Physical and sexual abuse and associated mental disorders among alcoholic inpatients.
Physical and sexual abuse and associated mental disorders among alcoholic inpatients.
复制标题
酗酒住院患者的身体和性虐待以及相关的精神障碍。
DOI：
10.1176/ajp.152.9.1322
复制
发表时间：
1995
期刊：
影响因子：
--
通讯作者：
Miller,GB
中科院分区：
文献类型：
--
作者：
Windle,M;Windle,RC;Scheidt,DM;Miller,GB
目的探讨酒精中毒住院患者儿童期虐待行为与成人精神疾病的相关性。对每个患者进行访谈，并记录性虐待和身体虐待史、DSM-III诊断和其他特征。结果报告的儿童期虐待患病率女性为59%，男性为30%。酗酒家族史与较高水平的身体虐待和性虐待有关。儿童期虐待类型的性别差异明显(即仅性虐待、仅身体虐待、双重虐待)；49%的女性和12%的男性报告了性虐待(有或没有身体虐待)，33%的女性和24%的男性报告了身体虐待(有或没有性虐待)，23%的女性和5%的男性报告了双重虐待。虐待状态，尤其是双重虐待，与女性和男性中较高的反社会人格障碍和自杀未遂率，女性中的广泛性焦虑症和男性中的重度抑郁有关。结论酒精中毒住院患者中性虐待和身体虐待与成人精神障碍并存的长期相关性。解决与儿童期虐待有关的未解决的精神创伤可能会提高治疗结果的有效性，并降低酗酒者的复发率。
ObjectiveThe purpose of this study was to investigate the adult psychiatric correlates of childhood abuse among alcoholic inpatients.MethodsThe 802 patients, who included 321 women, were admitted to one of five New York State alcohol treatment inpatient centers. Each patient was interviewed, and sexual and physical abuse history, DSM-III diagnosis, and other characteristics were recorded.ResultsThe overall prevalence of reported childhood abuse was 59% for women and 30% for men. Family history of alcoholism was associated with higher levels of physical and sexual abuse. Gender differences in types of childhood abuse (ie, sexual abuse only, physical abuse only, dual abuse) were evident; 49% of the women and 12% of the men reported sexual abuse (with or without physical abuse), 33% of the women and 24% of the men reported physical abuse (with or without sexual abuse), and 23% of the women and 5% of the men reported dual abuse. Abuse status, and especially dual abuse, was associated with higher rates of antisocial personality disorder and suicide attempts among women and men, with generalized anxiety disorder among women, and with major depression among men.ConclusionsThe findings highlight the long-term associations between sexual and physical abuse and adult coexisting mental disorders among alcoholic inpatients. Addressing unresolved intrapsychic trauma associated with childhood abuse may increase the efficacy of treatment outcomes and reduce relapse rates among alcoholics.