Stuart Gregory L, Moore Todd M, Gordon Kristina Coop, Ramsey Susan E, Kahler Christopher W
Department of Psychiatry and Human Behavior, Brown Medical School and Family Violence Research, Butler Hospital, USA.
J Interpers Violence. 2006 Mar;21(3):376-89. doi: 10.1177/0886260505282888.
This study examined the prevalence of psychopathology among women arrested for violence and whether the experience of intimate partner violence (IPV) was associated with Axis I psychopathology. Women who were arrested for domestic violence perpetration and court referred to violence intervention programs (N= 103) completed measures of IPV victimization, perpetration, and psychopathology. Results revealed high rates of posttraumatic stress disorder (PTSD), depression, generalized anxiety disorder (GAD), panic disorder, substance use disorders, borderline personality disorder, and antisocial personality disorder. Violence victimization was significantly associated with symptoms of psychopathology. Logistic regression analyses showed that sexual and psychological abuse by partners were associated with the presence of PTSD, depression, and GAD diagnoses. Results highlight the potential importance of the role of violence victimization in psychopathology. Results suggest that Axis I and Axis II psychopathology should routinely be assessed as part of violence intervention programs for women and that intervention programs could be improved by offering adjunct or integrated mental health treatment.
本研究调查了因暴力行为被捕的女性中精神病理学的患病率,以及亲密伴侣暴力(IPV)经历是否与轴I精神病理学相关。因实施家庭暴力而被捕并被法院转介至暴力干预项目的女性(N = 103)完成了IPV受害情况、施暴情况及精神病理学测量。结果显示,创伤后应激障碍(PTSD)、抑郁症、广泛性焦虑障碍(GAD)、惊恐障碍、物质使用障碍、边缘性人格障碍和反社会人格障碍的发生率很高。暴力受害与精神病理学症状显著相关。逻辑回归分析表明,伴侣的性虐待和心理虐待与PTSD、抑郁症和GAD诊断的存在相关。结果突出了暴力受害在精神病理学中潜在的重要作用。结果表明,轴I和轴II精神病理学应作为女性暴力干预项目的一部分进行常规评估,并且通过提供辅助或综合心理健康治疗可以改进干预项目。