The Long-term Physical Health and Healthcare Utilization of Women Who Were Sexually Abused as Children

Journal of Health Psychology - Tập 7 Số 5 - Trang 583-597 - 2002
Amy Sickel1, Jennie G. Noll2,1, Philip J. Moore3, Frank W. Putnam4, Penelope K. Trickett1
1University of Southern California USA
2Human Development and Family Studies
3George Washington University USA
4Children's Hospital Medical Center, Cincinnati, OH USA.

Tóm tắt

This article addresses the relationship between childhood sexual abuse and the long-term physical health and healthcare utilization of 148 female participants in an eight-year prospective study. Five factors of physical health emerged: General Health; Vegetative Health Symptoms; Colds and Flu; Gastrointestinal/Gynecological; and Healthcare Utilization. Abused females scored higher on the healthcare utilization and gastrointestinal/gynecological factors than comparison females. Abused females experiencing multiple perpetrators, violence, longer duration and older age at onset endorsed significantly more gastrointestinal/gynecological problems than did the other abused females and the comparison group. Findings suggest that: (1) sexual abuse affects long-term health outcomes and healthcare utilization; and (2) physical health sequelae of abuse may differentially affect females, depending upon the pattern of abuse characteristics.

Từ khóa


Tài liệu tham khảo

10.1007/978-1-4757-1162-2_3

American Psychiatric Association, 1994, Diagnostics and statistical manual of mental disorders, 4

10.1097/00006842-199911000-00008

Bachmann, G. A., 1988, Obstetrics & Gynecology, 71, 631

10.1016/0145-2134(91)90038-F

10.1016/0145-2134(94)90063-9

Briere, J. N., 1992, Child abuse trauma

10.2307/1602523

10.1177/088626058700200403

10.1037/0033-2909.99.1.66

10.1016/S0006-3223(99)00044-X

10.1002/jts.2490090218

DeBellis, M. D., 1994, Journal of Clinical Endocrinology and Metabolism, 78, 249

10.1016/S0006-3223(99)00045-1

10.1097/00004583-199403000-00004

10.7326/0003-4819-113-11-828

10.7326/0003-4819-123-10-199511150-00007

10.1097/00007611-199103000-00008

10.1016/S0749-3797(98)00017-8

10.1037/0278-6133.13.2.130

10.1111/j.1471-6402.1996.tb00667.x

10.1097/00005053-199910000-00006

10.1037/0278-6133.16.5.417

10.1007/BF00930018

Gomes-Schwartz, B., 1990, Child sexual abuse

Gottfried, A. W., 1985, Merrill-Palmer Quarterly, 31, 85

10.1007/978-1-4615-2820-3_49

10.1017/S095457940100311X

Hollingshead, A. B., 1975, Four factor index of social status

10.1016/S0006-3223(96)00470-2

10.1016/0306-4603(95)00058-5

Kluft, R. P., 1990, Incest related syndromes of adult psychopathology

10.1001/archinte.1991.00400020092019

Lechner, M. E., 1993, Journal of Family Practice, 36, 633

10.1097/00006842-199601000-00002

10.1017/S0033291797006508

10.1097/00006842-199803000-00012

10.1007/BF01303163

10.1001/jama.1997.03540410040028

10.1016/0145-2134(93)90084-I

10.1016/S0002-9378(96)70323-X

10.1002/9780470316696

10.1097/00007611-199906000-00013

Russell, D., 1986, The secret trauma: Incest in the lives of girls and women

10.1521/pedi.1995.9.3.254

10.1097/00007611-199612000-00006

Schafer, J. L., 1999, NORM: Multiple imputation of incomplete multivariate data under a normal model

10.1037/0033-2909.116.2.340

10.1016/S0025-6196(12)60458-3

10.1136/gut.42.1.47

Talley, N. J., 1992, Gastroenterology, 102, A52

10.1017/S0954579401004138

10.1111/j.1467-9280.1993.tb00465.x

Trickett, P. K., 1997, Rochester symposium on developmental psychopathology: Volume 7: The effects of trauma on the developmental process, 289

10.1016/S0002-9343(99)00235-1

10.1176/ajp.145.1.75

10.1001/archpsyc.56.7.609

10.1300/J013v29n01_07