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Inicio Revista de Psiquiatría y Salud Mental (English Edition) Violence Against Women in Mental Health Departments: is it Relevant for Mental H...
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Vol. 3. Issue 2.
Pages 61-67 (January 2010)
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Vol. 3. Issue 2.
Pages 61-67 (January 2010)
Brief report
DOI: 10.1016/S2173-5050(10)70011-X
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Violence Against Women in Mental Health Departments: is it Relevant for Mental Health Professionals?
La violencia de género en la atención psiquiátrica y psicológica especializada: ¿es relevante la violencia de género para nuestros profesionales?
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Jesús Coboa,b,
Corresponding author
jcobo@tauli.cat

Corresponding author.
, Ruth Muñozc, Ascensión Martosc, Montserrat Carmonac, Mireia Pérezb,d, Roser Ciricib,e, Gemma García-Parésa,b
a Servei de Salut Mental, Corporació Sanitària Parc Taulí, Sabadell, Barcelona, Spain
b Grup de Treball i Recerca en Salut Mental i Dona, Societat Catalana de Psiquiatria i Salut Mental, Acadèmia de Ciències Mèdiques i de la Salut de Catalunya i de Balears, Barcelona, Spain
c Servei de Treball Social, Corporació Sanitària Parc Taulí, Sabadell, Barcelona, Spain
d Departament de Psicologia, Universitat Autònoma de Barcelona, Cerdanyola del Vallés, Barcelona, Spain
e Servei de Salut Mental, Hospital Mútua de Terrassa, Terrassa, Barcelona, Spain
Article information
Abstract
Introduction

Violence against women (VaW) directly influences their quality of life and mental health. Unfortunately, its influence may be ignored or underestimated by professionals attending these women.

Objectives

To describe a hospitalised sample of women suffering from emergent VaW who visited the mental health department for other reasons. To evaluate the degree of knowledge about VaW and interventions for VaW taken by health professionals.

Methods

We performed an observational, prospective study with systematic data collection on all cases of emergent and/or urgent VaW at the Corporació Sanitària Parc Taulí (Sabadell, Spain) from January-December 2004 and January-December 2006. The reference population consisted of 390,000 inhabitants, mostly urban and from the industrial and service sectors. A descriptive statistical analysis was performed.

Results

In the two study periods, 218 and 194 women, respectively, were attended for emergent and/or urgent VaW resulting in severe injures and/or medical and/or social assistance. Of these, up to 53 received or had received specialised mental health treatment. Most of these women (69.7%) withdrew from follow-up. We detected a high rate of comorbid abuse or dependence on alcohol (27.3%), benzodiazepines (33.3%) or other drugs, a high rate of suicide attempts (41.9%), and one successful suicide in these periods. VaW was explicitly registered in only 51.1% of the cases and a specific intervention for VaW was documented in only 15.2% of the cases.

Conclusions

The prevalence of psychiatric and/or psychological disorders was very high in our sample, but the presence of VaW was not always specifically documented or treated.

Keywords:
Mental health
Public health
Gender
Violence against women
Resumen
Introducción

La violencia de género (VdG) influye directamente en la calidad de vida y la salud mental. Sin embargo, su influencia puede ser ignorada o desvalorada por los profesionales responsables.

Objetivos

Describir una muestra hospitalaria de mujeres que han padecido VdG emergente y se visitan por cualquier otro motivo en las consultas de salud mental. Determinar el grado de conocimiento o intervención de los profesionales.

Métodos

Diseño observacional. Realización: recogida prospectiva sistemática de casos de VdG emergente y/o urgente en la Corporació Sanitària Parc Taulí (Sabadell). Población de referencia: 390.000 habitantes, mayoritariamente urbanos y de predominio del sector industrial y de servicios. Periodos: enero-diciembre de 2004 y enero-diciembre de 2006. Estadística: descriptiva.

Resultados

Hasta 218 y 194 mujeres fueron atendidas durante estos periodos por episodios de VdG con resultado de lesiones y/o necesidad de atención médica y/o social emergente. De entre ellas, hasta 53 mujeres recibían o habían recibido en algún momento atención especialisada de salud mental. La gran mayoría (69,7%) abandonó el seguimiento. Se detectó una alta tasa de abuso o dependencia comórbido de alcohol (27,3%), benzodiacepinas (33,3%) y/u otras drogas y una alta tasa de antecedentes de intentos de suicidio (41,9%) y un suicidio consumado. Sólo en el 51,1% quedaba registrada explícitamente la VdG padecida. Sólo se documenta algún tipo de abordaje o intervención relacionado en un 15,2%.

Conclusiones

La prevalencia de enfermedad psiquiátrica y/o psicológica es muy alta en este grupo, pero la realidad de la VdG no siempre es documentada ni recibe un abordaje específico.

