Goodman L A, Salyers M P, Mueser K T, Rosenberg S D, Swartz M, Essock S M, Osher F C, Butterfield M I, Swanson J
Boston College, The Peterand Carolyn Lynch School of Education, Department of Counseling, Developmental and Educational Psychology, Chestnut Hill, Massachusetts 02467, USA.
J Trauma Stress. 2001 Oct;14(4):615-32. doi: 10.1023/A:1013026318450.
The problem of violence against individuals with severe mental illness (SMI) has received relatively, little notice, despite several studies suggesting an exceptionally high prevalence of victimization in this population. This paper describes the results of an investigation of the prevalence and correlates of past year physical and sexual assault among a large sample of women and men with SMI drawn from inpatient and outpatient settings across 4 states. Results confirmed preliminary findings of a high prevalence of victimization in this population (with sexual abuse more prevalent for women and physical abuse more prevalent for men), and indicated the existence of a range of correlates of recent victimization, including demographic factors and living circumstances, history of childhood abuse, and psychiatric illness severity and substance abuse. The research and clinical implications of these findings are discussed.
尽管多项研究表明,严重精神疾病(SMI)患者遭受暴力侵害的比例异常高,但针对这一群体的暴力问题相对较少受到关注。本文描述了一项调查的结果,该调查涉及从4个州的住院和门诊机构抽取的大量患有严重精神疾病的女性和男性样本,调查内容为过去一年中身体和性侵犯的发生率及其相关因素。结果证实了该群体中暴力侵害发生率较高的初步发现(女性遭受性虐待的情况更为普遍,男性遭受身体虐待的情况更为普遍),并表明近期暴力侵害存在一系列相关因素,包括人口统计学因素和生活环境、童年虐待史、精神疾病严重程度和药物滥用情况。本文还讨论了这些发现的研究和临床意义。