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2015, Number 4

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Gac Med Mex 2015; 151 (4)

Domestic violence in patients and caregivers dyads in neurological diseases

Sánchez-Guzmán MA, Paz-Rodríguez F, Espinola-Nadurille M, Trujillo-De Los Santos Z

Language: Spanish
References: 13
Page: 450-455
PDF size: 225.48 Kb.


ABSTRACT

Introduction: Patients with neurological diseases are susceptible to abuse and neglect. Studies on violence in this context have mainly focused on abuse perpetrated by a caregiver to the patient directionally. In this study we describe violence in dyads of caregivers and patients with neurological disorders according to frequency, directionality, and type of relation. Methods: One-hundred-and-eighty-five caregiver-patient dyads were assessed by means of the National Survey of Violence Against Women (NSVAW) guidelines and the Zarit and Pfeiffer questionnaires. Bivariate analysis and Spearman correlation tests were performed. Results: Violence was reported by 32.5% of caregivers and 33.5% of patients. In both groups, psychological abuse was the most common. Mutual violence (54.5%) is the most common type of abuse and the caregiver reported as having more violent behavior is the intimate partner. Epilepsy was the neurological disorder where violence was more prevalent (47.6%). Conclusions: The prevalence of violence in our sample is higher than the one for the general population of 21%, as reported by the NSVAW. Clinical neurologists and healthcare services are key elements for the detection of abuse in this context.


REFERENCES

  1. Schulman E, Depold, A. The American Academy of Neurology position statement on abuse and violence. Neurology. 2012;78:433-5.

  2. Díaz-Olavarrieta C, Campbell J, García C, et al. Domestic violence against patients with chronic neurologic disorders. Arch Neurol. 1999;56:681-5.

  3. Paz-Rodríguez F, Sánchez-Guzmán MA. Maltrato en pacientes neurológicos. An Psicol. 2011;23-33.

  4. Fulmer T, Paveza G, VandeWeerd C, et al. Dyadic vulnerability and risk profiling for elder neglect. Gerontologist. 2005;45:525-34.

  5. Paveza GJ, Cohen D, Eisdorfer C, et al. Severe family violence and Alzheimer’s disease: Prevalence and risk factors. Gerontologist. 1992;32:493-7.

  6. Pérez-Rojo G, Izal M, Montorio I, et al. Identificación de factores de riesgo de maltrato hacia personas mayores en el ámbito comunitario. Int J Clin Health Psychol. 2008;8:105-17.

  7. Copper C, Blanchard M, Selwood A, et al. Family carers’ distress and abusive behaviour: longitudinal study. Br J Psychiatry. 2010;196:480-5.

  8. Valdez-Santiago R, Híjar-Medina MC, Salgado de Snyder VN, et al. Escala de violencia e índice de severidad: una propuesta metodológica para medir la violencia de pareja en mujeres mexicanas. Salud Pública Méx. 2006;48:S221-31.

  9. Pfeiffer, E. (1975). A short portable mental status questionnaire for the assessment of organic brain deficit in elderly patients. J Am Geriatr Soc. 1975;23:433-41.

  10. Martínez J, Dueñas R, Onís M, et al. Adaptación y validación al castellano del cuestionario de Pfeiffer (SPMSQ) para detectar la existencia de deterioro cognitivo en personas mayores de 65 años. Med Clín (Barc) 2001;117:129-34.

  11. Higginson IJ, Gao W, Jackson D, et al. Short-form Zarit Caregiver Burden Interviews were valid in advanced conditions. J Clin Epidemiol. 2010; 63:535-42.

  12. Nunnally J, Bernstein Y. Teoría psicométrica. México: McGraw-Hill; 1995.

  13. Espinola-Nadurille M, Crail-Meléndez D, Sánchez-Guzmán MA. Stigma experience of people with epilepsy in Mexico and views of health care providers. Epilepsy Behav. 2013; http://dx.doi.org/10.1016/j.yebeh. 2013.12.007.




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