Association Between Functional Gastrointestinal Diseases and Exposure to Abuse in Teenagers

被引：36
作者：
Devanarayana, Niranga Manjuri [1 ]
Rajindrajith, Shaman [2 ]
Perera, Madushanka S. [1 ]
Nishanthanie, Samudu W. [1 ]
Karunanayake, Amaranath [3 ]
Benninga, Marc A. [4 ]
机构：
[1] Univ Kelaniya, Dept Physiol, Fac Med, Ragama 11010, Sri Lanka
[2] Univ Kelaniya, Dept Paediat, Fac Med, Ragama 11010, Sri Lanka
[3] Univ Ruhuna, Dept Physiol, Fac Med, Karapitiya 80000, Galle, Sri Lanka
[4] Univ Amsterdam, Acad Med Ctr, Emma Childrens Hosp, Dept Paediat Gastroenterol & Nutr, NL-1105 AZ Amsterdam, Netherlands
来源：
JOURNAL OF TROPICAL PEDIATRICS | 2014年 / 60卷 / 05期
关键词：
abdominal pain; abuse; child; functional gastrointestinal disorder; somatization; RECURRENT ABDOMINAL-PAIN; CHILD SEXUAL-ABUSE; ROME-II; HISTORY; SYMPTOMS; HEALTH; PREVALENCE; SOMATIZATION; DISORDERS; CRITERIA;
D O I：
10.1093/tropej/fmu035
中图分类号：
R72 [儿科学];
学科分类号：
100202 ;
摘要：
Abdominal pain-predominant functional gastrointestinal diseases (AP-FGD) are common in children and commonly attributed to exposure to child abuse. However, this relationship has not been studied in teenagers, and the main objective of the current study was to assess it. Teenagers were recruited from four randomly selected schools in Western province of Sri Lanka. Data were collected using a validated self-administered questionnaire. AP-FGD were diagnosed using Rome III criteria. A total of 1850 teenagers aged 13-18 years were included. Three hundred and five (16.5%) had AP-FGD. AP-FGD were significantly higher in those exposed to sexual (34.0%), emotional (25.0%) and physical (20.2%) abuse, than in those not abused (13.0%, p < 0.001). Those with AP-FGD exposed to abuse had a higher severity score for bowel symptoms (30.8% vs. 24.7% in not abused, p < 0.05). This study highlights the importance of identifying exposure to abuse in management of teenagers with AP-FGD.
引用
收藏
页码：386 / 392
页数：7
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