Psychological and colonic factors in painful diverticulosis.
Br J Surg
; 95(2): 195-8, 2008 Feb.
Article
en En
| MEDLINE
| ID: mdl-17939130
ABSTRACT
BACKGROUND:
The importance of psychological factors in symptom expression in diverticulosis is unknown. This follow-up study assessed the relative importance of colonic and psychological factors in symptom expression.METHODS:
Patients with barium enema-proven diverticula were sent a bowel symptom questionnaire in 1999 and again in 2006 with additional psychological questionnaires included.RESULTS:
Some 170 of 261 initial responders were eligible for follow-up and 124 (72.9 per cent) provided complete replies. Forty-two (33.9 per cent) of 124 respondents experienced recurrent abdominal pain a median of 3.5 (interquartile range (i.q.r.) 2.00-9.25) days per month, with a median duration of 1 (i.q.r. 0.7-2) h. Multivariable analysis identified a history of acute diverticulitis (odds ratio 3.98; P = 0.010) and a raised score on the Hospital Anxiety and Depression Scale (odds ratio 2.53; P = 0.030) as the best predictors of recurrent pain.CONCLUSION:
Psychological and colonic factors are important in symptom expression in diverticulosis.
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Banco de datos:
MEDLINE
Asunto principal:
Ansiedad
/
Dolor Abdominal
/
Defecación
/
Divertículo del Colon
Tipo de estudio:
Etiology_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Límite:
Aged
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Año:
2008
Tipo del documento:
Article