Childhood Sexual Abuse Among New Psychiatric Outpatients in a City in Northern Alberta-prevalence Rate and Demographic/Clinical Predictors

2017 ◽  
Vol 41 (S1) ◽  
pp. S120-S120
Author(s):  
V. Agyapong ◽  
M. Juhás ◽  
A. Ritchie ◽  
O. Ogunsina ◽  
L. Ambrosano ◽  
...  
Keyword(s):  
Substance Abuse ◽  
Mental Illness ◽  
Sexual Abuse ◽  
Prevalence Rate ◽  
Psychiatric Services ◽  
Psychiatric Outpatients ◽  
Clinical Predictors ◽  
Family Histories ◽  
History Of ◽  
Previous Contact

Child sexual abuse (CSA) is a major global health problem with serious adverse effects at later ages. Our paper examines the prevalence rates and the demographic and clinical predictors of CSA among adult psychiatric outpatients. A data assessment tool was used to compile information on the demographic and clinical characteristics of all new patients assessed in four psychiatric outpatient clinics between 1st January 2014 and 31st December 2015. The 12-month prevalence rate for CSA among new psychiatric outpatients in Fort McMurray was 20.7% (10.7% for males and 26.9% in females). With an odds ratio for sex of 3.30 (CI = 2.06–5.29), female patients are about three times more likely to report a history of CSA compared to male patients when controlling for other factors. Similarly patients with at most high school education (OR = 1.8, CI = 1.145–2.871) and those with previous contact with psychiatric services (OR = 1.7, CI = 1.124–2.616) were about two times more likely to report a history of CSA compared to the patients with college/university education or those with no previous contact with psychiatric services respectively. Similarly, patients with histories of substance abuse (OR = 1.5, CI = 1.179–2.642) and patients with family histories of mental illness (OR = 1.8, CI = 1.032–2.308) had higher likelihoods of reporting histories of CSA compared to patients without histories of substance abuse or family histories of mental illness respectively. Our findings suggest that victims of CSA are an at-risk population in need of ongoing mental health and educational support.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Reported history of physical and sexual abuse and severity of symptomatology in women psychiatric outpatients.

1990 ◽  
Vol 60 (3) ◽  
pp. 412-417 ◽  
Author(s):  
Janet Surrey ◽  
Chester Swett ◽  
Alisa Michaels ◽  
Sarah Levin
Keyword(s):  
Sexual Abuse ◽  
Psychiatric Outpatients ◽  
History Of ◽  
Physical And Sexual Abuse

Prevalence Rate and Demographic and Clinical Correlates of Child Sexual Abuse Among New Psychiatric Outpatients in a City in Northern Alberta

2017 ◽  
Vol 26 (4) ◽  
pp. 442-452 ◽  
Author(s):  
Vincent I. O. Agyapong ◽  
Michal Juhás ◽  
Amanda Ritchie ◽  
Olurotimi Ogunsina ◽  
Lorella Ambrosano ◽  
...  
Keyword(s):  
Sexual Abuse ◽  
Child Sexual Abuse ◽  
Prevalence Rate ◽  
Psychiatric Outpatients ◽  
Clinical Correlates ◽  
Northern Alberta

Memories of Childhood Sexual Abuse: Remembering and Repressing

1994 ◽  
Vol 18 (1) ◽  
pp. 67-84 ◽  
Author(s):  
Elizabeth F. Loftus ◽  
Sara Polonsky ◽  
Mindy Thompson Fullilove
Keyword(s):  
Substance Abuse ◽  
Sexual Abuse ◽  
Childhood Sexual Abuse ◽  
Patient Treatment ◽  
History Of Childhood ◽  
History Of ◽  
Detailed Picture

Women involved in out-patient treatment for substance abuse were interviewed to examine their recollections of childhood sexual abuse. Overall, 54% of the 105 women reported a history of childhood sexual abuse. Of these, the majority (81%) remembered all or part of the abuse their whole lives; 19% reported they forgot the abuse for a period of time, and later the memory returned. Women who remembered the abuse their whole lives reported a clearer memory, with a more detailed picture. They also reported greater intensity of feelings at the time the abuse happened. Women who remembered the abuse their whole lives did not differ from others in terms of the violence of the abuse or whether the violence was incestuous. These data bear on current discussions concerning the extent to which repression is a common way of coping with childhood sexual abuse trauma, and also bear on some widely held beliefs about the correlates of repression.

