Anxiety and depression in patients with gastroesophageal reflux disorder.

Published on Aug 1, 2017in Electronic physician
· DOI :10.19082/5107
Seyed Alireza Haji Seyed Javadi2
Estimated H-index: 2
(QUMS: Qazvin University of Medical Sciences),
Ali Akbar Shafikhani2
Estimated H-index: 2
(QUMS: Qazvin University of Medical Sciences)
BACKGROUND: Evidence shows an influence relationship between described symptoms of gastroesophageal reflux disorder (GERD) and emotional state. OBJECTIVE: To determine the relationship between anxiety and depression with GERD in patients referred to the endoscopy unit of Bouali-Sina Hospital in Qazvin. METHODS: This case-control study was conducted in the endoscopy unit of Bouali-Sina Hospital in Qazvin, Iran, from April 2014 through May 2015. Two hundred individuals (100 patients with GERD and 100 healthy individuals as a control group) were enrolled into the current study. All subjects completed the hospital anxiety and depression questionnaire. GERD was diagnosed based on the Los Angeles classification system. Demographic and socioeconomic characteristics in addition to clinical history of subjects were collected and analyzed using proper statistical methods (independent-samples t-test and AVOVA) and using SPSS version 22. RESULTS: Among the recruited patients, 50 subjects had erosive esophagitis (ERD) and 50 had non-erosive esophagitis (NERD). The anxiety score was significantly higher in the NERD group than the ERD and control groups (p=0.017; p<0.001). In addition, the anxiety score was significantly higher in the ERD group than the control group (p=0.014). The score of depression was higher in the NERD group than the ERD and the control groups. However, this difference was not statistically significant for the ERD group (p=0.63), but the difference was significant in comparison to the control group (p<0.001). There was no significant difference among the groups regarding age, gender or body mass index (BMI). The number of smokers was significantly higher in the ERD group than the NERD and control groups (p<0.001). CONCLUSION: The current study showed that mental factors (anxiety and depression) play important roles in the development of GERD, especially NERD; therefore, it is recommended to consider these factors to select a suitable treatment plan.
📖 Papers frequently viewed together
1 Citations
33 Citations
23 Citations
Cited By21
#1Josephine Yates (Harvard University)
#2Alba Gutiérrez-Sacristán (Harvard University)H-Index: 9
Last. Nathan Palmer (Harvard University)H-Index: 18
view all 12 authors...
Objective When studying any specific rare disease, heterogeneity and scarcity of affected individuals has historically hindered investigators from discerning on what to focus to understand and diagnose a disease. New nongenomic methodologies must be developed that identify similarities in seemingly dissimilar conditions. Materials and methods This observational study analyzes 1042 patients from the Undiagnosed Diseases Network (2015-2019), a multicenter, nationwide research study using phenotypi...
#1Xin JiH-Index: 10
#2Chenggen JinH-Index: 1
Last. Jiafu JiH-Index: 45
view all 8 authors...
Purpose The aim of the present study was to compare the difference between double tract reconstruction and esophagogastrostomy. Materials and Methods Patients who underwent radical proximal gastrectomy with esophagogastrostomy or double tract reconstruction were included in this study. Results 64 patients were included in this study and divided into two groups according to reconstruction method. The two groups were well balanced in perioperative safety and three-year overall survival (OS). The r...
#1Jiarong Lin (Dalian Medical University)
#2Gongkai Liu (NSU: Nova Southeastern University)
Last. Zhijun Duan (Dalian Medical University)
view all 3 authors...
Introduction null Esophagus dysmotility is a crucial risk factor of gastroesophageal reflux disease (GERD), which is one of the most common diseases in digestive medicine globally. This review emphasizes the mechanisms of esophagus dysmotility in diabetes and summarizes more targeted treatments for these patients to avoid the overuse of proton pump inhibitors (PPIs). null Areas covered null Diabetes mellitus (DM) is a clear factor that must not be neglected in the development of GERD. Previous s...
#1Marco LosaH-Index: 3
#2Salomon M. ManzH-Index: 1
Last. Daniel PohlH-Index: 22
view all 5 authors...
