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September 3, 2023LifeOpen Access

Correlation between Psychosomatic Assessment, Heart Rate Variability, and Refractory GERD: A Prospective Study in Patients with Acid Reflux Esophagitis

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Key result

Patients with GERD had significantly higher psychosomatic evaluation scores compared to controls (p < 0.001), and baseline GERDQ ≥10 and SSS-8 ≥12 predicted refractory GERD (p=0.004 and p=0.009).

Why the study?

Do psychosomatic evaluations and heart rate variability correlate with GERD and predict refractory GERD in patients with reflux esophagitis treated with PPIs?

Population

105 individuals with reflux esophagitis and a control group of 50 participants without acid reflux symptoms

Comparison

Proton pump inhibitor administered regularly for… vs 50 participants without acid reflux symptoms

Design

Cohort

Follow-up

8 weeks

Authors

HWHsin‐Ming WangPHPao‐Yuan HuangSYShih‐Cheng Yang

Discussion

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Member takes

Overview

High baseline GERDQ and SSS-8 scores were associated with PPI-refractory GERD; leaves open whether psychosomatic screening improves outcomes in prospective trials.

Study Design

Type

Cohort (n=155)

Structured PICO

Do psychosomatic evaluations and heart rate variability correlate with GERD and predict refractory GERD in patients with reflux esophagitis treated with PPIs?

P
Population
155 participants comprising 105 individuals with reflux esophagitis and 50 controls without acid reflux symptoms, evaluated over 8 weeks of PPI treatment.
E
Exposure
Proton pump inhibitor (PPI) administered regularly for the initial 2 months and then used on-demand
C
Comparator
50 participants without acid reflux symptoms (for baseline comparison)
O
Outcome
Correlation between psychosomatic evaluations, heart rate variability (HRV), and GERD, and predictive factors for refractory GERD (defined as less than 50% improvement in symptom relief or GERDQLQ score ≥ 20 after 8 weeks of PPI treatment)patient reported

Main Result

p-value: p=< 0.001

Higher baseline psychosomatic symptom scores predict refractory GERD after 8 weeks of PPI treatment, highlighting the importance of integrating psychological assessments and stress management into GERD care.

Cite This Study

Wang et al. (2023) conducted a cohort in Gastroesophageal reflux disease (GERD) (n=155). Gastroesophageal reflux disease (GERD) vs. Participants without acid reflux symptoms was evaluated on Psychosomatic evaluations (GERDQ, GERDQLQ, RSI, BAI, BDI, and SSS-8) (p=< 0.001). Patients with GERD had significantly higher psychosomatic evaluation scores compared to controls (p < 0.001), and baseline GERDQ ≥10 and SSS-8 ≥12 predicted refractory GERD (p=0.004 and p=0.009).

synapsesocial.com/papers/6ab74aeedcfe1d0672a6f08ehttps://doi.org/10.3390/life13091862
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Cardiac autonomic dysfunction in patients with gastroesophageal reflux disease2015 · 38 citations
  2. 2Heart rate variability as a biomarker of anxious depression response to antidepressant medication2018 · 80 citations
  3. 3Increasing Prevalence of Erosive Esophagitis Among Taiwanese Aged 40 Years and Above2009 · 33 citations
  4. 4The Association Between Reflux Esophagitis and Psychosocial Stress2012 · 68 citations
  5. 5Development of the GerdQ, a tool for the diagnosis and management of gastro‐oesophageal reflux disease in primary care2009 · 727 citations