Women Survivors of Child Abuse – Don’t Ask, Don’t Tell.

Women survivors of child abuse – Don’t ask, don’t tell.

Filed under: Depression Treatment

Aust Fam Physician. 2012 Nov; 41(11): 903-6
Lee A, Coles J, Lee SJ, Kulkarni J

Experiences of child abuse (CA) have been associated with poorer general health, gastrointestinal and gynaecological issues, an increased risk of depression, post-traumatic stress and anxiety. Women survivors of CA have higher levels of perceived need for treatment, median annual healthcare cost, medical doctor visits and other professional visits.Rates of disclosure of child abuse by women survivors are low, and general practitioners seldom ask women about such history. This study explored the experiences of women survivors: child abuse disclosure, GP service use and thoughts on being asked about their abuse experiences.A cross-sectional study containing quantitative and qualitative questions was conducted with 108 women child abuse survivors.Only 5% of the women disclosed their child abuse to their GP and 19% were asked about their child abuse history. More than half of the women (58%) asked reported feeling hopeful or relieved and none reported feeling offended.Rates of child abuse inquiry by GPs and disclosures by women survivors remain low. With the majority of women survivors reporting feeling relieved and none offended when asked about their child abuse experiences, GPs should consider asking women who present to their practice about such experiences: This may facilitate early intervention.
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Multiple finger nodules and an erythematous rash – A case study.

Filed under: Depression Treatment

Aust Fam Physician. 2012 Nov; 41(11): 885-6
Orgaz-Molina J, Salazar-Nievas M, Orgaz-Molina MC, Arias-Santiago S

Case study A previously well male, 18 years of age, from a rural community, presented with three painful, itchy nodules on the fingers of his left hand, which had been present for 1 week. He had been prescribed amoxicillin clavulanate but presented again when there was no improvement after 4 days of taking antibiotics. Examination revealed three erythematous and umbilicated nodules without any halo, but with a central depression with exudate (Figure 1a). No specific treatment was instituted at this visit. One week later the patient re-presented with new erythematous lesions on the palms and dorsum of his hands. The original three lesions had improved and were drier than previously (Figure 1b, c). The new lesions disappeared after 2 weeks and the original lesions after 4 weeks, without any other treatment.
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No evidence for depression screening in cardiovascular care settings: A comment on CANMAT task force recommendations.

Filed under: Depression Treatment

Ann Clin Psychiatry. 2012 Nov; 24(4): 319-22
Thombs BD

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