幽门螺杆菌阳性和消化不良对抑郁和躯体感觉放大的影响

Meltem Pusuroglu, Bayram Kizilkaya
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摘要

幽门螺杆菌胃炎是世界上常见的一种感染。本研究探讨幽门螺杆菌阳性对抑郁和躯体感觉放大的影响。该研究共包括112例消化不良患者,52例幽门螺杆菌阳性,60例幽门螺杆菌阴性,以及54例无任何症状的健康对照组。参与者完成贝克抑郁量表和躯体感觉放大量表。幽门螺杆菌阳性对抑郁水平无影响(p=0.116),而幽门螺杆菌阳性对躯体感觉放大有显著影响(F=6.794;p = 0.010;η2 = 0.40)。消化不良主诉对抑郁水平有显著影响(F=6.695;p = 0.011;η2=0.039)和躯体感觉放大(F=7.554;p = 0.007;η2 = 0.044)。结果发现,躯体感觉放大、性别和家族史是抑郁症的显著解释变量(p=0.001 β2=0.255;p = 0.038β2 = 0.150;p = 0.002β2 = 0.230)。体感放大每增加1个单位,抑郁增加0.269个单位,女性增加2.463个单位,阳性家族史增加4.949个单位。幽门螺杆菌阳性并不是抑郁症的显著解释变量(p=0.412)。虽然幽门螺杆菌阳性对抑郁症没有影响,但发现它对躯体感觉放大有效。消化不良主诉的存在对抑郁和躯体感觉放大都有效。躯体感觉放大是预测消化不良患者抑郁的因素之一。体感放大是幽门螺杆菌阳性和消化不良患者的重要因素。在对该患者群体的监测和治疗中,不可忽视精神疾病。
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Effect of helicobacter pylori positivity and dyspepsia on depression and somatosensory amplification
Helicobacter pylori gastritis is an infection frequently observed around the world. In our research, the effect of Helicobacter pylori positivity on depression and somatosensory amplification was investigated. The research included a total of 112 patients with dyspeptic complaints, 52 Helicobacter pylori positive and 60 Helicobacter pylori negative, and a healthy control group of 54 cases without any complaints. Participants completed the Beck Depression Inventory and the Somatosensory Amplification Scale. There was no effect of Helicobacter pylori positivity on depression levels (p=0.116), while Helicobacter pylori positivity had a significant effect on somatosensory amplification (F=6.794; p=0.010; η2=0.40). There were significant effects of dyspeptic complaints on depression levels (F=6.695; p=0.011; η2=0.039) and somatosensory amplification (F=7.554; p=0.007; η2=0.044). It was identified that somatosensory amplification, sex and family history were each statistically significant explanatory variables for depression (p=0.001 β2=0.255; p=0.038 β2=0.150; p=0.002 β2=0.230). There was a 0.269 increase in depression for each 1-unit increase in somatosensory amplification, the female sex increased depression by 2.463 units and positive family history increased it by 4.949 units. Helicobacter pylori positivity was not found to be a significant explanatory variable for depression (p=0.412). While Helicobacter pylori positivity did not have an effect on depression, it was found to be effective in somatosensory amplification. The presence of dyspeptic complaints was effective on both depression and somatosensory amplification. Somatosensory amplification was one of the factors predicting depression in patients with dyspeptic complaints. Somatosensory amplification is an important factor in patients with Helicobacter pylori positivity and dyspeptic complaints. Mental diseases should not be ignored during the monitoring and treatment of this patient group.
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