Abstract
Background: In adults, the symptoms of gastroesophageal reflux disease (GERD) are often complained of in daily life and their prevalence has increased. Symptoms of GERD are often found along with the occurrence of dyspepsia. One of the factors that affect the symptoms of GERD is depression. Due to the limited data available in Indonesia, this study was conducted to see the correlation between depression and gastroesophageal reflux disease questionnaire score (GERD-Q).Method: This study was conducted on dyspepsia patients at Atma Jaya Hospital (RSAJ) beginning at June to September 2018. The study was conducted using a cross-sectional design and using the GERD-Q and Depression questionnaire, Anxiety, Stress Scale 42 (DASS 42) which has been translated and validated by other researchers to measure GERD scores and depression scores.Results: The total respondents of this study were 53, with the percentage of men and women being 30.2% and 69.8% respectively. The average age of patients was 57.2, with those who were overweight / obese as many as 64.2%, and those who smoked as many as 9.4%. As many as 73.6% respondents had a GERD-Q score of ≥ 8. Moreover, 35.8% of respondents had mild depression, 15.1% had moderate depression, and 3.8% had severe depression. The results showed a significant correlation between depression and GERD-Q score in Atma Jaya Hospital dyspepsia patients (p = 0,000, r = 0,496).Conclusion: There is a correlation between depression and GERD-Q score of dyspepsia patients at Atma Jaya Hospital
Highlights
GERD is a common disease commonly found in the upper digestive tract.[1]
There is a correlation between depression and Gastroesophageal Reflux Disease Questionnaire (GERD-Q) score of dyspepsia patients at Atma Jaya Hospital
Through analysis of data using the Spearman correlation test, the values of p 0,000 and r 0,496 ZHUHREWDLQHGLQGLFDWLQJWKDWWKHUHZDVDVLJQL¿FDQW correlation between depression and GERD-Q score with moderate correlation strength (Table 2)
Summary
GERD is a common disease commonly found in the upper digestive tract.[1]. In the past few decades, several studies on the prevalence of GERD in Asia based on symptoms or endoscopic results showed an increase from previous studies.[1]. Depression drives a person to have feelings and behaviours that are different from their usual self. Someone with depression often feels inferior, feels guilty; unable to control feelings, and even has the desire to commit suicide. Someone with depression has an interest in abusing alcohol and drug WKDWFDQPDNHGHSUHVVLRQEHFRPHHYHQPRUHGLI¿FXOW to eliminate and worsen.[4] Someone with depression has increased serotonin levels and has HPA axis activation. The increase in serotonin levels and activation of the HPA axis, is known to cause disturbances in gastrointestinal activity, such as disrupting the smooth muscle work in the stomach and disturbing emptying of gastric contents.[5,6]
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