Reported history of physical and sexual abuse and severity of symptomatology in women psychiatric outpatients.

1990 ◽  
Vol 60 (3) ◽  
pp. 412-417 ◽  
Author(s):  
Janet Surrey ◽  
Chester Swett ◽  
Alisa Michaels ◽  
Sarah Levin
2017 ◽  
Vol 41 (S1) ◽  
pp. S120-S120
Author(s):  
V. Agyapong ◽  
M. Juhás ◽  
A. Ritchie ◽  
O. Ogunsina ◽  
L. Ambrosano ◽  
...  

Child sexual abuse (CSA) is a major global health problem with serious adverse effects at later ages. Our paper examines the prevalence rates and the demographic and clinical predictors of CSA among adult psychiatric outpatients. A data assessment tool was used to compile information on the demographic and clinical characteristics of all new patients assessed in four psychiatric outpatient clinics between 1st January 2014 and 31st December 2015. The 12-month prevalence rate for CSA among new psychiatric outpatients in Fort McMurray was 20.7% (10.7% for males and 26.9% in females). With an odds ratio for sex of 3.30 (CI = 2.06–5.29), female patients are about three times more likely to report a history of CSA compared to male patients when controlling for other factors. Similarly patients with at most high school education (OR = 1.8, CI = 1.145–2.871) and those with previous contact with psychiatric services (OR = 1.7, CI = 1.124–2.616) were about two times more likely to report a history of CSA compared to the patients with college/university education or those with no previous contact with psychiatric services respectively. Similarly, patients with histories of substance abuse (OR = 1.5, CI = 1.179–2.642) and patients with family histories of mental illness (OR = 1.8, CI = 1.032–2.308) had higher likelihoods of reporting histories of CSA compared to patients without histories of substance abuse or family histories of mental illness respectively. Our findings suggest that victims of CSA are an at-risk population in need of ongoing mental health and educational support.Disclosure of interestThe authors have not supplied their declaration of competing interest.


1994 ◽  
Vol 75 (3_suppl) ◽  
pp. 1671-1678 ◽  
Author(s):  
Jane K. Wagner ◽  
Rose M. Perrine

The present study explored differences between women who are currently housed but are at risk for homelessness versus homeless women in a middle-sized city in the southeast. The research focused on experiences in the women's history which might explain some differences between homeless women and women who are at risk for homelessness but are currently housed through public-assistance programs. 98 women from a community emergency shelter and public-assistance programs were either interviewed or completed questionnaires. The questionnaires assessed the women's history of mental illness, employment and housing problems, physical and sexual abuse, drug and alcohol problems, and skills for building and maintaining relationships The women were young (18–35 years), about 80% were single mothers and about 50% had children living with them. t tests for independent samples indicated that compared to 48 at-risk housed women, the 50 homeless women reported a history of more symptoms of mental illness, more instability of employment and housing, more physical and sexual abuse, more drug and alcohol problems, and fewer skills for interacting with others. When all variables were entered simultaneously into a multiple regression equation, only skills for interacting accounted for a significant proportion of the variability between the two groups of women.


1997 ◽  
Vol 31 (3) ◽  
pp. 398-404 ◽  
Author(s):  
Lisa Brown ◽  
Janice Russell ◽  
Christopher Thornton ◽  
Stewart Dunn

Objective: To determine the reported rates of child physical and sexual abuse experienced by hospitalised eating disordered patients compared to a control group of women attending general practitioners. Method: A retrospective survey using the self-report Finkelhor Sexual Life Events Inventory and clinical reports. Results: Nearly one-half of eating disordered patients reported a history of child sexual abuse and one-quarter reported child physical abuse. These rates were significantly higher than those reported by the control group. Conclusions: Direct questioning regarding trauma histories is warranted when assessing patients with eating disorders and attention to such issues should be incorporated into the total management plan.


1991 ◽  
Vol 17 (1) ◽  
pp. 49-60 ◽  
Author(s):  
Chester Swett ◽  
Caryn Cohen ◽  
Janet Surrey ◽  
Andrew Compaine ◽  
Ryan Chavez

2018 ◽  
Author(s):  
Simukai Shamu ◽  
Patience Shamu ◽  
Christina Zarowsky ◽  
Marleen Temmerman ◽  
Tamara Shefer ◽  
...  

BackgroundSexual and physical abuse in childhood creates a great health burden including on mental and reproductive health. A possible link between child abuse and HIV infection has increasingly attracted attention. This paper investigated whether a history of child physical and sexual abuse is associated with HIV infection among adult women.MethodsA cross sectional survey was conducted among 2042 postnatal women (mean age=26y) attending six public primary health care clinics in Harare, Zimbabwe within 6 weeks post-delivery. Clinic records were reviewed for mother’s antenatal HIV status. Participants were interviewed about childhood abuse including physical or sexual abuse before 15 years of age, forced first sex before 16, HIV risk factors such as age difference at first sex before age 16. Multivariate analyses assessed the associations between mother’s HIV status and child physical and sexual abuse while controlling for confounding variables.ResultsMore than one in four (26.6%) reported abuse before the age of 15: 14.6% physical abuse and 9.1% sexual abuse,14.3% reported forced first sex and 9.0% first sex before 16 with someone 5+ years older. Fifteen percent of women tested HIV positive during the recent antenatal care visit. In multivariate analysis, childhood physical abuse (aOR 3.30 95%CI 1.58- 6.90), sexual abuse (3.18 95%CI: 1.64-6.19), forced first sex (aOR 1.42, 95%CI: 1.00-2.02), and 5+ years age difference with first sex partner (aOR 1.66 95%CI 1.09-2.53) were independently associated with HIV infection.ConclusionThis study confirms that child physical and/or sexual abuse increases risk for HIV acquisition. Further research is needed to assess the pathways to HIV acquisition from childhood to adulthood. Prevention of child abuse must form part of the HIV prevention agenda in Sub-Saharan Africa.


1995 ◽  
Vol 76 (3_suppl) ◽  
pp. 1101-1102 ◽  
Author(s):  
Jeffrey A. Atlas ◽  
Michele A. Wolfson ◽  
Deborah S. Lipschitz

33 adolescents were tested for signs of dissociation and somatization as these processes relate to histories of physical and sexual abuse, a characteristic of over half of patients admitted for acute psychiatric disorder. Analysis suggested that the 19 adolescents having histories of abuse were more likely to score higher on dissociation and somatization.


1997 ◽  
Vol 31 (2) ◽  
pp. 194-199 ◽  
Author(s):  
Lisa Brown

Objective: The aim of the present paper is to review the available literature on abusive experiences and the development of eating disorders, with particular reference to the theoretical basis of the possible links between them. Method: The review covers the literature of both interpersonal violence and eating disorders, with special reference to that linking the two fields. Brief case reports and clinical experience from a specialised eating disorders unit are also described. Results: Despite much theoretical speculation of a causal relation between abuse and eating dysfunction there is a lack of empirical research to confirm such theories, and a dearth of treatment suggestions to deal with the comorbid problems of the patient with an eating disorder and a history of abuse. Conclusions: There is a need for more clinical and experimental focus in this area, particularly in the study of aetiology and the management of dually affected individuals.


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