The prevalence of emotional abuse in gynaecology patients and its association with gynaecological symptoms

Johnson, J.K.; John, R.; Humera, Aisha; Kukreja, S.; Found, M.; Lindow, Stephen W.

doi:10.1016/j.ejogrb.2006.04.035

Cited by 18 publications

(16 citation statements)

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“…[ 22 ] Verbal abuse may contribute to adverse psychological impacts on patients even though it did not cause any physical damage and resulted in high anxiety level in victims. [ 18 ] In some literatures, high anxiety level was found to be one of the contributing factors to the presentation of urinary symptoms. [ 24 – 25 ] Our study also demonstrated the relationship of domestic violence with different categories of urinary symptoms.…”

Section: Discussionmentioning

confidence: 99%

“…Seven percent (14 out of 198) abused women complained of stress incontinence whereas only 3% (19 out of 627) of those who had no experience of abuse complained of the same symptoms. [ 18 ] Urinary tract infection was another urinary symptoms being evaluated, with an age-adjusted relative risk of 1.79 (95% CI 1.36–2.36) in patients with history of abuse. [ 19 ]…”

Section: Introductionmentioning

confidence: 99%

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Prevalence of Domestic Violence in Hong Kong Chinese Women Presenting with Urinary Symptoms

Paulin

Pun

2016

PLoS ONE

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ObjectivesTo determine the prevalence of domestic violence and its risk factors in women presenting with urinary symptoms.MethodsThe study was carried out in the urogynecology clinic and general gynecology clinic, Department of Obstetrics and Gynecology, Queen Mary Hospital, Hong Kong from 1st May 2013 till 31st October 2014. Two hundred and twenty-five women presenting to the urogynecology clinic with urinary symptoms were categorized according to their symptoms and were asked to complete the Modified Abuse Assessment Screen. Demographic data of the subjects and their partners were collected. Mann-Whitney U test were used for analysis of continuous variables, while Chi-square test and Fisher Exact test were used for analysis of categorical variables between the abused and non-abused group. Prevalence of domestic violence were calculated and compared.ResultsThe prevalence of domestic violence among this group of patients (7.6%) was found to be lower when compared with other studies. Verbal abuse was the commonest form of violence in our locality. The median age of the abused group and the non-abused group were both 56 years old, with the age ranging from 40 to 64 and 29 to 70 years old respectively. The prevalence of domestic violence among patients with overactive bladder syndrome, stress urinary incontinence and mixed urinary incontinence were 19.5%, 4.2% and 5.5% respectively (Fisher Exact test for whole group, P<0.05).ConclusionThe prevalence and nature of abuse in our locality was different from the quoted figures worldwide. Patients with overactive bladder syndrome were more likely to be victims of abuse than patients with other urinary symptoms. The difference in the prevalence of domestic violence among patients with different urinary symptoms could be related to their underlying pathophysiology. When encountering patients with overactive bladder syndrome, clinicians should consider this high incidence of domestic violence and provide prompt referral whenever necessary.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Prevalence of Domestic Violence in Hong Kong Chinese Women Presenting with Urinary Symptoms

Paulin

Pun

2016

PLoS ONE

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“…Worldwide violence is a vital community health distress commonly observed among all cultures, regardless of geographical limitation, educational level or economic development (4). Domestic violence is defined as exerting any violent behaviour against another person and within an intimate relationship, and includes physical, psychological and sexual violence (5). Domestic violence may cause physical, psychological or sexual harm to those involved (6,7).…”

Section: Introductionmentioning

confidence: 99%

Relationship between domestic violence and infertility

Rahebi¹,

Rahnavardi²,

Rezaie-Chamani³

et al. 2019

East Mediterr Health J

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Background: Infertility is a significant psychological stressor among infertile couples. Aggressive behaviour such as domestic violence may be the consequence of this situation. Aims: To determine the relationship between domestic violence and infertility and its associated factors. Methods: This unmatched case-control study was conducted on 400 women who were referred to Al-Zahra teaching Hospital in Rasht, Islamic Republic of Iran, from May to December 2015. The data were collected by WHO Domestic violence questionnaire, which was validated in the Islamic Republic of Iran. Data were analyzed by using descriptive and analytical statistic (Chi square, t test, and logistic regression). Results: Out of the 200 infertile women 136 (68%) reported a history of physical violence, 120 (60%) had experienced sexual violence and 140 (70%) had psychological violence. There was a significant relationship between infertility and physical, sexual and psychological violence (P < 0.05). Logistic regression analysis revealed that the education level of women [OR= 0.176, 95% CI (0.070-0.446)], unemployment husband [OR=15.83, 95% CI (1.307-191.977)] and infertility [OR= 0.133, 95% CI (0.057-0.31)] were associated with domestic violence (P < 0.05). Conclusions: In this study there was a relationship between infertility and physical, sexual and psychological violence and infertile women were more likely to encounter domestic violence. Screening for domestic violence is necessary for infertile couples.

