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目的 对功能性消化不良 (FD)患者进行焦虑与抑郁调查 ,探讨精神因素在FD发病中的作用。方法 用焦虑自评量表 (SAS)和抑郁自评量表 (SDS)对 186例FD患者评定 ,并与我国常模对照。结果 FD患者中 2 6.3 %有焦虑情绪 ,3 1.7%有抑郁情绪 ,焦虑、抑郁评分显著高于我国常模水平 ,消化不良程度与焦虑、抑郁分数成正相关 ,中青年组焦虑、抑郁分数较老年组高。结论 FD的发生与焦虑、抑郁等精神因素有关 ,支持FD是一种心身疾病的观点。提示在FD的治疗上 ,应从生物、心理和社会因素多方面作综合性治疗
Objective To investigate anxiety and depression in patients with functional dyspepsia (FD) and to explore the role of mental factors in the pathogenesis of FD. Methods 186 patients with FD were assessed with Self-rating Anxiety Scale (SAS) and Self-rating Depression Scale (SDS), and compared with our country’s norm. Results Of the FD patients, 26.3% had anxiety and 3 1.7% had depression. The scores of anxiety and depression were significantly higher than the norm of our country. The degree of indigestion was positively correlated with the anxiety and depression scores. The scores of anxiety and depression in the young and middle-aged group were older than those in the old age group. Group height. Conclusion The occurrence of FD is related to anxiety, depression and other mental factors. It supports the view that FD is a psychosomatic disease. It is suggested that in the treatment of FD, comprehensive treatment should be conducted from many aspects of biological, psychological and social factors.