We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Dyspepsia in Relation to Helicobacter pylori Infection and Psychosocial Work Stress in White Collar Employees.
- Authors
Rothenbacher, Dietrich; Peter, Richard; Bode, Günter; Adler, Guido; Brenner, Hermann
- Abstract
Objective: We undertook an investigation of the relationship between psychosocial work stress and <em>Helicobacter pylori (H. pylori)</em> infection with dyspepsia. Methods: We conducted a cross-sectional study among 189 employees of a health insurance company in the city of Ulm, Germany. Results: A clear association between work-related psychosocial factors and the occurrence of dyspeptic symptoms during the past 3 months was evident. Persons who were considered to have a critical style of coping with work demands suffered more often from dyspeptic symptoms. Current infection with <em>H. pylori</em> was not associated with prevalence of dyspeptic symptoms. These results were also confirmed by adjustment for age, gender, smoking status, education, and use of antiinflammatory drugs within the past 3 months, by means of multivariate analysis. The odds ratio (OR) for having a dyspepsia symptom score in the upper tertile versus the 1st or 2nd was 3.22 (95% confidence interval [CI], 1.56-6.65), given that the employee was considered to have a critical style of coping with work demands. The OR for having a dyspepsia symptom score in the upper tertile given <em>H. pylori</em> infection was 1.23 (95% CI, 0.44-3.46), indicating no association of current <em>H. pylori</em> infection with dyspeptic symptoms. Conclusions: A critical style of coping with work demands may be an important determinant for dyspepsia-like symptoms. Therefore, in the absence of an underlying disease, specific intervention programs should be targeted at the behavior of the affected individual (e.g., stress-reduction programs) rather than on the treatment of specific symptoms or infection with <em>H. pylori</em>.
- Subjects
ULM (Germany); GERMANY; JOB stress; HELICOBACTER pylori infections; INDIGESTION; WHITE collar workers; GASTROINTESTINAL diseases
- Publication
American Journal of Gastroenterology (Springer Nature), 1998, Vol 93, Issue 9, p1443
- ISSN
0002-9270
- Publication type
Article
- DOI
10.1111/j.1572-0241.1998.00460.x