Factores emocionales e impacto sobre la escolaridad y actividad social en adolescentes con dispepsia y reflujo gastroesofágico

Abstract

Introduction and objectives. Anxiety and depression have been related with dyspepsia and refl ux disease. We conducted a cross sectional, population based study, with the objectives to determine relation of dyspepsia and refl ux symptoms with emotional factors and the impact on school assistance and social activity in students. Methods. 937 students between 12 to 20 years selected at random answered a survey on the presence, frequency, leading events and other characteristics of dyspeptic and refl ux disease symptoms occurred in the last year and the Zung´s scales of anxiety and depression. Correlation with endoscopic fi ndings was established. Results. Self - reported symptoms of depression and anxiety were statistically signifi cant in adolescents (p=0,001), whereas only anxiety symptoms were signifi cant in adolescents with refl ux disease (p=0,001). Neither anxiety nor depression was related to type of dyspepsia (organic or functional). Cigarette smoking and alcohol use were signifi cant in adolescents with dyspepsia. (p=0,004) and (p=0,015) Conclusions. Dyspepsia and refl ux disease symptoms have a strong association with school assistance and with daily and social activities in adolescents. Self reported symptoms of anxiety and depression are frequent in students with dyspepsia and symptoms of anxiety are frequent in students with refl ux disease symptoms, but are not related with type of dyspepsia (organic or functional).

Introducción y objetivos. Alteraciones emocionales como la ansiedad y la depresión han sido relacionadas con los diagnósticos de dispepsia y refl ujo. Realizamos un estudio poblacional de corte transversal para determinar la relación de la dispepsia y el refl ujo con factores emocionales y su impacto sobre la escolaridad y actividad social en escolares.