ANALYSIS OF SEVERITY OF ANXIETY AND DEPRESSION IN DYSPEPTIC PATIENTS BY HOSPITAL SCALE OF ANXIETY AND DEPRESSION

Abstract

Research aim. To examine the incidence of anxiety and depression according to the HADS scale in patients with dyspepsia. Materials and methods. We studied 24 patients with dyspepsia. In addition to the necessary examinations, all patients underwent testing on the Gastrointestinal Symptom Rating Scale (GSRS), gastrointestinal symptom Score (GIS), and Hospital Anxiety and Depression Scale (HADS). The GSRS is a disease specific instrument of 15 items combined into five symptom clusters depicting reflux, abdominal pain, indigestion, diarrhea and constipation. The GIS includes 10 items, intensity of each item is rated from 0 to 4. The HADS includes 14 items with a point assessment of the results: 0-7 points - normal (no reliable signs of anxiety and depression), 8-10 points - subclinical expressed anxiety / depression, 11 points and above - clinical expressed anxiety / depression. Results. According to the GSRS scale, the average score of abdominal pain was 5.7 points, reflux syndrome - 5.6 points, diarrhea syndrome - 6.8 points, dyspepsia itself - 10.2 points, constipation - 6.2 points. According to the GIS scale, the average severity of dyspepsia was 7.5 points. According to the HADS scale, clinically expressed anxiety occurred in 1 patient (4.2%), subclinical expressed anxiety in 4 patients (16.7%); there was no clinically expressed depression, subclinical expressed depression occurred in 1 patient (4.2%). Conclusion. the incidence of clinically expressed anxiety and depression in patients with dyspepsia is extremely small. The use of the HADS scale in routine practice will help to avoid over diagnosis of depression and anxiety and provide a differentiated approach to the appointment of antidepressants and anxiolytics.