title: Victimization and Vulnerability: A Study of Incarceration, Interpersonal Trauma, and Patient-Physician Trust.
abstract: Despite the critical importance of patient-physician trust, it may be compromised among vulnerable patients, such as (1) incarcerated patients and (2) those patients who have been victims of trauma. The purpose of this study was to examine patient-physician trust among forensic and civilian psychiatric inpatient populations and to explore whether it varied based on a patient's history of incarceration and/or victimization. A trust survey (WFPTS) and a trauma instrument (LEC-5) were administered to 93 patients hospitalized on forensic and civilian psychiatric hospital units in a large, urban public hospital. Results showed no difference in patient-physician trust between incarcerated and civilian patients. Similarly, there was no effect of a history of physical assault or sexual assault on ratings of patient-physician trust. However, the hospitalized civilian and forensic patients who reported being the victim of weapons assault had significantly lower patient-physician trust scores than their counterparts.
authors.affiliation: Department of Psychiatry, New York University School of Medicine, New York City, NY, USA. Alexandra.junewicz@nyumc.org.
authors.forename: Alexandra
authors.identifier: 0000-0003-3731-2983
authors.initials: A
authors.lastname: Junewicz
authors.affiliation: Janian Medical Care, New York City, NY, USA.
authors.forename: Kelly J
authors.initials: KJ
authors.lastname: Kleinert
authors.affiliation: The Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, NY, USA.|New York City Health and Hospitals Corporation, New York City, NY, USA.|Division of Medical Ethics, NYU Langone Medical Center, New York City, NY, USA.
authors.forename: Nancy Neveloff
authors.initials: NN
authors.lastname: Dubler
authors.affiliation: Division of Medical Ethics, Department of Population Health, New York University School of Medicine, New York City, NY, USA.
authors.forename: Arthur
authors.initials: A
authors.lastname: Caplan
mesh_terms: D000328:Adult; D019548:Crime Victims / Q000523:psychology*; D006801:Humans; D007297:Inpatients / Q000523:psychology*; D008297:Male; D008875:Middle Aged; D010817:Physician-Patient Relations; D011329:Prisoners / Q000523:psychology*; D000067073:Psychological Trauma / Q000523:psychology*; D035502:Trust / Q000523:psychology*; D014754:Violence / Q000523:psychology*; D055815:Young Adult
keywords: Incarceration; Patient–physician relationship; Trauma; Trust