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Am J Psychiatry 1994; 151:397-401
Copyright © 1994 by American Psychiatric Association
Histories of childhood trauma in adult hypochondriacal patients
AJ Barsky, C Wool, MC Barnett and PD Cleary
Psychiatry Service, Massachusetts General Hospital, Boston.
OBJECTIVE: This study examined the childhood histories of trauma, parental
attitudes toward health, and physical illness in hypochondriacal adults.
METHOD: Sixty outpatients with DSM-III-R hypochondriasis and 60
nonhypochondriacal outpatients from the same general medical clinic were
compared. All patients completed the Childhood Traumatic Events Scale and
an eight-item questionnaire about childhood illness and health. Medical
morbidity was assessed with a medical record audit. RESULTS: Significantly
more hypochondriacal than nonhypochondriacal patients reported traumatic
sexual contact (28.6% versus 7.3%), physical violence (32.1% versus 7.3%),
and major parental upheaval (28.6% versus 9.1%) before the age of 17. These
differences remained statistically significant after sociodemographic
differences between the groups were controlled for with multivariate
regression analysis. The two groups did not differ in the age at which
these traumas occurred or in the degree of trauma experienced.
Significantly more hypochondriacal patients reported being sick as children
and missing school for health reasons, but they did not differ in other
measures of childhood illness and parental attitudes toward illness. The
two groups had similar levels of aggregate medical morbidity. CONCLUSIONS:
Hypochondriacal adults recall more childhood trauma than do
nonhypochondriacal patients, even after sociodemographic differences are
controlled for. They also recall more childhood illness, although they are
not currently more medically sick.
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