5. An association of psychosocial characteristics and severity of ulcers in adolescents with chronic peptic ulcer disease

Nguyen Thi Phuong Mai, Nguyen Thi Thanh Mai, Do Thi Minh Phuong

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Tóm tắt

The purpose of the study was to analyze various psychosocial characteristics and to examine their association with the severity of ulcers in adolescents with chronic peptic ulcer. A cross-sectional descriptive study, using interview questionnaires and psychological tests was conducted in 214 adolescents diagnosed with chronic peptic ulcer at 03 central hospitals in Hanoi. The results showed that adolescents with peptic ulcer often had neurotic personality traits (83.1%), had a habit of staying up late after 12 pm (21%), irregular eating (48.1%), and smoked e-cigarettes (18.2%). The majority of the study subjects had psychological trauma (92.1%). The rate of adolescents with peptic ulcer disease suffering from stress, anxiety and depression accounted for 63.6%, 47.2% and 52.8% respectively. Multivariate regression analysis showed that factors including age, s gender, family with separated/divorced parents, conflict with parents, combination of many psychological traumas, sleeping late after 11 pm, irregular eating are factors that increase the risk of peptic ulcer.

Chi tiết bài viết

Author Biography

Nguyen Thi Thanh Mai,

Tiến sĩ, Bác sĩ Nguyễn Thị Thanh Mai

Phó chủ nhiệm Bộ môn Nhi - Trường đại học Y Hà Nội

Tài liệu tham khảo

1. Huang SC, Sheu BS, Lee SC, et al. Etiology and treatment of childhood peptic ulcer disease in Taiwan: A single center 9-year experience. Journal of the Formosan Medical Association. 2010;109(1):75-81.
2. Egbaria R, Levine A, Tamir A, et al. Peptic ulcers and erosions are common in Israeli children undergoing upper endoscopy. Helicobacter. 2008;13(1):62-68.
3. Bernert RA, Merrill KA, Braithwaite SR, et al. Family life stress and insomnia symptoms in a prospective evaluation of young adults. Journal of Family Psychology. 2007;21(1):58.
4. Levenstein S. The very model of a modern etiology: a biopsychosocial view of peptic ulcer. Psychosomatic Medicine. 2000;62(2):176-185.
5. Lee YB, Yu J, Choi HH, et al. The association between peptic ulcer diseases and mental health problems: A population-based study: a STROBE compliant article. Medicine. 2017;96(34).
6. Chaudhury P, Banerjee U. Nature of anger, life event stress, conflict and defense mechanism among individuals having peptic ulcer: A comparative study. Psychological Studies. 2020;65(3):285-295.
7. Levenstein S, Rosenstock S, Jacobsen RK, et al. Psychological stress increases risk for peptic ulcer, regardless of Helicobacter pylori infection or use of nonsteroidal anti-inflammatory drugs. Clinical Gastroenterology and Hepatology. 2015;13(3):498-506. e491.
8. Van Oudenhove L, Vandenberghe J, Geeraerts B, et al. Determinants of symptoms in functional dyspepsia: gastric sensorimotor function, psychosocial factors or somatisation? Gut. 2008;57(12):1666-1673.
9. Tran TD, Tran T, Fisher J. Validation of the depression anxiety stress scales (DASS) 21 as a screening instrument for depression and anxiety in a rural community-based cohort of northern Vietnamese women. BMC psychiatry. 2013;13(1):1-7.
10. Eysenck HJ, Eysenck S. The Eysenck personality inventory. British Journal of Educational Studies. 1965;14(1).
11. Sattar Y, Bseiso A, Patel N, et al. Review of psychological and behavioral factors in peptic ulcer disease. Vol 6 (2)2018.
12. Lee SP, Sung IK, Kim JH, et al. The effect of emotional stress and depression on the prevalence of digestive diseases. Journal of neurogastroenterology and motility. 2015;21(2):273.
13. Haider SI, Rasool I, Ahmed S, et al. Frequency of depression, anxiety, and stress in patients referred for endoscopy with symptoms of dyspepsia. Journal of Liaquat University of Medical & Health Sciences. 2013;12:140-144.
14. Mak A, Wu J, Chan Y, et al. Dyspepsia is strongly associated with major depression and generalised anxiety disorder - a community study. Alimentary pharmacology & therapeutics. 2012;36(8):800-810.