Sexual victimization in women with schizophrenia and bipolar disorder
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Abstract
Exposure of populations with psychosis to traumatic events (among them sexual trauma) has seldom been studied. In addition, the clinical features developed by victims with psychosis after a traumatic event are rarely taken into account. Sixty-four women with schizophrenia and 26 women with bipolar disorder (DSM-III-R diagnosed, 18–45 years, inpatients and out-patients) were interviewed using a clinician-rated battery of instruments, including a semi-structured questionnaire concerning sexual victimization and its impact. In childhood or adolescence, 36% of women with schizophrenia (vs 28% of those with bipolar disorder) had been victims of sexual abuse involving body contact. In the women with schizophrenia, this sexual abuse was associated with addictions, suicide attempts and becoming psychiatric patients earlier. Over their lifetime, the prevalence of rape was 23% in the two clinical groups. In women with schizophrenia, rape was associated with a greater severity of their disorder and addictions. Moreover, a frequent repetition of sexual trauma was observed in women with schizophrenia, whereas such repeated traumas were less frequent in those with bipolar disorder. The results suggest that these two clinical groups are at risk of rape and the study highlight clinical features in victims with schizophrenia that have been described for other groups of victims of sexual abuse.
Keywords
Public Health Schizophrenia Bipolar Disorder Sexual Abuse Suicide AttemptPreview
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References
- Anderson JC, Martin JL, Mullen PE (1993) The prevalence of childhood sexual abuse experiences in a community sample of women. J Am Acad Child Adolesc Psychiatry 32: 911–919Google Scholar
- Bagley C, Ramsey R (1986) Sexual abuse in childhood: psychological outcomes and implications for social work practice. J Soc Work Hum Sex 4: 33–47Google Scholar
- Baker AW, Duncan SP (1985) Child sexual abuse: a study of prevalence in Great Britain. Child Abuse Negl 9: 457–467Google Scholar
- Beck JC, Van der Kolk BA (1987) Reports of childhood incest and current behavior of chronically hospitalized psychotic women. Am J Psychiatry 144: 1474–1476Google Scholar
- Benoit G, Bardet C (1983) Viol et crédibilité. Rapport de Médecine Légale au Congrès de Psychiatrie et Neurologie de Langue Française, Masson, ParisGoogle Scholar
- Briere J, Zaidi LY (1989) Sexual abuse histories and sequelae in female psychiatric emergency room patients. Am J Psychiatry 146: 1602–1606Google Scholar
- Briquet P (1859) Traité clinique et thérapeutique de l'Hystérie. Baillière, ParisGoogle Scholar
- Bryer JB, Nelson BA, Miller JB, Krol PA (1987) Childhood sexual and physical abuse as factors in adult psychiatric illness. Am J Psychiatry 144: 1426–1430Google Scholar
- Carmen E, Rieker PP, Mills T (1984) Victims of violence and psychiatric illness. Am J Psychiatry 141: 378–383Google Scholar
- Carpenter WT, Heinrichs DW, Wagman AMI (1988) Deficit and nondeficit forms of schizophrenia: the concept. Am J Psychiatry 145: 578–583Google Scholar
- Charcot JM (1884) Oeuvres complètes, Leçons sur les maladies du système nerveux, III, 299–359. Progrès Médical, Paris, 1890Google Scholar
- Chu JA, Dill DL (1990) Dissociative symptoms in relation to childhood sexual abuse. Am J Psychiatry 147: 887–892Google Scholar
- Deltaglia L (1986) Etude psychosociale de 44 dossiers d'expertise d'enfants victimes d'abus sexuels. In: Enfants Maltraités 244–259, AFIREM Vigot, ParisGoogle Scholar
- Demauze L (1991) The universality of incest. J Psychohist 19: 123–164Google Scholar
- Di Vasto PV, Kaufmann A, Rosner L (1984) The prevalence of sexually stressful events among females in the general population. Arch Sex Behav 13: 59–67Google Scholar
- Freud S, Breuer J (1895) Etudes sur l'hystérie. PUF, Paris, 1956Google Scholar
- Friedman S, harrison G (1984) Sexual histories, attitudes and behavior of schizophrenic and normal women. Arch Sex Behav 13: 555–567Google Scholar
- Goodwin J, Attias R, McCarty T, Chandler S, Romanik R (1988) Reporting by adult psychiatric patients of childhood sexual abuse. Am J Psychiatry 145: 1183–1184Google Scholar
- Herman JL, Schatzow E (1987) Recovery and verification of memories of childhood sexual trauma. Psychoanal Psychol 4: 1–14Google Scholar
- Hobbs CJ, Wynne JM (1987) Child sexual abuse — an increasing rate of diagnosis. Lancet ii 8563: 837–841Google Scholar
- Jacobson A, Richardson B (1987) Assault experiences of 100 psychiatric inpatients: evidence of the need for routine inquiry. Am J Psychiatry 144: 908–913Google Scholar
- Janet P (1889) L'automatisme psychologique. Felix Alcan, ParisGoogle Scholar
- Kay SR, Fizbein A, Oppler LA (1987) The positive and negative syndrome scale (PANSS) for schizophrenia. Schizophr Bull 13: 261–276Google Scholar
- Ogata SN, Silk KR, Goodrich S, Lohr NE, Westen D, Hill EM (1990) Childhood sexual and physical abuse in adult patients with borderline personality disorder. Am J Psychiatry 147: 1008–1013Google Scholar
- Rosenfeld AA (1979) Incidence of incest among 18 female psychiatric patients. Am J Psychiatry 136: 791–795Google Scholar
- Russell DEH (1983) The incidence and prevalence of intrafamilial and extrafamilial sexual abuse of female children. Child Abuse Negl 7: 133–146Google Scholar
- Schneider PB, Abraham G, Panayotopoulos D (1964) Quelques aspects de la vie sexuelle des psychotiques. L'Evolution Psychiatrique 29: 45–73Google Scholar
- Shearer SL, Peters CP, Quaytman MS, Ogden RL (1990) Frequency and correlates of childhood sexual abuse histories in adult female borderline inpatients. Am J Psychiatry 147: 214–216Google Scholar
- Sheldrick C (1991) Adult sequelae of child sexual abuse. Br J Psychiatry 158 [Suppl 10]: 55–62Google Scholar
- Spira A, Bajos N (1993) Les comportements sexuels en France. La Documentation Française, ParisGoogle Scholar
- Swett C, Surrey J, Cohen C (1990) Sexual and physical abuse histories and psychiatric symptoms among male psychiatric outpatients. Am J Psychiatry 147: 632–636Google Scholar
- Van der Kolk BA, Pelcovitz D, Roth S (1993) Dissociation and somatization in PTSD field trials. 1993 CME Syllabus & Preceedings, 146th APA Annual Meeting. American Psychiatric Association. San FranciscoGoogle Scholar
- Winfield I, George LK, Swartz M, Blazer DG (1990) Sexual assault and psychiatric disorders among a community sample of women. Am J Psychiatry 147: 335–341Google Scholar
- Wyatt GE (1985) The sexual abuse of American women in childhood. Child Abuse Negl 9: 507–519Google Scholar