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Title: | Abdominal pain predominant functional gastrointestinal diseases: association with child abuse, traumatic life events and quality of life |
Authors: | Devanarayana, N.M. Rajindrajith, S. Karunanayake, A. Nishanthini, S. Perera, M.S. Benninga, M.A. |
Keywords: | Gastrointestinal Diseases |
Issue Date: | 2012 |
Publisher: | Wiley Blackwell Scientific Publications |
Citation: | Journal of Gastroenterology and Hepatology. 2012; 27(Supp 5): 383 |
Abstract: | BACKGROUND/AIMS: Abdominal pain predominant functional gastrointestinal diseases (AP-FGD) have significant repercussions on affected individuals. Aims of this study were to assess its association with traumatic life events and child abuse, and its impact on quality of life. METHODS: Children aged 13–18 years were randomly selected from 3 schools in Western province of Sri Lanka. A previously validated, self administered questionnaire was used to collect information on gastrointestinal symptoms, traumatic life events, exposure to abuse, healthcare consultation and quality of life (QOL). AP-FGD were diagnosed using Rome III criteria. RESULTS AND DISCUSSION: A total of 1365 children were recruited [males 749 (54.9%), mean age 14.2 years and SD 1.22 years]. AP-FGD were found in 243 (17.8%) children [Irritable bowel syndrome in 70 (5.1%), functional dyspepsia in 11 (0.8%), abdominal migraine in 26 (1.9%) and functional abdominal pain in 146 (10.7%)]. Prevalence of AP-FGDs were significantly higher in those exposed to traumatic life events (37.9% vs. 3.1%, p = 0.03), sexual abuse (35.3% vs. 17.3%, p = 0.01), physical abuse (19.7% vs. 12.6%, p = 0.0003), and emotional abuse (27.4% vs. 16.9%, p < 0.0001). Health care consultation was significantly higher in children exposed to physical abuse (26.4% vs. 0.0%, p = 0.03). QOL scores for physical (85.7 vs. 89.6), emotional (71.7 vs. 79.4), social (85.9 vs. 92.3) and school (74.3 vs. 81.1) function domains were significantly lower in children with AP-FGD who were exposed to emotional abuse (p < 0.05). QOL scores for school function domain was lower in children exposed to physical abuse (77.8 vs. 83.6, p = 0.03). CONCLUSIONS: Traumatic life events and child abuse in any form are significantly associated with higher prevalence of AP-FGD. Children exposed to physical abuse are more likely to seek healthcare for abdominal pain. Children with AP-FGD, exposed to emotional abuse, have significantly poor quality of life in all four domains. |
Description: | Poster Session Abstract (P18-10), 22nd Asian Pacific Digestive Week, December 5–8 2012, Bangkok, Thailand |
URI: | http://repository.kln.ac.lk/handle/123456789/10928 |
ISSN: | 0815-9319 (Print) 1440-1746 (Electronic) |
Appears in Collections: | Conference Papers |
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