DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20164559

Prevalence of psychiatric co-morbidity among abused and neglected: a cross-sectional study among child, adolescents, and adult population

Bhuvana R. C.

Abstract


Background: In the past few decades child abuse and neglects has been only highlighted as an area of concern and has only explained lifelong mental and physical consequences rather than estimating the prevalence rates also there were gaps in child age groups in most of the previous studies in the world, especially in India. Therefore, the present study was undertaken to estimate the prevalence of psychiatric co-morbidity among those who having history of abuse and neglects in a community population of all age groups and to compare the prevalence of psychiatric co-morbidity in among different age groups.

Methods: A total of 600 participants, children, adolescents and caregivers like parents, of aged 1-65 years, from Shimoga districts, were screened by using CCMS for adults and parents to identify the cases. A chi-square test has used for statistics.

Results: The overall prevalence rate of psychiatric co-morbidity among abuse and neglects were 29.9% (28.9% had schizophrenia and other psychotic disorders 27.9%, mood disorders 25.6%, anxiety disorders 29.2%, behavior disorders 43.5%, and substance use disorders 29.2%).

Conclusions: Childhood maltreatment has strong associations with all classes of disorders at all life-course stages in all groups. The awareness of the serious long-term consequences of child maltreatment should encourage better identification of those at risk and the development of effective interventions to protect children from violence.

Keywords


Child sexual abuse, Comprehensive child maltreatment scales, Diagnostic and statistical manual of mental disorders

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References


Kessler RC, McGonagle KA, Zhao S. Lifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the United States. Results from the National Co-morbidity Survey. Arch Gen Psychiatry. 1994;51:8-19.

Brown GR, Anderson B. Psychiatric morbidity in adult in patients with childhood histories of sexual and physical abuse. Am J Psychiatry. 1991;14855- 61.

Stien, Phyllis T, Kendall, Joshua. Psychological Trauma and Developing Brain: Neurobiological Based Interventions for Troubled Children. The Haworth Maltreatment and Trauma Press. 2004.

McCauley J, Kern DE, Kolodner K, Dill L, Schroeder AF, DeChant HK, et al. Clinical characteristics of women with a history of childhood abuse: unhealed wounds. JAMA. 1997;2771362-8.

Kessler RC, Crum RM, Warner LA, Nelson CB. Lifetime co-occurrence of DSM-III-R alcohol abuse and dependence with other psychiatric disorders in the National Co-morbidity Survey. Arch Gen Psychiatry. 1997;54313-21.

Weiss EL, Longhurst JG, Mazure CM. Childhood sexual abuse as a risk factor for depression in women: psychosocial and neurobiological correlates. Am J Psychiatry. 1999;156816- 28.

Kendler KS, Bulik CM, Silberg J, Hettema JM, Myers J, Prescott CA. Childhood sexual abuse and adult psychiatric and substance use disorders in women: an epidemiological and cotwin control analysis. Arch Gen Psychiatry. 2000;57953- 9.

Molner BE, Bifulco A, Brown GW, Adler Z. Early sexual abuse and clinical depression in adult life. Br J Psychiatry. 1991;159115- 22.

Jumper SA. A meta-analysis of the relationship of child sexual abuse to adult psychological adjustment. Child Abuse Negl. 1995;19715-28.

McLaughten KA, Fergusson DM, Horwood LJ, Lynskey MT. Childhood sexual abuse and psychiatric disorder in young adulthood, II: psychiatric outcomes of childhood sexual abuse. J Am Acad Child Adolesc Psychiatry. 1996;351365- 74.

Duran B, MacMillan HL, Fleming JE, Streiner DL, Lin E, Boyle MH, et al. Childhood abuse and lifetime psychopathology in a community sample. Am J Psychiatry 2001;1581878-83.