Objective. To investigate the prevalence of anxiety and depression in hospitalized patients in the Department of Gastroenterology and to explore the risk factors affecting psychosomatic conditions in patients with digestive disorders. Methods. Patients hospitalized with gastrointestinal diseases were enrolled by the Department of Gastroenterology of Xiangya Hospital of Central South University from November 2017 to June 2018 and completed a cross-sectional questionnaire survey. According to anxiety/nonanxiety, depression/nondepression, the subjects were divided into two groups, respectively, and the risk factors of anxiety/depression were analyzed. Results. A total of 1186 patients were included in this study. The overall detection rate was 20.74% for anxiety symptoms alone, 31.78% for depressive symptoms alone, 13.99% for both anxiety and depressive symptoms, and 38.53% for either depression or anxiety symptoms. The prevalence of anxiety symptoms was higher in female than in male patients and inversely correlated with levels of education. There was no significant difference in the detection rate of anxiety and depression between patients with functional and organic digestive diseases. Sleep quality and quality of life were inversely correlated with the severity of anxiety and depression. Notably, among the patients with abnormal psychological conditions, only 7.6% of them were willing to receive psychological treatment. Gender, sleep quality, and life quality are independent risk factors for anxiety and depression symptoms for inpatients with gastrointestinal diseases. Conclusion. Paying more attention to the education level, sleep quality, and quality of life in patients with gastrointestinal diseases will help doctors to identify the risk of psychological abnormalities and improve medical care.

中文翻译：

---

胃肠道疾病患者的心身疾病：1186 名住院患者的单中心横断面研究

客观的。调查消化内科住院患者焦虑、抑郁的患病情况，探讨影响消化系统疾病患者心身状况的危险因素。方法。中南大学湘雅医院消化内科于2017年11月至2018年6月入组因胃肠疾病住院的患者，并完成横断面问卷调查。根据焦虑/非焦虑、抑郁/非抑郁情况，将受试者分别分为两组，并分析焦虑/抑郁的危险因素。结果。这项研究总共纳入了 1186 名患者。单独焦虑症状的总体检出率为20.74%，单独抑郁症状的总体检出率为31.78%，焦虑和抑郁症状的总体检出率为13.99%，抑郁或焦虑症状的总体检出率为38.53%。女性患者焦虑症状的患病率高于男性患者，且与教育水平呈负相关。功能性和器质性消化疾病患者焦虑、抑郁检出率无显着差异。睡眠质量和生活质量与焦虑和抑郁的严重程度呈负相关。值得注意的是，在心理异常的患者中，只有7.6%的人愿意接受心理治疗。性别、睡眠质量、生活质量是胃肠道疾病住院患者焦虑、抑郁症状的独立危险因素。结论。更加关注胃肠道疾病患者的受教育程度、睡眠质量和生活质量，将有助于医生识别心理异常的风险并改善医疗护理。