[SEXUAL TRAUMA INQUIRY DURING PSYCHIATRIC HOSPITALIZATION IN ISRAEL: FACILITATORS AND BARRIERS TO IMPLEMENTATION OF TRAUMA-INFORMED CARE].

Harefuah Pub Date : 2023-09-01
Inbal Brenner, Zivya Seligman, Esther Bloemhof-Bris, Shmuel Hirschmann
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Abstract

Introduction: A history of sexual trauma (ST) and, especially, of childhood sexual abuse (CSA) is common among men and women with mental disorders. The estimated prevalence ranges between one-third to two-thirds of psychiatric patients who have experienced sexual trauma. These survivors are at increased risk for developing psychiatric disorders, including schizophrenia and bipolar disorder. Despite the great prevalence of sexual trauma and its mental implications, it remains under-diagnosed and under-recognized within the mental health system in Israel, as well as worldwide. This is due to the absence of a suitably comprehensive procedure for taking patient histories that will uncover sexual trauma. A history of sexual trauma also has implications for the course of the illness and prognosis. Trauma-informed treatment for survivors can reduce symptoms and alleviate mental suffering even many years after the traumatic events.

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[以色列精神病住院期间的性创伤调查:实施创伤知情护理的促进者和障碍]。
简介:性创伤(ST),尤其是儿童期性虐待(CSA)的历史在患有精神障碍的男性和女性中很常见。在经历过性创伤的精神病患者中,估计患病率在三分之一到三分之二之间。这些幸存者患精神疾病的风险增加,包括精神分裂症和双相情感障碍。尽管性创伤及其精神影响非常普遍,但在以色列乃至全世界的精神卫生系统中,对性创伤的诊断和认识仍然不足。这是由于缺乏一个适当的全面的程序来收集病人的病史,以发现性创伤。性创伤史对疾病的发展和预后也有影响。即使在创伤事件发生多年后,对幸存者进行创伤知情治疗也能减轻症状和精神痛苦。
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