Impact of Depression and Anxiety on the Quality of Life of Constipated Patients

被引：23

作者：

Albiani, Jenna J. ^{[1
]}

Hart, Stacey L. ^{[1
]}

Katz, Laura ^{[2
]}

Berian, Julia ^{[3
]}

Del Rosario, Amanda ^{[4
]}

Lee, Janet ^{[5
]}

Varma, Madhulika ^{[6
]}

机构：

[1] Ryerson Univ, Dept Psychol, Toronto, ON, Canada

[2] Queens Univ, Dept Psychol, Kingston, ON K7L 3N6, Canada

[3] Univ Chicago, Sch Med, Chicago, IL 60637 USA

[4] Univ Washington, Sch Med, Seattle, WA USA

[5] Univ Calif San Diego, Sch Med, La Jolla, CA 92093 USA

[6] Univ Calif San Francisco, Sect Colorectal Surg, San Francisco, CA 94143 USA

来源：

JOURNAL OF CLINICAL PSYCHOLOGY IN MEDICAL SETTINGS | 2013年 / 20卷 / 01期

关键词：

Anxiety; Constipation; Depression; Quality of life (QOL); FUNCTIONAL BOWEL DISORDERS; HEALTH SURVEY SF-36; PRIMARY-CARE; GASTROINTESTINAL SYMPTOMS; IDIOPATHIC CONSTIPATION; PRIME-MD; PREVALENCE; SEVERITY; VALIDITY; BEHAVIOR;

D O I：

10.1007/s10880-012-9306-3

中图分类号：

B849 [应用心理学];

学科分类号：

040203 ;

摘要：

Constipation negatively affects quality of life (QOL), however, the specific mechanisms through which this relationship occurs are unclear. The present study examined anxiety and depression as potential mediators of the relationship between constipation severity and QOL in a sample of 142 constipated patients. Results indicated that depression symptom severity mediated the relationship between constipation severity and mental health-related QOL. For patients meeting diagnostic criteria for Major Depressive Disorder, indirect effects were observed in the relationship between constipation severity and both physical and mental health-related QOL. Anxiety did not contribute to this model. Treating depression may be useful in improving QOL in severely constipated patients, which highlights the importance of psychological screening and treatment referrals in primary care settings.

引用

页码：123 / 132

页数：10

共 46 条

[1]

[Anonymous], 2000, DIAGN STAT MAN MENT, DOI DOI 10.1176/APPI.BOOKS.9780890425787

[2] THE MODERATOR MEDIATOR VARIABLE DISTINCTION IN SOCIAL PSYCHOLOGICAL-RESEARCH - CONCEPTUAL, STRATEGIC, AND STATISTICAL CONSIDERATIONS [J].