Unadjusted data was not statistically significant .
The other problems of psychological intervention included low recruitment and high drop out rate , which has been shown to be greater in patients receiving group therapy .
There is insufficient evidence from this review to confirm the efficacy of psychological intervention in NUD
BACKGROUND Studies have also shown that non-ulcer dyspepsia ( NUD ) patients have higher scores of anxiety , depression , neurotism , chronic tension , hostility , hypochondriasis and tendency to be more pessimistic when compared with the community controls .
However , the role of psychological interventions in NUD remains uncertain .
OBJECTIVES This review aims to determine the effectiveness of psychological interventions including psychotherapy , psychodrama , cognitive behavioural therapy , relaxation therapy and hypnosis in the improvement of either individual or global dyspepsia symptom scores and quality of life scores in patients with NUD .
The value of screening for psychiatric disorders prior to upper endoscopy.
Gastrointestinal ( GI ) complaints are among the most common symptoms in primary care yet are frequently unexplained and often lead to costly diagnostic testing . We sought to determine the prevalence of psychiatric disorders in patients with unexplained GI complaints undergoing upper endoscopy  , and the likelihood of endoscopic abnormalities in patients with and without psychiatric diagnoses . We prospect ively evaluated 116 adult patients who were undergoing upper endoscopy to evaluate GI complaints . All subjects received a structured psychiatric interview prior to endoscopy using PRIME-MD , and endoscopists were blinded to the PRIME-MD results . Psychiatric disorders were detected in 70 ( 60 % ) patients . Overall , there were 113 diagnoses ( some patients had multiple disorders ) with the most common being somatoform ( 44 % ) , depressive ( 29 % ) , and anxiety ( 19 % ) disorders . Only 29 patients had major endoscopic abnormalities , including esophageal disease ( 14 ) , peptic ulcer ( 9 ) , severe gastritis ( 4 ) , gastric cancer ( 1 ) , and esophageal cancer ( 1 ) . There was a much higher prevalence of psychiatric disorders in patients without major endoscopic abnormalities ( 74 % vs. 21 % , p < 0.0001 ) . Psychiatric disease was strongly predictive of endoscopic findings ( OR for major abnormality = 0.11 in women , and 0.40 in men ) , especially if somatoform disorder was present ( OR = 0.15 ) . We conclude that , with a simple question naire , psychiatric disorders can be diagnosed in a large proportion of patients with unexplained GI complaints who are referred for upper endoscopy . The presence of a psychiatric disorder , particularly if somatoform , makes it unlikely that endoscopy will reveal significant GI disease
Unadjusted data was not statistically significant .
The other problems of psychological intervention included low recruitment and high drop out rate , which has been shown to be greater in patients receiving group therapy .
There is insufficient evidence from this review to confirm the efficacy of psychological intervention in NUD
BACKGROUND Studies have also shown that non-ulcer dyspepsia ( NUD ) patients have higher scores of anxiety , depression , neurotism , chronic tension , hostility , hypochondriasis and tendency to be more pessimistic when compared with the community controls .
However , the role of psychological interventions in NUD remains uncertain .
OBJECTIVES This review aims to determine the effectiveness of psychological interventions including psychotherapy , psychodrama , cognitive behavioural therapy , relaxation therapy and hypnosis in the improvement of either individual or global dyspepsia symptom scores and quality of life scores in patients with NUD .