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Somatization disorder in sphincter of Oddi dysfunction

H D Abraham1, C Anderson, D Lee

  • 1Department of Psychiatry and Human Behavior, Brown University School of Medicine, Providence, Rhode Island, USA. Abraham@butler.org

Psychosomatic Medicine
|October 8, 1997
PubMed
Summary

Women with Sphincter of Oddi dysfunction (SOD) report significantly more somatization and childhood sexual abuse than controls. The severity of abuse correlates with somatization, suggesting a psychological component to SOD.

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Area of Science:

  • Gastroenterology
  • Psychiatry
  • Women's Health

Background:

  • Sphincter of Oddi dysfunction (SOD) is a biliary disorder with established pathophysiology and surgical treatments.
  • Understanding the psychological factors associated with SOD is crucial for comprehensive patient care.

Purpose of the Study:

  • To investigate the prevalence of somatization, history of sexual and physical abuse, socially compliant attitudes, and familial psychiatric illness in women with SOD.
  • To determine if women with SOD are overrepresented in these psychological and social measures compared to controls.

Main Methods:

  • A case-controlled, cross-sectional study matched 33 women with SOD to 33 controls by age, sex, and race.
  • Questionnaires assessed somatization, abuse history, social desirability, and family psychiatric history.

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  • Statistical analyses included chi-squared tests, t-tests, and Pearson correlation coefficients, with Bonferroni corrections.

    • Main Results:

    • Women with SOD exhibited significantly higher rates of nongastroenterological somatic complaints compared to controls (p < .0001).
    • SOD patients reported a statistically significant increase in childhood sexual abuse (p < .02), but not physical abuse, compared to controls.
    • The severity of childhood sexual abuse strongly correlated with the severity of adult somatization.

    Conclusions:

    • Sphincter of Oddi dysfunction in women is associated with high levels of somatization and a significantly higher incidence of childhood sexual abuse.
    • The severity of childhood sexual abuse is linked to the severity of somatization in adulthood, suggesting a potential psychological model for SOD.
    • These findings indicate a need for increased psychiatric consideration in the management of women diagnosed with SOD.