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Childhood physical abuse in outpatients with psychosomatic symptoms

BACKGROUND: In Japan and Asia, few studies have been done of physical and sexual abuse. This study was aimed to determine whether a history of childhood physical abuse is associated with anxiety, depression and self-injurious behavior in outpatients with psychosomatic symptoms. METHODS: We divided 5...

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Autores principales: Handa, Masanori, Nukina, Hideyuki, Hosoi, Masako, Kubo, Chiharu
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2008
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2294137/
https://www.ncbi.nlm.nih.gov/pubmed/18358076
http://dx.doi.org/10.1186/1751-0759-2-8
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author Handa, Masanori
Nukina, Hideyuki
Hosoi, Masako
Kubo, Chiharu
author_facet Handa, Masanori
Nukina, Hideyuki
Hosoi, Masako
Kubo, Chiharu
author_sort Handa, Masanori
collection PubMed
description BACKGROUND: In Japan and Asia, few studies have been done of physical and sexual abuse. This study was aimed to determine whether a history of childhood physical abuse is associated with anxiety, depression and self-injurious behavior in outpatients with psychosomatic symptoms. METHODS: We divided 564 consecutive new outpatients at the Department of Psychosomatic Medicine of Kyushu University Hospital into two groups: a physically abused group and a non-abused group. Psychological test scores and the prevalence of self-injurious behavior were compared between the two groups. RESULTS: A history of childhood physical abuse was reported by patients with depressive disorders(12.7%), anxiety disorders(16.7%), eating disorders (16.3%), pain disorders (10.8%), irritable bowel syndrome (12.5%), and functional dyspepsia(7.5%). In both the patients with depressive disorders and those with anxiety disorders, STAI-I (state anxiety) and STAI-II (trait anxiety) were higher in the abused group than in the non-abused group (p < 0.05). In the patients with depressive disorders, the abused group was younger than the non-abused group (p < 0.05). The prevalence of self-injurious behavior of the patients with depressive disorders, anxiety disorders and pain disorders was higher in the abused groups than in the non-abused groups (p < 0.005). CONCLUSION: A history of childhood physical abuse is associated with psychological distress such as anxiety, depression and self-injurious behavior in outpatients with psychosomatic symptoms. It is important for physicians to consider the history of abuse in the primary care of these patients.
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spelling pubmed-22941372008-04-15 Childhood physical abuse in outpatients with psychosomatic symptoms Handa, Masanori Nukina, Hideyuki Hosoi, Masako Kubo, Chiharu Biopsychosoc Med Research BACKGROUND: In Japan and Asia, few studies have been done of physical and sexual abuse. This study was aimed to determine whether a history of childhood physical abuse is associated with anxiety, depression and self-injurious behavior in outpatients with psychosomatic symptoms. METHODS: We divided 564 consecutive new outpatients at the Department of Psychosomatic Medicine of Kyushu University Hospital into two groups: a physically abused group and a non-abused group. Psychological test scores and the prevalence of self-injurious behavior were compared between the two groups. RESULTS: A history of childhood physical abuse was reported by patients with depressive disorders(12.7%), anxiety disorders(16.7%), eating disorders (16.3%), pain disorders (10.8%), irritable bowel syndrome (12.5%), and functional dyspepsia(7.5%). In both the patients with depressive disorders and those with anxiety disorders, STAI-I (state anxiety) and STAI-II (trait anxiety) were higher in the abused group than in the non-abused group (p < 0.05). In the patients with depressive disorders, the abused group was younger than the non-abused group (p < 0.05). The prevalence of self-injurious behavior of the patients with depressive disorders, anxiety disorders and pain disorders was higher in the abused groups than in the non-abused groups (p < 0.005). CONCLUSION: A history of childhood physical abuse is associated with psychological distress such as anxiety, depression and self-injurious behavior in outpatients with psychosomatic symptoms. It is important for physicians to consider the history of abuse in the primary care of these patients. BioMed Central 2008-03-21 /pmc/articles/PMC2294137/ /pubmed/18358076 http://dx.doi.org/10.1186/1751-0759-2-8 Text en Copyright © 2008 Handa et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( (http://creativecommons.org/licenses/by/2.0) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research
Handa, Masanori
Nukina, Hideyuki
Hosoi, Masako
Kubo, Chiharu
Childhood physical abuse in outpatients with psychosomatic symptoms
title Childhood physical abuse in outpatients with psychosomatic symptoms
title_full Childhood physical abuse in outpatients with psychosomatic symptoms
title_fullStr Childhood physical abuse in outpatients with psychosomatic symptoms
title_full_unstemmed Childhood physical abuse in outpatients with psychosomatic symptoms
title_short Childhood physical abuse in outpatients with psychosomatic symptoms
title_sort childhood physical abuse in outpatients with psychosomatic symptoms
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2294137/
https://www.ncbi.nlm.nih.gov/pubmed/18358076
http://dx.doi.org/10.1186/1751-0759-2-8
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