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PubMed1991

Childhood sexual experience and bulimia.

The relationship between childhood sexual experiences and bulimia was examined. Sixty-three females completed the Bulimia Test (BULIT) and the Sexual Events Questionnaire. BULIT scores were positively correlated with greater numbers of sexual experiences, experiences with adults and relatives, and negative responses of fear or shock at the time of the sexual experience. A multiple regression analysis indicated that fear/shock was a significant predictor of BULIT scores, accounting for 44% of the variance. Additional analyses indicated that bulimics reported a greater number of fear reactions following their sexual experiences and were less likely to have told anyone about their experiences.

Adult↗
PubMed1985

Emergency department management of the sexual assault victim.

The optimal management of the sexual assault victim involves a multidisciplinary effort on the part of all legal, police, medical, and support personnel who interface in the emergency department. History, general physical examination, and pelvic examination are performed methodically, keeping in mind that the primary goal is to tend to the patient's medical needs. The gathering of evidence proceeds simultaneously with the physical examination. Evidence to be obtained and techniques are reviewed. Treatment entails attention to physical injuries, potential venereal disease and pregnancy, and psychiatric intervention. Management of the male rape victim or child victim of sexual abuse requires special attention to the peculiarities of those problems.

Adolescent↗
PubMedDate not supplied

Detecting a history of childhood sexual experiences among women substance abusers.

This article examines a means of detecting a history of childhood sexual experience (CSE) to improve substance abuse treatment outcomes. The symptom profile of women with a history of CSE is discussed in relation to the difficulties it presents in detection of a history of CSE, especially in women who also have a past or current history of substance abuse. A symptom checklist is described, and its validity and reliability are reported as satisfactory. The use of the checklist in client assessment and treatment planning is discussed.

Adolescent↗
PubMed2005

Current mental health in women with childhood sexual abuse who had outpatient psychotherapy.

PURPOSE: This study from Norway examines mental health status of women with child sexual abuse (CSA) who formerly had outpatient psychotherapy for anxiety disorders and/or depression. The relative contributions of CSA and other family background risk factors (FBRF) to aspects of mental health status are also explored. SUBJECTS: At a mean of 5.1 years after outpatient psychotherapy, 56 female outpatients with CSA and 56 without CSA were personally examined by an independent female psychiatrist. Systematic information about current mental health and functioning was collected by structured interview and questionnaires. RESULTS: Among women with CSA 95% had a mental disorder, 50% had PTSD, and mean global assessment of functioning (GAF) score was 61.8+/-10.6. In contrast, 70% of women without CSA had a mental disorder, 14% had PTSD, and mean GAF 71.2 + 8.5. GAF and trauma scale scores were mainly determined by CSA, while FBRF mainly influenced the global psychopathology and dissociation scores. DISCUSSION: We have little knowledge on the mental health status at long-term in women with CSA who had psychotherapy. This study found their mental status to be rather poor, and worse than that of women without CSA who had psychotherapy for the same disorders. From the broad spectrum of mental disorders associated with CSA, this study concerns only women treated as outpatients for anxiety disorders and/or non-psychotic depressions. CONCLUSION: Women with CSA showed poor mental health at long-term follow-up after treatment. The fitness of the psychodynamic individual psychotherapy given, or to what extent treatment can remedy the consequences of such childhood adversities, is discussed.

Adolescent↗
PubMed2004

Child abuse in Chandigarh, India, and its implications.

Few abuses of human rights are so universally condemned but at the same time so universally practiced as child abuse. Over the centuries, children have been subjected to physical, sexual and emotional abuse as well as neglect. By any objective measures, this issue should rank high on the global agenda but in practice it is surrounded by a wall of silence and perpetuated by ignorance. Child sexual abuse is a dark reality that routinely inflicts our daily lives but in a majority of cases it goes unnoticed and unreported on account of the innocence of the victim, stigma attached to the act, callousness and insensitivity of the investigating and the law enforcement agencies, etc. A child who has been sexually abused is traumatized for life but it is only much later in life when the emotional and psychological trauma aggravates that such people seek medical help. There is an urgent need to take up the problem as a larger social issue where the society has a responsibility to help the victims overcome their trauma and move on with life as normally as possible. We report a retrospective review of children (age<16 years) referred for medicolegal examination, an autopsy in Chandigarh, India, between 2000 and 2003.

Adolescent↗