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Title: | Child abuse and abdominal pain - Is there an association? |
Authors: | Devanarayana, N.M. Rajindrajith, S. Mettananda, S. Weerasooriya, W.A.L.K. Hathagoda, K.L.W. Lakmini, B.C. Subasinghe, S.M.V. de Silva, D.G.H. |
Keywords: | Child abuse |
Issue Date: | 2012 |
Publisher: | Sri Lanka Medical Assosiation |
Citation: | Sri Lanka Medical Association, 125th International Medical Congress. 2012;57 Suppliment1: 25 |
Abstract: | INTRODUCTION AND AIMS: It is believed that there is an association between abdominal pain and child abuse. The main objective of this study was to assess this association in Sri Lankan school children. METHODS: Children aged 13-18 years were randomly selected from a semi-urban school in Gampaha district. A previously validated, self administered questionnaire was used to collect socio-demographic data and information on gastrointestinal symptoms, child abuse and exposure to other stressful events. Severity of symptoms was recorded using a validated, visual analogue scale. Children with abdominal pain were categorized into abdominal pain predominant functional gastrointestinal disorders (AP-FGD) using Rome III criteria. RESULTS: A total of 490 children were recruited [males 254 (51.8%), mean age 15.2 years and SD 1.64 years]. Forty eight (9.8%) fulfilled Rome lit criteria for AP- FGD (functional dyspepsia=3, functional abdominal pain=25, irritable bowel syndrome=15 and abdominal migraine=5). The number of children exposed to physical, emotional and sexual abuse, were respectively 119 (24.3%), 109 (22.2%) and 18 (3.8%). Prevalence of AP-FGD was significantly higher in those exposed to sexual (26.7% vs. 9.3% in controls, p=0.42) and emotional (16.5% vs. 8.3%, p=0.046) abuse, but not physical abuse (11.8% vs. 9.2%, p=0.69). AP-FGD type associated with sexual abuse was irritable bowel syndrome (15.4% vs. 2.7%, p=0.02). Mean scores obtained severity of abdominal pain were higher in children exposed to sexual (27.9 vs. 13.2, p=0.002) and emotional abuse (22.1 vs. 11.4, p<0.001). CONCLUSIONS: Chronic abdominal pain prevalence and severity were significantly higher in children exposed to sexual and emotional abuse. |
Description: | Oral Presentation Abstract (OP 23), 125th Anniversary Scientific Medical Congress, Sri Lanka Medical Association, June 2012 Colombo, Sri Lanka |
URI: | http://repository.kln.ac.lk/handle/123456789/12366 |
ISSN: | 0009-0895 |
Appears in Collections: | Conference Papers |
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