This project was designed to explore the relationship between recollected trauma history, borderline personality symptomatology, and health care utilization among women in a primary care setting.
Women (N=116) consecutively recruited during routine gynecological appointments were given a set of questionnaires that explored 5 types of trauma (i.e., sexual, physical, and emotional abuse ; physical neglect ; witnessing violence) as well as borderline personality symptomatology.
The preceding 12 months of participants'medical records were blindly reviewed to determine several measures of health care utilization (i.e., number of telephone contacts to the facility, physician visits, ongoing and acute prescriptions, specialist referral).
Multiple forms of trauma were related to increased telephone contacts, physician visits, acute prescriptions, and ongoing prescriptions.
Borderline personality symptomatology was related to physician visits and ongoing prescriptions.
Neither was related to the number of specialist referrals.
Total number of types of trauma and borderline personality symptomatology scores were moderately related to each other (r=36, p<. 01).
With the exception of specialist referrals, the experience of multiple types of trauma and borderline personality symptomatology contribute to higher health care utilization among women in a primary care setting, but not to a substantial degree. (...)
Mots-clés Pascal : Borderline état limite, Antécédent, Traumatisme infantile, Abus sexuel, Enfant maltraité, Utilisation, Service santé, Soin santé primaire, Santé mentale, Homme, Femelle, Trouble personnalité, Victimologie
Mots-clés Pascal anglais : Borderline, Antecedent, Early traumatism, Sexual abuse, Child abuse, Use, Health service, Primary health care, Mental health, Human, Female, Personality disorder, Victimology
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0253445
Code Inist : 002B18C09. Création : 11/09/1998.