Korean J Gastrointest Motil.
2002 Nov;8(2):146-152.
Role of Stress in Functional Dyspepsia
- Affiliations
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- 1Department of Medicine, Sungkyunkwan University School of Medicine, Kangbuk Samsung Hospital, Korea. sohnci@samsung.co.kr
- 2Department of Neuropsychiatry, Sungkyunkwan University School of Medicine, Kangbuk Samsung Hospital, Korea.
- 3Department of Medicine, Samsung Cheil Hospital, Korea.
- 4Department of Medicine, Masan Samsung Hospital, Korea.
- 5Department of Internal Medicine, Cha University College of Medicine, Korea.
- 6Department of Internal Medicine, Sejong Hospital6, Seoul, Korea.
Abstract
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BACKGROUND/AIMS: Pathogenesis of functional dyspepsia consists of motor abnormality, sensory abnormality, and psychologic abnormality. Anxiety, depression, and psychosomatic disorders are well known psychopathologies that lead to dyspepsia, and stress seems to be an additional etiology. The aim of this study is to assess whether stress can cause and/or provoke dyspepsia.
METHODS
Functional dyspepsia was defined and classified by Rome criteria. SCL-90-R for the detection of psychopathology, measurement of life stress scale by self-administered questionnaire, and measurement of stress coping mechanisms using a multidimensional stress coping scale test were performed in 79 functional dyspeptic patients and 25 normal controls.
RESULTS
No significant difference was found in the total amount of stress between functional dyspeptic patients and the normal control. However, the patients were more stressful about issues relating to health and marital relationship among stresses in individual daily life. As the patients become more stressful, they used more negative coping mechanisms such as restraint, fatalism, criticism, religiousness, and negativism. These seem to provoke several psychopathologies including interpersonal sensitivity, depression, anxiety, hostility. However, there was no relationship in the amount of stress, the stress coping mechanism, and psychopathology among the dyspeptic symptoms and subgroups of functional dyspepsia.
CONCLUSION
There was no difference in the total amount of stress between functional dyspeptic patients and the normal control. In some individuals who utilize inadequate coping mechanisms against stress, the stress can provoke dyspepsia.
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