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“…Parmi les femmes abusées, 72 % rapportent une expérience d'incontinence urinaire contre seulement 22 % parmi les femmes non abusées ; des phénomènes rétentionnistes (bas débit, perceptions de plénitude vésicale...) sont également plus fréquents dans le groupe des femmes abusées. D'autres types d'abus, comme les abus physiques ou le harcèlement moral, peuvent aussi favoriser la survenue de signes urinaires [3].…”

Section: L'existence D'un Lien Entre Trouble Vésico-sphinctérien Et Aunclassified

Troubles vésico-sphinctériens et abus sexuel

2006

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Les patients ayant subi un abus sexuel peuvent présenter des troubles vésico-sphinctériens apparaissant dans les suites immédiates de celui-ci, mais également parfois plus tard. Devant des troubles urinaires un peu inhabituels, il faut savoir penser à la possibilité d'anté-cédent d'abus. L'existence d'un lien de causalité repose sur le suivi des patients, sur les enquêtes de fréquences des troubles selon les populations abusées et les populations de références et sur l'histoire personnelle de chaque patient. Les symptômes cliniques en cause peuvent paraître banals, certains sont plus évocateurs (énurésie secondaire, symptômes d'hyperactivité vésicale, rétention urinaire...) mais c'est surtout le contexte général (état de stress posttraumatique) et symptomatique (association à une encoprésie chez l'enfant, pseudo-dyssynergie vésico-sphinctérienne...) qui attire l'attention. Globalement, le contexte peut être celui d'un syndrome de « fermeture » : dysurie, rétention, encoprésie, vaginisme, ou celui d'un syndrome « émotionnel », de stress, de désinhibi-tion avec un syndrome d'hyperactivité vésicale, des troubles fonctionnels intestinaux, un syndrome fibromyalgique, pouvant même parfois prendre le masque d'une vessie neurologique. La prise en charge thérapeu-tique n'est pas codifiée, mais reste avant tout symptomatique du trouble vésico-sphinctérien. La prise en charge psychothérapeutique spécifique ne peut être proposée que lorsque le patient y est prêt et le rôle du thérapeute est donc de lui suggérer les liens possibles et les possibilités d'un accompagnement thérapeutique. Mots clés : Abus sexuel -Syndrome de HinmannTroubles vésico-sphinctériensBladder-sphincter dysfunction and sexual abuse Abstract: Patients who have experienced sexual abuse can present with bladder-sphincter dysfunction immediately after the abuse, as well as at a later time. When confronted by somewhat unusual urinary disorders, physicians must evaluate the possibility of antecedent sexual abuse. Uncovering the existence of a causal link depends on patient follow-up, assessment of the frequency of disorders according to the abused and reference populations, and the personal history of each patient. Although clinical symptoms may appear common and non-serious, certain elicit more concern (secondary enuresis, overactive bladder, urinary retention, and so on). Most importantly, however, it is the overall context (post-traumatic stress disorder) and symptoms (association with childhood encopresis and pseudo-bladder sphincter dyssynergia, for example) that should spark attention. Overall, the context can be a ''closure'' syndrome: dysuria, retention, encopresis, vaginismus, a psychological syndrome, stress, disinhibition accompanied by overactive bladder, intestinal disorders, fibromyalgia syndrome, or sometimes even neurogenic bladder. Therapeutic management has not been codified, but remains symptomatic of bladdersphincter dysfunction. Special psychotherapy must only be pursued when the patient is ready, and the role of the therapist must, theref...

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The prevalence of emotional abuse in gynaecology patients and its association with gynaecological symptoms

Cited by 18 publications

References 11 publications

Prevalence of Domestic Violence in Hong Kong Chinese Women Presenting with Urinary Symptoms

Prevalence of Domestic Violence in Hong Kong Chinese Women Presenting with Urinary Symptoms

Relationship between domestic violence and infertility

Troubles vésico-sphinctériens et abus sexuel

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