Characteristics of Childhood Sexual Abuse and Adult Psychopathology in Female Psychiatric Patients

1997 ◽  
Vol 31 (2) ◽  
pp. 200-207 ◽  
Author(s):  
Jill Pettigrew ◽  
Joyce Burcham
Keyword(s):  
Sexual Abuse ◽  
Childhood Sexual Abuse ◽  
Age Of Onset ◽  
Psychiatric Patients ◽  
Age At Onset ◽  
Self Mutilation ◽  
Self Harm ◽  
Independent Association ◽  
Severe Psychopathology ◽  
Relationship Of

Objective: The present study investigated the relationship of characteristics of childhood sexual abuse and subsequent psychopathology. Method: Referrals to a female psychiatrist in private practice in an urban working class area provided 73 adult female subjects who reported having been sexually abused in childhood. Data were collected on age at onset, duration, physical invasiveness of the abuse, violence, and the number and relationship of abusers. Results: Having had multiple abusers in childhood was significantly (p < 0.01) associated with every outcome measure of severe psychopathology: an initial Global Assessment Functioning score of 50 or below; both single and repeated incidents of deliberate self-harm; overdose; self-mutilation; and psychiatric hospital admission. Conclusions: Notably, having had multiple abusers was the only characteristic showing a reliable independent association with any of these measures. Subjects who had had multiple abusers were significantly more likely to have an earlier age of onset and longer duration of abuse, and to have experienced violent abuse.

Effects of Childhood Sexual Abuse in Adult Female Psychiatric Patients

1997 ◽  
Vol 31 (2) ◽  
pp. 208-213 ◽  
Author(s):  
Jill Pettigrew ◽  
Joyce Burcham
Keyword(s):  
Sexual Abuse ◽  
Childhood Sexual Abuse ◽  
Adult Female ◽  
Psychiatric Patients ◽  
Supportive Psychotherapy ◽  
Deliberate Self Harm ◽  
History Of Childhood ◽  
History Of ◽  
Similar Range ◽  
Self Harm

Objective: The present case-control study investigated the relationship between a history of childhood sexual abuse and subsequent psychopathology. Methods: Referrals to a female psychiatrist in private practice in an urban working class area provided 73 adult female study subjects who reported having been sexually abused in childhood, and 73 randomly selected controls. Results: Subjects had earlier onset of psychiatric disorders and higher incidence of deliberate self-harm, rape in adulthood, and psychiatric hospitalisation. History of childhood sexual abuse had an effect independent of family psychiatric disorder. Although subjects and controls had a similar range of diagnoses, subjects were more likely to suffer anxiety disorders and controls more likely to suffer mood disorders. Controls were more likely to be prescribed antidepressants and subjects were more likely to receive supportive psychotherapy. Despite significantly lower initial Global Assessment of Functioning scores, subjects at completion of treatment had improved to the same scores as controls. Conclusion: The long-term effect of childhood sexual abuse is increased incidence of deliberate self-harm and is unrelated to any specific diagnosis. Despite more severe initial impairment, psychotherapy was effective for patients with a history of childhood sexual abuse.

scholarly journals Managing sexual abuse disclosure by adult psychiatric patients – some suggestions

1993 ◽  
Vol 17 (5) ◽  
pp. 286-288 ◽  
Author(s):  
I. E. Babiker
Keyword(s):  
At Risk ◽  
Sexual Abuse ◽  
Childhood Sexual Abuse ◽  
Psychiatric Patient ◽  
Psychiatric Patients ◽  
Health And Safety ◽  
Main Principle ◽  
Medical Confidentiality ◽  
Abuse Disclosure ◽  
Sexual Abuse Disclosure

The main principle of the Children Act 1989 is that the welfare of a child at risk of abuse or neglect takes precedence over all other considerations. In complying with the Act, these considerations may include the principle of medical confidentiality and the health and safety of some adult patients. Nowhere is this more poignantly illustrated than in the case of childhood sexual abuse disclosure by a distressed psychiatric patient who may be unprepared or unwilling to cooperate with the immediate reporting and ensuing investigation of their abuse as required by the Act.

Childhood sexual abuse moderates the relationship of self-reflectivity with increased emotional distress in schizophrenia

Psychosis ◽  
2014 ◽  
Vol 7 (3) ◽  
pp. 195-205 ◽  
Author(s):  
Bethany L. Leonhardt ◽  
Jay A. Hamm ◽  
Elizabeth A. Belanger ◽  
Paul H. Lysaker
Keyword(s):  
Sexual Abuse ◽  
Childhood Sexual Abuse ◽  
Emotional Distress ◽  
Relationship Of ◽  
The Relationship

Implications of Childhood Trauma for Depressed Women: An Analysis of Pathways From Childhood Sexual Abuse to Deliberate Self-Harm and Revictimization

2004 ◽  
Vol 161 (8) ◽  
pp. 1417-1425 ◽  
Author(s):  
Gemma L. Gladstone ◽  
Gordon B. Parker ◽  
Philip B. Mitchell ◽  
Gin S. Malhi ◽  
Kay Wilhelm ◽  
...  
Keyword(s):  
Sexual Abuse ◽  
Childhood Sexual Abuse ◽  
Childhood Trauma ◽  
Deliberate Self Harm ◽  
Self Harm

