PREVALENCE OF SEXUAL ABUSE AMONG PATIENTS WITH FUNCTIONAL-DISORDERS OF THE LOWER GASTROINTESTINAL-TRACT

被引：81

作者：

LEROI, AM ^{[1
]}

BERNIER, C ^{[1
]}

WATIER, A ^{[1
]}

HEMOND, M ^{[1
]}

GOUPIL, G ^{[1
]}

BLACK, R ^{[1
]}

DENIS, P ^{[1
]}

DEVROEDE, G ^{[1
]}

机构：

[1] UNIV SHERBROOKE,FAC MED,DEPT CHIRURG & GASTROENTEROL,SHERBROOKE,PQ,CANADA

来源：

INTERNATIONAL JOURNAL OF COLORECTAL DISEASE | 1995年 / 10卷 / 04期

关键词：

D O I：

10.1007/BF00346219

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

To evaluate the links between gastrointestinal disorders and sexual abuse, we asked 344 patients consulting in a specialized tertiary care universtiy hospital or a gastroenterologist in private practice, if they had been sexually abused. Forty per cent of patients suffering from lower functional digestive disorder gave a history of having been victims of sexual abuse in contrast to only 10% of patients with organic diseases (P<0.0003). The prevalence was similar in private practice and in the university hospital. Abused patients were more likely to complain of constipation (P<0.03) and diarrhoea (P<0.04). Anismus was more frequent in patients who had been sexually abused (P<0.02). The prevalence of abuse was four times greater in patients with lower than with upper functional motor disorders of the gastrointestinal tract (P<0.002). This study confirms the large prevalence of a past history of sexual abuse among patients consulting for gastrointestinal tract functional disorder, and this whatever the kind of recruitment may be. It shows the association to be much stronger in patients who have a lower rather than an upper gastrointestinal dysfunction, the major complaint of abused patients being constipation and diarrhoea.

引用

页码：200 / 206

页数：7

共 35 条

[1] Guthrie E., Creed F.H., Whorwell P.J., Severe sexual dysfunction in women with the irritable bowel syndrome: comparison with inflammatory bowel disease and duodenal ulceration, Br Med J, 295, pp. 577-578, (1987)
[2] Weber J., Ducrotte P., Touchais J.Y., Roussignol C., Denis P., Biofeedback training for constipation in adults and children, Diseases of the Colon & Rectum, 30, pp. 844-846, (1987)
[3] Prior A., Wilson K., Whorwell P.J., Faragher E.B., Irritable bowel syndrome in the gynaecological clinic, Dig Dis Sci, 34, pp. 1820-1824, (1989)
[4] Drossman D.A., Leserman J., Nachman G., Li Z., Gluck H., Toomey T.C., Mitchell M., Sexual and physical abuse in women with functional or organic gastrointestinal disorders, Ann Intern Med, 113, pp. 828-833, (1990)
[5] Longstreth G.F., Wolde-Tsadik G., Irritable bowel-type symptoms in HMO examinees. Prevalence, demographics, and clinical correlates, Dig Dis Sci, 38, pp. 1581-1589, (1993)
[6] Seidel J.S., Epvik S.L., Berkowitz C.D., Day C., Presentation and evaluation of sexual misuse in the emergency department, Pediatr Emerg Care, 2, pp. 157-164, (1986)
[7] Arnold R.P., Rogers O., Cook D.A.G., Medical problems of adults who were sexually abused in childhood, Br Med J, 300, pp. 705-708, (1990)
[8] Leserman J., Toomey T.C., Drossman D.A., Medical consequences in women of sexual and physical abuse, Hum Med, 11, pp. 23-28, (1995)
[9] Denoede G., Love, sex and incest, Editorial. Hum Med, 11, pp. 6-7, (1995)
[10] Spiro H., Abuse and existential pain, Editorial. Hum Med, 11, pp. 8-9, (1995)

← 1 2 3 4 →