Nurses’ Perspectives on the Care of Adults with Mental Health Problems and Histories of Childhood Sexual Abuse

2013 ◽  
Vol 34 (9) ◽  
pp. 639-647 ◽  
Author(s):  
Wanda Marion Chernomas ◽  
Elaine Mordoch
2005 ◽  
Vol 50 (12) ◽  
pp. 778-783 ◽  
Author(s):  
Lil Tonmyr ◽  
Ellen Jamieson ◽  
Leslie S Mery ◽  
Harriet L MacMillan

Objective: The objective of this study was to examine the association between selected childhood adverse experiences and disability due to mental health problems in a community sample of women. Variables of interest included childhood physical and sexual abuse, parental psychiatric and substance abuse history, and sociodemographic factors. Method: Girls and women (aged 15 to 64 years) from a province-wide community sample ( n = 4239) were asked about disability and most childhood adverse experiences through interview; a self-administered questionnaire inquired about child abuse. Logistic regression (crude and adjusted odds ratios) was used to test the associations between childhood adversity and disability due to mental health problems. Results: Approximately 3% of the women had a disability due to mental health problems. Among women with a disability, about 50% had been abused while growing up. After controlling for income and age, we found that disability showed the strongest association with childhood sexual abuse, physical abuse, and parental psychiatric disorder. Conclusion: Disability due to mental health problems was experienced by women with and without exposure to abuse in childhood. However, childhood sexual abuse and physical abuse were important correlates of disability. Disability creates suffering and loss for the individual and society; this issue merits more research in relation to child abuse.


2012 ◽  
Vol 97 (11) ◽  
pp. 947-951 ◽  
Author(s):  
Deepti Pagare Bhat ◽  
Meghachandra Singh ◽  
Gajendra Singh Meena

ObjectiveTo evaluate the prevalence of physical and sexual abuse, and their relation to mental health problems among the illiterate/semiliterate runaway adolescents in New Delhi, India.DesignCross sectional.SettingNew Delhi, India.PatientsRunaway adolescent boys (n=119) aged 11 to 18 years at an observation home.MethodsStudy subjects were screened for physical and sexual abuse using the Child Maltreatment History Self Report and Finkelhor's sexual abuse scale. Mental health problems were identified using the Achenbach's Youth Self-Report scale. As the participants were illiterate or semiliterate with Hindi being their primary language, the screening tools were appropriately translated, read out to them and their responses recorded.ResultsA total of 72 (62%) boys experienced domestic violence, 70 (59%) had engaged in substance abuse and 103 (87%) boys had been employed as child labourers. Physical abuse was reported by 86 (72%) and sexual abuse by 42 (35%). Mental health problems were recognised in 83 (70%) boys, which included internalising syndromes (59%) and externalising syndromes (34%). Multivariate analysis demonstrated that physical abuse was an independent predictor of internalising syndromes (OR: 3.3; 95% CI 1.2 to 9.1; p<0.01), while substance abuse and sexual abuse were independent predictors of externalising syndromes.ConclusionsOur study demonstrates that childhood abuse and mental health disorders are widely prevalent among the runaway adolescents evaluated at an observation home in New Delhi. Appropriate modification of the standardised self-report screening tools may allow the identification of mental health disorders in this vulnerable illiterate/semiliterate population.


2014 ◽  
Vol 64 (4) ◽  
pp. 492-514 ◽  
Author(s):  
Thanos Karatzias ◽  
Sandra Ferguson ◽  
Zoë Chouliara ◽  
Angela Gullone ◽  
Katie Cosgrove ◽  
...  

2016 ◽  
Vol 33 (7) ◽  
pp. 623-629 ◽  
Author(s):  
Martine Hébert ◽  
Jude Mary Cénat ◽  
Martin Blais ◽  
Francine Lavoie ◽  
Mireille Guerrier

2017 ◽  
Vol 26 (3) ◽  
pp. 246-269 ◽  
Author(s):  
Sílvia López ◽  
Concepció Faro ◽  
Lourdes Lopetegui ◽  
Enriqueta Pujol-Ribera ◽  
Mònica Monteagudo ◽  
...  

