title: Exposure to violence among substance-dependent pregnant women and their children.
abstract: This study examined the prevalence of exposure to violence among drug-dependent pregnant women attending a multidisciplinary perinatal substance abuse treatment program. Participants (N = 715) completed the Violence Exposure Questionnaire within 7 days after their admission to the program. Their rates of lifetime abuse ranged from 72.7% for physical abuse to 71.3% for emotional abuse to 44.5% for sexual abuse. Their rates of abuse remained high during their current pregnancy, ranging from 40.9% for emotional abuse to 20.0% for physical abuse to 7.1% for sexual abuse. Nearly one third of the women reported having physical fights with their current partner (lifetime), and 25% of these women reported that children were present during those physical fights. A total of 30% of the women perceived a need for counseling regarding exposure to violence for themselves and 15% perceived a need for counseling for their children. Study findings confirm previous reports of high rates of abuse and violence exposure among substance-abusing pregnant women and their strong need for counseling for psychosocial sequelae. This study affirmed the value of routine screening for violence exposure in this at-risk population as well as the need to train therapists in specific strategies for helping such women address this complex array of problems.
authors.affiliation: Johns Hopkins University School of Medicine, Baltimore, MD, USA. mvelez@jhmi.edu
authors.forename: Martha L
authors.initials: ML
authors.lastname: Velez
authors.forename: Ivan D
authors.initials: ID
authors.lastname: Montoya
authors.forename: Lauren M
authors.initials: LM
authors.lastname: Jansson
authors.forename: Vickie
authors.initials: V
authors.lastname: Walters
authors.forename: Dace
authors.initials: D
authors.lastname: Svikis
authors.forename: Hendree E
authors.initials: HE
authors.lastname: Jones
authors.forename: Howard
authors.initials: H
authors.lastname: Chilcoat
authors.forename: Jacquelyn
authors.initials: J
authors.lastname: Campbell
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D016241:Child of Impaired Parents / Q000523:psychology* / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D008297:Male; D011247:Pregnancy; D012931:Social Environment; D019966:Substance-Related Disorders / Q000453:epidemiology*; D011795:Surveys and Questionnaires; D014754:Violence / Q000706:statistics & numerical data*