摘要
目的 调查分析当代大学生心理情绪与胃肠功能的关系.方法 随机选取学校全日制本科学生3000例,共发放3000份调查问卷,经纳入和排除后共有180例(180份)学生参与研究.结果 180例中有53例功能性胃肠病(FGIDs),其中食管病变10例、十二指肠病变9例、消化不良34例和其他10例.非FGIDs和FGIDs大学生的性别和民族差异无统计学意义(P>0.05),而年龄、月生活费、家族胃肠道疾病史、年级比较,差异有统计学意义(P<0.05).FGIDs大学生躯体化、焦虑、抑郁评分高于非FGIDs(P<0.05),自卑、社交退缩、攻击高性、偏执、强迫、依赖、冲动、精神病倾、性心理评分相同,差异无统计学意义(P>0.05).将躯体化、焦虑和抑郁评分与大学生FGIDs进行Spearman相关性分析,结果得出分别与其评分呈正相关(r=0.668,r=0.573,r=0.520),具有较高的相关性.结论 当代大学生存在一定负性心理和功能性胃肠病,且心理情绪和胃肠功能之间关系密切,积极干预心理因素有利于减少功能性胃肠病.
Abstract
Objective To investigate and analyze the relationship between psychological mood and gastroin-testinal function of contemporary college students.Methods A total of 3000 full-time undergraduate students were ran-domly selected and 3000 questionnaires were distributed,among them 180 students(180 questionnaires)were enrolled in the study.Results There were 53 cases of FGIDs in 180 cases,including 10 cases of esophageal diseases,9 cases of du-odenum diseases,34 cases of dyspepsia and 10 cases of other diseases.There was no significant difference between non-FGIDs and FGIDs in gender and nationality(P>0.05).There were significant differences in age,monthly living cost,family history of gastrointestinal disease and grade(P<0.05).The scores of somatization,anxiety and depression in FGIDs were higher than those in non-FGIDs(P<0.05),the scores of self-abasement,social withdrawal,high aggression,paranoid ideation,obsessive-compulsive,dependence,impulsivity,psychopathy and sexual psychology were the same,but there was no significant difference(P>0.05).The scores of somatization,anxiety and depression were correlated with the scores of FGIDs by Spearman analysis.Spearman correlation analysis showed that the scores of somatization,anxiety and depression were positively correlated with the scores of FGIDs(r=0.668,r=0.573,r=0.520).Conclusion There are some negative psychological and functional gastrointestinal disorders in college students,and there is a close relationship between psychological and gastrointestinal functions,active intervention of psychological factors is beneficial to reduce functional gastrointestinal disease.
基金项目
潍坊市卫生健康委科研项目(WFWSJK-2023-226)