scholarly journals Impact of child sexual abuse on mental health

2004 ◽  
Vol 184 (5) ◽  
pp. 416-421 ◽  
Author(s):  
Josie Spataro ◽  
Paul E. Mullen ◽  
Philip M. Burgess ◽  
David L. Wells ◽  
Simon A. Moss
Keyword(s):  
Mental Health ◽  
Sexual Abuse ◽  
Child Sexual Abuse ◽  
General Population ◽  
Mental Disorders ◽  
Mental Health Treatment ◽  
Psychiatric Treatment ◽  
Subsequent Treatment ◽  
Male Victims ◽  
Subsequent Increase

BackgroundThe lack of prospective studies and data on male victims leaves major questions regarding associations between child sexual abuse and subsequent psychopathology.AimsTo examine the association between child sexual abuse in both boys and girls and subsequent treatment for mental disorder using a prospective cohort design.MethodChildren (n=16L2; 1327 female) ascertained as sexually abused at the time had their histories of mental health treatment established by data linkage and compared with the general population of the same age over a specified period.ResultsBoth male and female victims of abuse had significantly higher rates of psychiatric treatment during the study period than general population controls (12.4% v. 3.6%). Rates were higher for childhood mental disorders, personality disorders, anxiety disorders and major affective disorders, but not for schizophrenia. Male victims were significantly more likely to have had treatment than females (22.8% v. 10.2%).ConclusionsThis prospective study demonstrates an association between child sexual abuse validated at the time and a subsequent increase in rates of childhood and adult mental disorders.

scholarly journals Caregivers’ abuse stigmatization and their views of mental health treatment following child sexual abuse

2017 ◽  
Vol 70 ◽  
pp. 331-341 ◽  
Author(s):  
Valerie A. Simon ◽  
Douglas Barnett ◽  
Erin Smith ◽  
Lilia Mucka ◽  
Deborah Willis
Keyword(s):  
Mental Health ◽  
Sexual Abuse ◽  
Child Sexual Abuse ◽  
Mental Health Treatment ◽  
Health Treatment

scholarly journals Attitudes towards psychiatric treatment and people with mental illness: changes over two decades

2013 ◽  
Vol 203 (2) ◽  
pp. 146-151 ◽  
Author(s):  
Matthias C. Angermeyer ◽  
Herbert Matschinger ◽  
Georg Schomerus
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Mental Disorders ◽  
Alcohol Dependence ◽  
Mental Health Professionals ◽  
Mental Health Treatment ◽  
Help Seeking ◽  
Psychiatric Treatment ◽  
Public Attitudes ◽  
People With Mental Illness

BackgroundOver the past decades, psychiatry, as a science and a clinical discipline, has witnessed profound changes.AimsTo examine whether these changes are reflected in changes in the public's conceptualisation of mental disorders, the acceptance of mental health treatment and attitudes towards people with mental illness.MethodIn 1990 and 2011, population surveys were conducted in Germany on public attitudes about schizophrenia, depression and alcohol dependence.ResultsAlthough the public has become more inclined to endorse a biological causation of schizophrenia, the opposite trend was observed with the other two disorders. The public's readiness to recommend help-seeking from mental health professionals and using psychotherapy and psychotropic medication has increased considerably. Attitudes towards people with schizophrenia worsened, whereas for depression and alcohol dependence no or inconsistent changes were found.ConclusionsThe growing divide between attitudes towards schizophrenia and other mental disorders should be of particular concern to future anti-stigma campaigns.

