Relation between childhood sexual and physical abuse and risk of revictimisation in women: a cross-sectional survey

被引:282
作者
Coid, J
Petruckevitch, A
Feder, G
Chung, WS
Richardson, J
Moorey, S
机构
[1] St Bartholomews Hosp, Forens Psychiat Res Unit, London EC1A 7BE, England
[2] Queen Mary Univ London, Dept Gen Practice, London E1 4NS, England
[3] Maudsley Hosp & Inst Psychiat, London SE5 8AZ, England
关键词
D O I
10.1016/S0140-6736(01)05622-7
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background Women who are physically and sexually abused in childhood are at increased risk of victimisation in adulthood. Research has concentrated on sexual revictimisation, and has not included investigation of other abusive experiences, nor examination of prevalence and effects of abuse on adult revictimisation. We aimed to examine the relation between childhood trauma and adult revictimisation, and identify confounding factors. Methods We did a cross-sectional survey of 2592 women who were attending primary care practices in east London, UK, with self-administered anonymous questionnaires. We included questions on physical and sexual abuse in childhood; on domestic violence, rape, indecent assault, and other traumatic experiences in adulthood; and on alcohol and other drug abuse. We analysed associations between childhood and adulthood abuse with multiple logistic regression. Findings 1207 (55%) of 2192 eligible women were recruited and completed the questionnaire. Abusive experiences co-occurred in both childhood and adulthood. Repetition and severity of childhood abuse were independently associated with specific types of adult revictimisation. Unwanted sexual intercourse (<16 years) was associated with domestic violence in adulthood (odds ratio 3.54; 95% CI 1.52-8.25) and with rape (2.84; 1.09-7.35); and severe beatings by parents or carers with domestic violence (3.58; 2.06-6.20), rape (2.70; 1.27-5.74), and other trauma (3.85; 2.23-6.63). Interpretation Childhood abuse substantially increases risk of revictimisation in adulthood. Women who have experienced multiple childhood abuse are at most risk of adult revictimisation. Identification of women who have undergone childhood abuse is a prerequisite for prevention of further abuse.
引用
收藏
页码:450 / 454
页数:5
相关论文
共 34 条
[1]   FAMILY CHARACTERISTICS AND LONG-TERM CONSEQUENCES ASSOCIATED WITH SEXUAL ABUSE [J].
ALEXANDER, PC ;
LUPFER, SL .
ARCHIVES OF SEXUAL BEHAVIOR, 1987, 16 (03) :235-245
[2]   MEDIATION OF ABUSIVE CHILDHOOD EXPERIENCES - DEPRESSION, DISSOCIATION, AND NEGATIVE LIFE OUTCOMES [J].
BECKERLAUSEN, E ;
SANDERS, B ;
CHINSKY, JM .
AMERICAN JOURNAL OF ORTHOPSYCHIATRY, 1995, 65 (04) :560-573
[4]  
Briere J., 1987, Journal of Interpersonal Violence, V2, P367, DOI [DOI 10.1177/088626058700200403, 10.1177/088626058700200403]
[5]   Childhood abuse and subsequent sexual assault among female inpatients [J].
Cloitre, M ;
Tardiff, K ;
Marzuk, PM ;
Leon, AC ;
Portera, L .
JOURNAL OF TRAUMATIC STRESS, 1996, 9 (03) :473-482
[6]   POST-TRAUMATIC STRESS IN SEXUALLY ABUSED, PHYSICALLY ABUSED, AND NONABUSED CHILDREN [J].
DEBLINGER, E ;
MCLEER, SV ;
ATKINS, MS ;
RALPHE, D ;
FOA, E .
CHILD ABUSE & NEGLECT, 1989, 13 (03) :403-408
[7]  
DUTTON MA, 1994, J TRAUMA STRESS, V7, P237, DOI 10.1002/jts.2490070206
[8]   AN EXAMINATION OF DIFFERENCES BETWEEN MULTIPLE-INCIDENT AND SINGLE-INCIDENT VICTIMS OF SEXUAL ASSAULT [J].
ELLIS, EM ;
ATKESON, BM ;
CALHOUN, KS .
JOURNAL OF ABNORMAL PSYCHOLOGY, 1982, 91 (03) :221-224
[9]   THE TRAUMATIC IMPACT OF CHILD SEXUAL ABUSE - A CONCEPTUALIZATION [J].
FINKELHOR, D ;
BROWNE, A .
AMERICAN JOURNAL OF ORTHOPSYCHIATRY, 1985, 55 (04) :530-541
[10]  
Follette VM, 1996, J TRAUMA STRESS, V9, P25, DOI 10.1002/jts.2490090104