Drossman D A
Division of Digestive Diseases, University of North Carolina, Chapel Hill 27599-7080, USA.
Eur J Gastroenterol Hepatol. 1997 Apr;9(4):327-30. doi: 10.1097/00042737-199704000-00002.
There is growing evidence that a history of sexual or physical abuse can affect emotional and physical well-being. Within gastroenterology, attention has focused on the increased frequency of abuse history, particularly for patients with refractory functional gastrointestinal (GI) disorders. Furthermore, regardless of diagnosis, abuse history can impair health status and one's ability to cope with one's medical condition. Especially for patients with painful functional GI disorders resistant to usual treatments, the physician should inquire in a supportive manner about the possibility of a prior abuse history or other psychosocial traumas (e.g., major loss). This can then lead to an appropriate mental health referral (along with continued medical care) and an improved clinical outcome.
越来越多的证据表明，性虐待或身体虐待史会影响身心健康。在胃肠病学领域，人们的注意力集中在虐待史发生率的增加上，尤其是对于难治性功能性胃肠疾病患者。此外，无论诊断结果如何，虐待史都会损害健康状况以及应对自身疾病的能力。特别是对于那些患有疼痛性功能性胃肠疾病且常规治疗无效的患者，医生应以支持性的方式询问其既往是否有虐待史或其他心理社会创伤（如重大丧失）的可能性。这样做进而能够促成适当的心理健康转诊（同时持续进行医疗护理）并改善临床结局。
