Felitti V J
Department of Preventive Medicine, Southern California Permanente Medical Group, San Diego 92111.
South Med J. 1991 Mar;84(3):328-31. doi: 10.1097/00007611-199103000-00008.
One hundred thirty-one patients who gave a history of childhood sexual abuse were seen in a general medical practice decades after the event and were compared with a control group. The subject patients were found to be distinct for chronic depression, morbid obesity, marital instability, high utilization of medical care, and certain psychosomatic symptoms, particularly chronic gastrointestinal distress and recurrent headaches. It is clear that these remote events can underlie difficult chronic medical problems. Questions about childhood sexual abuse must become part of the practitioner's review of systems in these difficult cases, if not routinely.
131名有童年期性虐待史的患者在事件发生数十年后到一家普通内科诊所就诊，并与一个对照组进行了比较。研究发现，这些受试患者在慢性抑郁症、病态肥胖、婚姻不稳定、医疗服务高利用率以及某些心身症状方面，尤其是慢性胃肠不适和反复发作的头痛方面，表现出明显不同。显然，这些久远的事件可能是棘手的慢性医疗问题的根源。在这些疑难病例中，即使不是常规地，关于童年期性虐待的问题也必须成为从业者系统回顾的一部分。
