© 1997 by Oxford University Press and the Maryland Psychiatric Research Center (MPRC)
This article appears in the following Schizophrenia Bulletin issue: Issue Theme: Clinical Challenges in the Psychopharmacology of Schizophrenia [View the issue table of contents]
Physical and Sexual Assault History in Women With Serious Mental Illness: Prevalence, Correlates, Treatment, and Future Research Directions
Department of Psychology, University of Maryland College Park, MD
Dartmouth Medical School Hanover, NH, and New Hampshire-Dartmouth Psychiatric Research Center Hanover, NH
Reprint requests should be sent to Dr. L.A. Goodman, Dept. of Psychology, University of Maryland, College Park, MD 20742
An emerging body of research on the physical and sexual abuse of seriously mentally ill (SMI) women documents a high incidence and prevalence of victimization within this population. While causal links are not well understood, there is convergent evidence that victimization of SMI women is associated with increased symptom levels, HIV-related risk behaviors, and such comorbid conditions as homelessness and substance abuse. These abuse correlates may influence chronicity, service utilization patterns, and treatment alliance. This article reviews the research literature on the prevalence, symptomatic and behavioral correlates, and treatment of abuse among SMI women, particularly women with schizophrenia. Within each topic, we discuss relevant research findings, limitations of available studies, and key questions that remain unanswered. We also discuss mechanisms that may underlie the relationship between trauma and schizophrenia-spectrum disorders. We conclude by outlining directions for future research in this area.
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