Toomey Timothy C, Hernandez Jeanne T, Gittelman David F, Hulka Jaroslav F
Department of Psychiatry, University of North Carolina Medical School, Chapel Hill, NC 27599-7160 USA Department of Obstetrics and Gynecology, University of North Carolina Medical School, Chapel Hill, NC 27599-7160 USA.
Pain. 1993 Apr;53(1):105-109. doi: 10.1016/0304-3959(93)90062-T.
This study examines the incidence of sexual and physical abuse and its relationship to selected pain description and psychological variables in a sample of 36 chronic pelvic pain patients. Abuse was measured on a 6-item reliable scale, and abused and non-abused respondents were compared on 4 categories of variables expected to be related to the effects of abuse (pain description, functional impact of pain, other's response to pain, and psychosocial impact of pain). Results indicated that 19 of 36 patients reported prior abuse. Physical abuse was reported less commonly than sexual abuse. No differences between the abused and non-abused groups were noted on demographic, pain description, or the functional interference variables. On the psychological variables, however, the abused group reported less perceived life control, greater punishing responses to pain, and higher levels of somatization and global distress than the non-abused group. These results indicate a high incidence of sexual abuse in patients with chronic pelvic pain and suggest that abused and non-abused patients differ on psychological but not pain description or self-reported functional interference variables.
本研究调查了36名慢性盆腔疼痛患者样本中性虐待和身体虐待的发生率及其与特定疼痛描述和心理变量之间的关系。虐待情况通过一个6项可靠量表进行测量，并对受虐待和未受虐待的受访者在预期与虐待影响相关的4类变量（疼痛描述、疼痛的功能影响、他人对疼痛的反应以及疼痛的心理社会影响）上进行了比较。结果表明，36名患者中有19名报告曾遭受虐待。身体虐待的报告率低于性虐待。在人口统计学、疼痛描述或功能干扰变量方面，未发现受虐待组和未受虐待组之间存在差异。然而，在心理变量方面，受虐待组报告的生活控制感较低，对疼痛的惩罚性反应较强，躯体化和总体痛苦水平高于未受虐待组。这些结果表明慢性盆腔疼痛患者中性虐待的发生率较高，并表明受虐待和未受虐待患者在心理方面存在差异，但在疼痛描述或自我报告的功能干扰变量方面不存在差异。
