VA San Diego Healthcare System, San Diego, California; University of California, San Diego (UCSD) School of Medicine, Department of Psychiatry, La Jolla, California.
VA San Diego Healthcare System, San Diego, California.
Womens Health Issues. 2018 Nov-Dec;28(6):559-568. doi: 10.1016/j.whi.2018.09.001. Epub 2018 Oct 16.
A history of childhood abuse is strongly linked to adult health problems. Obstetrician-gynecologists will undoubtedly treat abuse survivors during their careers, and a number of patient presenting problems may be related to a history of childhood abuse (e.g., chronic pelvic pain, sexual dysfunction, mental health disorders, obesity, and chronic diseases). Knowledge of abuse history may assist with treatment planning and the delivery of trauma-informed care. The current study sought to explore obstetrician-gynecologists' training, knowledge, beliefs, practice patterns, and barriers around screening for history of childhood abuse in their adult patients.
Eight hundred Fellows and Junior Fellows of the American College of Obstetricians and Gynecologists were sent an electronic survey; 332 viewed recruitment emails. Data were analyzed with SPSS 24.0, including descriptive statistics, χ, and t tests.
One-hundred forty-five physicians completed the survey. The majority of responding providers believe that assessment of abuse history is important and relevant to patient care, yet few reported screening regularly. Most did not have formal training in screening for childhood abuse or its effects, although those who completed their training more recently were more likely to report training in these areas, as well as more likely to screen regularly. The majority of respondents noted they were not confident to screen. Barriers to screening were identified.
Greater education and training about screening for childhood abuse history and the effects of childhood abuse are needed. The integration of mental health providers into practice is one method that may increase screening rates.
儿童期虐待史与成人健康问题密切相关。妇产科医生在职业生涯中无疑会治疗虐待幸存者，许多患者的就诊问题可能与儿童期虐待史有关（例如，慢性盆腔疼痛、性功能障碍、心理健康障碍、肥胖和慢性疾病）。了解虐待史可能有助于治疗计划和提供创伤知情护理。本研究旨在探讨妇产科医生在成年患者中筛查儿童期虐待史的培训、知识、信念、实践模式和障碍。
800 名美国妇产科医师学院的研究员和初级研究员收到了一份电子调查；332 人查看了招聘电子邮件。使用 SPSS 24.0 进行数据分析，包括描述性统计、χ 和 t 检验。
145 名医生完成了调查。大多数接受调查的医生认为评估虐待史对患者护理很重要且相关，但很少有人定期进行筛查。大多数人没有接受过筛查儿童虐待或其影响的正规培训，尽管最近完成培训的人更有可能报告在这些领域接受培训，也更有可能定期进行筛查。大多数受访者表示他们没有信心进行筛查。确定了筛查的障碍。
需要更多关于筛查儿童虐待史和儿童虐待影响的教育和培训。将心理健康提供者纳入实践是提高筛查率的一种方法。
