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Psychosomatic Medicine 30:209-221 (1968)
© 1968 American Psychosomatic Society

Regional Ileitis and Psychiatric Disorder

PETER C. WHYBROW M.B., B.S.1, FRANCIS J. KANE JR M.D.1, and MORRIS A. LIPTON PH.D., M.D.1

1 Department of Psychiatry, University of North Carolina School of Medicine, Chapel Hill, N. C.

Psychiatric disturbance in a group of 39 persons with proved regional ileitis is investigated retrospectively. Reference to all sources of information in the hospital records indicates a psychiatric morbidity within the group of 62.5%, with a clear temporal relationship between psychological stress and an exacerbation of the disease process in 64% of the group. The major psychiatric symptom seen during hospitalization was that of depression (38% of the group). The development of this symptomatologic picture appeared to be linked with the duration and severity of the disease process. No specific personality characteristic in persons developing regional ileitis could be defined from the available data--although 40% of the group did exhibit a predominantly passive-dependent personality constellation. Of the group, 38% had symptoms of other psychosomatic disorders. This finding, together with the interdependence of psychic and somatic factors in regional ileitis, is discussed.

Submitted on July 10, 1967




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