Adult adjustment of survivors of institutional child abuse in Ireland

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Title: Adult adjustment of survivors of institutional child abuse in Ireland
Authors: Carr, Alan
Dooley, Mark
Flanagan, Edel
Flanagan-Howard, Roisín
Tierney, Kevin
White, Megan
Daly, Margaret
Egan, Jonathan
Permanent link: http://hdl.handle.net/10197/5174
Date: Jul-2010
Abstract: Method Two hundred and forty-seven adult survivors of institutional abuse with a mean age of 60 were interviewed with a protocol that included the Childhood Trauma Questionnaire, modules from the Structured Clinical Interview for Axis I Disorders of DSM IV and the Structured Clinical Interview for DSM IV Personality Disorders, the Trauma Symptom Inventory, and the Experiences in Close Relationships Inventory. Results The prevalence of psychological disorders among adult survivors of institutional abuse was over 80% and far higher than in the normal population, with anxiety, mood and substance use disorders being the most prevalent diagnoses. Survivors also had high rates of trauma symptoms and insecure adult attachment styles, and these were higher for those who had experienced both institutional and intrafamilial abuse. Conclusions There was an association between the experience of institutional abuse in childhood and the prevalence of adult mental health problems, particularly anxiety, mood and substance use disorders. Practice implications Policies, practices and procedures should be regularly reviewed and revised to maximize protection of young people in institutional care. Evidence-based psychological treatment should be made available to adult survivors of institutional abuse.
Type of material: Journal Article
Publisher: Elsevier
Copyright (published version): 2010 Elsevier Ltd.
Keywords: Institutional abuseClerical abuse
DOI: 10.1016/j.chiabu.2009.11.003
Language: en
Status of Item: Peer reviewed
Appears in Collections:Psychology Research Collection

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