Krause Elizabeth D, Kaltman Stacey, Goodman Lisa A, Dutton Mary Ann
Department of Psychiatry, Georgetown University Medical Center, Washington, DC 20007, USA.
J Trauma Stress. 2008 Feb;21(1):83-90. doi: 10.1002/jts.20288.
The impact of avoidant coping on level of PTSD symptoms over 1 year was examined among 262 women exposed to intimate partner violence (IPV) within the past month. Covariates included childhood sexual abuse (CSA), IPV severity, perceived and formal social support, and revictimization. Using longitudinal hierarchical multiple regression, avoidant coping was found associated with PTSD symptoms at 1-year follow-up, controlling for initial symptoms and covariates. Revictimization also had long-term consequences beyond Time 1 symptoms. Reducing avoidant coping and increasing survivors' safety may assist in breaking a cycle of problematic coping and psychological distress.
在过去一个月内遭受亲密伴侣暴力（IPV）的262名女性中，研究了回避型应对方式对1年内创伤后应激障碍（PTSD）症状水平的影响。协变量包括童年期性虐待（CSA）、IPV严重程度、感知到的和正式的社会支持以及再次受害情况。使用纵向分层多元回归分析发现，在控制初始症状和协变量的情况下，回避型应对方式与1年随访时的PTSD症状相关。再次受害除了会导致时间1时的症状外，还会产生长期后果。减少回避型应对方式并提高幸存者的安全性，可能有助于打破有问题的应对方式和心理困扰的循环。