Palabras clave:
Salud mental
Salud pública
Género
Violencia de género
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References
[1.]
M.K. Gomel.
Domestic violence.
An Issue for Primary Health Care providers. Preventing Mental Illness: mental Health Promotion in Primary Care, pp. 440-455
[2.]
E.P. Mullen, S.E. Roman-Clarkson, V.A. Walton, E.P. Herbison.
Impact of sexual and physical abuse on women mental health.
Lancet, 1 (1988), pp. 842-845
[3.]
P.A. Ratner.
The incidence of wife abuse and mental health status in abused wives in Edmonton, Alberta.
Can J Publ Health, 84 (1993), pp. 246-249
[4.]
Gs Feder, M. Hutson, J. Ramsay, A.R. Taket.
Women exposed to intimate partner violence: expectations and experiences when they encounter health care professionals: a meta-analysis of qualitative studies.
Arch Intern Med, 166 (2006), pp. 22-37
[5.]
T. Zink, C.J. Jacobson Jr., S. Regan, S. Pabst.
Hidden victims: the healthcare needs and experiences of older women in abusive relationships.
J Womens Health (Larchmt), 13 (2004), pp. 898-908
[6.]
J.C. Chang, M.R. Decker, K.E. Moracco, S.L. Martin, R. Petersen, P.Y. Frasier.
Asking about intimate partner violence: advice from female survivors to health care providers.
Patient Educ Couns, 59 (2005), pp. 141-147
[7.]
M.A. Rodriguez, H.M. Bauer, E. McLoughlin, K. Grumbach.
Screening and intervention for intimate partner abuse: Practices and attitudes of primary care physicians.
JAMA, 282 (1999), pp. 468-474
[8.]
N.E. Gin, L. Rucker, S. Frayne, R. Cygan, F.A. Hubbel.
Prevalence of domestic violence among patients in three ambulatory care internal medicine clinics.
J Gen Int Med, 6 (1991), pp. 317-322
[9.]
L.K. Hamberger, D.G. Saunders, M. Hovey.
Prevalence of domestic violence in community practice and rate of Physicians inquiry.
Fam Med, 24 (1992), pp. 382-387
[10.]
R.L. Weinsheimer, C.R. Schermer, L.H. Malcoe, L.M. Balduf, L.A. Blommfield.
Severe intimate partner violence and alcohol use among female trauma patients.
J Trauma, 58 (2005), pp. 22-29
[11.]
M.A. Pico-Alfonso, M.I. Garcia-Linares, N. Celda-Navarro, C. Blasco-Ros, E. Echeburúa, M. Martinez.
The impact of physical, psychological, and sexual intimate male partner violence on women's mental health: depressive symptoms, posttraumatic stress disorder, state anxiety, and suicide.
J Womens Health (Larchmt), 15 (2006), pp. 599-611
[12.]
B. Sarasua, I. Zubizarreta, E. Echeburúa, P. Del Corral.
Perfil psicopatológico diferencial de las víctimas de violencia de pareja en función de la edad.
Psicothema, 19 (2007), pp. 459-466
[13.]
M. García-Linares, M.A. Picó-Alfonso, S. Sánchez-Lorente, F. Savall-Rodríguez, N. Celda-Navarro, C. Blasco-Ros, et al.
Assesing physical, sexual, and psychological violence perpetrated by intimate male partners toward women: A Spanish Cross-Sectional Study.
Violence and Victims, 20 (2005), pp. 99-123
[14.]
E. Echeburúa, J. Fernández-Montalvo, P.J. Amor.
Psychopathological profile of men convicted of gender violence: a study in the prisons of Spain.
J Interpers Violence, 18 (2003), pp. 798-812
[15.]
J. Fernández-Montalvo, E. Echeburúa, P.J. Amor.
Aggressors against women in prison and in the community: an exploratory study of a differential profile.
Int J Offender Ther Comp Criminol, 49 (2005), pp. 158-167
[16.]
E. Echeburúa, J. Fernández-Montalvo, P.J. Amor.
Psychological treatment of men convicted of gender violence: a pilot study in Spanish prisons.
Int J Offender Ther Comp Criminol, 50 (2006), pp. 57-70
[17.]
E. Echeburúa, J. Fernández-Montalvo.
Male batterers with and without psychopathy: an exploratory study in Spanish prisons.
Int J Offender Ther Comp Criminol, 51 (2007), pp. 254-263
[18.]
J. Fernández-Montalvo, E. Echeburúa.
Trastornos de personalidad y psicopatía en hombres condenados por violencia grave contra la pareja.
Psicothema, 20 (2008), pp. 193-198
[19.]
E. Echeburúa, J. Fernández-Montalvo, P. De Corral, J.J. López-Goñi.
Assessing risk markers in intimate partner femicide and severe violence: a new assessment instrument.
J Interpers Violence, 24 (2009), pp. 925-939
[20.]
I. Loinaz, E. Echeburúa, R. Torrubia.
Tipología de agresores contra la pareja en prisión.
Psicothema, 22 (2010), pp. 106-111
[21.]
E. Echeburúa, P. De Corral, I. Zubizarreta, B. Sarasua.
Psychological treatment of chronic posttraumatic stress disorder in victims of sexual aggression.
Behav Modif, 21 (1997), pp. 433-456
[22.]
V.A. Ferrer-Pérez, E. Bosch-Fiol, M.C. Ramis-Palmer, G. Torres-Espinosa, C. Navarro-Guzmán.
La violencia contra las mujeres en la pareja: creencias y actitudes en estudiantes universitarios/as.
Psicothema, 18 (2006), pp. 359-366
[23.]
B. Gerbert, N. Caspers, A. Bronstone, J. Moe, P. Abercrombie.
A qualitative analysis of how physicians with expertise in domestic violence approach the identification of victims.
Ann Intern Med, 131 (1999), pp. 578-584
[24.]
J. Waalen, M.M. Goodwin, A.M. Spitz, R. Petersen, L.E. Saltzman.
Screening for intimate partner violence by health care providers: Barriers and interventions.
Am J Prev Med, 19 (2000), pp. 230-237
[25.]
J.E. Hathaway, G. Willis, B. Zimmer.
Listening to survivors’ voices.
Violence Against Women, 8 (2002), pp. 687-719
[26.]
R.A. Rodríguez-Bolaños, M. Márquez-Serrano, M.L. Kageyama-Escobar.
Violencia de género: actitud y conocimiento del personal de salud de Nicaragua.
Salud Publica Mex, 47 (2005), pp. 134-144
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