Kirkengen A L, Schei B, Steine S
Department of General Practice, University of Oslo, Norway.
Scand J Prim Health Care. 1993 Dec;11(4):276-80. doi: 10.3109/02813439308994843.
To find indicators of a history of childhood sexual abuse in patients consulting for a gynaecological examination in a general practice.
Semistructured interview after a consultation.
General practice in the city of Oslo, Norway.
Of 117 women aged 20-49 with a gynaeco- logical problem, 85 were interviewed.
History of childhood sexual abuse.
24 (28%) of 85 women interviewed by their female GP when consulting for a gynaecological problem reported childhood sexual abuse. In total they reported 32 abusive events, quite different as to the type of assault, the relation to the offender, and the duration. A history of pelvic pain or gynaecological surgery showed a significant association with reported childhood sexual abuse with odds ratios of 4.0 (CI 1.0-15.8) and 4.1 (CI 1.0-17.0), respectively. As adverse sexual experiences may lead to somatization as a coping strategy, certain findings might be indicators of unknown childhood sexual abuse in patients presenting for gynaecological disorders.
A history of pelvic pain and gynaecological surgery may be indicators of sexual abuse in childhood.
在一家普通诊所接受妇科检查的患者中寻找童年性虐待史的指标。
会诊后的半结构化访谈。
挪威奥斯陆市的普通诊所。
117名年龄在20 - 49岁有妇科问题的女性中，85人接受了访谈。
童年性虐待史。
85名因妇科问题就诊时由女全科医生访谈的女性中，24人（28%）报告有童年性虐待经历。她们总共报告了32起虐待事件，在袭击类型、与犯罪者的关系以及持续时间方面差异很大。盆腔疼痛史或妇科手术史与报告的童年性虐待有显著关联，比值比分别为4.0（95%置信区间1.0 - 15.8）和4.1（95%置信区间1.0 - 17.0）。由于不良性经历可能导致躯体化作为一种应对策略，某些发现可能是患有妇科疾病的患者未知童年性虐待的指标。
盆腔疼痛史和妇科手术史可能是童年性虐待的指标。
