Psychological distress in patients with gastroesophageal reflux disease

L. H. Baker, David Lieberman, M. Oehlke

Research output: Contribution to journalArticle

80 Citations (Scopus)

Abstract

Background: Psychological factors play a role in a variety of gastrointestinal illnesses, including esophageal diseases. The role of psychological factors in gastroesophageal reflux disease (GERD) is not known. The purpose of this study was to determine if psychological distress is present in patients with reflux disease. Methods: We performed psychological assessments in 51 patients with documented gastroesophageal reflux disease and in 43 age-matched controls using a battery of instruments. Results: Patients with reflux differed from controls on scales of depression, somatization, anxiety, and intensity of reporting symptom distress. However, a secondary analysis revealed that it was a subset of reflux patients (30%) that accounted for the differences between the two groups. Conclusions: These results suggest that although most patients with GERD are psychologically similar to patients without GERD, a subset of psychologically distressed patients are more likely to be found among patients with GERD. They suffer from general psychological distress rather than a specific psychiatric disorder. This psychological factor could affect the clinical manifestations of reflux disease in these individuals. Recognition and management of psychological distress in this subgroup may aid in the management of reflux disease.

Original languageEnglish (US)
Pages (from-to)1797-1803
Number of pages7
JournalAmerican Journal of Gastroenterology
Volume90
Issue number10
StatePublished - 1995

Fingerprint

Gastroesophageal Reflux
Psychology
Esophageal Diseases
Disease Management
Psychiatry
Anxiety
Depression

ASJC Scopus subject areas

  • Gastroenterology

Cite this

Psychological distress in patients with gastroesophageal reflux disease. / Baker, L. H.; Lieberman, David; Oehlke, M.

In: American Journal of Gastroenterology, Vol. 90, No. 10, 1995, p. 1797-1803.

Research output: Contribution to journalArticle

@article{f4216ad8c8164f8a97e88dc8acf68cf6,
title = "Psychological distress in patients with gastroesophageal reflux disease",
abstract = "Background: Psychological factors play a role in a variety of gastrointestinal illnesses, including esophageal diseases. The role of psychological factors in gastroesophageal reflux disease (GERD) is not known. The purpose of this study was to determine if psychological distress is present in patients with reflux disease. Methods: We performed psychological assessments in 51 patients with documented gastroesophageal reflux disease and in 43 age-matched controls using a battery of instruments. Results: Patients with reflux differed from controls on scales of depression, somatization, anxiety, and intensity of reporting symptom distress. However, a secondary analysis revealed that it was a subset of reflux patients (30{\%}) that accounted for the differences between the two groups. Conclusions: These results suggest that although most patients with GERD are psychologically similar to patients without GERD, a subset of psychologically distressed patients are more likely to be found among patients with GERD. They suffer from general psychological distress rather than a specific psychiatric disorder. This psychological factor could affect the clinical manifestations of reflux disease in these individuals. Recognition and management of psychological distress in this subgroup may aid in the management of reflux disease.",
author = "Baker, {L. H.} and David Lieberman and M. Oehlke",
year = "1995",
language = "English (US)",
volume = "90",
pages = "1797--1803",
journal = "American Journal of Gastroenterology",
issn = "0002-9270",
publisher = "Nature Publishing Group",
number = "10",

}

TY - JOUR

T1 - Psychological distress in patients with gastroesophageal reflux disease

AU - Baker, L. H.

AU - Lieberman, David

AU - Oehlke, M.

PY - 1995

Y1 - 1995

N2 - Background: Psychological factors play a role in a variety of gastrointestinal illnesses, including esophageal diseases. The role of psychological factors in gastroesophageal reflux disease (GERD) is not known. The purpose of this study was to determine if psychological distress is present in patients with reflux disease. Methods: We performed psychological assessments in 51 patients with documented gastroesophageal reflux disease and in 43 age-matched controls using a battery of instruments. Results: Patients with reflux differed from controls on scales of depression, somatization, anxiety, and intensity of reporting symptom distress. However, a secondary analysis revealed that it was a subset of reflux patients (30%) that accounted for the differences between the two groups. Conclusions: These results suggest that although most patients with GERD are psychologically similar to patients without GERD, a subset of psychologically distressed patients are more likely to be found among patients with GERD. They suffer from general psychological distress rather than a specific psychiatric disorder. This psychological factor could affect the clinical manifestations of reflux disease in these individuals. Recognition and management of psychological distress in this subgroup may aid in the management of reflux disease.

AB - Background: Psychological factors play a role in a variety of gastrointestinal illnesses, including esophageal diseases. The role of psychological factors in gastroesophageal reflux disease (GERD) is not known. The purpose of this study was to determine if psychological distress is present in patients with reflux disease. Methods: We performed psychological assessments in 51 patients with documented gastroesophageal reflux disease and in 43 age-matched controls using a battery of instruments. Results: Patients with reflux differed from controls on scales of depression, somatization, anxiety, and intensity of reporting symptom distress. However, a secondary analysis revealed that it was a subset of reflux patients (30%) that accounted for the differences between the two groups. Conclusions: These results suggest that although most patients with GERD are psychologically similar to patients without GERD, a subset of psychologically distressed patients are more likely to be found among patients with GERD. They suffer from general psychological distress rather than a specific psychiatric disorder. This psychological factor could affect the clinical manifestations of reflux disease in these individuals. Recognition and management of psychological distress in this subgroup may aid in the management of reflux disease.

UR - http://www.scopus.com/inward/record.url?scp=0029050249&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0029050249&partnerID=8YFLogxK

M3 - Article

C2 - 7572897

AN - SCOPUS:0029050249

VL - 90

SP - 1797

EP - 1803

JO - American Journal of Gastroenterology

JF - American Journal of Gastroenterology

SN - 0002-9270

IS - 10

ER -