scholarly journals Psychosocial Vulnerability Among Patients Contacting a Norwegian Sexual Assault Center

2016 ◽  
Vol 34 (10) ◽  
pp. 2138-2157 ◽  
Author(s):  
Bjarte Frode Vik ◽  
Jim Aage Nöttestad ◽  
Berit Schei ◽  
Kirsten Rasmussen ◽  
Cecilie Therese Hagemann

In this study, the objective was to assess the occurrence of specific vulnerability factors among adult and adolescent females attending a Norwegian sexual assault center (SAC). We also explored assault characteristics and investigated whether these characteristics differed between the group of patients with vulnerability factors compared with the group without such factors. We conducted a retrospective descriptive study of 573 women ≥ 12 years of age attending the SAC at St. Olavs Hospital, Trondheim, Norway, between July 1, 2003 and December 31, 2010. A patient was considered vulnerable if at least one of the following features was present: intellectual or physical disability; history of present/former mental health problems; history of present/former alcohol/substance abuse; or former sexual assault. At least one vulnerability factor was present in 59% of the cases. More than one vulnerability factor was present in 29%. Reporting at least one vulnerability factor was associated with a higher patient age, unemployment, a higher frequency of reported light/moderate physical violence, and the documentation of minor body injury. In contrast, those without vulnerability more often were students assaulted during night time, by a casual or stranger assailant and reporting a higher intake of alcohol prior to the assault. There are obvious patterns of differences in the nature of sexual assaults reported among victims with specific vulnerability factors compared with victims without these factors. Future research should address these differences and possible solutions for better protection of especially vulnerable individuals against sexual offenses, such as those with mental health and substance abuse difficulties.

2017 ◽  
Vol 45 (3) ◽  
pp. 381-401 ◽  
Author(s):  
Merry Morash ◽  
Deborah A. Kashy ◽  
Jennifer E. Cobbina ◽  
Sandi W. Smith

For a sample of 396 women on probation and parole, this article presents the results of qualitative analysis that shows the nature of violence for a subgroup of 75 women who were convicted of a violent act. For the full sample of 396, the article also presents results of quantitative analyses that identify correlates of violent behavior. Women’s violent acts were most often assaults on people who were not intimate partners. Second and third most common violent acts were for assaults of an intimate partner and robbery, respectively. Quantitative analysis revealed that history of adult abuse and anger predicted violence. The effect of abuse on violent behavior was partially mediated by anger. Intercorrelations between anger, mental health problems, histories of being abused, and current substance abuse suggest the efficacy of assessing these attributes so that programming can provide individualized interventions that address co-occurring problems.


2020 ◽  
pp. 088626052097819
Author(s):  
Frédérique Vallières ◽  
Brynne Gilmore ◽  
Ann Nolan ◽  
Peggy Maguire ◽  
Kristina Bondjers ◽  
...  

Current data on the prevalence and psychosocial correlates of sexual violence in the Republic of Ireland is lacking, with the most recent sexual abuse and violence survey dating back to 2001. The current study sought to identify what proportion of Irish adults have experienced sexual violence, if there are sex differences in exposure to different forms of sexual violence, and to what extent different forms of sexual violence are associated with adverse psychosocial outcomes. To achieve these objectives, we carried out a nationally representative sample of Irish adults ( N = 1,020) completed self-report measures of history of sexual violence and mental health. Results suggest that approximately one-in-three (34.4%) Irish adults experienced some form of sexual violence, including 14.8% who were sexually assaulted (raped) and 31.1% who were sexually harassed. Women were significantly more likely than men to have experienced all forms of sexual violence ( ps < .001), with the exception of sexual assault by a parent or guardian. All forms of sexual violence were associated with an increased likelihood of serious mental health problems, with sexual assault by a parent/guardian associated with several other psychosocial outcomes in life, including education achievement, history of being taken into state care, salary, and employment status. Sexual violence is a common experience in the general population and women are disproportionately affected (1-in-2 women versus 1-in-5 men). Additional resources to increase mental health care among survivors of sexual violence is urgently needed. How our findings compare to Ireland’s previous sexual abuse and violence survey and the implications of our findings for policy are discussed.


Author(s):  
A.-L. van Harmelen ◽  
S. J. Blakemore ◽  
I. M. Goodyer ◽  
R. A. Kievit

AbstractChild and adolescent adversity (‘CA’) is a major predictor of mental health problems in adolescence and early adulthood. However, not all young people who have experienced CA develop psychopathology; their mental health functioning can be described as resilient. We previously found that resilient functioning in adolescence following CA is facilitated by adolescent friendships. However, during adolescence, friendships undergo significant change. It is unknown whether resilient functioning after CA fluctuates with these normative changes in friendship quality. We used Latent Change Score Modelling in a large sample of adolescents (i.e. the ROOTS cohort; N = 1238) to examine whether and how emergent friendship quality and resilient functioning at ages 14 and 17 inter-relate and change together. We found that friendships quality and resilient functioning had strong associations at age 14, although friendships at 14 did not predict higher resilient functioning at 17. Higher resilient functioning in 14-year-olds with a history of CA was associated with a positive change in friendships from age 14 to 17. Finally, improvements in friendship quality and resilient functioning went hand-in-hand, even when taking into account baseline levels of both, the change within friendship quality or resilient functioning over time, and the association between resilient functioning and change in friendship quality over time. We show that friendship quality and resilient functioning after CA inter-relate and change together between ages 14 and 17. Our results suggest that improving friendship quality or resilient functioning within this timeframe may benefit this vulnerable adolescent group, and this should be tested in future research.


