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KMID : 0363320040250040306
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Journal of Korean Oriental Internal Medicine
2004 Volume.25 No. 4 p.306 ~ p.317
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Study on the Correlation between Patients Complaints of Dyspepsia and Stress -Through comparison between functional dyspepsia patients and nonsymptomatic chronic gastritis patients-
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Lee Sang-Wook
Kim Jin-Sung
Yoon Sang-Hyub
Ryu Bong-Ha
Ryu Ki-Won
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Abstract
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Background & Object : Dyspepsia for which no organic causes are disclosed is referred to as functional dyspepsia. Functional dyspepsia is here studied in connection with a biopsychosocial model. From the aspect of individual response to external environment, in connection with stress response, functional dyspepsia is studied by both the psychology department and the internal medicine departments. The disease is taken as approachable from the aspect of internal injury due to seven emotions and stress as differentiated by Oriental medicine.
Materials and Methods : Targeted at 223 patients underwent medical checks and endoscopy at Kangnam Korean Hospital, Kyunghee University. They agreed to join this clinical experiment. Stress response inventory, GARS (global assessment of recent stress scale), GSRS (gastrointestinal symptom rating scale), diagnostic scores for Ki-depression, and Spleen Disease Differentiation of Syndromes were all measured and evaluated.
The test group was comprised of functional dyspepsia patients. The control group was comprised of nonsymptomatic chronic gastritis patients who were found to suffer from chronical gastritis in endoscopy and thus could be diagnosed with functional dyspepsia if symptoms would arise, but did not complain of subjective symptoms.
Results showed these corelations: Functional dyspepsia patients were found to have more serious Ki-depression compared to nonsymptomatic chronic gastritis patients. The more serious Ki-depression the more serious the dyspepsia symptoms. The higher the stress response inventory the more serious the dyspepsia. Deficiency of spleen Eum, and Deficiency and Sinking of spleen Gi were found to coincide with serious Ki-depression.
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KEYWORD
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Dyspepsia, Stress, Ki-depression, Spleen disease differentiation of syndromes
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