Assault and mental disorders

A cross-sectional study of urban adult primary care patients

Karinn Glover, Mark Olfson, Marc J. Gameroff, Yuval Neria

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

Objective: This study estimated the strength of associations between self-reported assault and psychiatric disorders among low-income, urban primary care patients who were predominantly female. Methods: A sample of adult patients who consecutively presented at an urban primary care practice completed the Life Events Checklist (N=1,157). They were also screened for current major depression, panic disorder, generalized anxiety disorder, and substance use disorders with the Primary Care Evaluation of Mental Disorders Patient Health Questionnaire; for bipolar disorder with the Mood Disorder Questionnaire; and for posttraumatic stress disorder (PTSD) with the PTSD Checklist-Civilian Version. A total of 977 of the respondents reported whether they had ever experienced an assault. Logistic regression was used to model associations between self-reported assault and screen status, controlling for relevant sociodemographic and clinical characteristics. Results: Twenty-five percent of study participants endorsed a history of physical or sexual assault. Compared with patients without a history of assault, patients with a history of assault had significantly greater odds of screening positive for PTSD (odds ratio [OR]=1.97, 95% confidence interval [CI]=1.19-3.25), alcohol use disorder (OR=2.17, CI=1.07-4.41), and drug use disorder (OR=3.38, CI=1.14-9.98). Conclusion: A history of assault was related to risk of screening positive for PTSD and a substance use disorder. These findings support assessment of trauma history among low-income primary care patients.

Original languageEnglish (US)
Pages (from-to)1018-1023
Number of pages6
JournalPsychiatric Services
Volume61
Issue number10
DOIs
StatePublished - Oct 2010

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Mental Disorders
Primary Health Care
Post-Traumatic Stress Disorders
Cross-Sectional Studies
Substance-Related Disorders
Odds Ratio
Confidence Intervals
Checklist
Panic Disorder
Mentally Ill Persons
Anxiety Disorders
Mood Disorders
Bipolar Disorder
Psychiatry
Logistic Models
Alcohols
Depression
Health
Wounds and Injuries
Surveys and Questionnaires

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Medicine(all)

Cite this

Assault and mental disorders : A cross-sectional study of urban adult primary care patients. / Glover, Karinn; Olfson, Mark; Gameroff, Marc J.; Neria, Yuval.

In: Psychiatric Services, Vol. 61, No. 10, 10.2010, p. 1018-1023.

Research output: Contribution to journalArticle

Glover, Karinn ; Olfson, Mark ; Gameroff, Marc J. ; Neria, Yuval. / Assault and mental disorders : A cross-sectional study of urban adult primary care patients. In: Psychiatric Services. 2010 ; Vol. 61, No. 10. pp. 1018-1023.
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