title: A history of abuse and negative life events in patients with a sexually transmitted disease and in a community sample.
abstract: OBJECTIVE
  Our aim was to investigate the psychological impact of abuse and negative life events during childhood, adolescence and adulthood in patients recruited from a sexual health clinic.
  
  
  METHODS
  Sixty-two patients with a sexually transmitted disease (STD) were matched on age and gender with a community sample. Forty-two patients without an STD formed another control group. Subjects self-reported their trauma histories and current psychological distress.
  
  
  RESULTS
  Compared to controls, categories of abuse and negative life events were more prevalent in STD patients, particularly Physical/Sexual Abuse in adolescence and adulthood. Both within the STD and community samples, a negative life event category that measured illness/death of loved ones during childhood and adolescence predicted current psychological distress. In addition, Control Abuse (a subtype of psychological abuse involving selfish manipulation and deprivation) in childhood and adolescence strongly predicted current psychological distress in STD patients. In general, effects were stronger in females than in males. Psychological/Verbal Abuse did not independently predict current psychological distress, but accompanied other abuse types and possibly amplified their adverse effects.
  
  
  CONCLUSIONS
  Our findings suggest that multiple types of abuse and negative life events increase the risk of STD infection, perhaps by increasing the likelihood of multiple sexual partners. These patients may ignore social conventions of sexual behaviour because they are bitter about past life experiences. Alternatively, they may persistently search for affection to compensate for a lack of affection in the past.
authors.affiliation: School of Psychology, Murdoch University, Perth, Western Australia, Australia.
authors.forename: J K
authors.initials: JK
authors.lastname: Pitzner
authors.forename: J
authors.initials: J
authors.lastname: McGarry-Long
authors.forename: P D
authors.initials: PD
authors.lastname: Drummond
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D002649:Child Abuse / Q000523:psychology*; D002650:Child Abuse, Sexual / Q000523:psychology*; D006801:Humans; D008016:Life Change Events; D008875:Middle Aged; D010553:Personality Development; D012307:Risk Factors; D012749:Sexually Transmitted Diseases / Q000523:psychology*; D014904:Western Australia