Multiple Pelvic Floor Complaints are Correlated with Sexual Abuse History

Beck, Jack; Elzevier, Henk W.; Pelger, Rob C.M.; Putter, Hein; Zalm, Petra J. Voorham‐van der

doi:10.1111/j.1743-6109.2008.01045.x

Cited by 56 publications

(43 citation statements)

References 35 publications

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“…11 Beck et al broadly divided PFDs into urologic, gastrointestinal, and sexual categories. Women were then categorized as having one to three disorders, and 23% of patients in the cohort reported a history of sexual abuse; women with a history of sexual abuse had significantly more complaints in all three domains of the pelvic floor.…”

Section: Discussionmentioning

confidence: 99%

“…Women were then categorized as having one to three disorders, and 23% of patients in the cohort reported a history of sexual abuse; women with a history of sexual abuse had significantly more complaints in all three domains of the pelvic floor. 11 We assigned pelvic floor dysfunction diagnoses more finely and did not observe that number of disorders was associated with an increased likelihood of history of sexual abuse. Nevertheless, we found that a history of sexual abuse was common in our cohort, stressing the importance of obtaining this history.…”

Section: Discussionmentioning

confidence: 99%

“…8–10 Others have found that women with a history of sexual abuse complain more frequently of multiple PFDs. 11 These previous studies have been limited because of their small sample sizes, ranging from 30 to 58 women, and because of the exclusion of women with anal incontinence.…”

mentioning

confidence: 99%

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Sexual Abuse History and Pelvic Floor Disorders in Women

Cichowski¹,

Dunivan²,

Komesu³

et al. 2013

Southern Medical Journal

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Objectives Sexual abuse rates in the general female population range between 15% and 25%, and sexual abuse is known to have a long-term impact on a woman’s health. The aim of this study was to report the prevalence of sexual abuse history in women presenting to clinicians for pelvic floor disorders (PFD) and to determine whether a history of sexual abuse is associated with a specific type of PFD. Methods We conducted a retrospective chart review of new urogynecology patients seen at the University of New Mexico Hospital. All women underwent a standardized history and physical examination and completed symptom severity and quality-of-life measures. Univariate and multivariable analyses were conducted to determine which PFDs were associated with a history of sexual abuse among women with and without a history of sexual abuse. Results A total of 1899 new urogynecology patients with complete information were identified from January 2007 and October 2011; 1260 (66%) were asked about a history of sexual abuse. The prevalence of sexual abuse was 213/1260 (17%). In the multivariable analysis, only chronic pelvic pain remained significantly associated with a history of sexual abuse. Conclusions A history of sexual abuse is common among women with PFDs, and these women were more likely to have chronic pelvic pain.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Sexual Abuse History and Pelvic Floor Disorders in Women

Cichowski¹,

Dunivan²,

Komesu³

et al. 2013

Southern Medical Journal

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“…Despite the mind blocking knowledge of the abuse from conscious awareness, the traumatic experience takes a toll. Often, these effects manifest indirectly through physical and psychological symptoms that occur without apparent cause (Beck, Elzevier, Pelger, Putter, & Voorham-van der Zalm, 2009;Ross, 2005;Courtois, 1997;Briere & Spinazzola, 2005;Kaehler & Freyd, 2009;Trippany, Helm, & Simpson, 2006). Because the individual cannot consciously connect the sequelae of betrayal traumas with a cause, betrayal has the potential to induce more complex and prolonged distress.…”

