Prevalence of Intimate Spouse Violence among Female Patients with Mental Illnesses
Objective : To study the prevalence of physical abuse, mental abuse, and sexual abuse among women with mental illnesses, and factors associated with intimate partner violence.
Method : A cross-sectional descriptive study was conducted. The participants were 127 female who received treatment in the Psychiatry Department at Thai Army Hospital in 2018. All participants self-administered questionnaires, including demographic data and intimate partner violence assessment form, index of spouse abuse (ISA) in the Thai version.
Results : The prevalence of intimate partner violence among women with mental illnesses was 44.9%, which 16.5% was physical abuse, 37.8% was mental abuse, and 19.6% was sexual abuse. Patients who have violence more than one aspect of abuse were 15% and found that 17% encountered physical abuse together with mental abuse, 16% encountered with all 3 aspects of abuse. The highest prevalence was found in major depressive disorder (37 patients; 29.1%, in this group found violence abuse of 38.6%, followed by 33 patients with generalized anxiety disorder (26%), in this group found violence abuse of 21.1%, 14 patient with schizophrenia (11%) and 10 patients with disorder (7.9%). Factors that significantly associated with intimate partner violence were consisted of 8 factors, which were wife’s age, wife’s occupation, husband’s substance addiction, husband’s gambling addiction, wife who had been victims of childhood abuse, husband who had been victims of childhood abuse, wife who had been in abusive family, and husband who had been in abusive family. When analysing all 8 factors with multiple logistic regression, it is found that the most influential factors are unemployed wife, wife’s age between 40-49 years old, and a husband who had been in the abusive family.
Conclusion : Intimate partner violence has been increasing comparison to previous studies. This study found that the highest prevalence of violence is mental abuse, followed by sexual abuse, and physical abuse respectively, it is found that the most influential factors are unemployed wife, wife’s age between 40-49 years old, and a husband who had been in the abusive family.
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