Home > Adult adjustment of survivors of institutional child abuse in Ireland.

Carr, Alan and Dooley, Barbara and Fitzpatrick, Mark and Flanagan, Edel and Flanagan-Howard, Roisin and Tierney, Kevin and White, Megan and Daly, Margaret and Egan, Jonathan (2010) Adult adjustment of survivors of institutional child abuse in Ireland. Child Abuse & Neglect , 34 , (7) , pp. 477-89.

OBJECTIVE
To document the adult adjustment of survivors of childhood institutional abuse.

METHOD
Two hundred and forty-seven adult survivors of institutional abuse with a mean age of 60 were interviewed with a protocol that included the Childhood Trauma Questionnaire, modules from the Structured Clinical Interview for Axis I Disorders of DSM IV and the Structured Clinical Interview for DSM IV Personality Disorders, the Trauma Symptom Inventory, and the Experiences in Close Relationships Inventory.

RESULTS
The prevalence of psychological disorders among adult survivors of institutional abuse was over 80% and far higher than in the normal population, with anxiety, mood and substance use disorders being the most prevalent diagnoses. Survivors also had high rates of trauma symptoms and insecure adult attachment styles, and these were higher for those who had experienced both institutional and intrafamilial abuse.

CONCLUSIONS
There was an association between the experience of institutional abuse in childhood and the prevalence of adult mental health problems, particularly anxiety, mood and substance use disorders.

PRACTICE IMPLICATIONS
Policies, practices and procedures should be regularly reviewed and revised to maximize protection of young people in institutional care. Evidence-based psychological treatment should be made available to adult survivors of institutional abuse.


Item Type:Article
Date:July 2010
Page Range:pp. 477-89
Publisher:Elsevier
Volume:34
Number:7
EndNote:View
Subjects:J Health care, prevention and rehabilitation > Risk and protective factors > risk factors
MM-MO Crime and law > Crime and violence > Crime against persons (assault / abuse / intimidation)
T Demographic characteristics > Adolescent / youth (teenager / young person)
T Demographic characteristics > Child of drugs and alcohol user
VA Geographic area > Europe > Ireland

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