Background : The family members with family dysfunction frequently complains of multiple psycosomatic symptoms. Of theses, the psychosomatic factors-sensitive Upper Gastrointestinal(UGI) symptoms account for a large part of them on our out-patient department. This study was carried out to related the family function with UGI symptoms.
Methods : The subjects were 243 cases who attended the department of Family Medicine or Inernal Medicine, Pyung-Tak Bak-Ae Hospital, during a period of approximately 6 months from Feb. 1994 to Jul. 1994, categorized into two groups according to UGI symptoms. One had 106 cases who were regarded as healthy control group without UGI symptoms, another regarded as patient group of 137 cases with them, and who have been given the flexible Gastrofiberscopy with the resulting endoscopic findings. We compared family function with UGI symptoms using FACESⅢ questionare, acronym for FAmily Adaptibility and Cohesion Evaluatin Scales, which was developed by Dr. Olson, David H. to tap adaptibility and cohesion.
Results : The results processed by SPSS/PC program were as followed : 1) Male was 150(61.7%), and female was 93(38.3%) 2) Epigastric pain(63.2%) or bloating sensation(63.1%) were the most common symptoms and followed by indigestion(37.7%), nausea(32.1%), weight-change(27.4%), vomiting(24.5%), and foreign body sensation(24.5%). 3) Gastroscopic findings were as followed ; niormal finding in 54 cases(50.9%), gastritis in 32.1% , gastric ulcer in 5.7%, duodenal ulcer in 4.7%, cancer in 3.8% and others in 0.9%. 4) The patients group with the indigestion showed significant enmeshed or disengaged cohesion than the contol group. 5) The patients group with the foreign body sensation showed more disengaged cohesion and rigid adaptibility than the paients without it, and the patients group with the epigastric pain showed omre chaotic adaptibility than the patients without it. But these two groups were not nefferent from the healthy control group. 6) No difference was noted in family type related to UGI symptoms or Endoscpic ffindings.
Conclusion : This study showed the family dysfunction from patients with some UGI symptomes. Thus we suggest that the family dysfunction related to UGI symptoms. But as our subjects were not enough, we need further follow up study. N