Edwards Tiffany A, Houry Debra, Kemball Robin S, Harp Sharon E, McNutt Louise-Anne, Straus Helen, Rhodes Karin V, Cerulli Catherine, Kaslow Nadine J
Emory University School of Medicine, Atlanta, GA 30303, USA.
J Clin Psychol. 2006 Dec;62(12):1531-43. doi: 10.1002/jclp.20310.
The current study aims to further our understanding of the applicability of the transtheoretical model (TM) to intimate partner violence (IPV), with particular focus on mental health symptoms (depression, posttraumatic stress disorder symptomatology, suicidal ideation) in a sample of low-income African American women seeking medical services at an inner city emergency department. Results revealed that of the 121 abused African American women, the majority (95%) were in the precontemplation and contemplation stages of the change process. Further, contrary to predictions, bivariate analyses revealed those at further stages of change endorsed more severe mental health symptoms. However, a multivariate analysis of variance examining differences in level of mental health symptoms between women high and low on stages of change was inconclusive due to the small number of women at the higher stages of the TM model. These findings contribute to the growing body of literature supporting the TM as applied to IPV. Results are discussed in terms of applicability to intervention design.
本研究旨在进一步加深我们对跨理论模型(TM)在亲密伴侣暴力(IPV)中的适用性的理解,特别关注在市中心急诊科寻求医疗服务的低收入非裔美国女性样本中的心理健康症状(抑郁、创伤后应激障碍症状、自杀意念)。结果显示,在121名受虐待的非裔美国女性中,大多数(95%)处于改变过程的前 contemplation 和 contemplation 阶段。此外,与预测相反,双变量分析显示,处于改变后期阶段的人认可更严重的心理健康症状。然而,由于TM模型较高阶段的女性数量较少,对处于改变阶段高低不同的女性心理健康症状水平差异进行的多变量方差分析结果尚无定论。这些发现为支持将TM应用于IPV的文献不断增加做出了贡献。从对干预设计的适用性方面讨论了结果。