PSYCHOSOMATIC ASPECTS IN THE TREATMENT OF GASTROESOPHAGEAL REFLUX DISEASE

Gastroesophageal reflux disease is the most common disease of the esophagus, through the development of which is impaired motor function of the upper gastrointestinal system, allowing the disease to be quite be classified as psychosomatic, especially in the early stages of development, when no appar...

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Main Authors: V. I. Trofimov, Yu. N. Bezrukov
Format: Article
Language:Russian
Published: SINAPS LLC 2015-10-01
Series:Архивъ внутренней медицины
Subjects:
Online Access:https://www.medarhive.ru/jour/article/view/457
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author V. I. Trofimov
Yu. N. Bezrukov
author_facet V. I. Trofimov
Yu. N. Bezrukov
author_sort V. I. Trofimov
collection DOAJ
description Gastroesophageal reflux disease is the most common disease of the esophagus, through the development of which is impaired motor function of the upper gastrointestinal system, allowing the disease to be quite be classified as psychosomatic, especially in the early stages of development, when no apparent organic complications that affect the structure of tissues. A significant percentage of mental disorders is observed in patients even before the development of somatic complaints. Patients in number of 105 people are examined. The first group — experienced (71 patient) received complex treatment, which includes the basic pathogenetic, symptomatic, and psychotropic treatment in the form of anxiolytics and antidepressants. The choice of drug was based on the results of psychological testing. The second group — the comparison group (34 patients) received only conventional treatment, without psychiatric support. Analysis was conducted of the astheno-vegetative syndrome, psychological characteristics of patients in relation to their disease, indicators of anxiety level and severity of depression. Patients with not erosive reflux disease have a frequency of detection of a depression and uneasiness was more than twice higher, than at patients with erosive reflux disease. After carrying out psychotropic treatment these indicators were practically made even. Prescription of psychotropic therapy in the form of antidepressants and anxiolytics has allowed to minimize the timing regression of clinical and psychosomatic manifestations of disease.
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spelling doaj-art-e663c9639e55433aaac49265f1098a7a2025-08-20T03:37:09ZrusSINAPS LLCАрхивъ внутренней медицины2226-67042411-65642015-10-0105556110.20514/2226-6704-2015-0-5-18467PSYCHOSOMATIC ASPECTS IN THE TREATMENT OF GASTROESOPHAGEAL REFLUX DISEASEV. I. Trofimov0Yu. N. Bezrukov1Pavlov First Saint Petersburg State Medical UniversityPavlov First Saint Petersburg State Medical UniversityGastroesophageal reflux disease is the most common disease of the esophagus, through the development of which is impaired motor function of the upper gastrointestinal system, allowing the disease to be quite be classified as psychosomatic, especially in the early stages of development, when no apparent organic complications that affect the structure of tissues. A significant percentage of mental disorders is observed in patients even before the development of somatic complaints. Patients in number of 105 people are examined. The first group — experienced (71 patient) received complex treatment, which includes the basic pathogenetic, symptomatic, and psychotropic treatment in the form of anxiolytics and antidepressants. The choice of drug was based on the results of psychological testing. The second group — the comparison group (34 patients) received only conventional treatment, without psychiatric support. Analysis was conducted of the astheno-vegetative syndrome, psychological characteristics of patients in relation to their disease, indicators of anxiety level and severity of depression. Patients with not erosive reflux disease have a frequency of detection of a depression and uneasiness was more than twice higher, than at patients with erosive reflux disease. After carrying out psychotropic treatment these indicators were practically made even. Prescription of psychotropic therapy in the form of antidepressants and anxiolytics has allowed to minimize the timing regression of clinical and psychosomatic manifestations of disease.https://www.medarhive.ru/jour/article/view/457psychosomatic illnessesdepressionanxietygastroesophageal reflux diseaseanxiolyticsantidepressants
spellingShingle V. I. Trofimov
Yu. N. Bezrukov
PSYCHOSOMATIC ASPECTS IN THE TREATMENT OF GASTROESOPHAGEAL REFLUX DISEASE
Архивъ внутренней медицины
psychosomatic illnesses
depression
anxiety
gastroesophageal reflux disease
anxiolytics
antidepressants
title PSYCHOSOMATIC ASPECTS IN THE TREATMENT OF GASTROESOPHAGEAL REFLUX DISEASE
title_full PSYCHOSOMATIC ASPECTS IN THE TREATMENT OF GASTROESOPHAGEAL REFLUX DISEASE
title_fullStr PSYCHOSOMATIC ASPECTS IN THE TREATMENT OF GASTROESOPHAGEAL REFLUX DISEASE
title_full_unstemmed PSYCHOSOMATIC ASPECTS IN THE TREATMENT OF GASTROESOPHAGEAL REFLUX DISEASE
title_short PSYCHOSOMATIC ASPECTS IN THE TREATMENT OF GASTROESOPHAGEAL REFLUX DISEASE
title_sort psychosomatic aspects in the treatment of gastroesophageal reflux disease
topic psychosomatic illnesses
depression
anxiety
gastroesophageal reflux disease
anxiolytics
antidepressants
url https://www.medarhive.ru/jour/article/view/457
work_keys_str_mv AT vitrofimov psychosomaticaspectsinthetreatmentofgastroesophagealrefluxdisease
AT yunbezrukov psychosomaticaspectsinthetreatmentofgastroesophagealrefluxdisease