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J Neurogastroenterol Motil. 2018 Jan 30;24(1):79-86. doi: 10.5056/jnm17004.

Sexual Abuse Is Associated With an Abnormal Psychological Profile and Sleep Difficulty in Patients With Irritable Bowel Syndrome in Taiwan.

Lee HF1,2, Liu PY3, Wang YP3,4,5, Tsai CF6, Chang FY5,7, Lu CL3,4,5,7.

Author information

1
Division of Gastroenterology, Department of Medicine, Dalin Tzu Chi Hospital, Buddhist Tzu Chi Foundation, Chia-Yi, Taiwan.
2
School of Medicine, Tzu Chi University, Hualien, Taiwan.
3
Institute of Brain Science, National Yang-Ming University School of Medicine, Taipei, Taiwan.
4
Faculty of Medicine, National Yang-Ming University School of Medicine, Taipei, Taiwan.
5
Endoscopic Center for Diagnosis and Treatment, Taipei Veterans General Hospital, Taipei, Taiwan.
6
Psychiatry, Taipei Veterans General Hospital, Taipei, Taiwan.
7
Division of Gastroenterology, Departments of Medicine, Taipei Veterans General Hospital, Taipei, Taiwan.

Abstract

Background/Aims:

Both sexual and physical abuse history have been reported to be associated with irritable bowel syndrome (IBS) in Western countries. The impact of abuse history in IBS patients in Asia remains unclear. We aim to determine the prevalence of abuse history, its associated psychological profiles, and sleep problems among IBS patients in Taiwan.

Methods:

In total, 194 Rome III-defined IBS patients were invited to participate. Age- and sex- matched healthy carriers of chronic hepatitis B or hepatitis C without chronic abdominal symptoms were identified as disease-controls. We administered a validated questionnaire to evaluate bowel symptoms, physical/sexual abuse history, anxiety/depression (Hospital Anxiety and Depression Scale [HADS]), and sleep quality.

Results:

IBS patients had a significantly higher prevalence of sexual abuse history than the disease-control group both before (16.5% vs 6.7%, P < 0.05) and after (16.0% vs 6.6%, P < 0.05) adolescence. These significant differences were mainly observed in women (13.4% vs 3.4%, P < 0.05). No difference was noted in history of physical abuse between the 2 groups. IBS patients with a history of sexual abuse had significantly higher HADS scores and higher frequencies of sleep difficulty than those without.

Conclusions:

In Taiwan, sexual abuse history was more prevalent in female IBS patients than controls. Sexual abuse history may contribute to higher anxiety/depression levels and sleep difficulties, which are commonly experienced in IBS patients. In Asia, abuse history should be obtained when approaching IBS patients to facilitate better management.

KEYWORDS:

Depression; Irritable bowel syndrome; Physical abuse; Sexual abuse

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