Prevalence of Childhood Physical and Sexual Abuse in Veterans With Psychiatric Diagnoses
| Autor: | Clifford Qualls, Kelly H. Skelton, Deanna L. Kelly, Erica Duncan, Bekh Bradley, Richard Amar, Maju Mathew Koola |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
Adult
Male Child abuse medicine.medical_specialty Georgia Substance-Related Disorders Cross-sectional study Population Article Stress Disorders Post-Traumatic Patient Admission medicine Humans Mass Screening Child Abuse Child Psychiatry education Veterans Affairs Mass screening Retrospective Studies Veterans Combat Disorders Depressive Disorder Major Likelihood Functions education.field_of_study Child Abuse Sexual Middle Aged Health Surveys Psychiatry and Mental health Cross-Sectional Studies Physical abuse Mood Sexual abuse Female Psychology Clinical psychology |
| Zdroj: | Journal of Nervous & Mental Disease. 201:348-352 |
| ISSN: | 0022-3018 |
| DOI: | 10.1097/nmd.0b013e318288e333 |
| Popis: | We examined the prevalence of childhood (≤ 18 years) physical and sexual abuse reported among patients admitted to the psychiatric inpatient service and the differential rates of this abuse associated with psychiatric diagnoses. This study consisted of a retrospective chart review of 603 patients admitted to a psychiatric ward during a period of 1 year at Atlanta Veterans Affairs Medical Center who had data on childhood physical and sexual abuse. The prevalence of reported childhood physical or sexual abuse in this inpatient clinical population was 19.4% (117/603). The prevalence of reported physical abuse was 22.6% (19/84) in the women and 12.0% (62/519) in the men (p = 0.008); the prevalence of sexual abuse was 33.3% (28/84) in the women and 7.7% (40/519) in the men (p < 0.0001). More patients with depressive disorders reported sexual abuse than did those without these disorders. More patients with posttraumatic stress disorder (PTSD) reported physical and sexual abuse than did those without these disorders. Stratifying by race, sex, and diagnoses, multivariate analyses showed that the women with PTSD had a greater likelihood to report physical abuse (p = 0.03) and sexual abuse histories (p = 0.008) than did the women without PTSD. The men with substance-induced mood disorder (p = 0.01) were more likely to report physical abuse compared with the men without substance-induced mood disorder. Screening for abuse in patients with depressive disorders and PTSD is warranted to tailor individualized treatments for these patients. More research is needed to better understand the potential implications of childhood abuse on psychiatric diagnoses. |
| Databáze: | OpenAIRE |
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