What are the needs of alcohol dependent patients with a history of sexual violence? A case-register study in a metropolitan region.
Standard
What are the needs of alcohol dependent patients with a history of sexual violence? A case-register study in a metropolitan region. / Schäfer, Ingo; Verthein, Uwe; Oechsler, Harald; Deneke, Christiane; Riedel-Heller, Steffi; Martens, Marcus.
In: DRUG ALCOHOL DEPEN, Vol. 105, No. 1-2, 1-2, 2009, p. 118-125.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
Harvard
APA
Vancouver
Bibtex
}
RIS
TY - JOUR
T1 - What are the needs of alcohol dependent patients with a history of sexual violence? A case-register study in a metropolitan region.
AU - Schäfer, Ingo
AU - Verthein, Uwe
AU - Oechsler, Harald
AU - Deneke, Christiane
AU - Riedel-Heller, Steffi
AU - Martens, Marcus
PY - 2009
Y1 - 2009
N2 - BACKGROUND: Sexual violence has become increasingly apparent as a factor determining more complex treatment needs in patients with substance abuse. However, empirical evidence on specific patterns of differences between patients with and without a history of sexual violence is scarce. METHODS: Our sample consisted of alcohol dependent outpatients treated during a two-year period in a German metropolitan region. The analysis was based on a local case register and included all patients for whom information on lifetime sexual violence was available (N=1981; 33.4% female). In a case-control design, patients with a history of sexual violence were compared to patients without such experiences regarding a wide range of clinical and social factors indicative of potential needs. RESULTS: More than 35% of the female patients and 6% of the male patients reported a history of sexual violence. Victims differed from non-victims across a variety of domains, including psychiatric symptoms and suicide attempts, legal problems, financial and family problems, previous use of services, and need for additional services during the current treatment. Patient gender emerged as a significant moderator of several of these associations. CONCLUSIONS: The findings indicate that an effort needs to be made to link addiction treatment, other parts of the health care system, and further institutions, such as family services and parts of the legal system, so that the complex needs of this vulnerable population can be met in an adequate way.
AB - BACKGROUND: Sexual violence has become increasingly apparent as a factor determining more complex treatment needs in patients with substance abuse. However, empirical evidence on specific patterns of differences between patients with and without a history of sexual violence is scarce. METHODS: Our sample consisted of alcohol dependent outpatients treated during a two-year period in a German metropolitan region. The analysis was based on a local case register and included all patients for whom information on lifetime sexual violence was available (N=1981; 33.4% female). In a case-control design, patients with a history of sexual violence were compared to patients without such experiences regarding a wide range of clinical and social factors indicative of potential needs. RESULTS: More than 35% of the female patients and 6% of the male patients reported a history of sexual violence. Victims differed from non-victims across a variety of domains, including psychiatric symptoms and suicide attempts, legal problems, financial and family problems, previous use of services, and need for additional services during the current treatment. Patient gender emerged as a significant moderator of several of these associations. CONCLUSIONS: The findings indicate that an effort needs to be made to link addiction treatment, other parts of the health care system, and further institutions, such as family services and parts of the legal system, so that the complex needs of this vulnerable population can be met in an adequate way.
M3 - SCORING: Zeitschriftenaufsatz
VL - 105
SP - 118
EP - 125
JO - DRUG ALCOHOL DEPEN
JF - DRUG ALCOHOL DEPEN
SN - 0376-8716
IS - 1-2
M1 - 1-2
ER -