Prevalence of Physical and Sexual Assault and Mental Health Disorders in Older Women: Findings From a Nationally Representative Sample
Prevalence of Physical and Sexual Assault and Mental Health Disorders in Older Women: Findings From a Nationally Representative Sample
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DOI：
10.1016/j.jagp.2013.01.016
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发表时间：
2013-09-01
影响因子：
7.2
通讯作者：
Hoff, Rani
中科院分区：
文献类型：
--
作者：
Cook, Joan M.;Pilver, Corey;Hoff, Rani
目的：本研究介绍了身体和性侵犯的患病率和特点，以及它们与创伤后应激障碍（PTSD），情绪和焦虑症的关系，在全国代表性的老年妇女样本。设计和设置：对来自全国酒精和相关疾病流行病学调查第2波的成年参与者进行面对面访谈。参与者：共有3 354名65岁及以上的社区妇女。测量单位：酒精使用障碍和相关残疾精神障碍诊断和统计手册访谈时间表，第四版，当前情绪和焦虑障碍。结果：近14%的参与者报告了他们一生中的身体或性侵犯或两者兼而有之的历史。袭击往往是重复的，而不是孤立的事件。虽然大多数参与者没有将人际暴力视为他们“最严重”的创伤事件，但经历过人际暴力的人通常比没有这种历史的人更有可能达到过去一年和一生PTSD，抑郁和焦虑的标准。结论：一些几十年前遭受过身体或性侵犯的妇女继续报告说，到成年后期，情绪和焦虑症的水平仍然很高。提出了几种方法，以增加识别和治疗老年女性创伤幸存者的医疗保健提供者。
Objectives: This study presents prevalence and characteristics of physical and sexual assaults, and their relationship to posttraumatic stress disorder (PTSD), and mood and anxiety disorders in a nationally representative sample of older women. Design and Setting: Face-to-face interviews conducted with adult participants from wave 2 of the National Epidemiological Survey on Alcohol and Related Conditions. Participants: A total of 3,354 community-residing women of age 65 years and older. Measurement: Alcohol Use Disorder and Associated Disabilities Interview Schedule for Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, current mood and anxiety disorders. Results: Almost 14% of participants reported a history of physical or sexual assault or both during their lifetimes. Assaults were often repeated rather than isolated events. Although the majority of participants did not identify interpersonal violence as their "worst" traumatic event, those who experienced interpersonal violence were generally more likely than those without such history to meet the criteria for past-year and lifetime PTSDs, depression, and anxiety. Conclusions: Some women who have been physically or sexually assaulted decades earlier continue to report significant levels of mood and anxiety disorders into late adulthood. Several ways to increase the identification and treatment of older female trauma survivors by healthcare providers are suggested.