Document Detail

Prevalence of child sexual abuse in pediatric patients with chronic abdominal pain.
MedLine Citation:
PMID:  23412538     Owner:  NLM     Status:  MEDLINE    
BACKGROUND AND OBJECTIVES: A history of sexual abuse is to be found in approximately 40% of all adult patients with gastrointestinal complaints. Data on the prevalence of child sexual abuse (CSA) in children with chronic abdominal pain (CAP) are lacking. The objective of this systematic review is to determine the prevalence of CSA in pediatric patients with CAP.
METHODS: We conducted a systematic literature search in the electronic databases MEDLINE, EMBASE, PsychInfo, and ERIC. Reference lists of relevant articles were scanned for additional citations. We selected case-control, cohort and cross-sectional studies investigating the prevalence of CSA in children with CAP, ages 0 to 18 years. Data were extracted from relevant studies, which were assessed for methodological quality by 2 independent reviewers. Prevalence of CSA was the main outcome measure.
RESULTS: The literature search yielded a total of 269 articles. Only 2 studies met our inclusion criteria, reporting CSA in 2.1% and 8.0% of children (age range 4-21 years) with CAP. Both studies were conducted in small groups (n = 48 and n = 50) without control group(s) and did not use standardized or validated instruments for diagnosing CSA.
CONCLUSIONS: According to existing data, the prevalence of a history of CSA in pediatric patients with CAP is lower than in adult patients; however, no well-designed studies have been conducted in children. Future research is required to determine a reliable prevalence of CSA in children with CAP.
Liza P Sonneveld; Sonja N Brilleslijper-Kater; Marc A Benninga; Eva M M Hoytema van Konijnenburg; Tessa Sieswerda-Hoogendoorn; Arianne H Teeuw
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Publication Detail:
Type:  Journal Article; Meta-Analysis; Review    
Journal Detail:
Title:  Journal of pediatric gastroenterology and nutrition     Volume:  56     ISSN:  1536-4801     ISO Abbreviation:  J. Pediatr. Gastroenterol. Nutr.     Publication Date:  2013 May 
Date Detail:
Created Date:  2013-04-25     Completed Date:  2013-11-01     Revised Date:  2013-11-04    
Medline Journal Info:
Nlm Unique ID:  8211545     Medline TA:  J Pediatr Gastroenterol Nutr     Country:  United States    
Other Details:
Languages:  eng     Pagination:  475-80     Citation Subset:  IM    
Faculty of Medicine, University of Amsterdam, Academic Medical Center, Amsterdam, The Netherlands.
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MeSH Terms
Abdominal Pain / etiology*
Child Abuse, Sexual* / statistics & numerical data
Chronic Pain

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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