Background/Aims: Why abuse is associated with irritable bowel syndrome and functional dyspepsia remains unclear but other psychosocial factors may be important. We hypothesized that other psychosocial variables may confound the association. Methods: 207 subjects identified from a previous population survey who also met Rome I criteria for IBS (n = 156) or functional dyspepsia (n = 51) were included in the study. Controls (n = 100) did not report having any abdominal pain in a previous population survey. Sexual, physical, emotional/verbal abuse as a child (≤13 years) and adult (≧14 years) was assessed using validated self-report questions. Other psychological variables were assessed via validated self-report. Results: Adulthood abuse was significantly more common in IBS and/or functional dyspepsia (40%) compared with healthy controls (25%). Abuse was not an independent predictor for IBS or functional dyspepsia when psychological and buffering factors were controlled for in the analyses. Having a diagnosis of depression and using a self-controlling coping style were significantly associated with having a history of abuse. Conclusions: Abuse occurring as an adult was significantly associated with IBS and/or functional dyspepsia, but it was not an important factor when psychosocial factors were controlled for in these disorders.

Felitti VJ: Long-term medical consequences of incest, rape, and molestation. South Med J 1991;84:328–331.
Talley NJ, Helgeson SL, Zinsmeister AR, Melton LJ III: Gastrointestinal tract symptoms and self-reported abuse: A population-based study. Gastroenterology1994;107:1040–1049.
Talley NJ, Boyce PM, Jones M: Is the association between irritable bowel syndrome and abuse explained by neuroticism? A population-based study. Gut 1998;42:47–53.
Longstreth GF, Wolde-Tsadik G: Irritable bowel-type symptoms in HMO examinees. Prevalence, demographics, and clinical correlates. Dig Dis Sci 1993;38:1581–1589.
Walker EA, Gelfand AN, Gelfand MD, Katon WJ: Psychiatric diagnoses, sexual and physical victimization, and disability in patients with irritable bowel syndrome or inflammatory bowel disease. Psychol Med 1995;25:1259–1267.
Talley NJ, Fett SL, Zinsmeister AR: Self-reported abuse and gastrointestinal disease in outpatients: Association with irritable bowel-type symptoms. Am J Gastroenterol 1995;3:366–371.
Delvaux M, Denis P, Allemand H: Sexual abuse is more frequently reported by IBS patients than by patients with organic digestive diseases or controls: Results from a multicentre inquiry. Eur J Gastroenterol Hepatol 1997;9:345–352.
Drossman DA, Leserman J, Nachman G, Li Z, Gluck H, Toomey TC: Sexual and physical abuse in women with functional or organic gastrointestinal disease. Ann Intern Med 1990;113:828–833.
Drossman DA, Talley NJ, Olden KW, Barreiro MA: Sexual and physical abuse and gastrointestinal illness. Review and recommendations. Ann Intern Med 1995;123:782–794.
Drossman DA: Irritable bowel syndrome and sexual/physical abuse history. Eur J Gastroenterol Hepatol 1997;9:327–330.
Talley NJ, Boyce P, Jones M: Dyspepsia and health care seeking in a community. How important are psychological factors? Dig Dis Sci 1998;43:1016–1022.
Blanchard EB, Scharff L, Schwarz SP, Suls JM, Barlow DH: The role of anxiety and depression in the irritable bowel syndrome. Behav Res Ther 1990;28:401–405.
Jarrett M, Heitkemper M, Cain K, Tuftin M, Walker E, Bond E, Levy R: The relationship between psychological distress and gastrointestinal symptoms in women with irritable bowel syndrome. Nurs Res 1998;47:154–161.
Magni F, di Mario F, Bernaconi G, Mastropaola G, Naccarato R: Psychological distress in dyspepsia of unknown cause. Dig Dis Sci 1988;33:1052–1053.
Mishra DN, Shukla G, Agarwal A, Saxena H, Jain P: Non-organic dyspepsia: A controlled clinico-psychiatric study. J Assoc Physns India1984;32:399–402.
Salmon P, Skaife K, Rhodes J: Abuse, dissociation, and somatisation in irritable bowel syndrome: Towards an explanatory model. J Behav Med 2003;26:1–18.
Blanchard EB, Keefer L, Payne A, Turner SM, Galovski TE: Early abuse, psychiatric diagnoses and irritable bowel syndrome. Behav Res Ther 2002;40:289–298.
