Temiz Meltem, Beştepe Emrem, Yildiz Özlem, Küçükgöncü Suat, Yazici Ayla, Çalikuşu Celal, Erkoç Şahap
Clinic of Psychatry, Taksim German Hospital, İstanbul, Turkey.
Erenköy Mental Health and Neurology Training and Research Hospital, İstanbul, Turkey.
Noro Psikiyatr Ars. 2014 Mar;51(1):1-10. doi: 10.4274/npa.y6120. Epub 2014 Mar 1.
The aim of the study was to determine the rate of exposure to domestic violence among female inpatients at any period of their lives; to investigate the effect of different forms of violence on the diagnoses and the course of the illness.
The study was conducted on 102 female inpatients treated at Bakirkoy Research and Training Hospital for Psychiatry, Neurology and Neurosurgery. The Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I) was administered and socio-demographic and clinical data was collected. A form designed for the assessment of violence was used to evaluate domestic violence.
Ninety patients reported that they had been subjected to some kind of violence at some period of their lives. The parents or husbands were the most frequently reported persecutors. Seventy-three patients reported that they had been subjected to violence before the onset of their illness. Seventy-one had been subjected to physical, 79 to verbal, 42 to sexual, 52 to economic violence, and 49 to constraints on social relationship formation. Comorbid diagnosis of post traumatic stress disorder (PTSD) was related to all types of violence. The rate of suicide attempt was found to be significantly related to verbal-emotional violence. Only 12 patients had previously reported being subjected to domestic violence to their psychiatrist.
Domestic violence, an often overlooked phenomenon, is prevalent among women with psychiatric disorders. Subjection to domestic violence is found to be correlated with PTSD and suicidal attempt.
本研究的目的是确定女性住院患者在其生命中任何时期遭受家庭暴力的比率；调查不同形式的暴力对诊断和疾病进程的影响。
本研究对在巴基尔科伊精神病学、神经病学和神经外科研究与培训医院接受治疗的102名女性住院患者进行。采用《精神疾病诊断与统计手册》第四版轴I障碍结构化临床访谈（SCID-I），并收集社会人口学和临床数据。使用专门设计的暴力评估表格来评估家庭暴力。
90名患者报告称在其生命中的某个时期遭受过某种暴力。父母或丈夫是最常被提及的施暴者。73名患者报告在疾病发作前遭受过暴力。71人遭受过身体暴力，79人遭受过言语暴力，42人遭受过性暴力，52人遭受过经济暴力，49人在建立社会关系方面受到限制。创伤后应激障碍（PTSD）的共病诊断与所有类型的暴力有关。自杀未遂率被发现与言语-情感暴力显著相关。之前只有12名患者向其精神科医生报告过遭受家庭暴力的情况。
家庭暴力是一种常被忽视的现象，在患有精神疾病的女性中很普遍。发现遭受家庭暴力与创伤后应激障碍和自杀未遂有关。