Partner Abuse ◽  
2016 ◽  
Vol 7 (1) ◽  
pp. 55-69 ◽  
Author(s):  
William C. Woods ◽  
Ryan C. Shorey ◽  
Catherine V. Strauss ◽  
Tara L. Cornelius ◽  
Theresa Rowland

Preliminary research has demonstrated the utility of bystander interventions in reducing sexual assault (Coker et al., 2011; Moynihan & Banyard, 2008), and initial research has begun extending this type of intervention to dating violence broadly (i.e., physical and psychological aggression). However, there are many unexplored factors that may increase or decrease the likelihood that individuals will engage in bystander behavior. One such factor is previous experiences with dating violence and sexual assault. Thus, this study examined prior dating violence and sexual assault experiences and endorsement of bystander behaviors in a large sample of college students (N = 2,430). We hypothesized that individuals with a history of dating and sexual assault victimization would be more likely to report engaging in bystander behaviors relative to nonvictims. The relationship between prior dating violence perpetration on bystander behavior was also explored. Results demonstrated that individuals with physical and sexual, but not psychological, victimization histories reported more frequent bystander behavior. Furthermore, perpetrators of physical violence were more likely than nonperpetrators to report bystander behavior, particularly among females. Findings provide preliminary evidence that prior experiences with dating violence and sexual assault may impact bystander behavior. Implications and directions for future research are discussed.


2015 ◽  
Vol 20 (4) ◽  
pp. 242-251 ◽  
Author(s):  
Éva Kállay

Abstract. The last several decades have witnessed a substantial increase in the number of individuals suffering from both diagnosable and subsyndromal mental health problems. Consequently, the development of cost-effective treatment methods, accessible to large populations suffering from different forms of mental health problems, became imperative. A very promising intervention is the method of expressive writing (EW), which may be used in both clinically diagnosable cases and subthreshold symptomatology. This method, in which people express their feelings and thoughts related to stressful situations in writing, has been found to improve participants’ long-term psychological, physiological, behavioral, and social functioning. Based on a thorough analysis and synthesis of the published literature (also including most recent meta-analyses), the present paper presents the expressive writing method, its short- and long-term, intra-and interpersonal effects, different situations and conditions in which it has been proven to be effective, the most important mechanisms implied in the process of recovery, advantages, disadvantages, and possible pitfalls of the method, as well as variants of the original technique and future research directions.


Author(s):  
Ruth D Neill ◽  
Carolyn Blair ◽  
Paul Best ◽  
Emily McGlinchey ◽  
Cherie Armour

Abstract Aim As individuals adjust to new ‘norms’ and ways of living during the COVID-19 lockdown, there is a continuing need for up-to-date information and guidance. Evidence suggests that frequent media exposure is related to a higher prevalence of mental health problems, especially anxiety and depression. The aim of this study was to determine whether COVID-19 related media consumption is associated with changes in mental health outcomes. Methods This paper presents baseline data from the COVID-19 Psychological Wellbeing Study. The cross-sectional study data was collected using an online survey following the Generalised Anxiety Disorder scale (GAD-7) and the Patient Health Questionnaire (PHQ-9), with some other basic information collected. Logistic regression analysis was used to examine the influence of socio-demographic and media specific factors on anxiety and depression. Results The study suggested that media usage is statistically significantly associated with anxiety and depression on the GAD-7 and PHQ-9 scales with excessive media exposure related to higher anxiety and depression scores. Conclusion This study indicated that higher media consumption was associated with higher levels of anxiety and depression. Worldwide it should be acknowledged that excessive media consumption, particularly social media relating to COVID-19, can have an effect on mental health. However, as this was a cross-sectional study we cannot infer any directionality as we cannot infer cause and effect; therefore, future research involving longitudinal data collection and analyses of variables over time is warranted.