Association Between Child Sexual Abuse and Sexual Revictimization in Adulthood Among Women Sex Partners of Injection Drug Users

2003 ◽  
Vol 18 (4) ◽  
pp. 473-484 ◽  
Author(s):  
Kathleen M. Parillo ◽  
Robert C. Freeman ◽  
Paul Young
Keyword(s):  
Mental Health ◽  
Sexual Abuse ◽  
Child Sexual Abuse ◽  
Drug Treatment ◽  
Mental Health Treatment ◽  
Injection Drug Users ◽  
Sexual Victimization ◽  
Sex Partners ◽  
Sex Trading ◽  
Sex Partner

Community-recruited women (n = 1490) were interviewed about their early and adult sexual victimization histories to determine whether there was an association between child sexual abuse and adult revictimization by sex partners and strangers/nonsex partners. Adolescent sexual abuse, lifetime sex-trading, drug treatment, and mental health treatment were examined as mediating variables. One-fourth of the women had been revictimized (i.e., experienced child sexual abuse and at least one instance of adult sexual victimization). Child sexual abuse was associated with both rape and other sexual victimization by a sex partner in adulthood, as well as adult rape by a stranger/nonsex partner. Drug and mental health treatments reduced abused women’s chances of being raped by a sex partner; drug treatment also decreased the likelihood of other sexual victimization by a sex partner. Sex-trading increased abused women’s likelihood of rape by a stranger or nonsex partner. Intervention—including drug treatment—can help women with child sexual abuse histories overcome some of the abuse-related sequelae that make them vulnerable to adult revictimization.

Suicidality and Treatment Experience Among Young People Who Inject Drugs

2020 ◽  
Author(s):  
Mary Ellen Mackesy-Amiti ◽  
Lawrence J. Ouellet
Keyword(s):  
Mental Health ◽  
Substance Use ◽  
Young People ◽  
Mental Disorders ◽  
Mental Health Treatment ◽  
People Who Inject Drugs ◽  
Multivariable Analysis ◽  
Psychiatric Research ◽  
Health Treatment ◽  
The Past

Background. We examined correlates of past year suicidal thoughts and behavior (STB) and described past year treatment experiences among young people who inject drugs (PWID). Methods. Participants were 570 adults (18-25 years) who injected primarily heroin. Interviews were conducted at field stations operated by Community Outreach Intervention Projects in Chicago, Illinois (USA). Interviewers administered the Psychiatric Research Instrument for Substance and Mental Disorders. Substance use and mental disorders were based on DSM-IV diagnostic criteria. Past year STB was based on multiple questions. Results. Sixteen percent of men and 25% of women reported STB in the past year. In multivariable analysis, STB was associated with non-heterosexual orientation, foster care, and being raised by two parents. Primary major depression, post-traumatic stress disorder, other anxiety disorders, and borderline personality disorder had independent effects on suicidality. Among those reporting past year STB (n=111), 83% ever received mental health treatment, while 44% did so in the past year. While 24% of respondents indicated that at least one treatment matched their needs very well, 30% reported treatment that did not match their needs at all. The most common reason for ending treatment was program completion (about 50%) while getting better was endorsed by about 25%. Nearly half reported ending treatment due to a bad experience, logistical issues, or expense. Conclusions. Young PWID are at high risk for suicidal behavior and their mental health treatment experiences often do not meet their needs. There is a pressing need for more integrated substance use and mental health treatment.

The role of multiple attachments in intergenerational transmission of child sexual abuse among male victims

2020 ◽  
pp. 104864
Author(s):  
Raphaële Miljkovitch ◽  
Camille Danner-Touati ◽  
Isabelle Gery ◽  
Annie Bernier ◽  
Aino Sirparanta ◽  
...  
Keyword(s):  
Sexual Abuse ◽  
Child Sexual Abuse ◽  
Intergenerational Transmission ◽  
Male Victims

scholarly journals Effectiveness and cost effectiveness of interpersonal community psychiatric treatment (ICPT) for people with long-term severe non-psychotic mental disorders: a multi-Centre randomized controlled trial

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Mark van Veen ◽  
Bauke Koekkoek ◽  
Steven Teerenstra ◽  
Eddy Adang ◽  
Cornelis L. Mulder
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Cost Effectiveness ◽  
Community Mental Health ◽  
Mental Health Treatment ◽  
Psychiatric Treatment ◽  
Illness Management ◽  
Illness Management And Recovery ◽  
Perceived Difficulty

