The Effect of Life Stress on Symptoms of Heartburn
Bruce D. Naliboff, PhD,
Minou Mayer, MA, MFT,
Ronnie Fass, MD,
Leah Z. Fitzgerald, RN, MS,
Lin Chang, MD,
Roger Bolus, PhD and
Emeran A. Mayer, MD
From the Center for Neurovisceral Sciences & Womens Health, Departments of Medicine (M.M., L.C., L.Z.F., R.B., E.A.M.), Physiology (E.A.M.), Psychiatry & Biobehavioral Sciences (B.D.N., E.A.M.), UCLA, Los Angeles, CA; Greater Los Angeles Healthcare System, VA Medical Center (B.D.N.), Los Angeles, CA; and University of Arizona/VA Medical Center GI Division (R.F.), Tucson, AZ.

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Figure 1. Impact of major life stress in previous 6 months on diary ratings. Subjects with presence of HIS during the past 6 months by team rating show increased heartburn symptom severity, impact, daily stress, and other pains on daily diary. Error bars represent SD. * p < .05 level (2-tailed). **p < .01 level (2-tailed).
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Figure 2. Symptom severity during 6 months for subjects with a major life stressor versus no major life stressor in past 6 months. Subjects with the presence of high-impact stressors by team rating show greater heartburn severity at 0, 2, and 4 months. Error bars represent SD. * p < .05 level (2-tailed).
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Copyright © 2004 by the American Psychosomatic Society