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Childhood Abuse and Neglect Among Women Outpatients With Chronic Mental Illness
Kristina Muenzenmaier; Elmer Struening; Jane Ferber; Ilan Meyer
Psychiatric Services 1993; doi:
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This research was partly supported by biomedical research support grant 903E956W from Columbia University to Dr. Muenzenmaier and National Research Service Award research training grant 5T32MH13043 to Dr. Muenzenmaier and Mr. Meyer. The authors thank the administration of Creedmoor Psychiatric Center and James Cancienne, Sally Conover, Mattie L. Jones, Mary Lou Lenti, Ivanka Pachas, Essie Woods, and the staff and patients of the Queens Village Outpatient Clinic who participated in this study.

Creedmoor Psychiatric Center in Queens Village, New York; Columbia University in New York City

New York State Psychiatric Institute in New York City; School of Public Health at Columbia University

Creedmoor Psychiatric Center; Columbia University

1993 by the American Psychiatric Association

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Objective: The purposes of the study were to determine the prevalence. of childhood sexual abuse, physical abuse, and neglect among women outpatients with severe and persistent mental illness; to examine patterns of co-occurrence of the various types of abuse; and to explore the relationships between childhood abuse and adult psychiatric symptomatology. Methods: Children histories of abuse and data on clinical characteristics of 78 women enrolled in a New York State outpatient clinic were elicited in face-to-face interviews using a structured questionnaire. Results: Sixty-five percent of the women reported histories of some type of abuse or neglect during childhood. Forty-five percent of the sample had been sexually abused, 51 percent had been physically abused, and 22 percent had experienced neglect. Seventy-four percent of the sexually abused women, 70 percent of the physically abused women, and 94 percent of the women who experienced neglect reported at least one additional form of abuse or neglect. Respondents who had been abused in childhood had higher levels of depressive and psychotic symptoms and higher rates of sexual victimization in adulthood than those who bad not been abused. Women who experienced neglect as children bad higher rates of homelessness in adulthood. Conclusions: Chronic mentally ill women seem to experience higher rates of abuse and more types of abuse than the general population. Clinicians should try to determine whether chronic mentally ill women have histories of abuse and to develop interventions to meet their special needs.

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