Sexual abuse, physical abuse, chronic fatigue, and chronic fatigue syndrome: a community-based study.
Sexual abuse, physical abuse, chronic fatigue, and chronic fatigue syndrome: a community-based study.
复制标题
性虐待、身体虐待、慢性疲劳和慢性疲劳综合症：一项基于社区的研究。
DOI：
10.1097/00005053-200110000-00008
复制
发表时间：
2001
期刊：
影响因子：
--
通讯作者：
Jason,LA
中科院分区：
文献类型：
--
作者：
Taylor,RR;Jason,LA
使用随机选择的基于社区的样本，这项调查检查了儿童期性虐待、身体虐待和死亡威胁虐待史是否可以预测涉及慢性疲劳的特定医疗和精神疾病的成年结果。这项研究还验证了先前的建议，即大多数慢性疲劳综合征患者报告了过去的人际虐待史。在控制社会人口学的影响的同时，使用多项Logistic回归来检验虐待史和慢性疲劳组结果之间的关系。与健康对照组相比，儿童期性虐待与特发性慢性疲劳、由精神疾病解释的慢性疲劳以及由医疗条件解释的慢性疲劳的结局显著相关。滥用病史类型均不是慢性疲劳综合征的显著预测因子。对慢性疲劳综合征组的个人进行更仔细的检查后发现，与没有慢性疲劳综合征的人相比，患有慢性疲劳综合征的人报告虐待的人数明显减少。对这些发现的意义进行了讨论。
Using a randomly selected community-based sample, this investigation examined whether histories of childhood sexual, physical, and death threat abuse predicted adulthood outcomes of specific medical and psychiatric conditions involving chronic fatigue. This study also tested prior suggestions that most individuals with chronic fatigue syndrome report a past history of interpersonal abuse. Multinomial logistic regression was used to examine the relationship between abuse history and chronic fatigue group outcomes while controlling for the effects of sociodemographics. Compared with healthy controls, childhood sexual abuse was significantly more likely to be associated with outcomes of idiopathic chronic fatigue, chronic fatigue explained by a psychiatric condition, and chronic fatigue explained by a medical condition. None of the abuse history types were significant predictors of chronic fatigue syndrome. A closer examination of individuals in the chronic fatigue syndrome group revealed that significantly fewer individuals with CFS reported abuse as compared with those who did not. The implications of these findings are discussed.