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    Beal et al., 1992, 1993. [Reproduced with permission from Crowley et al., 1996.] MEDICAL USE AND BEHAVIORAL EFFECTS 337 TABLE 3.4 Well-confirmed clinical effects Refractory nausea/vomiting Anorexia appetite loss HIV/AIDS/cancer cachexia Less well-confirmed clinical effects Spasticity due to spinal cord injury Multiple sclerosis Medical Uses of Cannabinoids Sallan et al., 1980. Soderpalm et al., 2002 Beal et al., 1995 Plasse et al., 1988.

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    In the study by Reiter and Gambone , 48% of 96 women with chronic pelvic pain had a history of major psychosexual trauma , as compared over the counter viagra alternative at walmart with 5.7% in a control group of 82 pain-free control subjects presenting for annual routine gynecologic examinations. As might be expected, many of these same studies also report a high incidence of marital distress. (1986), the two groups undergoing diagnostic laparoscopies were also administered a structured interview on sexual abuse. In the study by Harrop-Griffiths et al. Rapkin et al.

    (1988) did not find a higher prevalence of childhood or adult sexual abuse in a group of women with chronic pelvic pain than in women with chronic pain in other locations or in control subjects, although women with chronic pelvic pain reported a higher prevalence of childhood physical abuse. The authors concluded that their findings did not support the hypothesis that pelvic pain is specifically and psychodynamically related to sexual abuse and suggested that abusive experiences, whether physical or sexual, may promote the chronicity of many different painful conditions. Patients with chronic pelvic pain with or without positive laparoscopy findings were more likely than control subjects to have experienced childhood and adult sexual abuse.

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