Disclosure of abuse among female patients within general psychiatric care - a cross sectional study

BMC Psychiatry. 2016 Mar 24:16:79. doi: 10.1186/s12888-016-0789-6.

Abstract

Background: Experiences of abuse are common among women in general psychiatric care. Even so, there are to our knowledge no previous national or international studies exploring disclosure in a general psychiatric setting of female patient's experiences of abuse to staff or to formal and informal networks. This study aimed to explore women's disclosure of experiencing physical, emotional and/or sexual abuse during their most recent contact with staff at a general psychiatric clinic. The study also aimed to determine whether the women have previously disclosed abuse to anyone.

Methods: A consecutive sampling of eligible female patients at a general psychiatric clinic in an urban area of southern Sweden answered the NorVold Abuse Questionnaire, NorAQ, a self-administrated questionnaire. NorAQ has previously been used and further developed to compare the prevalence of abuse in women present in gynecological outpatient settings in the five Nordic countries. Seventy-seven women with experiences of abuse participated in the research. Descriptive statistics were used to analyse the data.

Results: Most respondents did not disclose their experiences of abuse to staff at the general psychiatric clinic. Women with experiences of physical abuse (n = 40), emotional abuse (n = 37) and sexual abuse (n = 37) chose not to disclose their experiences. Respondents disclosed abuse more often to others than to staff.

Conclusions: Our findings indicated the importance of including routine questions concerning abuse experiences as a natural part of female patients' medical history.

Keywords: Adult survivors of abuse; Domestic violence; Intimate partner violence.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Cross-Sectional Studies
  • Female
  • Humans
  • Mental Disorders / therapy*
  • Prevalence
  • Psychotherapy*
  • Self Disclosure*
  • Surveys and Questionnaires
  • Sweden / epidemiology
  • Violence / psychology*
  • Violence / statistics & numerical data