Abstract Background Long-term community mental health treatment for non-psychotic disorder patients with severe mental illness (SMI) who are perceived as difficult by clinicians, is poorly developed and lacks a structured, goal-centred approach. This study compares (cost-)effectiveness of Interpersonal Community Psychiatric Treatment (ICPT) with Care As Usual (CAU) on quality of life and clinician perceived difficulty in the care for non-psychotic disorder SMI-patients. A multi-centre cluster-randomized clinical tria was conducted in which Community Mental Health Nurses (Clinicians) in three large community mental health services in the Netherlands were randomly allocated to providing either ICPT or CAU to included patients. A total of 56 clinicians were randomized, who treated a total of 93 patients (59 in ICPT-group and 34 in CAU-group). Methods Primary outcome measure is patient-perceived quality of life as measured by the Manchester Short Assessment of Quality of Life (MANSA). Secondary outcome measures include clinician-perceived difficulty, general mental health, treatment outcomes, illness management and recovery, therapeutic relationship, care needs and social network. Patients were assessed at baseline, during treatment (6 months), after treatment (12 months) and at 6 months follow-up (18 months). Linear mixed-effects models for repeated measurements were used to compare mean changes in primary and secondary outcomes between intervention and control group of patients over time on an intention to treat basis. Potential efficiency was investigated from a societal perspective. Economic evaluation was based on general principles of a cost-effectiveness analysis. Outcome measures for health economic evaluation, were costs, and Quality Adjusted Life Years (QALYs). Results Half of the intended number of patients were recruited. There was no statistically significant treatment effect found in the MANSA (0.17, 95%-CI [− 0.058,0.431], p = 0.191). Treatment effects showed significant improvement in the Different Doctor-Patient Relationship Questionnaire-scores and a significant increase in the Illness Management and Recovery–scale Client-version scores). No effects of ICPT on societal and medical costs nor QALYs were found. Conclusions This is the first RCT to investigate the (cost)-effectiveness of ICPT. Compared with CAU, ICPT did not improve quality of life, but significantly reduced clinician-perceived difficulty, and increased subjective illness management and recovery. No effects on costs or QALY’s were found. Trial registration NTR 3988, registered 13 May 2013.

Body mass index and risk of mental disorders in the general population: Results from the Singapore Mental Health Study

2013 ◽  
Vol 74 (2) ◽  
pp. 135-141 ◽  
Author(s):  
Mythily Subramaniam ◽  
Louisa Picco ◽  
Vincent He ◽  
Janhavi Ajit Vaingankar ◽  
Edimansyah Abdin ◽  
...  
Keyword(s):  
Mental Health ◽  
Body Mass Index ◽  
General Population ◽  
Mental Disorders ◽  
Body Mass ◽  
Health Study ◽  
Mental Health Study

scholarly journals Victims and Perpetrators of Child Sexual Abuse: Abusive Contact and Penetration Experiences

2021 ◽  
Vol 18 (18) ◽  
pp. 9593
Author(s):  
Marta Ferragut ◽  
Margarita Ortiz-Tallo ◽  
Maria J. Blanca
Keyword(s):  
Gender Differences ◽  
Sexual Abuse ◽  
Child Sexual Abuse ◽  
Early Detection ◽  
Physical Contact ◽  
First Episode ◽  
Future Research ◽  
Male Victims ◽  
Research And Practice ◽  
Female Perpetrator

Child sexual abuse (CSA) includes abusive contact experiences, which habitually impact the victim’s whole life. This study aims to analyze the characteristics of six CSA experiences with physical contact, including penetration, in a representative sample of the Spanish population. Participants were 1071 Spanish adults (53% males; Mage: 45.37) who completed the Child Sexual Abuse Experiences Questionnaire. The victim’s age at the first episode, the perpetrator’s characteristics, and the number of times that each experience occurred were analyzed, taking into account gender differences. Results were reported for every experience independently. The most prevalent age at the first experience was from 6 years old onwards, but with differences in some experiences. The abuses usually happened more than once, committed by the same person. The most prevalent perpetrator is a male, although a female perpetrator is more prevalent in male victims. Most of the abuses were committed by an adult acquaintance, a strange adult, and other minors, with some gender differences. The implications of the results concerning every CSA experience are discussed, highlighting their value for future research and practice, the design of preventive programs, and early detection of CSA.

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