@article{ref1,
title="Abuse in women and men with and without functional gastrointestinal disorders",
journal="Digestive diseases and sciences",
year="2008",
author="Alander, Ture and Heimer, Gun M. and Svardsudd, Kurt and Agréus, Lars",
volume="53",
number="7",
pages="1856-1864",
abstract="We aimed to investigate the history of abuse in childhood and adulthood and health-related quality of life (HRQL) in women and men with FGID in the general adult population. A cross-sectional study in a random population sample (n = 1,537, 20-87 years) living in Osthammar municipality, Sweden, in 1995 was performed. Persons with FGID (n = 141) and a group of abdominal symptom-free controls (SSF, n = 97) were selected by means of a validated questionnaire assessing gastrointestinal symptoms (the ASQ). Abuse, anxiety and depression (the HADS) and HRQL (the PGWB) were measured. Women with FGID had a higher risk of having a history of some kind of abuse, as compared with the SSF controls (45% vs.16%, OR = 2.0, 95% CI: 1.01-3.9; SSF = 1), in contrast to men (29% vs. 24% n.s.). Women with a history of abuse and FGID had reduced HRQL 91 (95% CI 85-97) as compared with women without abuse history 100 (95% CI 96-104, P = 0.01, &quot;healthy&quot; = 102-105 on PGWB). Childhood emotional abuse was a predictor for consulting with OR = 4.20 (95% CI: 1.12-15.7.7). Thus, previous abuse is common in women with FGID and must be considered by the physician for diagnosis and treatment of the disorder.<p /> <p>Language: en</p>",
language="en",
issn="0163-2116",
doi="10.1007/s10620-007-0101-1",
url="http://dx.doi.org/10.1007/s10620-007-0101-1"
}