Experience of abuse in primary care patients. Racial and rural differences

Wagner, P. D.; Mongan, P F; Hamrick, D.; Hendrick, Louise

doi:10.1001/archfami.4.11.956

Cited by 45 publications

(25 citation statements)

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“…In studies of non-Native Americans, the prevalence of lifetime physical and/or sexual abuse has ranged from 31-68% among nonpsychiatric medical samples (Boisset-Poiro, Esdaile, & Fitzcharles, 1995;Coyle, Wolan, & VanHorn, 1996;Dearwater et al, 1998;Lesserman, Drossman, Toomey, Nachman, & Glogau, 1997;Moeller, Bachmann, & Moeller, 1993;Wagner, Mongan, Hamrick, & Hendrick, 1995), to 83% among psychiatric patients (Briere, Woo, McRae, Foltz, & Sitzman, 1997). From one-third to two-thirds of adult abuse survivors have experienced prior abuse, often during childhood (Briere et al, 1997;Lodico et al, 1996;Urquiza & Goodlin-Jones, 1994;Walch & Broadhead, 1992;Yellowless & Kaushik, 1994).…”

Section: Lifetime and Multiple Abusementioning

confidence: 99%

Lifetime Physical and Sexual Abuse, Substance Abuse, Depression, and Suicide Attempts Among Native American Women

Bohn

2003

Issues in Mental Health Nursing

124

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Although there is preliminary evidence that violence against women and children may be particularly prevalent in some Native American communities, associations between abuse and substance abuse, mental health problems, and suicide attempts have rarely been studied in this population. This study examined lifetime and current physical and sexual abuse among 30 Native American women. Nearly half had experienced physical and/or sexual abuse as children, over half were sexually abused at some time in their lives, and over three-fourths were abused by a partner. All but four women (87%) had experience physical or sexual abuse in their lifetime. Significant relationships were found among childhood abuse, substance abuse, and adult revictimization, and among cumulative lifetime abuse events, substance abuse, and depression. Further research is needed to examine abuse and relationships between abuse and health sequelae in Native American populations. An accelerated public health and community response is needed to address abuse issues in this community.

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Section: Lifetime and Multiple Abusementioning

confidence: 99%

Lifetime Physical and Sexual Abuse, Substance Abuse, Depression, and Suicide Attempts Among Native American Women

Bohn

2003

Issues in Mental Health Nursing

124

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“…15 While incomplete, the absence of attention to issues of domestic violence in the women's previous treatment records mirrors other reports and emphasized the importance of screening for violence in primary and mental health-care evaluations. 3,4,8,9 As indicated by the previous survey of shelter clients and staff and other studies of telepsychiatry programs, the mental health services offered in this program were generally well received. 11,16,17 Even so, new interventions with a vulnerable population may prove upsetting, and concern has been raised as to the adverse impact of trauma-focused investigation on domestic violence victims.…”

Section: Discussionmentioning

confidence: 70%

“…6 The rate of domestic violence is roughly the same between rural and urban areas. 7,8 Rural victims of partner abuse face greater difficulties in access to services, because of physical isolation and lack of local providers. 9 Even when mental health services are locally available, victims of domestic violence often do not seek evaluation and treatment.…”

Section: Introductionmentioning

confidence: 99%

Telepsychiatry Program for Rural Victims of Domestic Violence

Thomas

Miller

Hartshorn

et al. 2005

Telemedicine and e-Health

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Domestic violence is a significant public health problem and is correlated with serious mental and physical disorders. Victims' fear and isolation seriously limit access to psychiatric evaluation and treatment. Telemedicine provides a means to overcome these obstacles. This article describes a telemedicine program that provides psychiatric screening, evaluation, treatment, and referral for ongoing care to clients of a rural women's crisis center. Psychiatric evaluation and treatment were provided to a rural women's shelter program using telepsychiatry. The shelter program had difficulty accessing traditional mental health service. All new clients entering the program were screened for mental health problems. Those requiring further evaluation received a physical examination with medical history and initial psychological interview on site, followed by psychiatric evaluation by videoconference. Appropriate treatment was initiated, and referral for ongoing psychiatric care through the local community mental health clinic was arranged. Of the 38 women referred for mental health services by clinic staff, 35 completed a psychiatric evaluation using telepsychiatry and 31 entered treatment. The most commonly identified disorders were anxiety and major affective disorders, followed by substance use disorders. Telepsychiatry can provide rapid crisis intervention and effective mental health services to victims of domestic violence in a rural setting.

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“…Women rarely volunteer information regarding trauma, 36 and healthcare providers rarely inquire about it. 37 Women's reluctance to volunteer this information may be explained by Wagner's study, which showed that abused women's passivity is a coping strategy developed because of past abusive situations.…”

Section: Childhood Abuse Among Menopausal Womenmentioning

confidence: 99%

“…37 Women's reluctance to volunteer this information may be explained by Wagner's study, which showed that abused women's passivity is a coping strategy developed because of past abusive situations. 36 Goodman suggests that this passivity or learned helplessness may be a cognitive strategy that abused women have learned, and that can be generalized to systems, as a result of interacting with unresponsive systems. He contends that physicians must make sure that these women do not perceive them as part of an unresponsive system.…”

Section: Childhood Abuse Among Menopausal Womenmentioning

confidence: 99%