{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T13:17:40Z","timestamp":1773235060806,"version":"3.50.1"},"reference-count":0,"publisher":"Cambridge University Press (CUP)","issue":"2","license":[{"start":{"date-parts":[[1999,3,1]],"date-time":"1999-03-01T00:00:00Z","timestamp":920246400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Psychol. Med."],"published-print":{"date-parts":[[1999,3]]},"abstract":"<jats:p><jats:bold>Background.<\/jats:bold> Physical symptoms are commonly presented for\n treatment in the absence of physical \npathology. This study tests predictions arising from the theory that childhood\n sexual abuse leads \nto emotional distress, illness orientation and social dysfunction as adults\n and that one or more of \nthese effects, in turn, leads to presentation of functional (i.e. unexplained)\n symptoms.<\/jats:p><jats:p><jats:bold>Methods.<\/jats:bold> Two groups of patients with physical symptoms in the\n absence of organic disease \n(non-epileptic attack disorder or irritable bowel syndrome) were contrasted\n with organically diseased \ngroups with comparable symptoms (epilepsy and Crohn's disease, respectively).<\/jats:p><jats:p><jats:bold>Results.<\/jats:bold> Despite their contrasting clinical presentation, irritable\n bowel and non-epileptic attack \ngroups were similar in recalling more sexual and physical abuse, as both\n children and adults, than \ntheir comparison groups. They were also similar in being more emotionally\n and socially disturbed \nand illness-orientated, but these putative mediating variables could not\n account for the relationship \nof abuse with presentation of functional symptoms.<\/jats:p><jats:p><jats:bold>Conclusions.<\/jats:bold> Adults presenting functional neurological and\n abdominal symptoms are characterized \nby history of abuse. The current focus on childhood sexual abuse should\n be broadened to include \nsexual, and particularly physical, abuse in adulthood as well as childhood.\n The intervening \nprocesses that link abuse to somatization remain to be identified but are\n unlikely to include adult \nemotional and social disturbance or general illness-orientation.<\/jats:p>","DOI":"10.1017\/s0033291798007892","type":"journal-article","created":{"date-parts":[[2002,7,27]],"date-time":"2002-07-27T13:33:33Z","timestamp":1027776813000},"page":"399-406","source":"Crossref","is-referenced-by-count":74,"title":["The association of sexual and physical abuse with \nsomatization: characteristics of patients presenting \nwith irritable bowel syndrome and non-epileptic \nattack disorder"],"prefix":"10.1017","volume":"29","author":[{"given":"J.","family":"REILLY","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G. A.","family":"BAKER","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.","family":"RHODES","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P.","family":"SALMON","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[1999,3,1]]},"container-title":["Psychological Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0033291798007892","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,4,11]],"date-time":"2019-04-11T09:00:24Z","timestamp":1554973224000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0033291798007892\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1999,3]]},"references-count":0,"journal-issue":{"issue":"2","published-print":{"date-parts":[[1999,3]]}},"alternative-id":["S0033291798007892"],"URL":"https:\/\/doi.org\/10.1017\/s0033291798007892","relation":{},"ISSN":["0033-2917","1469-8978"],"issn-type":[{"value":"0033-2917","type":"print"},{"value":"1469-8978","type":"electronic"}],"subject":[],"published":{"date-parts":[[1999,3]]}}}