TY - JOUR PY - 1993// TI - Histories of sexual victimization in patients with irritable bowel syndrome or inflammatory bowel disease JO - American journal of psychiatry A1 - Walker, E. A. A1 - Katon, W. J. A1 - Roy-Byrne, Peter P. A1 - Jemelka, R. P. A1 - Russo, J. SP - 1502 EP - 1506 VL - 150 IS - 10 N2 - This study confirms the previously studied findings by using a more rigorous methodology concerning the association of sexual victimization history and irritable bowel syndrome or inflammatory bowel disease. Structured psychiatric and sexual trauma interviews were given to 28 patients with irritable bowel syndrome and 19 inflammatory bowel disease, and the prevalence rates of sexual victimization in the 2 groups were compared. A logistic regression analysis was performed to summarize the differences between patients who had severe trauma and those who had none, and to account for intercorrelations among the study variables. Results showed that patients with irritable bowel syndrome were more likely to have a history of previous sexual victimization. The odd ratios for current and lifetime psychiatric disorders in the 9 patients who had experienced severe forms of victimization showed that they were at significantly greater risk for affective, anxiety, and somatoform disorders as well as substance abuse and sexual dysfunction. It was also demonstrated that the best predictors of having experienced severe forms of victimization were gender, the number of medically unexplained physical symptoms, and self-reported anxiety and hostility. This study suggests that irritable bowel syndrome may be part of a chronic adjustment to previous sexual victimization in some patients.

Language: en

LA - en SN - 0002-953X UR - http://dx.doi.org/ ID - ref1 ER -