Peritraumatic distress associated with domestic violence

Introduction The violence against women massively committed by their spouses is a scourge that transcends countries, ethnicities, cultures, classes social and age groups. This violence is traumatic and represents a serious attack on the physical integrity and mental health of the women who are victims Objectives To study the prevalence and predictors of peritraumatic distress among women victims of domestic violence Methods We contacted 122 women who consulted at the psychiatric emergency of ‘Hedi Chaker hospital’,Sfax examined in the context of medical expertise on the period between May 2021 until January 2022 A questionnaire regarding the violence was asked to responders .It included demographic and violence exposure questions and a scale applied during violence ‘Peritraumatic distress inventory’ Results The average age of women assaulted in our study was 35.6 ± 9.94 years (min=18,max=64). 78.7% (n=96) of ladies were of urban origin. The majority of them(44,3%) had secondary level education. The half of the population (51.6%) had an average socio-economic level. (86.1%) had children. 98.7%were victim of verbal violence,94.7% of physical violence, 97.3% of psychological violence and 54.7 %of sexual violence. 72.1% of women (N=88) developed peritraumatic distress related to the assault with a risk of developing post-traumatic stress disorder. Women who were threatened by their spouses were more in distress than others (0,04). Physically abused women using a knife developed more peritraumatic distress (p=0,02). Conclusions Domestic violence is a global public health problem, that calls for urgent actions.Peritraumatic distress linked to violence may lead to psychotraumatic disordersthat are the source for traumatized victims of great suffering mental health and a possible vital risk (suicide, risky behavior). Disclosure of Interest None Declared

Introduction: Intimate partner violence is an under recognized problem in our society that is misjudged and often overlooked.
Violence in women has been linked to chronic health, emotional complications, one of which includes low self-esteem Objectives: To study the prevalence and predictors of low selfesteem among women victims of domestic violence.Methods: Our study was descriptive and analytical cross-sectional, carried out with women examined in the context of medical expertise, from May until January 2022.An anonymous survey was asked to these ladies.The Rosenberg questionnaire was used to assess the self esteem Results: 122 responses was collected.The average age of the assaulted women in our study was 35.66 years(from18 to 64 years) 98.4%were victims of verbal violence, 95,1% of physical violence, 97,5% of psychological violence and 54.7 %of sexual violence.Self esteem was very low among 43,4% of women ,low among 18,9%,average among 15,6%,high among 15,6% and very high among 6,6%.Women with children had lower self-esteem (p=0.02).Low self-esteem were significantly correlated with: the husband cannabis consumption (p=0.01).The ladies victims of sexual violence such as an unusual type of relationship had lower self-esteem (p=0.01).Women who were threatened by their spouses had lower selfesteem (0,01).An history of aggression during pregnancy was a risk factor for low self-esteem (p=0, 01).Conclusions: Results suggest domestic violence has on women, not only physically effect but mentally and emotionally, this is why an urgent reaction must be taken by the state to reduce this scourge and hs repercussions on the mental health of the victims.

Introduction:
The violence against women massively committed by their spouses is a scourge that transcends countries, ethnicities, cultures, classes social and age groups.This violence is traumatic and represents a serious attack on the physical integrity and mental health of the women who are victims Objectives: To study the prevalence and predictors of peritraumatic distress among women victims of domestic violence Methods: We contacted 122 women who consulted at the psychiatric emergency of 'Hedi Chaker hospital',Sfax examined in the context of medical expertise on the period between May 2021 until January 2022 A questionnaire regarding the violence was asked to responders .It included demographic and violence exposure questions and a scale applied during violence 'Peritraumatic distress inventory' Results: The average age of women assaulted in our study was 35.6 AE 9.94 years (min=18,max=64).78.7% (n=96) of ladies were of urban origin.The majority of them(44,3%) had secondary level education.
The half of the population (51.6%) had an average socio-economic level.(86.1%) had children.98.7%were victim of verbal violence,94.7% of physical violence, 97.3% of psychological violence and 54.7 %of sexual violence.72.1% of women (N=88) developed peritraumatic distress related to the assault with a risk of developing post-traumatic stress disorder.Women who were threatened by their spouses were more in distress than others (0,04).Physically abused women using a knife developed more peritraumatic distress (p=0,02).Conclusions: Domestic violence is a global public health problem, that calls for urgent actions.Peritraumatic distress linked to violence may lead to psychotraumatic disordersthat are the source for traumatized victims of great suffering mental health and a possible vital risk (suicide, risky behavior).

