Abusive experiences and psychiatric morbidity in women primary care attenders
Abusive experiences and psychiatric morbidity in women primary care attenders
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DOI：
10.1192/bjp.183.4.332
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发表时间：
2003-10-01
影响因子：
10.5
通讯作者：
Feder, G
中科院分区：
文献类型：
--
作者：
Coid, J;Petruckevitch, A;Feder, G
背景儿童和成年期的虐待经历增加了妇女精神疾病的风险，并独立地增加了一生中进一步遭受虐待的风险。目前尚不清楚哪些经历是最具破坏性的。目的是衡量虐待经历的终生患病率和精神疾病发病率，并分析女性初级保健就诊者之间的关联。方法对英国伦敦哈克尼区参加13次手术的1207名女性进行横断面、自我报告调查。结果儿童期性虐待与成人心理健康状况的相关性较小，与躯体虐待的相关性较小。成年期的性侵犯与物质滥用有关；强奸与焦虑、抑郁和创伤后应激障碍有关，但与物质滥用无关。家庭暴力与大多数心理健康措施的相关性最强，随着过去一年的经历而增加。结论儿童期和成年期的虐待对心理健康的影响不同；影响随着最近和严重程度的增加而增加。妇女应该经常询问正在进行的和最近的经历以及童年时期的情况。在致谢中详细说明了资金。
Background Abusive experiences in childhood and adulthood increase risks of psychiatric morbidity in women and independently increase risks of further abuse over the lifetime. It is unclear which experiences are most damaging.Aims To measure lifetime prevalence of abusive experiences and psychiatric morbidity, and to analyse associations in women primary care attenders.Method A cross-sectional, self-report survey of 1207 women attending 13 surgeries in the London borough of Hackney, UK. Independent associations between demographic measures, abusive experiences and psychiatric outcome were established using logistic regression.Results Childhood sexual abuse had few associations with adult mental health measures, in contrast to physical abuse. Sexual assault in adulthood was associated with substance misuse; rape with anxiety, depression and post-traumatic stress disorder but not substance misuse. Domestic violence showed strongest associations with most mental health measures, increased for experiences in the past year.Conclusions Abuse in childhood and adulthood have differential effects on mental health; effects are increased by recency and severity Women should be routinely questioned about ongoing and recent experiences as well as childhood.Declaration of interest None. Funding detailed in Acknowledgements.