Sexual and Nonsexual Interpersonal Violence, Psychiatric Disorders, and Mental Health Service Use. Issue 2 (17th December 2020)

• Record Type: Journal Article
• Authors: Hauw, Manon E.; Revranche, Mathieu; Kovess‐Masfety, Viviane; Husky, Mathilde M.
• Is Part Of: Journal of traumatic stress. Volume 34:Issue 2(2021)
• Page Start: 416
• Page End: 426
• Publication Date: 2020-12-17
• Subjects: Post-traumatic stress disorder -- Periodicals; 616.8521
• DOI: 10.1002/jts.22638
• Languages: English
• ISSNs: 0894-9867

Abstract

Abstract: Exposure to potentially traumatic events (PTEs) increases an individual's risk of suffering from psychiatric disorders. However, only a small proportion of individuals exposed to PTEs use health care services (HCS). Few studies have examined how exposure to different types of PTEs affect the odds an individual will suffer from a psychiatric disorder and access HCS. The present study aimed to examine the associations among lifetime exposure to sexual and nonsexual violence, psychiatric disorder presence, and utilization of HCS. Data were drawn from a large cross‐sectional survey ( N = 19, 958) representative of four regions of France. Lifetime occurrence of traumatic events, past‐year DSM ‐ IV Axis I psychiatric disorders, and past‐year use of HCS were assessed using the CIDI‐SF. Lifetime exposure to violence, particularly sexual violence, was associated with significantly higher odds of suffering from common psychiatric disorders in the past year, including major depression, a OR = 1.70, 95%CI [1.34, 2.17], which was present among 36.9% of participants who reported sexual violence exposure, 20.9% of those who reported exposure to nonsexual violence, and 7.1% of those exposed to neither. Compared to participants who were not exposed to sexual violence, victims of sexual violence were more likely to have contacted health care professionals due to a mental health problem and to have received psychotropic medication. However, a significant portion of individuals with psychiatric disorders did not report receiving potentially beneficial HCS. The present findings highlight the need to identify victims of violence and improve access to appropriate services for this population. 簡體及繁體中文撮要由亞洲創傷心理研究學會翻譯: JOTS‐20‐0183.R2_Husky_cantonese Traditional Chinese 性暴力與非性暴力, 精神障礙與服務使用 摘要: 暴露於潛在的創傷性事件(PTEs )會增加個人患精神疾病的風險。然而, 只有一小部分暴露在潛在創傷事件中的人使用醫療保健服務(HCS )。很少有研究考察暴露於不同類型的PTEs是如何影響一個人患精神障礙和使用醫療服務的機率。本研究旨在研究一生中暴露於性暴力和非性暴力、存在精神障礙和使用衛生保健服務之間的關係。數據來自於法國四個地區的一個大型橫斷面調查( N = 19, 958 )。使用CIDI‐SF評估了一生中發生的創傷事件、過去一年的 DSM ‐ IV 第一軸精神障礙以及過去一年使用HCS的情況。終身暴露於暴力, 特別是性暴力, 與過去一年患常見精神疾病的機率明顯較高有關, 包括重度抑鬱症, aOR = 1.70 , 95%CI [1.34, 2.17] , 在報告暴露於性暴力的參與者中, 有36.9%存在這種情況, 在報告暴露於非性暴力的參與者中, 有20.9%存在這種情況, 在既沒有暴露於暴力的參與者中, 有7.1%存在這種情況。與沒有接觸過性暴力的參與者相比, 性暴力的受害者更有可能因為心理健康問題而與衛生保健人員聯繫, 並接受精神藥物治療。然而, 很大一部分有精神障礙的人沒有報告說接受可能有益的HCS 。本研究結果強調, 有必要識別暴力受害者及改善這一人群獲得適當服務的機會。 Simplified Chinese 性暴力与非性暴力, 精神障碍与服务使用 摘要: 暴露于潜在的创伤性事件(PTEs )会增加个人患精神疾病的风险。然而, 只有一小部分暴露在潜在创伤事件中的人使用医疗保健服务(HCS )。很少有研究考察暴露于不同类型的PTEs是如何影响一个人患精神障碍和使用医疗服务的机率。本研究旨在研究一生中暴露于性暴力和非性暴力、存在精神障碍和使用卫生保健服务之间的关系。数据来自于法国四个地区的一个大型横断面调查( N = 19, 958 )。使用CIDI‐SF评估了一生中发生的创伤事件、过去一年的 DSM ‐ IV 第一轴精神障碍以及过去一年使用HCS的情况。终身暴露于暴力, 特别是性暴力, 与过去一年患常见精神疾病的机率明显较高有关, 包括重度抑郁症, aOR = 1.70 , 95%CI [1.34, 2.17] , 在报告暴露于性暴力的参与者中, 有36.9%存在这种情况, 在报告暴露于非性暴力的参与者中, 有20.9%存在这种情况, 在既没有暴露于暴力的参与者中, 有7.1%存在这种情况。与没有接触过性暴力的参与者相比, 性暴力的受害者更有可能因为心理健康问题而与卫生保健人员联系, 并接受精神药物治疗。然而, 很大一部分有精神障碍的人没有报告说接受可能有益的HCS 。本研究结果强调, 有必要识别暴力受害者及改善这一人群获得适当服务的机会。