As outlined, the proposed study would do well to look at types/degrees of abuse history and any GI comorbidity/variances. I assumed that the study *was* intended to get at the psychological trauma-effects of abuse viz a viz the digestive system (irritable bowel and the like). I am quite sure there is literature out there on all manner of trauma (hostages, accidents, torture) and the incidence of somatic after-effects. Sean Wolf Hill, MS LPCC Intersystem Coordinator http://www.co.greene.oh.us/fcf/fsp.htm Family Stability Program http://www.co.greene.oh.us/fcf/ Greene County Family and Children First Dept http://www.wright.edu/~shill/index.htm 937.562.5607p 937.562.5601f -----Original Message----- From: Lisa Amaya-Jackson [mailto:laj@xxxxxxxxxxxxxx] Sent: Thursday, May 10, 2001 6:13 PM To: Child Maltreatment Researchers Subject: RE: Incidence of diseases in male survivors of csa I think the study would miss a lot of their GI problems if the questions were limited to only anal sex. As an MD, we see rampant GI problems in patients (children/adults) with histories of abuse . So I think Randy's point would be well taken in the context: Does anal sex, above and beyond other forms of maltreatment predict GI disorders (controlling for other important variables including psychiatric disorders, stressors)? I think the stress/trauma he mentions
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