Gender differences in characteristics of violent and sexual victimization in patients with psychosis: a cross-sectional study

Abstract Introduction Various studies have demonstrated that individuals with a psychotic disorder are at an increased risk of becoming a victim of crime. Little is known about gender differences in victimization types and in specific characteristics of victimization (e.g., perpetrator, location or...

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Autores principales:	E. C. D. van der Stouwe, L. A. Steenhuis, G. H. M. Pijnenborg, B. de Vries, Pharmacotherapy and outcome survey (PHAMOUS)-investigators, A. A. Bartels-Velthuis, S. Castelein, W. Veling, E. Visser, J. T. van Busschbach
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Psychiatry RC435-571
Acceso en línea:	https://doaj.org/article/0da712de37f9410e87c58b193ef6f1de
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spelling	oai:doaj.org-article:0da712de37f9410e87c58b193ef6f1de2021-11-07T12:08:34ZGender differences in characteristics of violent and sexual victimization in patients with psychosis: a cross-sectional study10.1186/s12888-021-03558-81471-244Xhttps://doaj.org/article/0da712de37f9410e87c58b193ef6f1de2021-11-01T00:00:00Zhttps://doi.org/10.1186/s12888-021-03558-8https://doaj.org/toc/1471-244XAbstract Introduction Various studies have demonstrated that individuals with a psychotic disorder are at an increased risk of becoming a victim of crime. Little is known about gender differences in victimization types and in specific characteristics of victimization (e.g., perpetrator, location or disclosure). Knowledge on characteristics of victimization would provide clinicians with more insight which may be especially useful for tailoring interventions. The aim of this study is to examine gender differences in characteristics of violent and sexual victimization in patients with a psychotic disorder. Methods Information on violent (threats, physical abuse) and sexual victimization (harassment, assault) was assessed in 482 individuals with a psychotic disorder who received mental health care. Patients were recruited through a routine outcome monitoring study and a clinical trial. Results Men reported more threats with violence (20.7% vs. 10.5%, x2 = 7.68, p = 0.01), whereas women reported more sexual assault (13.3% vs. 3.6%, x2 = 15.43, p < 0.001). For violent victimization, women were more likely than men to be victimized by a partner, friend or family member (52.9% vs. 30.6%) as opposed to a stranger (11.8% vs. 40.3%; O.R. = 52.49) and to be victimized at home (60.0% vs. 29.3%) as opposed to on the street or elsewhere (40.0% vs. 70.3%; O.R. = 0.06). For sexual victimization, there was no difference in location and perpetrator between men and women. For sexual victimization and physical violence, no differences in disclosure were found, but women were more likely not to disclose threats with violence or to disclose threats to a professional or police (52.9% vs. 45.2%; O.R. = 30.33). All analyses were controlled for age, diagnosis and employment. Discussion Gender patterns of victimization types and characteristics are similar for individuals with a psychotic disorder in comparison to the general population. Men were at higher risk of violent victimization, whereas women were at higher risk for sexual victimization. Men were more likely to become victimized in the streets or elsewhere by a stranger, whereas women seemed to be more often victimized at home by a partner, friend or a family member. Future studies may tailor interventions preventing victimization in psychosis according to gender.E. C. D. van der StouweL. A. SteenhuisG. H. M. PijnenborgB. de VriesPharmacotherapy and outcome survey (PHAMOUS)-investigatorsA. A. Bartels-VelthuisS. CasteleinW. VelingE. VisserJ. T. van BusschbachBMCarticlePsychiatryRC435-571ENBMC Psychiatry, Vol 21, Iss 1, Pp 1-9 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Psychiatry RC435-571
spellingShingle	Psychiatry RC435-571 E. C. D. van der Stouwe L. A. Steenhuis G. H. M. Pijnenborg B. de Vries Pharmacotherapy and outcome survey (PHAMOUS)-investigators A. A. Bartels-Velthuis S. Castelein W. Veling E. Visser J. T. van Busschbach Gender differences in characteristics of violent and sexual victimization in patients with psychosis: a cross-sectional study
description	Abstract Introduction Various studies have demonstrated that individuals with a psychotic disorder are at an increased risk of becoming a victim of crime. Little is known about gender differences in victimization types and in specific characteristics of victimization (e.g., perpetrator, location or disclosure). Knowledge on characteristics of victimization would provide clinicians with more insight which may be especially useful for tailoring interventions. The aim of this study is to examine gender differences in characteristics of violent and sexual victimization in patients with a psychotic disorder. Methods Information on violent (threats, physical abuse) and sexual victimization (harassment, assault) was assessed in 482 individuals with a psychotic disorder who received mental health care. Patients were recruited through a routine outcome monitoring study and a clinical trial. Results Men reported more threats with violence (20.7% vs. 10.5%, x2 = 7.68, p = 0.01), whereas women reported more sexual assault (13.3% vs. 3.6%, x2 = 15.43, p < 0.001). For violent victimization, women were more likely than men to be victimized by a partner, friend or family member (52.9% vs. 30.6%) as opposed to a stranger (11.8% vs. 40.3%; O.R. = 52.49) and to be victimized at home (60.0% vs. 29.3%) as opposed to on the street or elsewhere (40.0% vs. 70.3%; O.R. = 0.06). For sexual victimization, there was no difference in location and perpetrator between men and women. For sexual victimization and physical violence, no differences in disclosure were found, but women were more likely not to disclose threats with violence or to disclose threats to a professional or police (52.9% vs. 45.2%; O.R. = 30.33). All analyses were controlled for age, diagnosis and employment. Discussion Gender patterns of victimization types and characteristics are similar for individuals with a psychotic disorder in comparison to the general population. Men were at higher risk of violent victimization, whereas women were at higher risk for sexual victimization. Men were more likely to become victimized in the streets or elsewhere by a stranger, whereas women seemed to be more often victimized at home by a partner, friend or a family member. Future studies may tailor interventions preventing victimization in psychosis according to gender.
format	article
author	E. C. D. van der Stouwe L. A. Steenhuis G. H. M. Pijnenborg B. de Vries Pharmacotherapy and outcome survey (PHAMOUS)-investigators A. A. Bartels-Velthuis S. Castelein W. Veling E. Visser J. T. van Busschbach
author_facet	E. C. D. van der Stouwe L. A. Steenhuis G. H. M. Pijnenborg B. de Vries Pharmacotherapy and outcome survey (PHAMOUS)-investigators A. A. Bartels-Velthuis S. Castelein W. Veling E. Visser J. T. van Busschbach
author_sort	E. C. D. van der Stouwe
title	Gender differences in characteristics of violent and sexual victimization in patients with psychosis: a cross-sectional study
title_short	Gender differences in characteristics of violent and sexual victimization in patients with psychosis: a cross-sectional study
title_full	Gender differences in characteristics of violent and sexual victimization in patients with psychosis: a cross-sectional study
title_fullStr	Gender differences in characteristics of violent and sexual victimization in patients with psychosis: a cross-sectional study
title_full_unstemmed	Gender differences in characteristics of violent and sexual victimization in patients with psychosis: a cross-sectional study
title_sort	gender differences in characteristics of violent and sexual victimization in patients with psychosis: a cross-sectional study
publisher	BMC
publishDate	2021
url	https://doaj.org/article/0da712de37f9410e87c58b193ef6f1de
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Gender differences in characteristics of violent and sexual victimization in patients with psychosis: a cross-sectional study

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