Pain from rectal distension in women with irritable bowel syndrome. Relationship to sexual abuse

William E. Whitehead, Michael D. Crowell, Ann L. Davidoff, Olafur S. Palsson, Marvin M. Schuster

Research output: Contribution to journalArticle

87 Citations (Scopus)

Abstract

The aims of this study were to determine whether increased pain sensitivity in patients with irritable bowel is due to physiological differences in perceptual sensitivity or psychological influences on perception, and whether prior sexual abuse accounts for increased pain sensitivity. Seventeen sexually abused and 15 nonabused women with irritable bowel were compared to 13 sexually abused and 14 nonabused women without irritable bowel. Among the nonabused subjects, the volume of rectal distension that produced moderate pain was lower in IBS patients than in controls, replicating earlier studies, but these thresholds were correlated with psychological measures of anxiety and somatization. The ability to discriminate between painful distensions (perceptual sensitivity) was not different between groups. Sexual abuse was not associated with lower pain thresholds. Thus, differences in pain sensitivity appear to be due to psychological influences on perception, but a history of sexual abuse does not contribute significantly to this pain sensitivity.

Original languageEnglish (US)
Pages (from-to)796-804
Number of pages9
JournalDigestive Diseases and Sciences
Volume42
Issue number4
StatePublished - 1997
Externally publishedYes

Fingerprint

Irritable Bowel Syndrome
Sex Offenses
Pain
Psychology
Pain Threshold
Aptitude
Anxiety

Keywords

  • barostat
  • irritable bowel syndrome
  • pain
  • sexual abuse
  • signal detection

ASJC Scopus subject areas

  • Gastroenterology

Cite this

Whitehead, W. E., Crowell, M. D., Davidoff, A. L., Palsson, O. S., & Schuster, M. M. (1997). Pain from rectal distension in women with irritable bowel syndrome. Relationship to sexual abuse. Digestive Diseases and Sciences, 42(4), 796-804.

Pain from rectal distension in women with irritable bowel syndrome. Relationship to sexual abuse. / Whitehead, William E.; Crowell, Michael D.; Davidoff, Ann L.; Palsson, Olafur S.; Schuster, Marvin M.

In: Digestive Diseases and Sciences, Vol. 42, No. 4, 1997, p. 796-804.

Research output: Contribution to journalArticle

Whitehead, WE, Crowell, MD, Davidoff, AL, Palsson, OS & Schuster, MM 1997, 'Pain from rectal distension in women with irritable bowel syndrome. Relationship to sexual abuse', Digestive Diseases and Sciences, vol. 42, no. 4, pp. 796-804.
Whitehead WE, Crowell MD, Davidoff AL, Palsson OS, Schuster MM. Pain from rectal distension in women with irritable bowel syndrome. Relationship to sexual abuse. Digestive Diseases and Sciences. 1997;42(4):796-804.
Whitehead, William E. ; Crowell, Michael D. ; Davidoff, Ann L. ; Palsson, Olafur S. ; Schuster, Marvin M. / Pain from rectal distension in women with irritable bowel syndrome. Relationship to sexual abuse. In: Digestive Diseases and Sciences. 1997 ; Vol. 42, No. 4. pp. 796-804.
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