Efficacy of the Treatment for Anxiety-Depressive Disorders in Patients with Gastroenterological Diseases

S.V. Kosynska

Abstract


The article deals with problem of the treatment of anxiety-depressive disorders in patients with gastroenterological disease and persistent symptoms of abdominal pain and dyspepsia. For objectification of psychoemotional disorders and choice of their correction, we have applied HADS scale. We have detected a high incidence of anxiety — in 93.75 % of such patients, depression — in 81.25 %, their combination — in 78.1 %. Gidazepam efficacy was evaluated in anxiety disorders and escitalopram one — in depressive disorders. It is shown that the use of psychocorrection enables to reverse gastroenterological symptoms: abdominal pain has completely gone in 71.9 % of patients, dyspeptic complaints — in 86.9 %, as well as to reduce anxiety-depressive symptoms.

References


Hartono J.L. Anxiety and depression in various functional gastrointestinal disorders: do differences exist? / J.L. Hartono, S. Mahadeva, K.L. Goh // J. Dig. Dis. — 2012. — Vol. 13, № 5. — Р. 252-257.

Mikocka-Walus A.A. Treatment of psychological comorbidities in common gastrointestinal and hepatologic disorders / A.A. Mikocka-Walus // World J. Gastrointest. Pharmacol. Ther. — 2010. — Vol. 1, № 2. — Р. 64-71.

Степанов Ю.М. Психосоматичні розлади у хворих гастроентерологічного профілю та їх медикаментозна корекція / Ю.М. Степанов, І.М. Кононов // Здоров’я України. — 2005. — № 2. — С. 36-37.

Dysfunctional cognitions, anxiety and depression in irritable bowel syndrome / A.Y. Thijssen [et al.] // J. Clin. Gastroenterol. — 2010. — Vol. 44, № 10. — Р. 236-241.

Wilhelmsen I. Reduced relapse rate in duodenal ulcer disease leads to normalization of psychological distress: twelve-year follow-up / I. Wilhelmsen, A. Berstad // Scand. J. Gastroenterol. — 2004. — Vol. 39, № 8. — Р. 717-721.

Маляров С.А. Значение симптомов тревоги в структуре депрессии / С.А. Маляров // Нейро NEWS: психоневрология и нейропсихиатрия. — 2008. — № 3/1. — С. 23-27.

Калягин В.А. Логопсихология: Уч. пособие для студ. высш. учеб. зав. / В.А. Калягин, Т.С. Овчинникова. — М.: Академия, 2006. — 320 с.

Association of sleep dysfunction and emotional status with gastroesophageal reflux disease in Korea / J.Y. Kim [et al.] // J. Neurogastroenterol. Motil. — 2013. — Vol. 19, № 3. — Р. 344-354.

Hospital Anxiety and Depression Scale (HADS): validation in a Greek general hospital sample / I. Michopoulos [et al.] // Ann. Gen. Psychiatry. — 2008. — № 7. — P. 4.

Anxiety disorders and comorbid medical illness / P.P. Roy-Byrne [et al.] // Gen. Hosp. Psychiatry. — 2008. — Vol. 30, № 3. — Р. 208-225.




DOI: https://doi.org/10.22141/2308-2097.1.55.2015.80340

Refbacks

  • There are currently no refbacks.


Copyright (c) 2016 GASTROENTEROLOGY

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

 

© Publishing House Zaslavsky, 1997-2017

 

 Яндекс.МетрикаSeo анализ сайта Рейтинг@Mail.ru