Psychiatric Quarterly, Vol. 75, No. 4, Winter 2004 (
PRIOR HISTORY OF PHYSICAL AND
SEXUAL ABUSE AMONG THE
PSYCHIATRIC INPATIENT POPULATION:
A COMPARISON OF MALES AND FEMALES
Andrew V. Shack, Ph.D., Patricia M. Averill, Ph.D.,
Charles Kopecky, M.D., Kenneth Krajewski, M.D.,
and Pushpa Gummattira, M.D.
Despite increasing attention given to the high prevalence and effects of abuse
in the severely mentally ill, few studies have looked at its effects among males.
While both male and female psychiatric patients report greater abuse history
than the general population, studies have focused on females alone. The cur-
rent study compared the effects of abuse history between 271 severely men-
tally ill males (n = 160) and females (n = 111). The mean age of participants
was 33.7 years (SD = 9.73), and included 129 Caucasians, 120 African Amer-
icans, 15 Hispanic-Americans, and 7 “Other” (i.e., Asian and native American
descent). Primary Axis I diagnoses included Bipolar disorder (23.2%) major
depressive disorder (27.7%) schizophrenic disorder (26.6%), substance-related
disorders (10.3%), and miscellaneous disorders (12.1%). Each patient completed
a comprehensive assessment, including clinician ratings, self-report measures,
clinical and structured interviews. Comparisons between genders revealed that
females were more likely to report both physical and sexual abuse, and males
All authors are afﬁliated with Department of Research and Program Evaluation, Harris
County Psychiatric Center, University of Texas-Houston Medical School, Houston, Texas.
Address correspondence to Patricia Averill, Ph.D., Harris County Psychiatric Center,
Department of Research and Program Evaluation, 2600 South MacGregor Way, Houston,
TX 77021; e-mail: firstname.lastname@example.org.
2004 Springer Science+Business Media, Inc.