Sexual abuse is more frequently reported by IBS patients than by patients with organic digestive diseases or controls. Results of a multicentre inquiry.
The aim of this multicentre inquiry was to evaluate the prevalence of sexual abuse among IBS patients consulting a gastroenterologist, in comparison to healthy controls and patients with organic digestive diseases.
Patients and methods
Patients with irritable bowel syndrome (IBS ; Rome Criteria) were included by eight university hospitals (n=196 ; 41.2 ±20.6 years ; sex ratio (M/F)=0.23).
Control groups were :
(i) patients consulting for the follow-up of non-neoplastic organic digestive diseases (n=135 ; 41.5 ±17.0 years ; 1.21) ;
(ii) patients attending ophthalmology units (n=200 ; 43.8 ± 20.7 years ; 0.81) ;
(iii) healthy subjects seen in centres of the National Health System (n=172 ; 40.3 ±16.3 years ; 0.83).
Each patient filled in an anonymous questionnaire, without help.
Prevalence of sexual abuse in the various groups was compared by the X2 test.
Sixty-two instance of sexual abuse (55 females, 7 males) were recorded among the 196 IBS patients (31.6%) : 8 cases of verbal aggression, 4 of exhibitionism, 11 of sexual harassment, 22 sexual touches, 17 rapes.
The prevalence of sexual abuse was 14.0% for the patients with organic digestive diseases (P=0.0005 vs.
IBS), 12.5% among ophthalmology patients (P<0.0001) and 7.6% in healthy controls (P<0.0001).
Sexual abuse was accompanied by physical abuse in 23 IBS patients and 19 patients from control groups (not significant).
Twenty-six IBS patients reported isolated physical abuse (14. (...)
Mots-clés Pascal : Abus sexuel, Incidence, Complication, Côlon irritable, Physiopathologie, Relation, Statut socioéconomique, Evaluation, Questionnaire, Epidémiologie, Homme, Appareil digestif pathologie, Intestin pathologie
Mots-clés Pascal anglais : Sexual abuse, Incidence, Complication, Irritable bowel syndrome, Pathophysiology, Relation, Socioeconomic status, Evaluation, Questionnaire, Epidemiology, Human, Digestive diseases, Intestinal disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0311051
Code Inist : 002B13B03. Création : 15/07/1997.