The relationship between childhood abuse and psychosis for women prisoners: assessing the importance of frequency and type of victimization.
The relationship between childhood abuse and psychosis for women prisoners: assessing the importance of frequency and type of victimization.
复制标题
女性囚犯童年虐待与精神病之间的关系：评估受害频率和类型的重要性。
DOI：
10.1007/s11126-013-9258-2
复制
发表时间：
2013
期刊：
影响因子：
--
通讯作者：
Pettus-Davis,Carrie
中科院分区：
文献类型：
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作者：
Kennedy,StephanieC;Tripodi,StephenJ;Pettus-Davis,Carrie
这项研究调查了在美国被监禁的女性群体中，童年受害和自我报告的精神错乱症状之间的关系。参与者是随机选择的159名女性，她们被关押在北卡罗来纳州的两所监狱里。参与者完成了一系列自我报告措施，以评估儿童受害情况以及当前和终身的视听幻觉和妄想经历。根据剂量-反应模型，我们假设了女性囚犯的严重程度、频率、受害类型和精神病之间的预测关系。结果表明，经历多次受害的女性报告当前精神病症状的可能性是其他仅在童年经历过身体或性虐待的女性囚犯的2.4倍。同样，儿童受害频率每增加一个单位，报告当前精神病症状的可能性就增加3.2%。这些结果支持剂量-反应模型假说，即多个受害者是女性囚犯群体精神病的重要预测因素。结果表明，调整以监狱为基础的精神卫生服务，以处理儿童受害与精神病症状的关系，可能是改善这一人群结果的关键因素。
This study examines the relationship between childhood victimization and self-reported current symptoms of psychosis in an incarcerated female population in the United States. Participants are 159 randomly selected women incarcerated in two North Carolina state prisons. Participants completed a battery of self-report measures to assess childhood victimization and current and lifetime experience of audio/visual hallucinations and delusions. In accordance with the dose–response model, we hypothesized a predictive relationship between severity, frequency, and type of victimization and psychosis for this sample of women prisoners. Results indicate that women who experienced multi-victimization were 2.4 times more likely to report current symptoms of psychosis than other women prisoners who experienced only physical or sexual victimization in childhood. Likewise, a one-unit increase in frequency of childhood victimization was associated with a 3.2 % increased likelihood of having reported symptoms of current psychosis. These results provide support for the dose–response model hypothesis that multi-victimization is an important predictor of psychosis for the women prisoner population. Results indicate that adjusting prison-based mental health services to address the relationship of childhood victimization and symptoms of psychosis may be a key factor in improving outcomes among this population.