Douglas A. Drossman, MD; Nicholas J. Talley, MD; Jane
Kevin W. Olden, MD; and Marcelo A. Barreiro, MD, MSc. Sexual and
Physical Abuse and Gastrointestinal Illness: Review and
Duke University 15 November 1995 | Volume 123 Issue 10 | Pages
Objectives: To summarize
the existing data on abuse history and gastrointestinal illness,
a conceptual scheme to explain these associations, suggest ways to
patients at risk, and provide information about mental health
Data Sources: Review of the
by clinicians and investigators at referral centers who are involved in
the care of patients with complex gastrointestinal illness and who have
experience in the diagnosis and care of patients with abuse history in
Study Selection: All research
and observational data that addressed abuse history in
settings. Articles were identified through a MEDLINE search.
Data Extraction: Independent
by multiple observers.
Data Synthesis: On the basis of
review and consensus, it was determined that abuse history is
with gastrointestinal illness and psychological disturbance; appears
often among women, patients with functional gastrointestinal disorders,
and patients seen in referral settings; is not usually known by the
and is associated with poorer adjustment to illness and adverse health
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