Chronic pain and health care utilization in women with a history of childhood sexual abuse
| Autor: | James Koumanis, Richard Fry, Carol A. Stalker, Peter Geiling Stenn, Hillel M. Finestone, Felicity Davies |
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| Rok vydání: | 2000 |
| Předmět: |
Adult
Child abuse medicine.medical_specialty Pain Poison control Fibromyalgia Developmental and Educational Psychology Humans Medicine Child Psychiatry business.industry Public health Chronic pain Child Abuse Sexual Health Services Middle Aged medicine.disease Mental health Psychiatry and Mental health Cross-Sectional Studies Sexual abuse Case-Control Studies Chronic Disease Pediatrics Perinatology and Child Health Female business Psychosocial |
| Zdroj: | Child Abuse & Neglect. 24:547-556 |
| ISSN: | 0145-2134 |
| DOI: | 10.1016/s0145-2134(00)00112-5 |
| Popis: | Objective: This cross-sectional controlled study investigated the association between chronic pain, health care utilization and a history of childhood sexual abuse. Subjects: Three groups, constituting 80 women in total, were studied (1) attendees at group therapy for individuals who had experienced childhood sexual abuse (n = 26); (2) Two control groups consisting of nonabused (a) psychiatric outpatients (n = 33); and (b) nurses (n = 21). Setting: The setting was a university affiliated community and tertiary care hospital in London, Ontario. Outcome Measures: Each subject voluntarily completed questionnaires documenting history of childhood abuse, pain, psychological symptomatology and medical and surgical history. Results: Sixty-nine percent of the women who had experienced childhood sexual abuse reported a chronic painful condition lasting more than three months, compared to 43% of the combined control groups (p = .026). Women who had experienced childhood sexual abuse reported a greater number of painful body areas (p = .003), more diffuse pain and more diagnoses of fibromyalgia (p = .013). They had more surgeries (p = .037), hospitalizations (p = .0004) and family physician visits (p = .046). Conclusions: Women with a history of childhood sexual abuse reported more chronic pain symptoms and utilized more health care resources compared to nonabused control subjects. Identification of such a history in the patient experiencing persisting pain may be the first step toward a successful combination of medical and psychosocial interventions. |
| Databáze: | OpenAIRE |
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