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IF 2 3区心理学 Q3 PSYCHOLOGY, CLINICAL

International Journal of Behavioral Medicine Pub Date : 2025-02-21 DOI:10.1007/s12529-025-10355-0

Jillian B Heymann, Kamila S White, Steven E Bruce

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引用次数: 0

摘要

背景：现有文献将临床人群的胃肠道不适与遭受创伤联系在一起。这一点在肠易激综合征（IBS）以及身体和性侵犯方面尤为突出：本研究以中西部一所大型公立大学的 1432 名学生为样本，进一步调查了胃肠道症状与创伤暴露之间的关系。具体来说，研究了创伤暴露、肠道与大脑相互作用紊乱（即肠易激综合征和功能性消化不良）以及创伤后应激障碍（PTSD）的广泛类别：结果：创伤暴露和特定创伤特征（即人际创伤史、独特创伤类型的数量）与较高的胃肠道症状显著相关。同样，创伤后应激反应（PTS）症状严重程度、可能患有创伤后应激障碍以及E群症状严重程度也与胃肠道症状较重密切相关。在有创伤史的参与者中，性别和种族与胃肠道症状有明显关系。具体来说，女性比男性报告的胃肠道症状更严重，白人比黑人报告的胃肠道症状更严重。在可能患有创伤后应激障碍的参与者中，种族与胃肠道症状仍有显著相关性，而性别仅对功能性消化不良症状有显著相关性。黑人参与者比白人参与者报告的胃肠道症状更严重，女性比男性报告的功能性消化不良症状更严重：研究结果揭示了与胃肠道症状体验差异有关的因素。此外，本研究还是首次对可能患有创伤后应激障碍的人的功能性消化不良症状进行研究。未来对肠道-大脑相互作用紊乱和创伤的研究不应继续忽视功能性消化不良。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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The Relationship Between Trauma Exposure, PTSD Symptoms, and Gastrointestinal Symptoms.

Background: Extant literature has linked gastrointestinal distress and trauma exposure in clinical populations. This is especially salient for irritable bowel syndrome (IBS) and physical and sexual assault.

Methods: The present study of a sample of 1,432 students from a large public Midwestern university further investigates the relationship between gastrointestinal symptoms and trauma exposure. Specifically, broad categories of trauma exposure, disorders of gut-brain interaction (i.e., IBS and functional dyspepsia), and posttraumatic stress disorder (PTSD) were examined.

Results: Trauma exposure and specific trauma characteristics (i.e., interpersonal trauma history, number of unique trauma types) were significantly associated with higher gastrointestinal symptoms. Likewise, posttraumatic stress (PTS) symptom severity, probable PTSD, and cluster E symptom severity were also significantly related to higher gastrointestinal symptoms. Gender and race were significantly related to gastrointestinal symptoms in participants with trauma histories. Specifically, females reported greater gastrointestinal symptoms than males and White participants reported higher gastrointestinal symptoms than Black participants. In participants with probable PTSD, race remained significantly associated with gastrointestinal symptoms while gender was significant for functional dyspepsia symptoms only. Black participants reported greater gastrointestinal symptoms than White participants and females reported greater functional dyspepsia symptoms than males.

Conclusions: Findings shed light on factors associated with differential experiences of gastrointestinal symptoms. Additionally, this study is the first to examine the experiences of functional dyspepsia in people with probable PTSD. Future research on disorders of gut-brain interaction and trauma should not continue to overlook functional dyspepsia.

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来源期刊

International Journal of Behavioral Medicine PSYCHOLOGY, CLINICAL-

CiteScore

5.20

自引率

3.70%

发文量

期刊介绍： The International Journal of Behavioral Medicine (IJBM) is the official scientific journal of the International Society for Behavioral Medicine (ISBM). IJBM seeks to present the best theoretically-driven, evidence-based work in the field of behavioral medicine from around the globe. IJBM embraces multiple theoretical perspectives, research methodologies, groups of interest, and levels of analysis. The journal is interested in research across the broad spectrum of behavioral medicine, including health-behavior relationships, the prevention of illness and the promotion of health, the effects of illness on the self and others, the effectiveness of novel interventions, identification of biobehavioral mechanisms, and the influence of social factors on health. We welcome experimental, non-experimental, quantitative, qualitative, and mixed-methods studies as well as implementation and dissemination research, integrative reviews, and meta-analyses.