Psychological Risk Factors for Dissociation and Self-Mutilation in Female Patients with Borderline Personality Disorder

1994 ◽  
Vol 39 (5) ◽  
pp. 259-264 ◽  
Author(s):  
Hallie Zweig-Frank ◽  
Joel Paris ◽  
Jaswant Guzder
Keyword(s):  
Risk Factors ◽  
Sexual Abuse ◽  
Childhood Sexual Abuse ◽  
Personality Disorder ◽  
Physical Abuse ◽  
Borderline Personality ◽  
Psychological Risk Factors ◽  
Dissociative Experiences ◽  
Self Mutilation ◽  
Psychological Risk

The purposes of this study were to determine whether or not dissociation in female patients suffering from personality disorder is related to sexual and physical abuse or to abuse parameters and whether or not self-mutilation in the personality disorders is related to psychological risk factors or to dissociation. The sample was divided into 78 borderline and 72 nonborderline personality disorders. Psychological risk factors were measured through histories of childhood sexual abuse, physical abuse and separation or loss as well as scores on the Parental Bonding Index. Dissociation was measured by the Dissociative Experiences Scale. On the diagnostic interview, 48 subjects scored positive for self-mutilation. Dissociative Experiences Scale scores were associated with a borderline diagnosis but not with childhood sexual abuse or physical abuse. The parameters of abuse were not related to dissociation. Subjects who mutilated themselves had higher rates of both childhood sexual abuse and dissociation in univariate analyses. However, in multivariate analyses only diagnosis was significant. None of the other psychological risk factors were significantly linked to self-mutilation. The findings do not support theories that dissociation and self-mutilation in borderline personality disorder are associated with childhood trauma.

Relationship of Childhood Sexual Abuse and Eating Disturbance in Children

2000 ◽  
Vol 39 (10) ◽  
pp. 1277-1283 ◽  
Author(s):  
STEPHEN A. WONDERLICH ◽  
ROSS D. CROSBY ◽  
JAMES E. MITCHELL ◽  
JENNIFER A. ROBERTS ◽  
BETH HASELTINE ◽  
...  
Keyword(s):  
Sexual Abuse ◽  
Childhood Sexual Abuse ◽  
Eating Disturbance ◽  
Relationship Of

Patients’ Self-Report as Predictor of Self-Harm and Violence in an Acute Psychiatric Unit. A Prospective Naturalistic Study

2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1
Author(s):  
J.O. Roaldset ◽  
S. Bjørkly ◽  
K.G. Gøtestam
Keyword(s):  
Hospital Stay ◽  
Psychiatric Patients ◽  
Phase 1 ◽  
Self Report ◽  
Psychiatric Ward ◽  
Phase 2 ◽  
Violent Behaviour ◽  
Self Mutilation ◽  
Self Harm ◽  
Acute Psychiatric Ward

The risk of self-harm and violent behaviour by psychiatric patients is an important clinical research topic. However, a literature search on measurement of patients’ structured self-reported assessment of future risk of violent, suicidal or self mutilating behaviour failed to disclose any published empirical research. In the acute psychiatric ward at Ålesund Hospital in Norway we conducted a study of risk assessment of self harm and violent behaviour at admittance and at discharge, followed by prospective measurement of occurred episodes.All admitted patients during one year (489 persons with 716 stays) were included. At admittance and at discharge the Violence Risk Screening-10 (V-RISK-10), items taping suicidal thoughts and behaviour, and patients’ structured self-reported risk of self-harm and violent behaviour (583 self-reports) were scored (six items: no risk-, little-, moderate-, high-, very high risk, don't know the risk, will not answer). The patients were asked to give a blood sample to measure lipids and serotonin. Incidents of aggressive behaviour (against others and self-directed) were monitored during hospital stay (phase 1) and 3, 6, 9 and 12 months after discharge (phase 2).Preliminary results pertaining to the relationship between the patients’ predictions of self-harm and violent behaviour and occurred episodes during the subsequent hospital stay (phase 1) and the first three months after discharge (phase 2), indicate that the predictive validity of patients’ self-report was highly significant both for violent behaviour, suicidal behaviour and self mutilation in phase 1 and phase 2. Effect sizes ranged from moderate to high.

Childhood Sexual Experiences with Adults: Adult Male Psychiatric Patients and General Practice Attenders

1994 ◽  
Vol 165 (5) ◽  
pp. 675-679 ◽  
Author(s):  
Robert L. Palmer ◽  
David Bramble ◽  
Michael Metcalfe ◽  
Rhoda Oppenheimer ◽  
Jennifer Smith
Keyword(s):  
General Practice ◽  
Sexual Abuse ◽  
Childhood Sexual Abuse ◽  
Psychiatric Disorders ◽  
Adult Male ◽  
Psychiatric Patients ◽  
Sexual Experiences ◽  
Significant Difference

BackgroundSexual abuse of male children is now believed to be common, and there may be links to adult psychiatric disorders.MethodRecollections of sexual experiences with adults in childhood were studied systematically in 115 men attending general practice surgeries and 100 male psychiatric patients.ResultsThe latter reported more frequent and more serious events before the age of 13 than the general practice attenders. No significant difference was detected for events between the ages of 13 and 15.ConclusionsChildhood sexual abuse before the age of 13 may be associated with later psychiatric disorders, although the nature of the association remains uncertain.

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