Clinical StudiesAdult health status of women with histories of childhood abuse and neglect☆
Section snippets
Sample selection
We drew a random sample of 1,963 English-speaking women, aged 18 to 65 years, from the enrolled membership of Group Health Cooperative of Puget Sound, a large staff model HMO in Washington State. Using the total design method of Dillman (44), we mailed an introductory letter to each of the women announcing the study, followed by a 22-page questionnaire and consent form. The questionnaire had been reviewed and approved by the Human Subjects Committees of both Group Health and the University of
Results
Of the 1912 surveys initially mailed to eligible participants, 1,225 (62%) were completed. There were no significant differences between women who did and did not complete the survey with respect to age, mean number of primary care or specialty clinic visits, emergency room visits, outpatient mental health days, pharmacy visits, filled prescriptions, or physician-coded diagnoses. Participants had a mean age of 42 ± 12 years. Fifty-one percent were married and 57% had completed college. The
Discussion
Compared with women who did not meet the threshold criteria for childhood maltreatment, those with childhood abuse or neglect had significantly greater levels of functional disability, more physical symptoms, more health risk behaviors, and a greater number of physician-coded diagnoses. The number of maltreatment categories was significantly correlated with the number of physical symptoms and physician-coded diagnoses as well as increased functional disability and health risks.
This study has
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Supported by a grant from the National Institutes of Mental Health K-20 MH-01106.