Differing symptoms of abused versus nonabused women in obstetric-gynecology settings.
OBJECTIVE
The purpose of this study was to document the prevalence rates of reported abuse in obstetric/gynecology settings and to characterize physical symptoms, function, and psychologic distress of women who report abuse.


METHODS
This was a descriptive study of 118 patients who reported physical or sexual abuse in the past year and 2800 patients who reported no abuse at seven obstetric/gynecology practices. The Patient Health Questionnaire measured psychiatric diagnoses, somatic complaints, and psychosocial stressors. The Medical Outcomes Study Short Form 20 assessed health status, and self-reported health care use was measured.


RESULTS
Four percent of women reported recent abuse. Patients who reported abuse had more psychiatric diagnoses, more severe psychologic distress, more somatic symptoms, more psychosocial stressors, more physician visits, and poorer reported health status compared with nonreporters of abuse.


CONCLUSIONS
Enhanced recognition of possible abuse through screening may identify women in need of intervention and help to reduce the need for continued medical intervention.
Kovac
Stacey H
SH
Center for Outcomes and Effectiveness Research and Education, University of Alabama at Birmingham, USA. skovac@dopm.uab.edu
Klapow
Joshua C
JC
Kroenke
Kurt
K
Spitzer
Robert L
RL
Williams
Janet B W
JB
D000328:Adult; D005260:Female; D006176:Gynecology / Q000379:methods*; D006304:Health Status; D006801:Humans; D015994:Incidence; D008599:Menstruation Disturbances / Q000453:epidemiology; D001523:Mental Disorders / Q000209:etiology / Q000523:psychology; D009774:Obstetrics / Q000379:methods*; D011293:Premenstrual Syndrome / Q000453:epidemiology; D012720:Severity of Illness Index; D013179:Spouse Abuse / Q000175:diagnosis* / Q000523:psychology / Q000706:statistics & numerical data; D013315:Stress, Psychological / Q000209:etiology; D011795:Surveys and Questionnaires