EPV1116 Marital satisfaction among Tunisian women victims of domestic violence
Introduction: The phenomenon of domestic violence poses, long been a problem at the social and family.The magnitude of the consequences, associated with this issue justifies the importance placed on the quality of marital satisfaction among abused women.Objectives: To study the quality of marital satisfaction among women victims of domestic violence and to determine predictors of bad marital satisfaction Methods: Our study was descriptive and analytical cross-sectional, carried out with women examined in the context of medical expertise at 'Hedi Chaker hospital',Sfax , from May 2021 until January 2022.An anonymous survey was asked to these ladies.The AZRIN questionnaire was used to study the quality of marital satisfaction Results: The age oscillates between 18 and 64 years.The half of the population (51.6%) had an average socio-economic level.43.4% (n=53) lived in rented houses, 41% (n=50) owned the houses, 14.8% (n=18) lived with the husband's family and 0.8% (n=1) was homeless.All the women of our population were married: it was the first marriage in (89.3%).The majority (86.1%) had children.The average duration of marriage in our study was 11.16 years AE 9.12 years (min=1,max=40).66.4% (n=81) were abused by their spouses during the first year of marriage.Forty-seven women (38.5%) lived this ordeal daily.98.7%were victim of verbal violence,94.7% of physical violence, 97.3% of psychological violence and 54.7 %of sexual violence.Marital satisfaction was poor among 71,3% of ladies , average among 9% and good among 19,7%.
Bad marital satisfaction was significantly correlated with verbal violence (p=0,02),physical violence (p=0,01),psychological violence (p= 0,003)and sexual violence (p=0,04).Conclusions: As our results have shown, we do not expect assaulted women to be satisfied in their couple relationships.Urgent help must be provided to these women to save them from this burden.Introduction: Childbirth is a period of transition for women, which can have several physiological and psychological repercussions on their lives.Objectives: To estimate the prevalence of postpartum posttraumatic stress disorder in a sample group of Tunisian women.Methods: This is a longitudinal prospective descriptive study carried out among women who were hospitalized for childbirth in the obstetrics gynecology department and those who consulted the outpatient perinatal consultation of the Tahar Sfar Mahdia hospital during a period of 7 months from March 15, 2020 to September 15, 2020.Data collection was based on a pre-established questionnaire determining the different socio-demographic and clinical characteristics.The women's psychometric assessment was conducted using a PCLS psychiatric scale for screening for post-traumatic stress disorder.Results: We collected 120 women with an average age of 28.3 AE5.3 years.Among our sample, two women had a history of depression (1.6%) and three participants had a history of an anxiety disorder (2.5%).Thirty-five patients (29.1%) had a pathological obstetric history.However, fifteen patients (12.5%) were hospitalized during their pregnancies.Eighty-seven patients (72.5%) expressed their anticipated fear of childbirth and one hundred two patients (85%) had a good marital relationship with good social support.48.3% of deliveries were vaginal and 27.5% were by emergency cesarean section.Level three pain was expressed in 73.3% of deliveries.Psychometric assessment revealed a prevalence of PTSD at 5.8% with PTSD symptomatology in 18.4% of women.Conclusions: Postpartum post-traumatic stress disorder is a major public health problem that affects the healthy development of the newborn and the mental and physical recovery.