Author(s):  
Javier Erro Pérez

Resumen: En este artículo se revisará la epidemiología del abuso sexual infantil, así como el impacto que tiene sobre la salud mental de la persona. Se analizarán mecanismos de invisibilización que permiten que, pese a que se dé en grandes porcentajes de la población y a que haya sido relacionado con problemas de salud mental, continúe sin producirse una respuesta proporcional a nivel social. Por último, se propondrán una serie de pautas acerca del papel que pueden jugar los profesionales de la salud mental en este campo. Palabras clave: Abuso sexual infantil, salud mental, trauma, revisión crítica. Abstract: In this article, the epidemiology of childhood sexual abuse and its impact on the mental health will be reviewed. Invisibilization mechanisms, which allow society for not giving a proportional response despite that child sexual abuse is happening in a big percentage of population and that it has been related to mental health problems, will be reviewed. Finally, reflections about mental health professionals role in this field will be discussed. Keywords: Childhood sexual abuse, mental health, trauma, critical review.


2019 ◽  
Vol 64 (12) ◽  
pp. 846-854 ◽  
Author(s):  
Martine Hébert ◽  
Laetitia Mélissande Amédée ◽  
Martin Blais ◽  
Amélie Gauthier-Duchesne

Objective: The objective of this study was to estimate the prevalence of child sexual abuse in a representative sample of Quebec high school youths and document its associations with mental health problems and health-risk behaviors. Method: Data were drawn from the Quebec Youths’ Romantic Relationships Survey, which involved a one-stage stratified cluster sampling of 34 Quebec high schools from Grades 10 to 12. A total of 8,194 youths (mean age = 15.35) were recruited. The survey assessed child sexual abuse, mental health problems (psychological distress, post-traumatic stress symptoms, suicidality), health services utilization, and health-risk behaviors (alcohol, drug, and cannabis use). Gender-stratified multivariate analyses were used to assess associations between child sexual abuse and mental health problems and health-risk behaviors while controlling for confounding demographic variables and other forms of child maltreatment experienced in childhood. Results: A total of 14.9% of girls and 3.9% of boys reported having experienced child sexual abuse. Child sexual abuse was independently associated with an increased risk of psychological distress, greater health services utilization, and increased health-risk behaviors, after controlling for other forms of childhood maltreatment experienced. Conclusions: Child sexual abuse is prevalent among youths in Quebec and is associated with an increased risk of a host of negative consequences. Continued efforts in the development of early detection strategies as well as prevention and intervention programs are warranted.


1993 ◽  
Vol 163 (6) ◽  
pp. 721-732 ◽  
Author(s):  
Paul E. Mullen ◽  
Judy L. Martin ◽  
Jessie C. Anderson ◽  
Sarah E. Romans ◽  
G. Peter Herbison

The relationship between childhood sexual abuse and mental health in adult life was investigated in a random community sample of women. There was a positive correlation between reporting abuse and greater levels of psychopathology on a range of measures. Substance abuse and suicidal behaviour were also more commonly reported by the abused group. Childhood sexual abuse was more frequent in women from disrupted homes as well as in those who had been exposed to inadequate parenting or physical abuse. While elements in the individual's childhood which increased the risks of sexual abuse were also directly associated to higher rates of adult psychopathology, abuse emerged from logistic regression as a direct contributor to adult psychopathology. Severity of abuse reported was related to the degree of adult psychopathology. The overlap between the possible effects of sexual abuse and the effects of the matrix of disadvantage from which it so often emerges were, however, so considerable as to raise doubts about how often, in practice, it operates as an independent causal element. Further, many of those reporting childhood sexual abuse did not show a measurable long-term impairment of their mental health. Abuse correlated with an increased risk for a range of mental health problems, but in most cases its effects could only be understood in relationship to the context from which it emerged.


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