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A retrospective study examining the adverse effect of childhood abuse among adult psychiatric service users in Britain.
- Source :
- International Journal of Mental Health Nursing; Oct2021, Vol. 30 Issue 5, p1093-1105, 13p
- Publication Year :
- 2021
-
Abstract
- The long‐term effects of childhood abuse have been well studied though the effects of abuse of specific types in adult psychiatric service users are less known. This study aimed to assess the association between childhood abuse and the development of harmful social and behavioural outcomes among adult psychiatric service users. Adult psychiatric service users were accessed from secondary mental health services in South London. A retrospective analysis was conducted of a randomly selected sample of 342 mental health records. Chi‐square tests and logistic regression models were used to examine associations between childhood abuse – sexual abuse, physical abuse and psychological/emotional abuse – and health and behavioural outcomes. This study identified that 109 (31.8%) psychiatric service users had some history of childhood abuse and more often presented with high‐risk or severe behaviours. Sexual abuse in childhood was linked with social isolation related to loss of friends (odds ratio (OR) = 2.68, P < 0.01), risky behaviours such as binge drinking (OR = 2.15, P < 0.05) and self‐harming (OR = 2.86, P < 0.01), while childhood physical abuse was associated with drug abuse in adulthood (OR = 1.88, P < 0.05). Revictimization (adult domestic violence) also impacted on service users' quality of life in terms of loss of housing (OR = 2.21, P < 0.05) and loss of friends/family contact (OR = 2.73, P < 0.01). These findings suggest childhood abuse may play an important role in shaping risk and vulnerability for mental health problems across a lifespan. In acute mental health services, the incorporation of a trauma‐informed nursing care model is necessary to generate a shift in culture in the delivery of care. [ABSTRACT FROM AUTHOR]
- Subjects :
- SUBSTANCE abuse risk factors
MENTAL health services
PSYCHOLOGICAL abuse
FRIENDSHIP
STATISTICS
CHILD sexual abuse
CONFIDENCE intervals
CHILD abuse
LOSS (Psychology)
MULTIPLE regression analysis
MULTIVARIATE analysis
RETROSPECTIVE studies
BINGE drinking
DOMESTIC violence
CRIME victims
SOCIAL isolation
ETHNOPSYCHOLOGY
MEDICAL records
DESCRIPTIVE statistics
QUALITY of life
RESEARCH funding
CHI-squared test
STATISTICAL sampling
HOUSING
ELECTRONIC health records
ODDS ratio
LOGISTIC regression analysis
DATA analysis software
SELF-mutilation
Subjects
Details
- Language :
- English
- ISSN :
- 14458330
- Volume :
- 30
- Issue :
- 5
- Database :
- Complementary Index
- Journal :
- International Journal of Mental Health Nursing
- Publication Type :
- Academic Journal
- Accession number :
- 152422166
- Full Text :
- https://doi.org/10.1111/inm.12860