Predictors of Time-to-Remission and Recovery

2018 ◽  
pp. 129-140
Author(s):  
Mary C. Zanarini
Keyword(s):  
Substance Abuse ◽  
Sexual Abuse ◽  
Family History ◽  
Childhood Sexual Abuse ◽  
Multivariate Analyses ◽  
Clinical Implications ◽  
History Of Childhood ◽  
History Of ◽  
Vocational Functioning

This chapter reports on the bivariate and multivariate predictors of two of our most important outcomes—remission and recovery. In terms of time-to-remission, seven variables that span five areas of prediction were found to be significant in multivariate analyses. These areas were: lack of chronicity, good premorbid vocational functioning, no history of childhood sexual abuse, no family history of substance abuse, and three aspects of temperament. In terms of time-to-recovery, five variables that span three areas of prediction were found to be significant in multivariate analyses. These areas were: lack of chronicity, competence, and temperament. The clinical implications of these significant models and the significant bivariate predictors that did not end up in these models are discussed in detail.

Is there a Power Elite in Canadian Psychiatry?

1969 ◽  
Vol 14 (2) ◽  
pp. 199-207
Author(s):  
D. B. Coates
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Private Practice ◽  
Critical Role ◽  
Psychiatric Services ◽  
Professional Organizations ◽  
Power Elite ◽  
Apparent Lack ◽  
Considerable Evidence ◽  
History Of

This paper poses a number of questions regarding the recent history of psychiatric organization in Canada. Using public documents regarding organizational structure, it was suggested that during the decade 1956–1966, there was considerable evidence of a national shaping of policy regarding psychiatric services by a small but influential group of reformers. For other questions such as the organization and dispensing of research funds, access to more privileged sources would be required. In its organization, Canadian psychiatry is of no greater interest than many other professional organizations. However, because of its critical role at a time when health services generally were in transition, the psychiatric elite played an extremely important part in influencing the restructuring of psychiatric services around private practice, around general hospital and medical integration and the ideology that mental illness is identical with physical illness. The blurring of differences between psychiatry and mental health were discussed briefly and the apparent lack of conflict between bureaucratic and professional roles.

Factors Associated with Repeat Suicide Attempts among Adolescents

2000 ◽  
Vol 34 (3) ◽  
pp. 437-445 ◽  
Author(s):  
Jacqualine Vajda ◽  
Kate Steinbeck
Keyword(s):  
Substance Abuse ◽  
Sexual Abuse ◽  
Alcohol Abuse ◽  
Psychotic Disorders ◽  
Attempted Suicide ◽  
Suicide Attempts ◽  
Chronic Medical Conditions ◽  
Medical Conditions ◽  
Factors Associated ◽  
History Of

Objective: To determine potential risk factors associated with repeat suicide attempts among adolescents. Method: Retrospective medical record review of all patients aged 13–20 years who presented to the emergency department at an inner city tertiary hospital after attempted suicide between 1994 and 1996. Subjects were identified using the International Classification of Diseases (ICD-9) codes E950.0 to E959.9 for attempted suicide. Study variables included demographic parameters, chronic medical conditions/illnesses, psychiatric and substance abuse disorders, history of sexual abuse and previous and subsequent suicide attempts. Variables univariately associated with repetition at p < 0.25 were entered into a multiple regression analysis. Results: Eighty seven per cent of patients presented with a drug overdose. Seventy-six per cent of all subjects attempted suicide in the context of a dispute or relationship break-up. At least one psychiatric disorder was present in 76% of subjects at the index attempt. The most frequently diagnosed disorders were depression (45.5%) and drug (34%) and alcohol abuse (27%). Variables predicting repetition within 12 months were drug (OR = 3.891, p = 0.02) and alcohol abuse (OR = 3.56, p = 0.05), non-affective psychotic disorders (OR = 3.81, p = 0.04), and chronic medical conditions/illness (OR = 3.29, p = 0.03). A history of sexual abuse was almost significant (OR = 3.03, p = 0.06). Conclusions: Adolescents most likely to re-attempt suicide with 12 months present with either substance abuse, non-affective psychotic disorders, chronic medical conditions, or a history of sexual abuse. All adolescents with a possible suicide attempt should receive a comprehensive mental health and psychosocial assessment. Closer scrutiny of the role of chronic illnesses and sexual abuse in both future research and clinical management is urged. A broad based, multidisciplinary intervention approach is recommended.

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