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Psychological Factors Influence the Symptoms of Gastroesophageal Reflux Disease

Authors
Journal
Journal of Neurogastroenterology and Motility
2093-0879
Publisher
The Korean Society of Neurogastroenterology and Motility (KAMJE)
Publication Date
Volume
18
Issue
4
Identifiers
DOI: 10.5056/jnm.2012.18.4.460
Keywords
  • Letters To The Editor
Disciplines
  • Medicine
  • Psychology

Abstract

untitled JNM Journal of Neurogastroenterology and Motility Letters to the Editor 460 ⓒ 2012 The Korean Society of Neurogastroenterology and Motility J Neurogastroenterol Motil, Vol. 18 No. 4 October, 2012 www.jnmjournal.org J Neurogastroenterol Motil, Vol. 18 No. 4 October, 2012 pISSN: 2093-0879 eISSN: 2093-0887 http://dx.doi.org/10.5056/jnm.2012.18.4.460 Psychological Factors Influence the Symptoms of Gastroesophageal Reflux Disease TO THE EDITOR: I read with interest the study by Lee et al1 re- garding the relationship between existence of typical symptoms and psychological factors in patients with erosive esophagitis. The study was conducted by enrolling 29 symptomatic and 26 asymptomatic patients with erosive reflux disease (ERD). They used the Symptom Checklist-90-Revision (Korean version, SCL-90-R)2 to identify the presence of psychological symptoms. In the SCL-90-R, each of the items is rated on a 5-point scale of distress (0-4) ranging from ‘‘not at all’’ to ‘‘extremely.’’ The 9 pri- mary symptom dimensions are labeled as: somatization (SOM), obsessive-compulsive behavior (O-C), interpersonal sensitivity (I-S), depression, anxiety, hostility, phobic anxiety (PHOB), paranoid ideation and psychoticism (PSY). There are 3 global in- dices as well: the global severity index is a mean score of all 90 items; the positive symptom distress index; the positive symptom total, which represents the number of symptoms rated as ≥ 1. The authors demonstrated that symptomatic patients with ERD were more likely to have higher scores on psychological symp- toms (SOM, O-C and PHOB) than asymptomatic patients with ERD. The authors should be congratulated for completing study, which supports the assumption that psychological factors influence the development of symptoms in patients with gastro- esophageal reflux disease (GERD). Nevertheless, I would like to consider 2 concerns for the accurate understanding of the mean- ing of these results. First, the significant

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