Background null Little is known about possible underlying psychological abnormalities and physiology of reflux hypersensitivity (RH) as defined in the recent Rome IV classification. We aimed to assess markers of psychological comorbidity as well as gastro-esophageal reflux measurements in RH patients compared to controls and also in patients with functional heartburn (FH) and non-erosive reflux disease (NERD) versus controls. null Methods null Data of 304 patients visiting our Functional Diagnos...
Given the frequent concomitance between depression and gastroesophageal reflux disease (GERD), it is important to evaluate the change of depression in patients with GERD, especially considering the presence of esophageal mucosal breaks (MB). This study aimed to examine the change in the levels of depression in patients with GERD during proton-pump inhibitors (PPI) therapy. We designed a prospective cohort study to explore the profile of the alteration in depression with respect to the impact of ...
#1Marisa J. Perera (UM: University of Miami)H-Index: 7
#2Neil Schneiderman (UM: University of Miami)H-Index: 101
Last. Maria M. Llabre (UM: University of Miami)H-Index: 51
view all 6 authors...
Psychological distress is common among non-Hispanic/Latino adults with gastrointestinal (GI) symptoms. Heartburn and acid regurgitation symptom prevalence, and their relationship with anxious and depressive symptoms, was examined in 16,415 Hispanic Community Health Study/Study of Latinos participants aged 18-74 from 4 US cities (Bronx, NY; Chicago, IL; Miami, FL; San Diego, CA). Complex survey logistic regression models were used to test relations between GI, anxious, and depressive symptoms. 10...
#1Hannibal Person (ISMMS: Icahn School of Medicine at Mount Sinai)H-Index: 2
#2Laurie Keefer (ISMMS: Icahn School of Medicine at Mount Sinai)H-Index: 40
Abstract The high comorbidity of psychological disorders in both functional and organic gastrointestinal diseases suggests the intimate and complex link between the brain and the gut. Termed the brain-gut axis, this bidirectional communication between the central nervous system and enteric nervous system relies on immune, endocrine, neural, and metabolic pathways. There is increasing evidence that the gut microbiome is a key part of this system, and dysregulation of the brain-gut-microbiome axis...
4 CitationsSource
#1Rongxin Wang (Capital Medical University)
#2Jing Wang (Capital Medical University)
Last. Shuiqing Hu (Capital Medical University)
view all 3 authors...
BACKGROUND The etiology of reflux esophagitis (RE) is multi-factorial. This study analyzed the relationship of depression, anxiety, lifestyle and eating habits with RE and its severity and further explored the impact of anxiety and depression on patients' symptoms and quality of life. METHODS From September 2016 to February 2018, a total of 689 subjects at Xuanwu Hospital Capital Medical University participated in this survey. They were divided into the RE group (patients diagnosed with RE on ga...
#1Marjan Mokhtare (IUMS: Iran University of Medical Sciences)H-Index: 8
#3Mansour Bahardoust (IUMS: Iran University of Medical Sciences)H-Index: 4
Background: Gastroesophageal reflux disease (GERD) is a common upper gastrointestinal disorder with a negative impact on the quality of life. This study was aimed to assess the effect of adding duloxetine to lansoprazole on the symptom and quality of life improvement in GERD patients. Materials and Methods: Seventy adult patients with a complaint of heartburn and regurgitation were enrolled in this randomized trial. Patients with a history of atypical symptoms, advanced systemic disease, medicat...
#1Takuya Matsunaga (Saga University)H-Index: 1
#2Hiroyoshi Endo (Saga: Saga Group)H-Index: 6
Last. Kazuma Fujimoto (International University of Health and Welfare)H-Index: 2
view all 13 authors...
OBJECTIVE: The aim of this study was to determine the characteristics of patients without Helicobacter pylori infection who were prescribed antacid medications (potassium-competitive acid blockers, proton pump inhibitors, and/or H2 receptor antagonist) and had no upper gastrointestinal lesions detected by endoscopy. METHODS: This cross-sectional study included the patients who underwent upper gastrointestinal endoscopy in our institution between August 2017 and July 2018. They were aged from 55 ...
2 CitationsSource