Violence Against Women and Consequences During Climacteric´s Phase (DV)

Study Description

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Brief Summary:

Objective- Analysis of the health status of women who were or are victims of domestic and sexual violence seeking attention at the outpatient clinic for Endocrines Gynecology and Climactery - University of Sao Paulo General Hospital.

To widen the comprehension of the binomial relationship violence-pathologies by professionals/staff who work in health services, offering women in such situation humane, comprehensive and qualified attention. Specific Objectives: decreasing the rates of domestic and sexual violence against women employing: prevention, health education and treatment - within the context of health services and public policies.

Methodology - Project Type: Research in Action A- Attention to women in a situation of domestic and sexual violence during climactery; B- Information/Education/Communication (IEC) C- Behavioral Intervention (IC) D- Institutional Development (DI). Target Populations: 1. Women (during the ages of 40 to 65 years) who were or are victims of domestic and/or sexual violence; 2. Professional/staff who work in services attending women in sexual and domestic violent situations (health professionals, policemen, civil society) in areas located within the South Regional Health Coordination - SRC. To collect information, a semi structured questionnaire will be employed during seven months in 2009.

Condition or disease	Intervention/treatment	Phase
Violence; Battered Women; Cognitive Behavior Therapy	Other: Identifying experience with violence	Phase 3

Detailed Description:

Trained professionals will work in the regions of: Campo Limpo, M'Boi Mirim, Santo Amaro and neighboring regions, neighborhood in which the Social Vulnerability Index of São Paulo (IPVS) shows high records.

Study Design

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Study Description Study Design Arms and Interventions Outcome Measures Eligibility Criteria Contacts and Locations More Information

Study Type :	Interventional (Clinical Trial)
Actual Enrollment :	300 participants
Allocation:	Non-Randomized
Intervention Model:	Parallel Assignment
Masking:	None (Open Label)
Primary Purpose:	Prevention
Official Title:	Domestic and Sexual Violence Against Women: Consequences for Climacteric´s Phase
Study Start Date :	April 2009
Actual Primary Completion Date :	June 2009
Actual Study Completion Date :	October 2009

Arms and Interventions

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Arm	Intervention/treatment
Therapy for Women reporting violence; Asking about life experience with violence and Cognitive Behavior Therapy.	Other: Identifying experience with violence; Asking about life experience with violence and Cognitive Behavior Therapy.; Other Names: Violence attention; Therapy

Outcome Measures

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Primary Outcome Measures :

1. Sessions of Cognitive Behavioral Therapy is good for women subject to sexual violence. [ Time Frame: 8 months ]
   Women subjected to sexual violence had significative higher incidence of depression and fibromyalgia that did not respond to classic treatment; after two of Cognitive Behavioral Therapy started to respond to medicine previously employed.
2. PREVENTION OF DOMESTIC VIOLENCE IN CHILDOOD AND/OR ADOLESCENTS: LESSER PREVALENCE OF COMORBIDITIES IN CLIMACTERIC´S PHASE. [ Time Frame: four months ]

   Analyzing among women who suffered violence in childhood and/or adolescence comorbidities they suffered in climacteric´s phase. We applied a semi-structured questionnaire for women in climactery who suffered domestic violence. We performed descriptive and comparative analysis on violences both groups (violence in childhood and/or adolescence and violence in adulthood) with chronic affections presented in climactery.

   Conclusion: suffering domestic violence during childhood and/or adolescence presents higher prevalence of comorbidities during climacteric´s phase.

3. Analyzing among women who suffered violence the comorbidities they suffered in climacteric´s phase. [ Time Frame: 3 months ]
   Chronic pathologies in women who suffered violence in childhood/adolescence: Hypertension 47,5%, Diabetes 14,17%, Depression 70,0%;Labyrintitis 36,67%, Fybromialgy 30,83%, Rheumatic disease 25,0%, Ovarian cancer 1,67%, Uterine cancer 3,33%, Disk hernia 13,33%, Allergies 30,83%, Bronchitis 10,83%, Thrombosis 6,67%. Comparing these women to those who suffered violence during adulthood, these women resulted in higher prevalence of Diabetes, Depression, Labyrintitis, Ovarian cancer, Bronchitis/breathing allergies and Thrombosis, when compared to women subjected to violence during adulthood.

Secondary Outcome Measures :

1. Sessions of Cognitive Behavioral Therapy is good for women subject to sexual violence. [ Time Frame: 8 months ]
   Women subjected to violence in any phase of their lives had at least three chronic comorbidities. The correlation between having been subjected to violence and suffering from depression, fibromyalgia or sexual dysfunctions (statistical significant).

Eligibility Criteria

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Ages Eligible for Study:	40 Years to 65 Years (Adult)
Sexes Eligible for Study:	Female
Accepts Healthy Volunteers:	Yes

Criteria

Inclusion Criteria:

• Women (during the ages of 40 to 65 years) who were or are victims of domestic and/or sexual violence

Exclusion Criteria:

• Women who were not victims of domestic and/or sexual violence.
• Women that were not 40 to 65 years.

Contacts and Locations

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Locations

Brazil
Hospital das Clinicas of the Medicine College of the University of São Paulo
São Paulo, Brazil, 05403-900

Sponsors and Collaborators

University of Sao Paulo General Hospital

Conselho Nacional de Desenvolvimento Científico e Tecnológico

Núcleo de Estudos Sobre Violência e Humanização da Assistencia à Saúde

Investigators

Principal Investigator:	Sandra Dircinha TA Moraes, Post-Doc	University of Sao Paulo General Hospital
Study Director:	Edmund C Baracat, Titular Prof	University of Sao Paulo General Hospital

More Information

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Study Description Study Design Arms and Interventions Outcome Measures Eligibility Criteria Contacts and Locations More Information

Responsible Party:	Edmund Chada Baracat, University of Sao Paulo General Hospital
ClinicalTrials.gov Identifier:	NCT01028118 History of Changes
Other Study ID Numbers:	180/09
First Posted:	December 9, 2009
Last Update Posted:	April 8, 2010
Last Verified:	March 2009

Keywords provided by University of Sao Paulo General Hospital:

domestic and sexual violence; menopause; professional improvement; social support network