Author(s):  
David C. Reardon ◽  
Christopher Craver

Pregnancy loss, natural or induced, is linked to higher rates of mental health problems, but little is known about its effects during the postpartum period. This study identifies the percentages of women receiving at least one postpartum psychiatric treatment (PPT), defined as any psychiatric treatment (ICD-9 290-316) within six months of their first live birth, relative to their history of pregnancy loss, history of prior mental health treatments, age, and race. The population consists of young women eligible for Medicaid in states that covered all reproductive services between 1999–2012. Of 1,939,078 Medicaid beneficiaries with a first live birth, 207,654 (10.7%) experienced at least one PPT, and 216,828 (11.2%) had at least one prior pregnancy loss. A history of prior mental health treatments (MHTs) was the strongest predictor of PPT, but a history of pregnancy loss is also another important risk factor. Overall, women with a prior pregnancy loss were 35% more likely to require a PPT. When the interactions of prior mental health and prior pregnancy loss are examined in greater detail, important effects of these combinations were revealed. About 58% of those whose first MHT was after a pregnancy loss required PPT. In addition, over 99% of women with a history of MHT one year prior to their first pregnancy loss required PPT after their first live births. These findings reveal that pregnancy loss (natural or induced) is a risk factor for PPT, and that the timing of events and the time span for considering prior mental health in research on pregnancy loss can significantly change observed effects. Clinicians should screen for a convergence of a history of MHT and prior pregnancy loss when evaluating pregnant women, in order to make appropriate referrals for counseling.


2021 ◽  
pp. 216769682110004
Author(s):  
Ayanda Chakawa ◽  
Steven K. Shapiro

While 75% mental health problems emerge by young adulthood, there is a strong reluctance during this developmental stage to seek professional help. Although limitations in mental health literacy, such as incorrect problem recognition, may hinder professional help-seeking intentions, the relationship between these variables has been understudied among young adults in the United States (U.S.) and racial/ethnic differences in help-seeking intentions for specific disorders have not been well explored. Using a vignette-based design, the current study examines the association between psychological disorder recognition and professional help-seeking intentions among 1,585 Black/African American and White/European American young adults. Correctly identifying a psychological disorder was significantly associated with intentions to seek professional help for several disorders and race/ethnicity significantly influenced intentions to seek professional help for some disorders. Implications for ways to address unmet mental health care needs, especially among racially/ethnically diverse young adults, and directions for future research are discussed.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
E A Villegas Vázquez ◽  
J C Leyva Chipol ◽  
K C Cervantes Gómez ◽  
S I Valencia Almeida ◽  
F G Márquez Celedonio ◽  
...  

Abstract Introduction Within the current context in our Mexico, major states of violence for women have been manifested on a daily basis without having any more reason than being female. Veracruz is the first place in feminicides in Mexico with a rate of 3.44 per 100 thousand women. Research question: What is the intensity of the violence committed and victimization in the courtship of young students of the Upper Middle level in the Veracruz - Boca del Río area, according to their gender? Material and Methods A cross-sectional, prospective, observational and analytical study was carried out from December to February 2020. Middle-high school students from the Veracruz-Boca del Río region were included, who had a dating relationship and were excluded those who did not accept to participate. The variable “violence committed and victimization in courtship” was quantified with the CADRI instrument. The spss v22 software was used, Sudent's T was calculated for independent samples, with statistical significance p &lt; 0.05. Results 741 students were included. There was a prevalence of violence committed of 86.2% and victimization of 89.2%. Of the total number of students who suffered and committed violence, women occupy 66.3% and 66.7% respectively. There is a difference in the intensity of violence between women and men in verbal-emotional violence (4.5 ± 4.2 vs. 3.4 ± 3.4), physical violence (0.6 ± 1.3 vs. 0.36 ± 3.6) and violence in general (5.7 ± 5.7 vs 4.3 ± 4.8) (p &lt; 0.05), while victimization scores do not make a difference between both genders (p &gt; 0.05). The history of psychological and sexual violence in previous relationships, as well as sexual violence in daily life are more frequent in the female sex (p &lt; 0.05) Conclusions The violence generated is more intense in women, however, they also have a history of having suffered violence more frequently in previous relationships and in their daily lives. Key messages Women suffer more aggressions at different stages of their lives, which may increase the risk to tolerate aggressions or be more aggressive or suffer mental health problems. We must study if the violence generated by women is a response to a previous aggression from their boyfriend.


2019 ◽  
Vol 8 (1) ◽  
pp. 17-21
Author(s):  
P Sharma ◽  
P Sharma ◽  
N Thakur ◽  
S Sharma ◽  
M Pokharel

Introduction: School mental health is one of the important areas where early detection can lead to appropriate early intervention and burden of disease can be minimized. There is dearth of prevalence studies of common mental disorders on school going adolescents in Nepal. Considering this we aimed to study the prevalence of common mental health problems and substance use in school going adolescents. Material And Method: We evaluated 240 students for common mental disorders (depression and anxiety) using translated version of PHQ-4 and substance use single validated question after taking consent from school authorities and assent from students. Results: It was seen that 68.8 % students had psychological distress. 22.9 % and 27.5% of students had anxiety and depression respectively on screener and 23.3% students had use of substance at least once within a year. When compared male had significantly higher number of substance use as compared to female but no difference in PHQ-4 scores were seen when compared between gender and history of substance use. Conclusion: The study shows the current scenario of school going adolescents in Nepal and highlights the need of prevalence data on more generalizable setting.


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