Prognosis of stress-associated gastroenterologic diseases: a retrospective study

OBJECTIVE. Develop a model for predicting stress-associated diseases of gastroenterological profile in servicemen.

MATERIALS AND METHODS. 69 men aged 38.2 ± 5 years were examined. Of them 24 suffered from stress-associated diseases of gastroenterological profile (SAD GE), 45 were practically healthy. Psychophysiologic, psychological and physiologic examination was carried out, the indicators of service performance were evaluated.

RESULTS. In the group of servicemen with gastrointestinal tract (GIT) diseases, there were statistically significantly fewer (42 %) persons with good reserve, but more (58 %) persons with satisfactory cardiovascular system reserve than in the group of practically healthy persons. In addition, good and satisfactory cardiovascular system reserves are equally frequent in the group of servicemen with SAD GE, and three types of cardiovascular system centralization regulation are equally revealed. Among the servicemen with GIT diseases the persons with weak type of nervous system prevail, the same type of nervous system was dominant within the studied group (p = 0,02). It was found that the group with gastrointestinal diseases is distinguished by a significantly higher frequency (25%) of persons with a satisfactory level of neuropsychic stability and a lower (8%) frequency of persons with a high level. The data on the success of professional activity shows that in the group of GIT diseases there are statistically significantly fewer (42 %) persons with high and more (58 %) persons with average level of success of professional activity.

DISCUSSION. The obtained results are consistent with the data of other scientists. The developed model of forecasting the development of SAD GE in servicemen contains indicators of physiological, psychophysiological and psychological levels. This indicates a complex influence of biopsychosocial factors on the development of gastroenterological diseases.

CONCLUSION. The developed model for predicting the development of SAD GE should be used in the medical and psychological support of servicemen. Preventive measures should be taken when identifying the risk of SAD GE development.

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