具有性侵犯史的个体的功能性体质障碍
Sofie A Jacobsen1,2, Marie W Petersen1,2, Kaare B Wellnitz1,2
1Clinic for Functional Disorders, Aarhus University Hospital, Aarhus, Denmark.
JAMA psychiatry
|November 12, 2025
概括
性侵犯 (SA) 显著增加了发展功能性体力障碍 (FSD) 的风险,包括慢性广泛疼痛和功能性体力综合征. 这突显了SA的长期生物心理社会后果以及有针对性的干预措施的需要.
科学领域:
- 精神病学和行为科学
- 公共卫生 公共卫生
- 一般医学 一般医学.
背景情况:
- 性侵犯 (SA) 越来越多地被报告,并且以前与功能性体力障碍 (FSD) 有关.
- 了解SA对身体健康的长期影响对于公共卫生倡议至关重要.
研究的目的:
- 在5年时间内调查性侵犯 (SA) 与功能性体力障碍 (FSD) 发生率之间的关联.
- 检查SA和特定的功能性体征综合征 (FSS) 之间的关系,包括慢性广泛疼痛 (CWP),刺激性肠综合征 (IBS) 和慢性疲劳 (CF).
主要方法:
- 一项前性队列研究,利用丹麦功能障碍研究 (DanFunD) (2017-2020) 的5年随访数据.
- 事件FSD病例通过症状问卷和诊断访谈在18-72岁的人口基队列中确定.
- 性侵犯 (SA) 在基线时使用累积终身逆境衡量标准进行评估,并使用通用线性模型估计风险比率 (RRs).
主要成果:
- 性侵犯 (SA) 与发生性功能性体力障碍 (FSD) 的风险增加有显著的关联 (RR, 1.69; 95% CI, 1.17-2.44).
- 针对单个器官FSD (RR,1.65),多器官FSD (RR,6.47),功能性体征综合征 (FSS) (RR,1.54) 和慢性广泛疼痛 (CWP) (RR,1.89) 发现了特定的关联.
- 报告SA的个人经历了较高频率的发生体征症状,包括肌肉骨,胃肠道,心肺和疲劳相关的症状.
结论:
- 性侵犯 (SA) 是发展功能性体力障碍 (FSD) 的重要危险因素,影响多个身体系统.
- 这些发现强调了进一步研究和有针对性的干预措施的必要性,以解决SA的长期生物心理社会后果.
- 早期识别和对SA幸存者的支持对于减轻发展慢性体质疾病的风险至关重要.
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