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      The Association Between Reflux Esophagitis and Psychosocial Stress

      , ,

      Digestive Diseases and Sciences

      Springer US

      Gastroesophageal reflux, Stress, Fatigue, Peptic ulcer disease

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          Abstract

          Background

          The prevalence of reflux esophagitis is increasing in Korea. Reflux esophagitis aggravates the stress and fatigue level of daily life, but less is known about the association with stress and fatigue, which could be bi-directional.

          Aim

          To evaluate the impact of reflux esophagitis on stress and fatigue and to compare the stress level of people with reflux esophagitis with that of controls with peptic ulcer disease and healthy controls.

          Methods

          Among a total of 9,033 subjects who underwent a comprehensive medical check-up including upper endoscopy, 6,834 subjects (75.7 %) were enrolled. Stress and fatigue scores were measured by a validated Korean version of the Brief Encounter Psychosocial Instrument and the Fatigue Severity Scale.

          Results

          Among 6,834 subjects, 13.2 % were in the high-stress group, and reflux esophagitis was found in 6.0 %. After adjustment for confounders, reflux esophagitis was significantly associated with high stress (odds ratio 1.94, 95 % confidence interval 1.25–3.02). Subjects with reflux esophagitis had significantly higher BEPSI-K scores compared with healthy controls ( p = 0.027); and however, there was no significant difference in BEPSI-K scores between reflux esophagitis group and peptic ulcer disease controls. Fatigue severity scale was highly correlated with BEPSI-K ( p < 0.001); however, there was no significant difference in fatigue severity scale level between the reflux esophagitis group and controls. The severity of reflux esophagitis was significantly correlated with BEPSI-K score ( p = 0.008).

          Conclusions

          Reflux esophagitis is significantly associated with psychosocial stress, and the severity of reflux esophagitis correlates with the degree of stress.

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          Author and article information

          Contributors
          +82-2-2560-2632 , +82-2-2655-2076 , junghk@ewha.ac.kr
          Journal
          Dig Dis Sci
          Dig. Dis. Sci
          Digestive Diseases and Sciences
          Springer US (Boston )
          0163-2116
          1573-2568
          22 September 2012
          22 September 2012
          February 2013
          : 58
          : 2
          : 471-477
          Affiliations
          Department of Internal Medicine, Ewha Womans University School of Medicine, 911-1 Mock-dong, Yangchun-ku, Seoul, 158-710 Korea
          Article
          2377
          10.1007/s10620-012-2377-z
          3576549
          23001402
          © The Author(s) 2012
          Categories
          Original Article
          Custom metadata
          © Springer Science+Business Media, LLC 2013

          Gastroenterology & Hepatology

          gastroesophageal reflux, stress, fatigue, peptic ulcer disease

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