Hobbis ICA, Turpin G, Read NW: A re-examination of the relationship between abuse experience and functional bowel disorders. Scand J Gastroenterol 2002;37:423–430.
Scarinci IC, McDonald-Haile J, Bradley LA et al: Altered pain perception and psychosocial features among women with gastrointestinal disorders and history of abuse: A preliminary model. Am J Med 1994;97:108–118.
Engel CC, Walker EA, Katon WJ: Factors related to dissociation among patients with gastrointestinal complaints. J Psychosom Res 1996;40:643–653.
Martin R, Davis GM, Baron RS, Suls J, Blanchard EB: Specificity in social support: perceptions of helpful and unhelpful provider behaviors among irritable bowel syndrome, headache, and cancer patients. Health Psych 1994;13:432–439.
Australian Bureau of Statistics: Census of population and housing, basic community profile: Area 6350 Penrith, ABS catalogue No 2722. Sydney, Australian Bureau of Statistics, 1991.
Heaton KW, Ghosh S, Braddon FE: How bad are the symptoms and bowel dysfunction of patients with the irritable bowel syndrome? A prospective, controlled study with emphasis on stool form. Gut 1991;32:73–79.
Talley NJ, Boyce PM, Owen BK, Newman P, Paterson KJ: Initial validation of a bowel symptom questionnaire and measurement of chronic gastrointestinal symptoms in Australians. Aust NZ J Med 1995;25:302–308.
Badgley R, Allard H, McCormick N, et al: Occurrence in the population; in: Sexual Offences Against Children, vol I. Ottawa, Canadian Government Publishing Centre, 1984, pp 175–193.
Leserman J, Drossman DA, Li Z: Obtaining a history of sexual abuse in medical patients: Validity and reliability of a survey instrument (abstract). Psychosom Med 1994;56:154–155.
Leserman J, Drossman DA, Li Z: The reliability and validity of a sexual and physical abuse history questionnaire in female patients with gastrointestinal disorders. Behav Med1995;21:141–150.
World Health Organization: Composite International Diagnostic Interview, version 2.1. Geneva, World Health Organization, 1997.
Andrews G, Peters L: The psychometric properties of the Composite International Diagnostic Interview. Soc Psychiatry Psychiatry Epidemiol1988;33:80–88.
Eysenck HJ, Eysenck SBG: Manual of the Eysenck Personality Questionnaire. London, Hodder & Stoughton,1975.
Wilhelm K, Parker G: The development of a measure of intimate bonds. Psychol Med 1988;18:225–234.
Sarason IG, Levine HM, Basham RB, Sarason BR: Assessing social support: The Social Support Questionnaire. J Pers Soc Psychol 1983;44:127–139.
Folkman S, Lazarus RS: Ways of Coping Questionnaire: Research Edition. Palo Alto, Consulting Psychologists Press, 1988.
Craig AR, Franklin JA, Andrews G: A scale to measure locus of control of behaviour. Br J Med Psychol 1984;57:173–180.
Talley NJ and Boyce P: Abuse and functional gastrointestinal disorders: What is the link and should we care? (Invited Editorial). Gastroenterology 1996;110:1301–1304.
Dunne MP, Purdie DM, Cook MD, Boyle FM, Najman JM: Is child sexual abuse declining? Evidence from a population-based survey of men and women in Australia Child Abuse Neglect 2003;27:141–512.
Toner BB, Garfinkel PE, Jeejeebhoy KN, Scher H, Shulhan D, Gasbarro ID: Self-schema in irritable bowel syndrome and depression. Psychosom Med 1990;52:149–155.
Manning AP, Wyman JB, Heaton KW: How trustworthy are bowel histories? Comparison of recalled and recorded information. Br Med J 1976;2:213–214.
Talley NJ, Phillips SF, Wiltgen CM, Zinsmeister AR, Melton LJ: 3rd Assessment of functional gastrointestinal disease: the bowel disease questionnaire. Mayo Clinic Proc 1990;65:1456–1479.
Drossman DA, Richter JE, Talley NJ, Thompson GW, Corazziari E, Whitehead WE (eds): The Functional Gastrointestinal Disorders. Diagnosis, Pathophysiology and Treatment – A Multinational Consensus. Boston, Little, Brown, 1994.
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