Gene/Protein Disease Symptom Drug Enzyme Compound
Pivot Concepts:   Target Concepts:
Query: UMLS:C0011570 (depression)
 172,036 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

It has been suggested that how one cognitively appraises his or her victimization experience will influence one's psychological adjustment. In this study, content analysis was conducted on the explanations given for their molestation by 84 female adolescent incest victims. The relationship of these explanations with measures of self-esteem and depression was examined. No relationship was found between self-esteem or depression scores and whether or not subjects found some meaning or explanation for their being molested. However, the type of attribution was related to self-esteem and depression, with subjects significantly more depressed and having lower self-esteem if they attributed the molestation as due to something about self (internal attribution) versus some reason external to self (external attribution). Subjects making internal attributions were more likely to have experienced intercourse.
 ...
PMID:Attributions of female adolescent incest victims regarding their molestation. 195 79

Investigated the Rorschach characteristics of 28 mothers of incest victims, using the Rorschach Comprehensive System. Their characteristics were compared to those from a control group of 28 women, matched with the target group for socioeconomic status (SES), age, education, marital status, and the presence of children. Chi-square, analysis of variance, and a stepwise linear discriminant function analysis were used to evaluate Rorschach differences between the control and target groups. Major findings indicate that mothers of incest victims demonstrated significantly greater weaknesses in reality testing, more frequent signs of depression, and greater interpersonal guardedness than control group mothers. Discriminant function analysis, based on scores from the schizophrenia index (SCZI), conventional form (chi + %), and texture responses (t), yielded an overall accurate classification rate of 87.5% for placement of women into the target and control group categories.
 ...
PMID:Rorschach characteristics of mothers of incest victims. 228 Mar 14

Young adult women who had experienced incest and a matched comparison group were examined for differences in interpersonal functioning, sexual functioning, self-esteem, and emotional adjustment. Those reporting incest reported significantly poorer general social adjustment, especially in dating relationships. They had significantly lower levels of sexual satisfaction, lower self-esteem, and distorted body images, as well as greater depression and lower positive affect. These characteristics may be related not only to the incest experience but to the general family environment in which incest occurred, as significant differences in family characteristics were also observed.
 ...
PMID:Young adult women who report childhood intrafamilial sexual abuse: subsequent adjustment. 236 Aug 72

Patients who have experienced sexual exploitation by a previous therapist constitute an increasingly recognized clinical population. Although some of these patients were transiently overwhelmed or mildly disturbed when exploited, the majority were severely symptomatic and the victims of incest or other previous abuse. Many demonstrate a constellation of four factors that predisposes them to revictimization or the sitting duck syndrome: severe symptoms, idiosyncratic dynamics, atypical socialization that discourages self-care, and cognitive difficulties. The experience of such exploitation is not benign, although the sequelae vary considerably. The treatment of such patients is facilitated by arranging the therapy in a way that maximizes safety and clear communication. The importance of hearing the patient' own reconstructions, pacing the treatment to the patient's tolerance, and respecting the patient's agenda cannot be overemphasized. A cluster of issues that appear central to the treatment of such patients includes addressing their helplessness, their ambivalence about the exploitive therapist, their difficulties with trust, their guilt, their depression and pressures toward self-harm, their confusion over sexuality, their post-traumatic and dissociative features, their severe symptoms and the diagnostic confusion this involves, and the countertransference pressures upon the therapist.
 ...
PMID:Treating the patient who has been sexually exploited by a previous therapist. 274 49

1. Yalom's "curative factors" provide a helpful "here and now" model for inpatient group therapy with incest survivors. 2. Psychiatric nurses are in an excellent position to identify female patients who have been sexually abused and to establish and conduct therapy groups for these women. 3. Preparation of women for the group by the therapist is an essential prerequisite for successful integration into the group. 4. During hospitalization, some of the women may experience brief psychotic episodes, suicidal ideation, self-mutilation, and increased depression, which may preclude group attendance for brief periods. However, these experiences will provide ongoing opportunities for exploration of group feelings of anger, helplessness, despair, and alienation.
 ...
PMID:Resolving incest experiences through inpatient group therapy. 279 50

Although physical and sexual abuse are separate and distinct types of victimization, their impact on children is quite similar. Both of these forms of maltreatment involve the exploitation or misuse of a child by a parent or caretaker in the context of a pathologic family system. Physical and sexual abuse constitute an acute traumatic event for the child, generating phobic responses and anxiety-related symptoms including post-traumatic stress disorder. The long-term traumatic elements stemming from the chronic stigmatization and scapegoating contribute to problems of depression and low self-esteem and distortions in character formation. Betrayal by a primary caretaker leads to mistrust of others and difficulties with object relationships. Perhaps the most striking similarity between physical and sexual abuse of children is the tendency of the children to re-enact and recreate their victimization with others, leading to a transmission of violence in the next generation. Like their parents who were frequently victimized during childhood, they repeat and perpetuate an "aggressor-victim" interaction in their subsequent relationships. Both physical and sexual abuse are embedded in a deviant family structure, which adds to the psychopathology of the children. The contrast between physical and sexual abuse can be demonstrated by their specific impact on aggression and sexuality, respectively. The physically abused child has difficulty in experiencing and modulating aggressive impulses, whereas the victim of incest is often impaired in his ability to experience and integrate sexual feelings. The physically abused child is also at greater risk for cognitive and CNS impairment. Intervention with the abusing parents is the first step in protecting the children from further damage, but treatment of the child victims is necessary not only to diminish their psychopathology and emotional distress, but to prevent the cycle of violence in the next generation.
 ...
PMID:Child maltreatment and its victims. A comparison of physical and sexual abuse. 306 93

