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KMID : 0378019840270020134
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New Medical Journal
1984 Volume.27 No. 2 p.134 ~ p.142
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A Psychiatric Study of Peptic Ulcer
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Abstract
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Fifty-five peptic ulcer patients who visited to Department of Gastroenterology, Hae Wha Hospital, Korea University during 3years from Jan. 1980 to Dec. 1982 were referred to neuropsychiatric department for this study and evaluated psychiatrically in order to investigate the psychiatric aspects of petic ulcer as gastrointestinal illness.
The summary of the results were as follows;
1. As to their age distribution, the mean age of onset was 52.2 in gastric ulcer group, 39.1 in duodenal ulcer group and 36.4 in gastric and duodenal ulcer group. As a whole, thirty-one of these 55 patients (57.6%) were ranged between 31 and 50 with statistical significance.
2. As to their socioeconomical level, thirty-three of these 55 patients (60. 0%) were belong to the middle class.
3. As to their educational standard, high school graduates and college graduates were 36 of these 55 patients (65.4%) with relatively high educational level.
4. As to their occupational status, driver was the most common job that was the job of 11 patients and company employee (9 patients), commerce (6 patients), and enterpriser (6 patients) was also common in the order of frequency.
5. Patients with aggressive, ambitious and driving traits were thirty of these 55 patients (54.5%) and the remaining 25 patients (45.5%) had dependent, irresponsible and inactive personality traits.
6. Thirty-seven of these 55 patients (67.3%) had experienced the recent life stress. Among recent life stresses, occupational difficulties were the most common, but financial loss, familiar dysharmony and unhappiness with spouse were also common.
7. Thirty of these 55 patients had experienced the unhappy childhood and 18 of these patients had the history of parental loss before age fifteen.
Fourteen of these patients had experienced the depressive episodes in past and only one patient had experienced of separation before age five.
8. Twenty-nine of these 55 patients had the psychiatric illness. Eleven of twenty-nine patients were diagnosed as dysthymic disorder, eight were anxiety disorder and seven were alcohol dependence.
This study suggests that the many psychiatric factors including affective illness, recent life stress, abuse and impaired relationship in childhood and a history of parental loss are important in the genesis of peptic ulcer and in the treatment of peptic ulcer, appropriate psychiatric intervention have to be accompanied with the medical treatment.
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