Goal frustration and life events in the aetiology of painful gastrointestinal disorder
Life events and difficulties were recorded for the year proceding onset of abdominal pain in 135 consecutive referrals to three gastrointestinal clinics, and for the equivalent time period in a matched, healthy community comparison series. Fifty-six patients were found to have an organic gastrointes...
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Veröffentlicht in: | Journal of psychosomatic research 1984, Vol.28 (5), p.411-421 |
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description | Life events and difficulties were recorded for the year proceding onset of abdominal pain in 135 consecutive referrals to three gastrointestinal clinics, and for the equivalent time period in a matched, healthy community comparison series. Fifty-six patients were found to have an organic gastrointestinal disorder. Severely threatening events and major difficulties known to play a critical aetiological role in clinical depression, occurred with much the same frequency during the 38 weeks before onset of non- organic (‘functional’) gastrointestinal disorder. There was no such relationship between the severity of threat and organic disorder. A measure of ‘goal frustration’ reflecting the degree to which the subjects aims and ambitions were insurmountably obstructed by the occurrence of the event, was significantly associated with organic disorder. This finding may explain the often reported association between life stress and organic gastrointestinal disorder. |
doi_str_mv | 10.1016/0022-3999(84)90073-4 |
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Fifty-six patients were found to have an organic gastrointestinal disorder. Severely threatening events and major difficulties known to play a critical aetiological role in clinical depression, occurred with much the same frequency during the 38 weeks before onset of non- organic (‘functional’) gastrointestinal disorder. There was no such relationship between the severity of threat and organic disorder. A measure of ‘goal frustration’ reflecting the degree to which the subjects aims and ambitions were insurmountably obstructed by the occurrence of the event, was significantly associated with organic disorder. This finding may explain the often reported association between life stress and organic gastrointestinal disorder.</description><identifier>ISSN: 0022-3999</identifier><identifier>EISSN: 1879-1360</identifier><identifier>DOI: 10.1016/0022-3999(84)90073-4</identifier><identifier>PMID: 6512733</identifier><identifier>CODEN: JPCRAT</identifier><language>eng</language><publisher>Amsterdam: Elsevier Inc</publisher><subject>Abdomen ; Adolescent ; Adult ; Biological and medical sciences ; Competitive Behavior ; Frustration ; Gastrointestinal Diseases - etiology ; Gastrointestinal Diseases - psychology ; General aspects ; Goals ; Humans ; Life Change Events ; Medical sciences ; Middle Aged ; Pain - psychology ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. 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Fifty-six patients were found to have an organic gastrointestinal disorder. Severely threatening events and major difficulties known to play a critical aetiological role in clinical depression, occurred with much the same frequency during the 38 weeks before onset of non- organic (‘functional’) gastrointestinal disorder. There was no such relationship between the severity of threat and organic disorder. A measure of ‘goal frustration’ reflecting the degree to which the subjects aims and ambitions were insurmountably obstructed by the occurrence of the event, was significantly associated with organic disorder. This finding may explain the often reported association between life stress and organic gastrointestinal disorder.</description><subject>Abdomen</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Competitive Behavior</subject><subject>Frustration</subject><subject>Gastrointestinal Diseases - etiology</subject><subject>Gastrointestinal Diseases - psychology</subject><subject>General aspects</subject><subject>Goals</subject><subject>Humans</subject><subject>Life Change Events</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Pain - psychology</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Smoking</subject><issn>0022-3999</issn><issn>1879-1360</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1984</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1rVDEYhUOptGPtP1DIoogurub7JpuCFK1CwY12GzLJmxq5k0yTewv992Y6wyxdZXGec3jzIPSWkk-UUPWZEMYGboz5oMVHQ8jIB3GCVlSPZqBckVO0OiLn6HVrfwkhyjB5hs6UpGzkfIXub4ubcKxLm6ubU8nY5YCnFAHDE-S54ZTx_Aewg55O5eEZl4i3LuW4TPjB9VpJeYY2p9yHQmqlBqhv0KvopgaXh_cC_f729dfN9-Hu5-2Pmy93gxdUzsPIRs2ikjHKtRKKcaq15xKcluNIpHDUxUD5mjGzDpIRxvsPHBgmYiQsOH6B3u93t7U8Lv0Ku0nNwzS5DGVpdpSaKaV1B8Ue9LW0ViHabU0bV58tJXan0-5c2Z0rq4V90WlFr7077C_rDYRj6eCv51eH3DXvplhd9qkdMW0MFcR07HqPQXfxlKDa5hNkDyFV8LMNJf3_jn89rJDV</recordid><startdate>1984</startdate><enddate>1984</enddate><creator>Craig, T.K.J.</creator><creator>Brown, G.W.</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>1984</creationdate><title>Goal frustration and life events in the aetiology of painful gastrointestinal disorder</title><author>Craig, T.K.J. ; Brown, G.W.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c415t-72782f65ff5b64623188c35ea8577054a1afd13b229bd52023006ae924ff02da3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1984</creationdate><topic>Abdomen</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Competitive Behavior</topic><topic>Frustration</topic><topic>Gastrointestinal Diseases - etiology</topic><topic>Gastrointestinal Diseases - psychology</topic><topic>General aspects</topic><topic>Goals</topic><topic>Humans</topic><topic>Life Change Events</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Pain - psychology</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Smoking</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Craig, T.K.J.</creatorcontrib><creatorcontrib>Brown, G.W.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of psychosomatic research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Craig, T.K.J.</au><au>Brown, G.W.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Goal frustration and life events in the aetiology of painful gastrointestinal disorder</atitle><jtitle>Journal of psychosomatic research</jtitle><addtitle>J Psychosom Res</addtitle><date>1984</date><risdate>1984</risdate><volume>28</volume><issue>5</issue><spage>411</spage><epage>421</epage><pages>411-421</pages><issn>0022-3999</issn><eissn>1879-1360</eissn><coden>JPCRAT</coden><abstract>Life events and difficulties were recorded for the year proceding onset of abdominal pain in 135 consecutive referrals to three gastrointestinal clinics, and for the equivalent time period in a matched, healthy community comparison series. Fifty-six patients were found to have an organic gastrointestinal disorder. Severely threatening events and major difficulties known to play a critical aetiological role in clinical depression, occurred with much the same frequency during the 38 weeks before onset of non- organic (‘functional’) gastrointestinal disorder. There was no such relationship between the severity of threat and organic disorder. A measure of ‘goal frustration’ reflecting the degree to which the subjects aims and ambitions were insurmountably obstructed by the occurrence of the event, was significantly associated with organic disorder. This finding may explain the often reported association between life stress and organic gastrointestinal disorder.</abstract><cop>Amsterdam</cop><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>6512733</pmid><doi>10.1016/0022-3999(84)90073-4</doi><tpages>11</tpages></addata></record> |
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subjects | Abdomen Adolescent Adult Biological and medical sciences Competitive Behavior Frustration Gastrointestinal Diseases - etiology Gastrointestinal Diseases - psychology General aspects Goals Humans Life Change Events Medical sciences Middle Aged Pain - psychology Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Smoking |
title | Goal frustration and life events in the aetiology of painful gastrointestinal disorder |
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