- Title
- Sexual, physical, verbal/emotional abuse and unexplained chest pain
- Creator
- Eslick, Guy D.; Koloski, Natasha A.; Talley, Nicholas J.
- Relation
- Child Abuse and Neglect Vol. 35, Issue 8, p. 601-605
- Publisher Link
- http://dx.doi.org/10.1016/j.chiabu.2011.04.007
- Publisher
- Elsevier
- Resource Type
- journal article
- Date
- 2011
- Description
- Objectives: Approximately one third of patients with non cardiac chest pain (NCCP) report a history of abuse, however no data exists on the prevalence of abuse among people with unexplained chest pain in the general population. We aimed to determine if there is a relationship between childhood sexual, physical, emotional abuse and unexplained chest pain, and to identify whether any potential relationship is being driven by an association with psychological distress. Methods: Subjects were identified from 2 previous random population surveys that included people with irritable bowel syndrome (IBS) and/or functional dyspepsia (FD) and healthy controls. People in the unexplained chest pain group (n = 27) had chest pain in the past 12 months that was not heartburn or heart disease. People in the comparison group (n = 60) did not have chest pain for more than 12 months. Self-reported abuse and psychological variables were assessed using validated measures. Results: Emotional/verbal abuse (20.8% versus 4.4%, P = 0.032) and physical abuse (16.7% versus 2.2%, P = 0.028) were significantly more common in people with unexplained chest pain versus the comparison group. Only a history of emotional/verbal abuse was a significant independent predictor of meeting criteria for unexplained chest pain (OR = 5.66; 95%CI 1.01–31.80, P = 0.049) even after controlling for IBS and/or FD (OR = 5.45; 95%CI 0.96–30.83, P = .05), but not when depression was controlled for (OR = 4.70; 95%CI 0.90–27.61), P = 0.08. Conclusions: A history of childhood emotional/verbal abuse is a risk factor for having unexplained chest pain but the association may be moderated by psychological distress, specifically depression.
- Subject
- sexual abuse; verbal abuse; emotional abuse; non-cardiac chest pain; NCCP; chest pain; unexplained chest pain
- Identifier
- http://hdl.handle.net/1959.13/936674
- Identifier
- uon:12374
- Identifier
- ISSN:0145-2134
- Language
- eng
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