身体、心理及性方面的亲密男性伴侣暴力对女性心理健康的影响:抑郁症状、创伤后应激障碍、状态焦虑及自杀。

The impact of physical, psychological, and sexual intimate male partner violence on women's mental health: depressive symptoms, posttraumatic stress disorder, state anxiety, and suicide.

作者信息

Pico-Alfonso Maria A, Garcia-Linares M Isabel, Celda-Navarro Nuria, Blasco-Ros Concepción, Echeburúa Enrique, Martinez Manuela

机构信息

Department of Psychobiology, Faculty of Psychology, University of Valencia, Spain.

出版信息

J Womens Health (Larchmt). 2006 Jun;15(5):599-611. doi: 10.1089/jwh.2006.15.599.

Abstract

OBJECTIVE

This study aimed to determine the impact of lifetime physical, psychological, and sexual intimate male partner violence (IPV) on the mental health of women, after controlling for the contribution of lifetime victimization. The comorbidity of depressive symptoms and posttraumatic stress disorder (PTSD) and their relation to state anxiety and suicide were also assessed.

METHODS

Physically/psychologically (n = 75) and psychologically abused women (n = 55) were compared with nonabused control women (n = 52). Information about sociodemographic characteristics, lifetime victimization, and mental health status (depressive and state anxiety symptoms, PTSD, and suicide) was obtained through face-to-face structured interviews.

RESULTS

Women exposed to physical/psychological and psychological IPV had a higher incidence and severity of depressive and anxiety symptoms, PTSD, and thoughts of suicide than control women, with no differences between the two abused groups. The concomitance of sexual violence was associated with a higher severity of depressive symptoms in both abused groups and a higher incidence of suicide attempts in the physically/psychologically abused group. The incidence of PTSD alone was very rare, and depressive symptoms were either alone or comorbid with PTSD. The severity of state anxiety was higher in abused women with depressive symptoms or comorbidity, as was the incidence of suicidal thoughts in the physically/psychologically abused group. Lifetime victimization was not a predictor of the deterioration of mental health in this study.

CONCLUSIONS

These findings indicate that psychological IPV is as detrimental as physical IPV, with the exception of effects on suicidality, which emphasizes that psychological IPV should be considered a major type of violence by all professionals involved.

摘要

目的

本研究旨在确定在控制终生受害经历的影响后,终生遭受身体、心理和性方面亲密伴侣暴力(IPV)对女性心理健康的影响。还评估了抑郁症状与创伤后应激障碍(PTSD)的共病情况及其与状态焦虑和自杀的关系。

方法

将遭受身体/心理暴力的女性(n = 75)和遭受心理虐待的女性(n = 55)与未受虐待的对照女性(n = 52)进行比较。通过面对面的结构化访谈获取有关社会人口学特征、终生受害经历和心理健康状况(抑郁和状态焦虑症状、PTSD和自杀)的信息。

结果

遭受身体/心理和心理IPV的女性比对照女性出现抑郁和焦虑症状、PTSD以及自杀念头的发生率和严重程度更高,两个受虐组之间无差异。性暴力的并存与两个受虐组中抑郁症状的更高严重程度以及身体/心理受虐组中更高的自杀未遂发生率相关。单独的PTSD发生率非常低,抑郁症状要么单独出现,要么与PTSD共病。有抑郁症状或共病的受虐女性状态焦虑的严重程度更高,身体/心理受虐组中自杀念头的发生率也是如此。在本研究中,终生受害经历并非心理健康恶化的预测因素。

结论

这些发现表明,心理IPV与身体IPV一样有害,但对自杀倾向的影响除外,这强调所有相关专业人员都应将心理IPV视为一种主要的暴力类型。

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