated with BDI ≥20 and Y1≥46; antiemetic/prokinetic use was associated with BDI≥20; anxiolytic use was associated with Y1≥46; and antidepressant use was associated with Y2≥44.CONCLUSIONS:Higher depression and anxiety scores are associated with gastroparesis severity on investigator- and patient-reported assessments. Psychological dysfunction does not vary by etiology or degree of gastric retention. Psychological features should be considered in managing gastroparesis. [ABSTRACT FROM AUTHOR] |
|
Copyright of American Journal of Gastroenterology (Springer Nature) is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) |
| قاعدة البيانات: |
Complementary Index |
