Medical problems of adults who were sexually abused in childhood.

Debra Rogers · D. A. G. Cook

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Child Abuse and Trauma Psychosomatic Disorders and Their Treatments Child Abuse and Related Trauma

Abstract

The aim of the study was to see whether adults who had been sexually abused in childhood were vulnerable to physical symptoms and therefore investigation and intervention. The case histories of seven patients who were aged 22-39, were under the care of three consultant psychiatrists, had experienced childhood sexual abuse, and had a history of medical or surgical intervention were surveyed. The patients had had a mean of 18 contacts with non-psychiatric consultant teams and a mean of eight operations, with a high rate (66-70%) of normal findings. They had experienced many somatic symptoms, which led to investigations and interventions in the specialties of gynaecology, obstetrics, gastroenterology, urology, rheumatology, haematology, orthopaedics, neurology, and neuropsychiatry. The history of childhood sexual abuse was recognised only in the later stages of this medical and surgical intervention. The possibility of childhood sexual abuse should be considered earlier in such cases to prevent further unnecessary intervention.

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References

1988Symptomatology associated with childhood sexual victimization in a nonclinical adult sample 1987Recovery and verification of memories of childhood sexual trauma.1986Long-term effects of sexual victimization in childhood: An attributional approach.1984Factors Associated with a History of Childhood Sexual Experience in a Nonclinical Female Population 1985Post-traumatic stress disorders in women who experienced childhood incest

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2000The relationship of childhood sexual abuse and depression with somatic symptoms and medical utilization 2000Child Sexual Abuse I: Psychopathology 2000Sexual and Physical Abuse of Chronically Ill Psychiatric Outpatients Compared with a Matched Sample of Medical Outpatients 1993Adult physical illness and childhood sexual abuse 1995Medical and psychiatric symptoms in female gastroenterology clinic patients with histories of sexual victimization 1996The relationship of childhood physical and sexual abuse to adult illness behavior 2000Supervising counsellors who work with survivors of childhood sexual abuse 1997

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