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Self-reported abuse and gastrointestinal disease in outpatients: association with irritable bowel-type symptoms.
Am J Gastroenterol 1995; 90(3):366-71AJ

Abstract

OBJECTIVE

A link between functional bowel disease and sexual, physical, emotional, or verbal abuse remains controversial. We aimed to determine whether abuse is associated with functional bowel disease in outpatients.

METHODS

A consecutive sample of outpatients completed a validated questionnaire; 997 responded. Using standard criteria, we obtained data on symptoms, psychosocial factors, and abuse (sexual, physical, and emotional or verbal). Logistic regression analysis was used to determine whether abuse was associated with functional bowel disease (versus organic disease) and with irritable bowel syndrome (IBS)-type symptoms defined by the Manning criteria. Adjustments were made for age, gender, marital status, education level, psychological distress, and social support.

RESULTS

Of those with a physician-based diagnosis of functional bowel disease (n = 440), 22% reported some form of abuse (13% sexual and/or physical abuse), compared with those with organic disease (n = 557), 16% of whom reported some form of abuse; this difference was not significant. However, abused patients were significantly more likely to report IBS-type symptoms than those who did not report a history of abuse (odds ratio = 1.7, 95% confidence interval = 1.2, 2.5).

CONCLUSION

Outpatients who report abuse are more likely to have IBS-type symptoms.

Authors+Show Affiliations

Department of Medicine, University of Sydney, Nepean Hospital, Australia.No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

7872271

Citation

Talley, N J., et al. "Self-reported Abuse and Gastrointestinal Disease in Outpatients: Association With Irritable Bowel-type Symptoms." The American Journal of Gastroenterology, vol. 90, no. 3, 1995, pp. 366-71.
Talley NJ, Fett SL, Zinsmeister AR. Self-reported abuse and gastrointestinal disease in outpatients: association with irritable bowel-type symptoms. Am J Gastroenterol. 1995;90(3):366-71.
Talley, N. J., Fett, S. L., & Zinsmeister, A. R. (1995). Self-reported abuse and gastrointestinal disease in outpatients: association with irritable bowel-type symptoms. The American Journal of Gastroenterology, 90(3), pp. 366-71.
Talley NJ, Fett SL, Zinsmeister AR. Self-reported Abuse and Gastrointestinal Disease in Outpatients: Association With Irritable Bowel-type Symptoms. Am J Gastroenterol. 1995;90(3):366-71. PubMed PMID: 7872271.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Self-reported abuse and gastrointestinal disease in outpatients: association with irritable bowel-type symptoms. AU - Talley,N J, AU - Fett,S L, AU - Zinsmeister,A R, PY - 1995/3/1/pubmed PY - 1995/3/1/medline PY - 1995/3/1/entrez SP - 366 EP - 71 JF - The American journal of gastroenterology JO - Am. J. Gastroenterol. VL - 90 IS - 3 N2 - OBJECTIVE: A link between functional bowel disease and sexual, physical, emotional, or verbal abuse remains controversial. We aimed to determine whether abuse is associated with functional bowel disease in outpatients. METHODS: A consecutive sample of outpatients completed a validated questionnaire; 997 responded. Using standard criteria, we obtained data on symptoms, psychosocial factors, and abuse (sexual, physical, and emotional or verbal). Logistic regression analysis was used to determine whether abuse was associated with functional bowel disease (versus organic disease) and with irritable bowel syndrome (IBS)-type symptoms defined by the Manning criteria. Adjustments were made for age, gender, marital status, education level, psychological distress, and social support. RESULTS: Of those with a physician-based diagnosis of functional bowel disease (n = 440), 22% reported some form of abuse (13% sexual and/or physical abuse), compared with those with organic disease (n = 557), 16% of whom reported some form of abuse; this difference was not significant. However, abused patients were significantly more likely to report IBS-type symptoms than those who did not report a history of abuse (odds ratio = 1.7, 95% confidence interval = 1.2, 2.5). CONCLUSION: Outpatients who report abuse are more likely to have IBS-type symptoms. SN - 0002-9270 UR - https://www.unboundmedicine.com/medline/citation/7872271/Self_reported_abuse_and_gastrointestinal_disease_in_outpatients:_association_with_irritable_bowel_type_symptoms_ L2 - https://medlineplus.gov/irritablebowelsyndrome.html DB - PRIME DP - Unbound Medicine ER -