Histories of sexual victimization in patients with irritable bowel syndrome or inflammatory bowel disease.

  title={Histories of sexual victimization in patients with irritable bowel syndrome or inflammatory bowel disease.},
  author={Edward A. Walker and Wayne J. Katon and Peter Paul Roy-Byrne and Ron Jemelka and Joan E Russo},
  journal={The American journal of psychiatry},
  volume={150 10},
OBJECTIVE Two reports have suggested a possible association between a history of sexual trauma and irritable bowel syndrome, but several factors in their study designs limited their generalizability. The authors used a more rigorous methodology to confirm this association. METHOD They administered structured psychiatric and sexual trauma interviews to 28 patients with irritable bowel syndrome and 19 patients with inflammatory bowel disease and compared prevalence rates of sexual victimization… 

Effect of sexual and physical abuse on symptom experiences in women with irritable bowel syndrome.

Within women with IBS, those with a history of abuse do not appear to be different from those with no history of Abuse on GI symptoms, psychological symptoms, or physiological arousal indicators, but within women without IBS the prevalence of ahistory of childhood sexual abuse experiences is elevated.

Psychiatric diagnoses, sexual and physical victimization, and disability in patients with irritable bowel syndrome or inflammatory bowel disease

Despite the absence of organic pathology, IBS patients had significantly higher numbers of medically unexplained physical symptoms and disability ratings equal to, or greater than, those of patients with severe organic gastrointestinal disease.

Relation Between Physical or Sexual Abuse and Functional Gastrointestinal Disorders

Current information supports a “link” from abuse to functional gastrointestinal symptoms and to care-seeking behavior, and the concept of abnormal central nervous systementeric regulation is emerging.

History of sexual and physical abuse in women with dyspareunia: association with pain, psychosocial adjustment, and sexual functioning.

Findings suggest that the presence of a sexual abuse history in women with dyspareunia is associated with increased psychological distress and sexual impairment, although there is no relation between a history of physical abuse and these outcomes.

Sexual and physical abuse and gastrointestinal illness.

  • D. Drossman
  • Medicine, Psychology
    Scandinavian journal of gastroenterology. Supplement
  • 1995
In a GI referral practice, abuse history is a hidden factor that is associated with poorer adjustment to illness, greater symptom severity and higher health care use rates.

The association of sexual abuse with pelvic pain complaints in a primary care population.

Racial Differences in General Health, Suicidal Thoughts, Physical and Sexual Abuse in African-Americans and Caucasians with Irritable Bowel Syndrome

Substantial similarities as well as differences in IBS patients of the two races support the concept that, while there is an important role for a biological component to the pathogenesis of IBS, it by itself may not be an exclusive determinant.

Sexual and physical abuse history and medical practice.

Childhood Sexual Abuse and Psychosomatic Symptoms in Irritable Bowel Syndrome

  • C. Ross
  • Medicine, Psychology
    Journal of child sexual abuse
  • 2005
The subjects in the three groups did not differ on the DES, the SCL-90 or most sections of the DDIS, however, subjects with irritable bowel syndrome reported much higher rates of childhood sexual abuse and psychosomatic symptoms.



Sexual and physical abuse in women with functional or organic gastrointestinal disorders.

It is found that a history of sexual and physical abuse is a frequent, yet hidden, experience in women seen in referral-based gastroenterology practice and is particularly common in those with functional gastrointestinal disorders.

Medical and psychiatric symptoms in women with childhood sexual abuse.

Logistic regression analysis demonstrated that number of somatization symptoms, lifetime panic disorder and drug dependence were predictive of a prior history of severe childhood sexual abuse, and Clinicians should inquire about childhood sexual and physical abuse experiences in patients with multiple medical and psychiatric symptoms, particularly patients with chronic pelvic pain.

The prevalence of chronic pelvic pain and irritable bowel syndrome in two university clinics

Women with pelvic pain were significantly more likely than women without pain to express other pain and aversive symptoms such as bowel problems, menstrual and sexual dysfunction, and to have higher psychological distress scores on the General Health Questionnaire.

Relationship of chronic pelvic pain to psychiatric diagnoses and childhood sexual abuse.

The patients with chronic pelvic pain showed a significantly higher prevalence of major depression, substance abuse, adult sexual dysfunction, somatization, and history of childhood and adult sexual abuse than the comparison group.

Somatic consequences of violence against women.

The rapidly growing literature on the somatic, nonpsychiatric effects of violence on women's health is reviewed, including rape, battery, and the adult consequences of child sexual abuse. The

Psychiatric illness and irritable bowel syndrome: a comparison with inflammatory bowel disease.

Significantly more of the patients with irritable bowel syndrome had lifetime diagnoses of major depression, somatization disorder, generalized anxiety disorder, panic disorder, and phobic disorder than with inflammatory bowel disease, and most had suffered from psychiatric disorders, particularly anxiety disorders, before the onset of their irritables.

Deleterious effects of criminal victimization on women's health and medical utilization.

The long-term deleterious effects of criminal victimization on physical health suggest that criminally victimized women's needs for medical treatment transcend the traditional focus on emergency care and forensic evaluation.

Chronic fatigue syndrome criteria. A critique of the requirement for multiple physical complaints.

The data suggest that the current case definition for chronic fatigue syndrome inadvertently selects for patients with the highest prevalence of lifetime psychiatric diagnoses, which could lead to modifications of the case criteria to include patients with fatigue and few physical symptoms.