Özden Arısoy1, Neriman Şengül2,3, Affan Çakir4. 1. Department of Psychiatry, Abant İzzet Baysal University, Bolu, Turkey. 2. Department of General Surgery, Abant İzzet Baysal University, Bolu, Turkey. nerimansengul@hotmail.com. 3. Department of Gastrointestinal Surgery, Abant İzzet Baysal University, Bolu, Turkey. nerimansengul@hotmail.com. 4. Department of Gastrointestinal Surgery, Abant İzzet Baysal University, Bolu, Turkey.
Abstract
BACKGROUND: Chronic anal fissure (CAF) onset, exacerbation, and impact on quality of life are influenced by a host of psychological, physiological, and social factors. We aimed to investigate the difference in psychopathology and stress between normal and CAF groups. METHODS: Thirty CAF patients and 20 age-sex matched healthy controls were evaluated for Axis I psychopathology, depression, anxiety, and stress with Hamilton and Hospital Depression-Anxiety Scales, Perceived Stress Scale, and SF-36. RESULTS: With a mean age of 39.47, 83.3% of CAF patients were female. Anxiety-depression and stress scores were all significantly higher and functionality was lower in the CAF group compared to controls (p < 0.001); 36.7% of the patients had a triggering stress factor and 56.6% had an exacerbating stress factor; 56.7% of the patients had an ongoing Axis I psychopathology while 50% had a previous psychopathology. Pain (96.7% had pain (VAS = 6.55)) and bleeding (83.3% had bleeding (VAS = 4.14)) severity showed a negative impact on bodily pain and role limitations emotional subscales of SF36. CONCLUSION: There is a high comorbidity of psychopathology in the CAF patients and depression and anxiety severities show a negative impact on the quality of life. Stress acts as both a triggering and an exacerbating factor in CAF.
BACKGROUND: Chronic anal fissure (CAF) onset, exacerbation, and impact on quality of life are influenced by a host of psychological, physiological, and social factors. We aimed to investigate the difference in psychopathology and stress between normal and CAF groups. METHODS: Thirty CAFpatients and 20 age-sex matched healthy controls were evaluated for Axis I psychopathology, depression, anxiety, and stress with Hamilton and Hospital Depression-Anxiety Scales, Perceived Stress Scale, and SF-36. RESULTS: With a mean age of 39.47, 83.3% of CAFpatients were female. Anxiety-depression and stress scores were all significantly higher and functionality was lower in the CAF group compared to controls (p < 0.001); 36.7% of the patients had a triggering stress factor and 56.6% had an exacerbating stress factor; 56.7% of the patients had an ongoing Axis I psychopathology while 50% had a previous psychopathology. Pain (96.7% had pain (VAS = 6.55)) and bleeding (83.3% had bleeding (VAS = 4.14)) severity showed a negative impact on bodily pain and role limitations emotional subscales of SF36. CONCLUSION: There is a high comorbidity of psychopathology in the CAFpatients and depression and anxiety severities show a negative impact on the quality of life. Stress acts as both a triggering and an exacerbating factor in CAF.
Entities:
Keywords:
Anal fissure; Anxiety; Depression; Quality of life; Stress
Authors: Paloma Luri-Prieto; Asunción Candela-Gomis; Antonio Palazón-Bru; Felipe Navarro-Cremades; Vicente Francisco Gil-Guillén; Antonio Fernando Compañ-Rosique Journal: Visc Med Date: 2020-05-05
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