RESUMEN
Several studies have shown an increased mortality rate among psychiatric patients. Morbidity, however, has been studied less often. In this study, the authors examined the number of hospitalizations with somatic diagnoses in 722 patients with affective psychoses and 472 with a paranoid disorder. Every patient had an age- and sex-matched control subject who did not have a psychiatric illness. Both groups of patients exhibited an increased number of somatic diagnoses compared with their control subjects, and this was true for the majority of the 14 different groups classified according to the International Classification of Diseases the authors studied. The pattern of somatic diagnoses was similar to that presented in one of the authors' prior studies of schizophrenic patients.
Asunto(s)
Trastornos Psicóticos Afectivos/epidemiología , Trastornos Paranoides/epidemiología , Grupo de Atención al Paciente , Trastornos Psicofisiológicos/epidemiología , Rol del Enfermo , Trastornos Somatomorfos/epidemiología , Trastornos Psicóticos Afectivos/clasificación , Trastornos Psicóticos Afectivos/diagnóstico , Estudios de Casos y Controles , Comorbilidad , Femenino , Humanos , Masculino , Trastornos Paranoides/clasificación , Trastornos Paranoides/diagnóstico , Escalas de Valoración Psiquiátrica , Trastornos Psicofisiológicos/clasificación , Trastornos Psicofisiológicos/diagnóstico , Trastornos Somatomorfos/clasificación , Trastornos Somatomorfos/diagnóstico , Trastornos Relacionados con Sustancias/clasificación , Trastornos Relacionados con Sustancias/diagnóstico , Trastornos Relacionados con Sustancias/epidemiología , Suecia/epidemiologíaRESUMEN
This study is based on interviews with and psychiatric ratings of female family violence victims and male non-family violence victims. Despite differences in the type of violence and the relation to the assailant, the psychological consequences of the battering were very much the same in the two groups. The background and present social situation of the victims were very similar. The conclusion drawn with regard to the medical services, is that both groups of victims need the same attention and treatment when attending the emergency department. Apart from routine medical care, they might need treatment for alcohol problems, depression or other psychiatric conditions frequently occurring in victims of violence.
Asunto(s)
Maltrato Conyugal , Violencia , Adulto , Alcoholismo/epidemiología , Niño , Maltrato a los Niños/epidemiología , Trastorno Depresivo/epidemiología , Servicios Médicos de Urgencia , Familia , Femenino , Humanos , Masculino , Factores de RiesgoRESUMEN
This study is based on interviews with 18 male wife-beaters and 49 battered wives. It was designed to establish the importance of such social background factors as violence and alcoholism in the family of origin for the eruption of similar problems in the next generation. The study concludes that battered wives and male batterers have a similar social background and that a vast majority of them have experienced violence in childhood and that half of them came from homes where the father was a heavy consumer of alcohol. As adults, the boys repeat the behaviour of their fathers and the girls repeat the behaviour of their mothers. To prevent wife abuse we must extend the scope from the battered wife to the whole family. Only by focusing on the conditions under which the children of the battered wife grow up can family violence be prevented in the future.
Asunto(s)
Familia , Maltrato Conyugal/prevención & control , Violencia , Adulto , Alcoholismo/complicaciones , Alcoholismo/psicología , Femenino , Humanos , Masculino , Persona de Mediana Edad , Maltrato Conyugal/psicología , SueciaRESUMEN
During an eight-month period a trial was made of a special therapeutic programme focused on the diagnosis and treatment of battered women who sought treatment for physical injuries at a surgical emergency department. Forty-nine women agreed to undergo the treatment programme, the aim of which was to provide social and psychological support. The women were treated as inpatients at the department of surgery. After their discharge from the hospital, contact on an out-patient basis was difficult to maintain. Nearly half of the women dropped out during the first month and only 22 women (45%) completed the programme. The causes of the high drop-out rate were analysed considering the women's backgrounds of repeated battering, high alcohol consumption and psychiatric morbidity. It is concluded that battered women need long-term and individualized support and that more attention should be focused on the possibility of carrying out the suggested treatment. Prolonged ambulatory treatment within the frame of medical care does not, however, seem to be the right method for helping and supporting battered women.