Suicidal behavior and abuse in psychiatric outpatients

Kaplan, Margaret L; Asnis, Gregory M.; Lipschitz, Deborah S.; Chorney, Peter

doi:10.1016/0010-440x(95)90087-c

Cited by 81 publications

(58 citation statements)

References 23 publications

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“…All interested participants were individually screened using a structured clinical interview that assessed demographics, sexual abuse history, depression, mental status, and participant risk to self or others. Abuse history was assessed using a modified version of the Traumatic Experiences Questionnaire (TEQ; Kaplan, Asnis, Lipschitz, & Chorney, 1995). Participants were asked about types of abuse and perpetrator of the abuse, including experiences throughout childhood, adolescence, and adulthood.…”

Section: Methodsmentioning

confidence: 99%

Psychosocial Predictors of Sexual HIV Transmission Risk Behavior among HIV-Positive Adults with a Sexual Abuse History in Childhood

et al. 2007

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Childhood sexual abuse (CSA) is associated with HIV sexual risk behavior. Although many psychosocial correlates of sexual risk among HIV-positive persons have been identified, studies predicting continued risk among HIV-positive adults with histories of CSA are limited. This cross-sectional study identified variables predictive of sexual transmission risk behavior among an ethnically diverse sample of 256 HIV-positive adults (women and men who have sex with men; MSM) with CSA histories. Participants were assessed for trauma symptoms, shame related to HIV and sexual trauma, substance use, coping style, and sexual risk behavior. Logistic regression analyses were conducted to identify variables predictive of unprotected sexual behavior in the past 4 months. Unprotected sex was significantly associated with substance use and trauma-related behavioral difficulties among women and men, and less spiritual coping among men. Unprotected sex with HIV negative or serostatus unknown partners was significantly associated with greater trauma-related behavioral difficulties, more HIV-related shame, and fewer active coping strategies. Thus, trauma symptoms, shame, coping style, and substance use were significantly associated with sexual risk behavior among HIV-positive adults with histories of CSA, with models of prediction differing by gender and partner serostatus. HIV prevention intervention for persons with HIV and CSA histories should address trauma-related behavioral difficulties and enhance coping skills to reduce sexual transmission risk behavior.

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Section: Methodsmentioning

confidence: 99%

Psychosocial Predictors of Sexual HIV Transmission Risk Behavior among HIV-Positive Adults with a Sexual Abuse History in Childhood

et al. 2007

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“…The interview for abuse history was based on a modified and expanded version of the Traumatic Experiences Questionnaire (Kaplan, Asnis, Lipschitz, & Chorney, 1995). Participants were asked about specific types of abuse and perpetrator of the abuse, including experiences throughout childhood, adolescence, and adulthood.…”

Section: Participants and Proceduresmentioning

confidence: 99%

Outcomes from a Group Intervention for Coping with HIV/AIDS and Childhood Sexual Abuse: Reductions in Traumatic Stress

et al. 2006

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Childhood sexual abuse is common among HIV-infected persons, though few empirically supported treatments addressing sexual abuse are available for men and women with HIV/AIDS. This study reports the outcome from a randomized controlled trial of a group intervention for coping with HIV and sexual abuse. A diverse sample of 202 HIV-positive men and women who were sexually abused as children was randomly assigned to one of three conditions: a 15-session HIV and trauma coping group intervention, a 15-session support group comparison condition, or a waitlist control (later randomly assigned to an intervention condition). Traumatic stress symptoms were assessed at baseline and post-intervention, with analysis conducted for the three-condition comparison followed by analysis of the two-condition comparison between the coping and support group interventions. Participants in the coping group intervention exhibited reductions in intrusive traumatic stress symptoms compared to the waitlist condition and in avoidant traumatic stress symptoms compared to the support group condition. No differences were found between the support group intervention and waitlist conditions. Tests of clinical significance documented the meaningfulness of change in symptoms.

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“…However, not all interchanges that occur between or among individuals can be viewed as positive or equitable. Individuals who face such adverse conditions are likely to show emotional and physiological signs of stress and, in the case of humans, to exhibit increased rates of psychiatric disorders, disease, and even death (Blanchard et al, 1993;Kaplan et al, 1995;Lemieux and Coe, 1995;Gil-Rivas et al, 1996). The present study provides a "map" of areas within the hamster brain that are active during the loss of a social encounter.…”

mentioning

confidence: 90%

Social Stress in Hamsters: Defeat Activates Specific Neurocircuits within the Brain

1997

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During an agonistic encounter, subordinate male hamsters display defensive and submissive postures and show increased secretion of glucocorticoids, whereas dominant males do not. To determine whether specific neuronal pathways are activated during the behavioral and neuroendocrine responses of subordinate males, expression of c-fos mRNA within the brains of subordinate males was compared with the pattern in dominant males after fighting. After 1 week of handling, pairs of hamsters were either swapped between cages (handled control males), or were allowed to interact for 30 min [dominant (DOM) males and subordinate (SUB) males]. A second group of control animals that received no handling or social stimulation (unhandled control males) were also included. After testing, all animals were killed by decapitation, their brains were removed for c-fos in situ hybridization, and trunk blood was collected for analysis of plasma cortisol and corticosterone levels. Exposure of males to their partner's cage for 30 min resulted in increased expression of c-fos mRNA in multiple brain regions. In addition, fighting increased c-fos expression in the medial amygdaloid nucleus of both DOM and SUB males as well as having more selective effects. In DOM males, c-fos expression was elevated within the supraoptic nucleus of the hypothalamus. In SUB males, c-fos expression increased within a multitude of brain areas, including cingulate cortex, lateral septum, bed nucleus of the stria terminalis, medial preoptic area, several hypothalamic nuclei, central amygdaloid nucleus, amygdalohippocampal area, dorsal periaqueductal gray, dorsal raphe, cuneiform nucleus, and locus coeruleus. These findings are discussed in relation to neurocircuits associated with behavioral arousal and stress.

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Suicidal behavior and abuse in psychiatric outpatients

Cited by 81 publications

References 23 publications

Psychosocial Predictors of Sexual HIV Transmission Risk Behavior among HIV-Positive Adults with a Sexual Abuse History in Childhood

Psychosocial Predictors of Sexual HIV Transmission Risk Behavior among HIV-Positive Adults with a Sexual Abuse History in Childhood

Outcomes from a Group Intervention for Coping with HIV/AIDS and Childhood Sexual Abuse: Reductions in Traumatic Stress

Social Stress in Hamsters: Defeat Activates Specific Neurocircuits within the Brain

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