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Psychosomatic Medicine 29:273-278 (1967)
© 1967 American Psychosomatic Society

A Study of Psychological Factors in Patients with Surgically Intractable Duodenal Ulcer and Those with Other Intractable Disorders

J. C. THOROUGHMAN M.D.1, G. R. PASCAL PH.D.1, J. R. JARVIS M.D.1, and J. C. CRUTCHER M.D.1

1 Veterans Administration Hospital, Atlanta, Ga.

Previous studies of patients with intractable duodenal ulcer showed that those who had poor surgical results could be differentiated by psychological measures from those with good results. Estimates of environmental satisfaction and reported early relations with mother showed excellent predictive validity. It was hypothesized, however, that these measures were not specific to intractability in duodenal-ulcer patients. The present study indicates that when patients with intractable disorders other than ulcer--i.e., chronic low back pain, etc.--are compared with those having intractable duodenal ulcer and showing poor results of surgery, the two groups cannot be differentiated on the measures previously used. It is suggested that patients with intractable illness who have had environmental impoverishment and poor early relations with parents belong to a much larger population of behavioral deviants.

Submitted on April 21, 1966






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Copyright © 1967 by the American Psychosomatic Society