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对孕妇参与者中定量和定性创伤聚焦研究程序的评估。

The appraisal of quantitative and qualitative trauma-focused research procedures among pregnant participants.

作者信息

Schwerdtfeger Kami L

机构信息

Oklahoma State University, Stillwater, Oklahoma, USA.

出版信息

J Empir Res Hum Res Ethics. 2009 Dec;4(4):39-51. doi: 10.1525/jer.2009.4.4.39.

Abstract

Despite the importance of studying the dynamics and consequences of trauma, there has been concern that trauma-focused questionnaires and interviews could further harm vulnerable participants, such as pregnant women who have suffered prior sexual trauma (e.g., rape, incest, sexual abuse). There has also been concern that employing personal interviews, rather than anonymous written questionnaires in trauma-focused research procedures may compromise participants' confidentiality. This exploratory study examined the methodological differences associated with perceived discomforts and benefits among pregnant women participants in a two-phase, trauma-focused research study. In Phase I, pregnant women (N = 109) completed anonymous, trauma-related questionnaires. In Phase II, a subsample of Phase I participants (N = 10) who reported a previous history of sexual trauma completed in-depth, personal interviews. Participants in both phases of the study rated their reaction to research participation using the Response to Research Participation Questionnaire Revised (RRPQ-R). Results suggest that both written survey and personal interview methods are well tolerated by pregnant women. Specific findings indicated that pregnant women with a sexual trauma history reported significantly higher "personal benefit" from participating in personal interview procedures compared to written questionnaires. Recommendations for conducting trauma-focused research with potentially high-risk or vulnerable populations are provided. In addition, recommendations for future research are outlined in an effort to further extend the ethical understanding of the benefits and costs of trauma-focused research.

摘要

尽管研究创伤的动态变化及后果很重要,但一直有人担心,以创伤为重点的问卷调查和访谈可能会进一步伤害脆弱的参与者,比如曾遭受性创伤(如强奸、乱伦、性虐待)的孕妇。还有人担心,在以创伤为重点的研究程序中采用个人访谈而非匿名书面问卷,可能会损害参与者的隐私。这项探索性研究考察了在一项分两阶段、以创伤为重点的研究中,孕妇参与者在感知到的不适和益处方面的方法学差异。在第一阶段,孕妇(N = 109)完成了与创伤相关的匿名问卷。在第二阶段,第一阶段参与者中报告有性创伤史的一个子样本(N = 10)完成了深入的个人访谈。研究两个阶段的参与者都使用修订后的研究参与反应问卷(RRPQ - R)对他们对研究参与的反应进行了评分。结果表明,书面调查和个人访谈方法孕妇都能很好地接受。具体研究结果表明,与书面问卷相比,有性创伤史的孕妇报告称参与个人访谈程序能带来显著更高的“个人益处”。文中提供了针对对潜在高风险或脆弱人群进行以创伤为重点研究的建议。此外,还概述了对未来研究的建议,以进一步扩展对以创伤为重点研究的益处和成本的伦理理解。

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