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Journal of the Korean Academy of Family Medicine 2002;23(7):881-889.
Published online July 10, 2002.
A Study of Anger, Alexithymia, and Depression in the Functional Dyspepsia.
Sang Gun Kang, Hyoung Jun Kim, Sang Yeol Lee, Man Jin Cha, Hye Hun Hwang
1Department of Family Medicine, Asan Foundation Jeong-Up Hospital, Korea.
2Department of Psychiatry, University of Wonkwang Medical School, psysangyeol@hanmail.net
기능성 소화불량증 환자의 분노, 감정표현불능증과 우울 A Study of Anger, Alexithymia, and Depression in the Functional Dyspepsia
강상건,김형준,이상열,차만진,황혜헌
1
2
초록

Background

Functional dyspepsia (FD) is a commonly encountered disturbance of gut function and has been shown to be associated with psychological disturbance such as depression and anxiety. Of particular importance to clinicians are the relationship between anger, alexithymia, and depression. In this study, we investigated anger, alexithymia, and depression in patients with functional dyspepsia.


Methods
Thirty patients who visited Wonkwang University Hospital from January 2001 to June 2001, were diagnosed with functional dyspepsia by a gastroenterologist and compared with 37 healthy control group. Medical investigation of FD including gastrofiberscopy, esophageal manometry, and ambulatory 24-hours intraesophageal reflux test were negative. All subjects were evaluated for depression, anxiety, anger and anger expression, and alexithymia. The measures included Beck Depression Inventory (BDI), Spielberger State-Trait Anxiety Inventory (STAI), Spielberger State-Trait Anger Expression Scale (STAXI), and Toronto Alexithymia Scale (TAS).


Results
The FD patients reported significantly more symptoms of depression, more difficulty describing feeling to others in TAS, less anger-in and anger-out expression in STAXI than the control subjects. Depressive symptoms in FD were positively correlated with state anxiety, trait anxiety, alexithymia, state anger, trait anger, and anger-in expression. In multiple regression model, state anger and trait anxiety together accounted for 69.1% of the depression in FD.


Conclusion
The FD patients reported more depressive symptoms, and the depressive symptoms were related to anxiety, anger and anger-in, and alexithymia. These finding lend support that FD is a syndrome in which biopsychosocial process and affect dysregulation may play a role in features of FD.

중심 단어: 기능성 소화불량증, 분노, 감정표현불능증, 우울, functinoal dyspepsia, depression, anger, alexithymia


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