Abstract

Objective

The Brief Symptom Inventory (BSI) is a self-report measure of psychological symptoms in clinical and non-clinical populations. However, norms for BSI are lacking for patients with chronic illness, such as Crohn’s disease (CD). This study aimed to provide BSI clinical norms using a cohort of CD patients.

Design

Adult Israeli CD patients (n = 430) completed questionnaires regarding clinical, demographic and psychological aspects of disease, including BSI. Their BSI data were compared with published norms from adult Israeli population and British psychiatric outpatients.

Results

CD patients in active disease state had higher levels of mental health symptoms than those in remission. Interestingly, levels of symptomatology did not differ with respect to disease duration. No significant sex differences in BSI dimensions were found, with the exception of somatization. Being younger than 60 years and having lower economic status were associated with more severe psychological symptoms. Psychological symptom levels in CD patients were high in comparison to the Israeli general population, but low compared to British psychiatric outpatients.

Conclusion

Results confirm the link between CD and elevated psychological symptoms. The findings highlight the need to use appropriate BSI norms when assessing clinically significant levels of psychological symptoms in non-psychiatric patients with chronic illness.

中文翻译：

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克罗恩病患者简要症状清单的标准数据

摘要

目的

简短症状清单（BSI）是临床和非临床人群心理症状的自我报告指标。但是，诸如克罗恩氏病（CD）等慢性病患者缺乏BSI规范。这项研究旨在利用一组CD患者提供BSI临床规范。

设计

以色列成年CD患者（n = 430）填写了有关疾病的临床，人口统计学和心理方面（包括BSI）的问卷。他们的BSI数据与以色列成年人口和英国精神科门诊患者的已公布规范进行了比较。

结果

处于活动性疾病状态的CD患者的心理健康症状水平高于处于缓解状态的患者。有趣的是，症状水平在疾病持续时间方面没有差异。除躯体化外，在BSI尺寸上未发现明显的性别差异。年龄小于60岁且经济地位较低与更严重的心理症状有关。与以色列的普通人群相比，CD患者的心理症状水平较高，但与英国的精神科门诊患者相比较低。

结论

结果证实了CD与心理症状升高之间的联系。研究结果突显了在评估患有慢性疾病的非精神病患者的心理症状的临床显着水平时，需要使用适当的BSI规范。