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Childhood physical abuse in outpatients with psychosomatic symptoms

机译：有心身症状的门诊儿童期身体虐待

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Background In Japan and Asia, few studies have been done of physical and sexual abuse. This study was aimed to determine whether a history of childhood physical abuse is associated with anxiety, depression and self-injurious behavior in outpatients with psychosomatic symptoms. Methods We divided 564 consecutive new outpatients at the Department of Psychosomatic Medicine of Kyushu University Hospital into two groups: a physically abused group and a non-abused group. Psychological test scores and the prevalence of self-injurious behavior were compared between the two groups. Results A history of childhood physical abuse was reported by patients with depressive disorders(12.7%), anxiety disorders(16.7%), eating disorders (16.3%), pain disorders (10.8%), irritable bowel syndrome (12.5%), and functional dyspepsia(7.5%). In both the patients with depressive disorders and those with anxiety disorders, STAI-I (state anxiety) and STAI-II (trait anxiety) were higher in the abused group than in the non-abused group (p In the patients with depressive disorders, the abused group was younger than the non-abused group (p Conclusion A history of childhood physical abuse is associated with psychological distress such as anxiety, depression and self-injurious behavior in outpatients with psychosomatic symptoms. It is important for physicians to consider the history of abuse in the primary care of these patients.
机译：背景技术在日本和亚洲，很少有关于身体和性虐待的研究。这项研究的目的是确定在有心身症状的门诊患者中，童年的身体虐待史是否与焦虑，抑郁和自我伤害行为有关。方法我们将九州大学医院心身医学科连续564名新门诊患者分为两组：身体虐待组和未虐待组。比较两组的心理测验分数和自残行为的发生率。结果抑郁症（12.7％），焦虑症（16.7％），饮食失调（16.3％），疼痛失调（10.8％），肠易激综合症（12.5％）和功能障碍的患者均报告有童年身体虐待史消化不良（7.5％）。在抑郁症患者和焦虑症患者中，滥用组的STAI-I（状态焦虑）和STAI-II（性格焦虑）均高于未滥用组（p在抑郁症患者中，受虐待的人群比未受虐待的人群年轻（p结论结论：童年时期的身体虐待史与心身症状门诊患者的焦虑，抑郁和自残行为等心理困扰有关。对于医生而言，考虑病史很重要这些患者在初级保健中的滥用情况。

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