期刊
TRAUMA VIOLENCE & ABUSE
卷 8, 期 3, 页码 331-343出版社
SAGE PUBLICATIONS INC
DOI: 10.1177/1524838007303240
关键词
functional gastrointestinal disorders; gastrointestinal; intimate partner violence; irritable bowel syndrome; physical abuse; sexual abuse
资金
- NCCIH NIH HHS [R01 AT002035] Funding Source: Medline
- NIDDK NIH HHS [R24 DK067674] Funding Source: Medline
- NIMH NIH HHS [R01 MH61687] Funding Source: Medline
The primary goals of this article are to review the evidence that links sexual and physical abuse and intimate partner violence (IPV) with functional gastrointestinal (GI) symptoms and disorders and to explore physiological mechanisms that might mediate these health effects. The literature cited in this review has shown strong and consistent relationships of sexual and physical abuse history and IPV with functional GI symptoms and disorders. Among patients with these disorders, abuse history is associated with worse health-related quality of life, more health care utilization, and more pain, Although research has not determined what mechanisms might account for these associations, alterations in psychophysiological and cortico-limbic pain modulatory systems have been suggested. Given the high prevalence of abuse and long-lasting health consequences, referral for psychiatric and psychological treatment makes sense for many patients with abuse history seen within medical settings.
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