Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
J Interpers Violence. 2010 Sep;25(9):1699-715. doi: 10.1177/0886260509354578. Epub 2009 Dec 29.
Interviews of women with (n = 193) and without (n = 170) recent exposure to intimate partner violence (IPV) were used to examine how IPV and past exposure to child abuse influence self-reports of posttraumatic stress disorder (PTSD) symptoms. The measurement of IPV included assessing psychological, physical, escalated physical, and sexual abuse. Women's retrospective accounts of childhood victimization included reports of physical abuse, sexual abuse, and witnessing domestic violence growing up. Each form of adult IPV showed an independent association with PTSD symptoms, as did each form of childhood victimization. In regression models including child and adult abuse together, adult IPV and childhood sexual abuse were related to PTSD symptoms, and adult IPV mediated the association between childhood physical abuse and adult PTSD. Tests of the interactions between childhood and adulthood victimization on PTSD symptoms were not significant. Findings are discussed within the context of a life-course perspective of trauma.
对有(n=193)和无(n=170)近期亲密伴侣暴力(IPV)暴露的女性进行访谈,以研究 IPV 和过去遭受虐待如何影响创伤后应激障碍(PTSD)症状的自我报告。IPV 的测量包括评估心理、身体、升级身体和性虐待。女性对童年受害的回顾性描述包括身体虐待、性虐待和目睹家庭暴力的成长经历。每种形式的成人 IPV 都与 PTSD 症状独立相关,童年受害的每种形式也是如此。在包括儿童和成人虐待的回归模型中,成人 IPV 和儿童期性虐待与 PTSD 症状相关,成人 IPV 介导了儿童期身体虐待与成人 PTSD 之间的关联。对童年和成年期受害对 PTSD 症状影响的交互作用的检验并不显著。研究结果在创伤的生命历程视角下进行了讨论。