Emotional abuse, self-blame, and self-silencing in women with irritable bowel syndrome
Emotional abuse, self-blame, and self-silencing in women with irritable bowel syndrome
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DOI：
10.1097/00006842-200001000-00011
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发表时间：
2000-01-01
影响因子：
3.3
通讯作者：
Vidins, EI
中科院分区：
文献类型：
--
作者：
Ali, A;Toner, BB;Vidins, EI
目的：本研究的目的是调查在诊断为肠易激综合征（IBS）的女性样本中存在的情绪虐待和两种心理社会结构（自责和自我沉默），相对于诊断为炎症性肠病（IBD）的女性样本。方法：将诊断为IBS的女性（N = 25）与诊断为IBD的女性（N = 25）在虐待史、自责和自我沉默方面进行比较。结果：研究发现，IBS样本中的女性在情感虐待、自责和自我沉默方面的得分明显高于IBD样本中的女性。这三个变量也被发现在IBS和IBD样本中具有显著的相互关联。最后，IBS患者的情绪虐待明显高于IBD患者，这超出了身体和/或性虐待史的差异。结论：这些研究结果从经验上证明了肠易激综合征和情绪虐待之间的联系，以及可能与心理社会变量的联系，这可能介导了情绪虐待和功能性肠症状之间的联系。我们建议在肠易激综合征的临床相关研究中进一步评估这些变量。
Objective: The purpose of this study was to investigate the presence of emotional abuse and two psychosocial constructs (self-blame and self-silencing) in a sample of women diagnosed with irritable bowel syndrome [IBS) relative to a comparison sample of women diagnosed with inflammatory bowel disease (IBD), Methods: Women diagnosed with IBS (N = 25) were compared with women diagnosed with IBD (N = 25) on measures of history of abuse, self-blame, and self-silencing. Results: It was found that women in the IBS sample scored significantly higher on emotional abuse, self-blame, and self-silencing than did women in the IBD sample. These three variables were also found to be significantly intercorrelated in both the IBS and IBD samples. Finally, emotional abuse was significantly higher in IBS patients than in IBD patients beyond the differences accounted for by physical and/or sexual abuse history. Conclusions: These findings empirically demonstrate an association between IBS and emotional abuse, as well as a possible connection with psychosocial variables, that may mediate the connection between emotional abuse and functional bowel symptoms. We suggest that these variables be further evaluated in the context of clinically relevant research on IBS.