Abstract
The World Health Organization defines health a state of complete physical, mental and social wellbeing and not merely the absence of disease or infirmity. This includes the capability to be productive both socially and economically. The functional gastrointestinal disorders (FGIDs) are a heterogenous group of chronic conditions that are considered to have no structural or biochemical abnormalities that account for the symptoms. They are supposed to originate from malfunction of the gut with respect to the nervous mis perception. In these cases, anxiety and or depression could be present mainly in the ‘state’ and or ‘current’ form, reactive to the symptoms. Aim: Descriptive study to assess the socio demographic profile of patients with gastrointestinal disorders. To study the psychiatric morbidity in gastrointestinal disorder patients attending gastrointestinal clinics. Objectives: To study the relationships between factors attributable to gastrointestinal disorders and psychiatric morbidity. To study the effectiveness of GHQ as a screening instrument for psychiatric morbidity in gastrointestinal patients. Sample: 52 patients with gastrointestinal problems of all kinds who attended OPD with age group of 15-65 years. Methods: General Health Questionnaire (GHQ) standardized tool was used. Results: Married patients had higher GAD and MDD compared to unmarried patients. Unemployed and retired people had higher rates of GAD and MDD compared to employ. Students with GI disease had no psychiatric morbidity. All subscales of GHQ showed correlation significantly.
Highlights
The World Health Organization defines health a state of complete physical, mental and social wellbeing and not merely the absence of disease or infirmity
The functional gastrointestinal disorders (FGIDs) are a heterogenous group of chronic conditions that are considered to have no structural or biochemical abnormalities that account for the symptoms
The sample was collected by serial sampling, from patients attending the above mentioned dermatology clinics, between July and August 2008.Consenting patients in the age group of 15-65 years of either sex with symptom duration of 1 month or more were taken into the study
Summary
The World Health Organization defines health a state of complete physical, mental and social wellbeing and not merely the absence of disease or infirmity. The functional gastrointestinal disorders (FGIDs) are a heterogenous group of chronic conditions that are considered to have no structural or biochemical abnormalities that account for the symptoms They are supposed to originate from malfunction of the gut with respect to the nervous mis perception. When a patient approaches a trained physician with any or more of the aforementioned symptoms, the physician approaches the illness as due to either an infectious or inflammatory or neoplastic or a structural (anomalies) aetiology and only if he draws a blank on this does he proceed towards making a diagnosis of a “functional” disorder. Symptoms in FGID are supposed to originate from malfunction of the gut with respect to the nervous mis perception These conditions are important to public health because they are remarkably common, can be disabling and induce a major economic brden. Aristotle and Hippocrates prescribed “holism” as a therapeutic option for this about 3,400 years ago the concept was later carried forward by Maimondes- a Jewish philosopher and physician-here the individual was views as whole a with respect to the diseases part[1]
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