Suppression of Anger and Gastric Emptying in Patients with Functional Dyspepsia

E. J. Bennett Depts. of Medicine, Nuclear Medicine, Academic Psychiatry, and Health Information Systems, Royal North Shore Hospital, Sydney, Australia

J. E. Kellow Depts. of Medicine, Nuclear Medicine, Academic Psychiatry, and Health Information Systems, Royal North Shore Hospital, Sydney, Australia

H. Cowan Depts. of Medicine, Nuclear Medicine, Academic Psychiatry, and Health Information Systems, Royal North Shore Hospital, Sydney, Australia

A. M. Scott Depts. of Medicine, Nuclear Medicine, Academic Psychiatry, and Health Information Systems, Royal North Shore Hospital, Sydney, Australia

B. Shuter Depts. of Medicine, Nuclear Medicine, Academic Psychiatry, and Health Information Systems, Royal North Shore Hospital, Sydney, Australia

P. M. Langeluddecke Depts. of Medicine, Nuclear Medicine, Academic Psychiatry, and Health Information Systems, Royal North Shore Hospital, Sydney, Australia

R. Hoschl Depts. of Medicine, Nuclear Medicine, Academic Psychiatry, and Health Information Systems, Royal North Shore Hospital, Sydney, Australia

M. P. Jones Depts. of Medicine, Nuclear Medicine, Academic Psychiatry, and Health Information Systems, Royal North Shore Hospital, Sydney, Australia

C. C. Tennant Depts. of Medicine, Nuclear Medicine, Academic Psychiatry, and Health Information Systems, Royal North Shore Hospital, Sydney, Australia

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Abstract

Bennett EJ, Kellow JE, Cowan H, Scott AM, Shuter B, Langeluddecke PM, Hoschl R, Jones MP, Tennant CC. Suppression of anger and gastric emptying in patients with functional dyspepsia. Scand J Gastroenterol 1992;27:869-874.

Psychologic distress and gastric motor dysfunction have both been implicated in the pathogenesis of functional (non-ulcer) dyspepsia (FD). This study assesses the association between psychologic factors and gastric emptying in 28 FD patients. Subjects completed an extensive range of psychologic questionnaires and underwent dual-isotope scintigraphic assessment of solid and liquid gastric emptying. Attempts to resist, control, suppress, and hold in anger, to adopt a fighting spirit whilst dealing with chronic stressors, and manifest unhappiness were predictors of prolonged gastric emptying. These findings suggest that psychologic factors may be important in the aetiology of gastric stasis and subsequent upper gastrointestinal symptoms in patients with functional dyspepsia.

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Suppression of Anger and Gastric Emptying in Patients with Functional Dyspepsia

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Suppression of Anger and Gastric Emptying in Patients with Functional Dyspepsia

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