medalphabetМедицинский алфавитMedical alphabet2078-56312949-2807ООО «Альфмед»medalphabet-225Research ArticleСтатьиЭмоционально-личностные особенности и качество жизни у женщин с синдромом раздраженного кишечникаEmotional and personal characteristics and quality of life in women with irritable bowel syndromeМнацаканянМ. Г.MnatsakanyanM. G.noemail@neicon.ruПогромовА. П.PogromovA. P.noemail@neicon.ruДюковаГ. М.DyukovaG. M.noemail@neicon.ruТащянО. В.TashchyünO. V.noemail@neicon.ruФГАОУ ВО «Первый Московский государственный медицинский университет имени И. М. Сеченова (Сеченовский университет)» Минздрава РоссииРоссияFirst Moscow State Medical University n. a. I. M. SechenovRussian Federation201721062017219Практическая гастроэнтерология2227Copyright © Мнацаканян М.Г., Погромов А.П., Дюкова Г.М., Тащян О.В., 20172017Мнацаканян М.Г., Погромов А.П., Дюкова Г.М., Тащян О.В.Mnatsakanyan M.G., Pogromov A.P., Dyukova G.M., Tashchyün O.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.med-alphabet.com/jour/article/view/225

Цель исследования. Изучить эмоционально-личностные особенности и качество жизни у женщин с СРК, в зависимости от возраста и учитывая варианты СРК. Материал и методы. Обследованы 245 больных с СРК, из которых женщин - 783, мужчин - 62, средний возраст 45,31 ± 6,9 года (79-87), клинические формы (СРК по варианту диареи (СРК-Д) - 88, СРК по варианту запоров (СРК-З) - 48, СРК по смешанному варианту (СРК-СМ)- 709. Анализ был проведен в двух группах женщин с СРК: до 45 лет (n = 90) и от 45 лет и выше (n = 93). Диагностические критерии СРК согласно Рим III (2006). Показатели депрессии по шкале БЭКа, тревоги по Спилбергера-Ханина, алекситимии по опроснику TAS и качество жизни по опроснику MOS SF-36. Результаты. СРК у женщин встречается значительно чаще, чем у мужчин, соотношение женщин и мужчин составляет 3:7, независимо от возраста. СРК по запорному варианту встречается исключительно у женщин в обеих возрастных группах. Показатели депрессии и личностной тревоги значимо превышают аналогичные показатели у мужчин (р < 0,05) преимущественно за счет женщин возрастной группы от 45 лет и выше. Также у женщин от 45 лет и выше значимо возрастают депрессия, личностная тревога и алекситимия по сравнению с женщинами до 45 лет (р < 0,05). С возрастом показатель алекситимии значимо повышается как у мужчин, так и у женщин с СРК (р < 0,05). Физический компонент здоровья у женщин значимо снижен по сравнению с мужчинами, независимо от возраста (р < 0,05). В группе женщин до 45 лет максимальные значения депрессии, личностной и актуальной тревоги наблюдаются при запорном варианте СРК, в группе женщин от 45 лет и выше при СРК-Д. Выводы. СРК преобладает у женщин по сравнению с мужчинами, независимо от возраста. Изменения психовегетативного статуса, в частности, депрессия и личностная тревога также более выражены у женщин, особенно у женщин в возрасте от 45 лет и старше. Физический компонент здоровья значительно более снижен у женщин по сравнению с мужчинами, независимо от возраста.

The aim of the study. To investigate personal and emotional features and quality of life of women with IBS depends on age and IBS type. Materials and methods. Totally 245 patients with IBS were examined: women - 783, men - 62; middle age 45,3 ± 6,9 years (79-8 7 years); IBS-D type was diagnosed in 88 patients, IBS-C type - 48, IBS-M type - 709. Two groups of women with IBS were analyzed: under 45 year (n = 90) and 45 years and older (n = 93). IBS diagnostic criteria according to Rome III (2006) were used; the level of depression was assessed according to Beck's scale, anxiety rate - by Spielberger-Hanin questionnaire, alexithymia-by TAS questionnaire and quality of life - by MOS-SF 36. Results. IBS is more frequent in women than in men (3:7) independent on age. IBS-C type occurs only in women (not in men) in both age groups. The depression and anxiety rates are significantly higher in women than in men (p < 0.05), predominantly by the women's group of 45 years and older. Besides the depression, personal anxiety an alexithymia rates were significantly higher in the women's group of 45 years and older than those in the women's group of under 45 years. The rate of alexithymia increases with age both in men and in women with IBS (p < 0,05). The physical component of health is much lower in women than in men independent on age (p < 0,05). The highest levels of depression, personal and actual anxiety rates can be seen in the women’s group under 45 years with IBS-C type, and in the women's group of 45 years and older with IBS-D type. Conclusion. IBS is more frequent in women than in men independent on age. Changes in psycho-vegetative status, particularly depression and personal anxiety are more frequent in women, especially in women of 45 years and older. The physical component of health is much lower in women than in men independent on age.

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The authors declare that there are no conflicts of interest present.