The current study examined the incidence and long-term effects of sexual abuse in a nonclinical sample of adult women. Approximately 15% of 278 university women reported having had sexual contact with a significantly older person before age 15. On a modified version of the Hopkins Symptom Checklist, these women reported higher levels of dissociation, somatization, anxiety, and depression than did nonabused women. Abuse-related symptomatology was positively associated with the age of the abuser, the total number of abusers, use of force during victimization, parental incest, completed intercourse, and extended duration of time.
 ...
PMID:Symptomatology associated with childhood sexual victimization in a nonclinical adult sample. 336 83

The literature on the current health problems of women is reviewed, clarifying the conditions and updating present knowledge of women's health within the context of medical and social research. Both medical professionals and women have begun to address women's health issues with 4 major issues receiving particular emphasis: the charge that physicians fail to take women's complaints seriously; the allegation that the population of women is being drugged; the accusation that women experience excessive surgical procedures; and the notion that sexism is inherent in American medical education. Focus on these issues is not the answer. Women, individually and collectively, need to clarify issues of women's health within the context of modern research and understanding. The literature is reviewed in the categories of prepubescent females, adolescence and the young woman, women's reproductive lives, life styles of the middle years, external and internal abuse, and aged women. The estimated annual occurrence of 60,000-100,000 cases of incest and/or sexual abuse among prepubescent females makes it a women's health issue of serious dimension. The victims are overwhelmingly female with a ratio of 10 females to 1 male child. Appetite disorders, known as patharexia, are a major public health problem of female adolescents. After depression, they represent the most common emotional illness among young girls and women. Anorexia nervosa, bulimarexia, and bulimia all are characterized by body image and distortion and the victim's obsessive desire to be thin. A more conforming, but still inappropriately adapted, response to social expectations for women is teen pregnancy. Teenagers who decide to have their babies often are those with the fewest options. Voluntary childlessness, late age childbirth, and issues of reproductive freedom are having social, political, and economic impact on the lives of all women. The prevailing social context of sexism and inequality contributes to the origin and persistence of problems of women patients, as demonstrated by the correlation between subordinate group status and mental health. Many changes have been initiated as a result of pressure from individual women and from the women's health care movement. For example, medical schools are reforming their training in values, ethics, and human relations. Women have begun to assume more control over their own lives and well being. Women's groups such as the Boston Women's Health Collective have set the pattern for a proliferation of self-help manuals available to the general readership. Recent media attention has focused on such women's health issues as family violence, incest, and battering. Women have challenged the medical professionals in their treatments, and medical professionals need to see beyond individual symptoms to the context of illness in women. Complete health for women can be a new model for other social movements.
 ...
PMID:Women's health from a woman's point of view: a review of the literature. 352 18

Adolescent sexual abuse is an overwhelming issue for society and the medical community. Adolescent medicine has only begun to emerge in the mainstream of medical practice. Sexual medicine, adolescent chemical dependency, and abusive medicine are emerging subspecialties of mainstream medicine, with victimization syndromes just beginning to be explored. Adolescent sexual abuse, sexual addiction disorders, family incest, eating disorders, depression, and suicide in adolescents all need to be viewed from epidemiologically regarding family and community orientation. I refer to physician and troubled adolescent relations as the quadruple passivity syndrome. The ego-centered, troubled adolescent denies he or she has problems but no desire for treatment; the physician denies that the adolescent has health problems and has no desire to evaluate them. Physicians need to take an aggressive role in identifying, treating, and preventing the victimization process in children, adolescents, adults, spouses, families, and geriatric patients. Physicians need to be trained to identify these patients and to develop treatment protocols. The victimization syndrome needs more research, publication, and surveillance by all medical associations, but primarily by family physicians and pediatricians. In conclusion this clinical discussion describes four main points: Sexually abused adolescents can be successfully treated by a multidisciplinary advocacy team. A community multidisciplinary team can work in a unified approach for the good of the community by putting an end to future generations of victimized adolescents and families. The medical community has the greatest challenge in training, educating, and becoming more aware about adolescent sexual abuse. The community must provide support for victims of sexual abuse.
 ...
PMID:Adolescent sexual abuse: clinical discussion of a community treatment response. 360 60

Twenty-seven incest victims, aged 12-18, responded to their experiences with self-destructive behaviors such as substance abuse, suicide attempts, perfectionism, isolation, or depression in attempts to alleviate stress or assert some control over helplessness created by the incest. Therapy focused on the premise that such adolescent behaviors are logical and predictable survival responses rather than simply clues to sexual abuse. Treatment goals included establishing trust, helping the victim re-define his or her role in the incest, view destructive behaviors as predictable responses, and understand that present behaviors are a continuation of these past survival responses. Such self-awareness encourages the adolescent to better manage or discontinue now inappropriate behaviors.
 ...
PMID:Survival responses to incest: adolescents in crisis. 408 31


1 2 3 4 Next >>