Faktor-Faktor yang Berhubungan dengan Amplifikasi Somatosensori Pada Penderita dengan Keluhan Nyeri Ulu Hati

Abstract

Background: In general practice, psychological disorder (depression, anxiety, and somatoform) is often undiagnosed. Comordity of psychological disorder and Functional Gastrointestinal Disorders are relatively high. Psycosocial factor plays a role in pathophysiology of the Functional Gastrointestinal Disorders, although the causative correlation has not been establised. Somatosensory amplification is one of the risk factors that explain the somatization process. This study was conducted to find out whether Psychiatric Disorder influence the occurrence of somatosensory amplification, and what factors influence the occurrence of somatosensory amplification of patients with epigastric pain. Design and Method: Analytical research uses crossectional method. 180 Subjects with epigastric pain treated at Poli IPD RSDK meeting the criteria were included in the study. Somatosensory amplification was measured by Somatosensory Aplification Scale (SSAS), painful degree by Visual Analog Scale (VAS), Depression and Anxiety by PPDGJ III, and Somatoform disorder by DSM IV, Depression degree by HDRS, Anxiety degree by HARS. Data processing by SPSS-12 program, with significant limit 0,05. Design and Method: Analytical research uses crossectional method. 180 Subjects with epigastric pain treated at Poli IPD RSDK meeting the criteria were included in the study. Somatosensory amplification, painful degree Somatoform disorder, Depression and anxiety degree were measured by Somatosensory Aplification Scale (SSAS), Visual Analog Scale (VAS), PPDGJ III, DSM IV, HDRS, HARS respectively. SPSS-12 program was used for data analysis with (significancy p<0.05). Result: Out 108 subjects, 36 subjects had depression, 22 had anxiety and 6 had somatoform disorder. There was a significant difference in the mean of SSAS score between patients with psychiatric disorder and patients without psychiatric disorder. There is a significant difference in the mean of SSAS score between patients with psychososial stressor and patients without psychosocial stressor. There was a significant difference in the average SSAS score among sex, painful degree, and painful period. Conclusion: Psychiatric disorder, sex, psychososial stressor, painful degree, and painful period have relation with somatosensory amplification of patiens with epigastric pain (Sains Medika, 2(2):178-192).