Mental health disorders as cooccuring and predictive factors of psychotic disorders in sexually abused children

2020 ◽  
pp. 104819
Author(s):  
Catherine Bourgeois ◽  
Tania Lecomte ◽  
Pierre McDuff ◽  
Isabelle Daigneault
Keyword(s):  
Mental Health ◽  
Predictive Factors ◽  
Sexually Abused ◽  
Psychotic Disorders ◽  
Mental Health Disorders ◽  
Abused Children ◽  
Health Disorders ◽  
Sexually Abused Children

scholarly journals Maternal History of Child Sexual Abuse and Maladaptive Outcomes in Sexually Abused Children: The Role of Maternal Mental Health

2021 ◽  
pp. 088626052110139
Author(s):  
Rachel Langevin ◽  
Martine Hébert ◽  
Audrey Kern
Keyword(s):  
Mental Health ◽  
Sexual Abuse ◽  
Psychological Distress ◽  
Sexually Abused ◽  
Maternal Mental Health ◽  
Ptsd Symptoms ◽  
Abused Children ◽  
Maternal History ◽  
History Of ◽  
Sexually Abused Children

The effects of child sexual abuse (CSA) have been found to surpass generations as maternal history of CSA is associated with increased difficulties in sexually abused children. However, little is known about the mechanisms underlying this association. The present study aimed to test maternal mental health symptoms including psychological distress, post-traumatic stress disorder (PTSD) symptoms, and dissociation as mediators of the relationship between maternal CSA and children’s internalizing, externalizing, and dissociation symptoms in a large sample of sexually abused children. A total of 997 sexually abused children aged 3-14 years old and their mothers were recruited at five specialized intervention centers offering services to sexually abused children and their families. The children were divided into two groups depending on their mothers’ self-reported history of CSA. Mothers completed a series of questionnaires assessing their mental health and children’s functioning. Maternal history of CSA was associated with increased maternal psychological distress, PTSD symptoms, and dissociation following children’s disclosure of CSA. In turn, maternal psychological distress and maternal dissociation were associated with increased child internalizing, externalizing, and dissociation symptoms. Maternal PTSD symptoms were associated with child internalizing symptoms. Maternal mental health difficulties mediated the association between maternal CSA and sexually abused children’s maladaptive outcomes. Clinicians should assess for possible history of CSA in mothers of sexually abused children and determine how best to support them to cope with the aftermaths of their child’s disclosure and with their own traumatic past.

Assessment of Sexually Abused Children

2000 ◽  
Vol 17 (1) ◽  
pp. 15-27 ◽  
Author(s):  
Martin Herbert
Keyword(s):  
Mental Health ◽  
Sexually Abused ◽  
Abused Children ◽  
Psychometric Instruments ◽  
Sexually Abused Children

AbstractA great deal is at stake for children who are sexually abused; not only in the here-and-now, but also the possibility of long-term blight in their future relationships and mental health. This puts a heavy responsibility on the professionals who are required to investigate, and further assess for treatment or other interventions, cases where sexual maltreatment is confirmed or suspected. The multidimensional, multicomponent elements that make up an assessment (in particular, the ASPIRE process) are described here in terms of their practical and theoretical implications. The difficulties of finding reliable and valid methods (be they interviews or psychometric instruments) for this onerous task are discussed.

Mortality Associated with Incident Mental Health Disorders After Stroke

2007 ◽  
Vol 41 (3) ◽  
pp. 274-281 ◽  
Author(s):  
Osvaldo P. Almeida ◽  
Jianguo Xiao
Keyword(s):  
Mental Health ◽  
Psychotic Disorders ◽  
Mental Health Disorders ◽  
Mental Health Disorder ◽  
Stroke Patients ◽  
Post Stroke ◽  
Australian Community ◽  
History Of ◽  
Health Disorders

Objective: Sparse information is currently available about the incidence of the major psychiatric syndromes following a stroke and their long-term contribution to morbidity and mortality. This study was designed to determine: (1) the incidence of first ever mental health disorder in amongst stroke patients; (2) the 10-year mortality associated with incident post-stroke mental health disorders. Methods: Design: Retrospective cohort study. Setting: Entire Western Australian community. Participants: First-ever stroke in 1990. Subjects with a prior recorded history of any mental health disorder were excluded from the study. Main outcomes of interest: Incident mental health diagnoses and 10-year mortality. Results: 1,129 hospital stroke contacts were recorded in 1990, with 21 people dying on the same day of contact. Between 1990-2002 36.6% of the survivors received a mental health diagnosis (6.1 per 1,000 person-years): alcohol-related disorders (16.2%), dementia (12.1%), delirium (7.6%), psychotic disorders (6.7%), and depression (5.5%). Mental health disorder onset was usually within 6 months of the stroke. Patients with an incident psychotic disorder were twice as likely to die during the subsequent 10 years as post-stroke controls with no mental health disorder (risk ratio = 2.03, 95%CI = 1.39-2.95). Being a widow (HR = 1.61, 95%CI = 1.13-2.30) or having been born in ‘other countries’ as opposed to Australia (HR = 1.56, 95%CI = 1.15-2.11) was also associated with increased death hazard. Conclusions: Approximately 1 in 3 patients develop a mental health disorder after stroke, although incidence estimates are relatively low. Post-stroke psychosis is associated with greater 10-year mortality, but the mechanisms underlying such an association are yet to be determined.

Impact of Event Appraisal on Mental Health Outcomes in Sexually Abused Children

2012 ◽  
Author(s):  
Amy L. Wevodau ◽  
Carol L. Woods ◽  
Alexandra Tellez ◽  
Amy Percosky ◽  
Brian J. Allen
Keyword(s):  
Mental Health ◽  
Health Outcomes ◽  
Sexually Abused ◽  
Mental Health Outcomes ◽  
Abused Children ◽  
Sexually Abused Children

scholarly journals Schizophrenia and Other Psychotic Disorders in a Cohort of Sexually Abused Children

2010 ◽  
Vol 67 (11) ◽  
pp. 1114 ◽  
Author(s):  
Margaret C. Cutajar ◽  
Paul E. Mullen ◽  
James R. P. Ogloff ◽  
Stuart D. Thomas ◽  
David L. Wells ◽  
...  
Keyword(s):  
Sexually Abused ◽  
Psychotic Disorders ◽  
Abused Children ◽  
Sexually Abused Children

Postpartum Mental Health Disorders: A Casebook

2020 ◽  
Author(s):  
Group for the Advancement of Ps... Committee on Gender and Mental Health
Keyword(s):  
Mental Health ◽  
Health Care Professionals ◽  
Psychotic Disorders ◽  
Mental Health Disorders ◽  
Care Physician ◽  
Stress Disorders ◽  
Compulsive Disorder ◽  
Postpartum Mental Health ◽  
Postpartum Disorders ◽  
Health Disorders

Postpartum Mental Health Disorders: A Casebook describes the recognition and management of psychiatric disorders that present in the postpartum period. Case vignettes illustrate the type of complaints that may present to the psychiatrist, primary care physician, obstetrician, nurse practitioner, doula, or other health care professionals. Chapters cover depression, anxiety disorders, obsessive compulsive disorder, psychotic disorders, bipolar disorders, posttraumatic stress disorders, personality disorders, and drug abuse. Each chapter includes information about differential and provisional diagnoses, epidemiology, treatment, and prognosis with advice as to when to refer to a specialist. More general chapters address risk factors for developing postpartum disorders, prevention, and the uses and safety of psychotropic medication during breastfeeding. Two frequently used screening questionnaires are included with instructions as to use. Some key references or links are included.

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