Section: Introductionmentioning

confidence: 99%

Experience of a Lifetime: Study Abroad, Trauma, and Institutional Betrayal

Wright

Smith

Freyd

2016

Journal of Aggression, Maltreatment & Trauma

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iii Acknowledgements I would like to thank those people who lent me their support and energy during the nearly two years of conducting this project. To my committee, Dr. Jennifer Freyd, Dr. Carly Smith, and Dr. Joseph Fracchia: I cannot express enough thanks for your continued support and encouragement. Jennifer, when I sat down in your class nearly two years ago, I did not know I was about to discover one of my great passions. Thank you for showing me it is possible to be an activist, a scholar, and a compassionate human being. Carly, thank you for being an ever-conscientious and intentional mentor.Professor Fracchia, thank you for giving me new lenses to see the world's flaws, and the hope that we will find a way to change them. You never failed to supply snacks or kind words when I needed them most. iv Table of ContentsIntroduction 1 Background 3 Purpose 11 Method 12 Participants 12Procedure 13 Measures 15 Data Preparation and Analysis 19Results 22 Discussion 30 Limitations 38 Conclusion 40Bibliography 41 actions to be supportive, and she was undoubtedly balancing the confusing, possibly conflicting, obligations to protect institution, law, and student. However, the administrator's actions left Mallory feeling it was "impossible to begin healing" until there was evidence of the program improving measures for student safety, and changing the response to incidents students experience.When Mallory wrote to the administrator to ask to discontinue contact, the administrator complied. Unfortunately, there were still further negative outcomes. The two professors who were most helpful to Mallory following the assault-who took her1 The student's true name was not released to the public. 2 The perpetrator has not been identified; it is not clear whether the assailant was a fellow student or a member of the host country. Mallory labels the mishandled response from her study abroad program as a "revictimization" that was "intrusive" during the time she should have been allowed to begin the process of recovery. Indeed, in an open letter to her college and the study abroad program, Mallory stated that changes to the emergency protocol of the school and study abroad program, would be necessary "in order to make this situation right, to allow my healing process to truly begin, and quite honestly, to sleep soundly at night" (Smyth, 2014).Research from the field of psychology suggests not only that exposure to traumatic events while studying abroad is common, but also that the way in which institutions respond has the potential to exacerbate a student's negative reaction to that event. Given the paucity of research about study-abroad programs, the present study aims to explore both the prevalence of students' exposure to traumatic events during study abroad, and the effects of the institutional culture and actions on the after-effects of traumatic events experienced during study abroad.

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“…Moreover, a history of abuse is linked with poorer health status, increased physician visits, and disability. 23 Because a history of abuse is common in the general population, and even more so in women with multiple concerns related to the pelvic floor, 24,25 it is important to inquire about a history of abuse in women with nonrelaxing pelvic floor dysfunction.…”

Section: Potential Mechanismsmentioning

confidence: 99%

Recognition and Management of Nonrelaxing Pelvic Floor Dysfunction

Faubion

Shuster

Bharucha

2012

Mayo Clinic Proceedings

180

107

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Nonrelaxing pelvic floor dysfunction is not widely recognized. Unlike in pelvic floor disorders caused by relaxed muscles (eg, pelvic organ prolapse or urinary incontinence, both of which often are identified readily), women affected by nonrelaxing pelvic floor dysfunction may present with a broad range of nonspecific symptoms. These may include pain and problems with defecation, urination, and sexual function, which require relaxation and coordination of pelvic floor muscles and urinary and anal sphincters. These symptoms may adversely affect quality of life. Focus on the global symptom complex, rather than the individual symptoms, may help the clinician identify the condition. The primary care provider is in a position to intervene early, efficiently, and effectively by (1) recognizing the range of symptoms that might suggest nonrelaxing pelvic floor dysfunction, (2) educating patients, (3) performing selective tests when needed to confirm the diagnosis, and (4) providing early referral for physical therapy.

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Multiple Pelvic Floor Complaints are Correlated with Sexual Abuse History

Cited by 56 publications

References 35 publications

Sexual Abuse History and Pelvic Floor Disorders in Women

Sexual Abuse History and Pelvic Floor Disorders in Women

Experience of a Lifetime: Study Abroad, Trauma, and Institutional Betrayal

Recognition and Management of Nonrelaxing Pelvic Floor Dysfunction

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