Browsing by Author "MIGUEL ENRIQUE OCHOA VER MD"

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    Posttraumatic stress disorder and child sexual abuse: associated factors in informing victims at the National Institute of Forensic Medicine, Bucaramanga, Colombia 2007-2009
    (UNIVERSIDAD INDUSTRIAL DE SANTANDER, 2009) MIGUEL ENRIQUE OCHOA VER MD; Miguel Enrique Ochoa Vera; Luis Carlos Orozco Vargas
    Prospective case-control study conducted among informing victims of child sexual abuse aged 9 to 25 years who were evaluated by forensic psychiatry at the National Institute of Legal Medicine and Forensic Sciences, Nororiental regional office, in order to identify factors associated with posttraumatic stress disorder (PTSD). A total of 217 victims (102 PTSD cases and 115 controls) were interviewed using a DSM-IV structured interview and a form that recorded sociodemographic data, history of maltreatment, characteristics of the abuse, relationship with the perpetrator and coercive strategies. Bivariate and multivariate analyses showed that psychological violence in the form of threats and physical violence were the factors most strongly associated with PTSD, whereas non-violent strategies such as bribe, deception and seduction presented protective associations. No statistically significant associations were found with the type of sexual act, the presence of penetration, the familial relationship with the perpetrator or the victim's sex. The study concludes that the perpetrator's coercive strategy has a greater impact on PTSD than the apparent severity of abuse, kinship or sociodemographic characteristics, highlighting the need to take these factors into account in clinical assessment and intervention.