Cited by 131Gastrointestinal motility and disordersPsychosomatic Disorders and Their TreatmentsChild Abuse and Trauma

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Emotional Abuse, Self-Blame, and Self-Silencing in Women With Irritable Bowel Syndrome

Ali, Alisha, Toner, Brenda B., Stuckless, Noreen, Gallop, Ruth, Diamant, Nicholas E., Gould, Michael I., Vidins, Eva I.·2000·Psychosomatic Medicine

DOI 10.1097/00006842-200001000-00011

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Abstract

OBJECTIVE: The purpose of this study was to investigate the presence of emotional abuse and two psychosocial constructs (self-blame and self-silencing) in a sample of women diagnosed with irritable bowel syndrome (IBS) relative to a comparison sample of women diagnosed with inflammatory bowel disease (IBD). METHODS: Women diagnosed with IBS (N = 25) were compared with women diagnosed with IBD (N = 25) on measures of history of abuse, self-blame, and self-silencing. RESULTS: It was found that women in the IBS sample scored significantly higher on emotional abuse, self-blame, and self-silencing than did women in the IBD sample. These three variables were also found to be significantly intercorrelated in both the IBS and IBD samples. Finally, emotional abuse was significantly higher in IBS patients than in IBD patients beyond the differences accounted for by physical and/or sexual abuse history. CONCLUSIONS: These findings empirically demonstrate an association between IBS and emotional abuse, as well as a possible connection with psychosocial variables, that may mediate the connection between emotional abuse and functional bowel symptoms. We suggest that these variables be further evaluated in the context of clinically relevant research on IBS.

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“Women who self-silence are more likely to be in physically and emotionally abusive relationships (Ali et al., 2000).”
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“There is evidence of higher levels of self-silencing and beliefs about the unacceptability of expressing emotions in those with irritable bowel syndrome (IBS) compared to those with inflammatory bowel disease and healthy controls (Ali et al., 2000; Bowers & Wroe, 2016).”
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Authors: Ali, A., Toner, B. B., Stuckless, N., Gallop, R., Diamant, N. E., Gould, M. I., & Vidins, E. I.
Affiliations: Centre for Addiction and Mental Health (CA)
University of Toronto (CA)
ORCID: Ali, Alisha
Venue: Psychosomatic Medicine
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2000-01
Volume: 62
Issue: 1
Pages: 76-82
ISSN: 0033-3174 (ISSN-L)
DOI: 10.1097/00006842-200001000-00011
OpenAlex: W2079475067
Cited by: 131
References: 29
Citations by year: 2026: 3 · 2025: 2 · 2024: 3 · 2023: 4 · 2022: 7 · 2021: 4 · 2020: 4 · 2019: 5 · 2018: 8 · 2017: 6 · 2016: 6 · 2015: 7 · 2014: 2 · 2013: 6 · 2012: 4
FWCI: 2.90
Type: journal article
Language: en
Open access: closed
Locations: Psychosomatic Medicine (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Gastroenterology › Gastrointestinal motility and disorders
Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
Keywords: irritable bowel syndrome, emotional abuse, self-blame, self-silencing, inflammatory bowel disease, women, childhood abuse history, psychosocial factors
MeSH terms: Adaptation, Psychological, Adult, Affect, Colonic Diseases, Functional, Depression, Female, Guilt, Humans, Life Change Events, Psychophysiologic Disorders, Surveys and Questionnaires, Severity of Illness Index, Inflammatory Bowel Diseases, Domestic Violence

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Emotional Abuse, Self-Blame, and Self-Silencing in Women With Irritable Bowel Syndrome

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