Child Abuse and Neglect, 28(1), January 2004, pp.61-76.
Publisher:
Elsevier
This study from Norway examines the relative influence of child sexual abuse (CSA) and family background risk factors (FBRF) on the risk for current mental disorders and the quality of current intimate relationships in women with CSA treated for anxiety disorders and/or depression. 112 women, who were treated with outpatient psychotherapy by female therapists for anxiety disorders and/or depression were included. CSA had been admitted at the start of treatment start in 56 women, while no CSA was admitted among the 56 women of the comparison group. Systematic and detailed retrospective information about childhood as well as data on current functioning and current mental disorders were collected by questionnaires and structured interviews done by an independent female psychiatrist. The women of the CSA group reported significantly more FBRF than the comparisons. CSA increased the risk for posttraumatic stress disorder (PTSD), non-suicidal self-inflicted harm, and rape after 16 years. Major depression, dysthymia, and their comorbidity were not associated with CSA. The five indicators of quality of current intimate relationship were not associated with CSA. Women with CSA who have been treated for anxiety disorders and/or depression, also frequently have been exposed to FBRF. Increased risk for PTSD, self-inflicted harm before therapy, and rape after 16 years of age was influenced by CSA, while mood disorders and the quality of current attachment are not associated with CSA, but with FBRF or other factors not examined in this study.
This study from Norway examines the relative influence of child sexual abuse (CSA) and family background risk factors (FBRF) on the risk for current mental disorders and the quality of current intimate relationships in women with CSA treated for anxiety disorders and/or depression. 112 women, who were treated with outpatient psychotherapy by female therapists for anxiety disorders and/or depression were included. CSA had been admitted at the start of treatment start in 56 women, while no CSA was admitted among the 56 women of the comparison group. Systematic and detailed retrospective information about childhood as well as data on current functioning and current mental disorders were collected by questionnaires and structured interviews done by an independent female psychiatrist. The women of the CSA group reported significantly more FBRF than the comparisons. CSA increased the risk for posttraumatic stress disorder (PTSD), non-suicidal self-inflicted harm, and rape after 16 years. Major depression, dysthymia, and their comorbidity were not associated with CSA. The five indicators of quality of current intimate relationship were not associated with CSA. Women with CSA who have been treated for anxiety disorders and/or depression, also frequently have been exposed to FBRF. Increased risk for PTSD, self-inflicted harm before therapy, and rape after 16 years of age was influenced by CSA, while mood disorders and the quality of current attachment are not associated with CSA, but with FBRF or other factors not examined in this study.
Subject terms:
learning disabilities, post traumatic stress disorder, psychotherapy, rape, self-harm, women, anxiety, child abuse, child sexual abuse;
As the countdown begins for the 1998 Community Care Awards, looks back at last year's winners and finds out what it will take for this year's entrants to win awards for their projects.
As the countdown begins for the 1998 Community Care Awards, looks back at last year's winners and finds out what it will take for this year's entrants to win awards for their projects.
Subject terms:
HIV AIDS, learning disabilities, parents, physical disabilities, refuges, social care provision, standards, women, carers, child abuse, community care, education;
housing, learning disabilities, mental health, mental health problems, older people, physical disabilities, poverty, single parent families, social work, social work education, social care provision, social work methods, unemployment, women, black and minority ethnic people, child abuse, child care;
An introduction to HIV_AIDS for social workers, and guidelines for counselling those affected. Includes the Kensington and Chelsea SSD guidelines for care of people with AIDS.
An introduction to HIV_AIDS for social workers, and guidelines for counselling those affected. Includes the Kensington and Chelsea SSD guidelines for care of people with AIDS.
Subject terms:
HIV AIDS, home care, law, learning disabilities, literature reviews, local authorities, occupational therapy, offenders, partners, pre-school children, prevention, residential care, social services, single parent families, social work methods, social workers, staff, terminal illness, training, visual impairment, voluntary organisations, women, young people, adoption, alcohol misuse, babies, child abuse, children, confidentiality, counselling, day services, deafness, death, drug misuse, discrimination, education, families, employment, ethics, foster care;
homosexuality, learning disabilities, mental health problems, physical disabilities, probation, poverty, psychotherapy, rape, research methods, residential care, schizophrenia, severe mental health problems, single parent families, suicide, unemployment, violence, women, young offenders, youth work, adoption, alcohol misuse, bereavement, black and minority ethnic people, child abuse, child sexual abuse, custodial institutions, counselling, divorce, drug misuse, foster care, groupwork;