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创伤暴露、创伤后应激障碍症状与胃肠道症状之间的关系。

The Relationship Between Trauma Exposure, PTSD Symptoms, and Gastrointestinal Symptoms.

作者信息

Heymann Jillian B, White Kamila S, Bruce Steven E

机构信息

Department of Psychological Sciences, University of Missouri-St. Louis, St. Louis, USA.

出版信息

Int J Behav Med. 2025 Feb 21. doi: 10.1007/s12529-025-10355-0.


DOI:10.1007/s12529-025-10355-0
PMID:39984772
Abstract

BACKGROUND: Extant literature has linked gastrointestinal distress and trauma exposure in clinical populations. This is especially salient for irritable bowel syndrome (IBS) and physical and sexual assault. METHODS: The present study of a sample of 1,432 students from a large public Midwestern university further investigates the relationship between gastrointestinal symptoms and trauma exposure. Specifically, broad categories of trauma exposure, disorders of gut-brain interaction (i.e., IBS and functional dyspepsia), and posttraumatic stress disorder (PTSD) were examined. RESULTS: Trauma exposure and specific trauma characteristics (i.e., interpersonal trauma history, number of unique trauma types) were significantly associated with higher gastrointestinal symptoms. Likewise, posttraumatic stress (PTS) symptom severity, probable PTSD, and cluster E symptom severity were also significantly related to higher gastrointestinal symptoms. Gender and race were significantly related to gastrointestinal symptoms in participants with trauma histories. Specifically, females reported greater gastrointestinal symptoms than males and White participants reported higher gastrointestinal symptoms than Black participants. In participants with probable PTSD, race remained significantly associated with gastrointestinal symptoms while gender was significant for functional dyspepsia symptoms only. Black participants reported greater gastrointestinal symptoms than White participants and females reported greater functional dyspepsia symptoms than males. CONCLUSIONS: Findings shed light on factors associated with differential experiences of gastrointestinal symptoms. Additionally, this study is the first to examine the experiences of functional dyspepsia in people with probable PTSD. Future research on disorders of gut-brain interaction and trauma should not continue to overlook functional dyspepsia.

摘要

背景:现有文献已将临床人群中的胃肠道不适与创伤暴露联系起来。这在肠易激综合征(IBS)以及身体和性侵犯方面尤为突出。 方法:本研究以一所大型中西部公立大学的1432名学生为样本,进一步调查胃肠道症状与创伤暴露之间的关系。具体而言,研究了广泛的创伤暴露类别、肠脑互动障碍(即IBS和功能性消化不良)以及创伤后应激障碍(PTSD)。 结果:创伤暴露和特定创伤特征(即人际创伤史、独特创伤类型的数量)与更高的胃肠道症状显著相关。同样,创伤后应激(PTS)症状严重程度、可能的PTSD以及E类症状严重程度也与更高的胃肠道症状显著相关。在有创伤史的参与者中,性别和种族与胃肠道症状显著相关。具体而言,女性报告的胃肠道症状比男性多,白人参与者报告的胃肠道症状比黑人参与者多。在可能患有PTSD的参与者中,种族仍然与胃肠道症状显著相关,而性别仅对功能性消化不良症状有显著影响。黑人参与者报告的胃肠道症状比白人参与者多,女性报告的功能性消化不良症状比男性多。 结论:研究结果揭示了与胃肠道症状差异经历相关的因素。此外,本研究首次考察了可能患有PTSD的人群中功能性消化不良的经历。未来关于肠脑互动障碍和创伤的研究不应再忽视功能性消化不良。

相似文献

[1]
The Relationship Between Trauma Exposure, PTSD Symptoms, and Gastrointestinal Symptoms.

Int J Behav Med. 2025-2-21

[2]
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[3]
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[4]
[Not Available].

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[5]
Sexual Assault History May Moderate Posttraumatic Cognition and Posttraumatic Stress Among Trauma-Exposed Sexual Minority Women.

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[6]
Prevalence of Gastrointestinal Symptoms and Irritable Bowel Syndrome Among Individuals With Symptomatic Posttraumatic Stress Disorder.

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[7]
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[8]
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J Altern Complement Med. 2018-8-30

[9]
[Posttraumatic stress disorder (PTSD) as a consequence of the interaction between an individual genetic susceptibility, a traumatogenic event and a social context].

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[10]
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本文引用的文献

[1]
Prevalence and Burden of Illness of Rome IV Irritable Bowel Syndrome in the United States: Results From a Nationwide Cross-Sectional Study.

Gastroenterology. 2023-12

[2]
Prevalence of Gastrointestinal Symptoms and Irritable Bowel Syndrome Among Individuals With Symptomatic Posttraumatic Stress Disorder.

J Clin Gastroenterol. 2022-8-1

[3]
Association between mental health trajectories and somatic symptoms following a second lockdown in Israel: a longitudinal study.

BMJ Open. 2021-9-2

[4]
Prevalence and Impact of Post-traumatic Stress Disorder in Gastrointestinal Conditions: A Systematic Review.

Dig Dis Sci. 2021-12

[5]
Somatic symptom load in men and women from middle to high age in the Gutenberg Health Study - association with psychosocial and somatic factors.

Sci Rep. 2019-3-14

[6]
Systematic review with meta-analysis: The association between post-traumatic stress disorder and irritable bowel syndrome.

J Gastroenterol Hepatol. 2018-9-10

[7]
The impact of abuse and mood on bowel symptoms and health-related quality of life in irritable bowel syndrome (IBS).

Neurogastroenterol Motil. 2016-10

[8]
Rome IV-Functional GI Disorders: Disorders of Gut-Brain Interaction.

Gastroenterology. 2016-5

[9]
The epidemiology of DSM-5 posttraumatic stress disorder in the United States: results from the National Epidemiologic Survey on Alcohol and Related Conditions-III.

Soc Psychiatry Psychiatr Epidemiol. 2016-8

[10]
The Posttraumatic Stress Disorder Checklist for DSM-5 (PCL-5): Development and Initial Psychometric Evaluation.

J Trauma Stress. 2015-12

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