Katerndahl David A, Burge Sandra K, Ferrer Robert L, Becho Johanna, Wood Robert
Department of Family & Community Medicine, University of Texas Health Science Center at San Antonio, TX, USA.
Prim Care Companion J Clin Psychiatry. 2010;12(4). doi: 10.4088/PCC.09m00859whi.
Three theories attempt to explain the dynamics of intimate partner violence, each representing a different dynamic pattern of violence: periodic, chaotic, and random. But few studies assess violence and its potential predictors in real time or permit assessment of the dynamics of violence. The purpose of this exploratory study was to estimate the degree of complexity in patterns of violence and identify predictors of violent events.
This time series study was conducted between September 2006 and April 2007 among 16 adult women presenting to a university-affiliated family health center who had experienced violence within the past month. Women completed a daily telephone assessment of household environment and marital relationship for 2 months. To assess the degree of complexity, 3 different measures were used. Lyapunov exponents and saturation of correlation dimension were used to approximate dynamic patterns. Vector autoregression identified prior-week predictors of violence. Results were pooled across the 16 subjects who provided daily reports using meta-analytic techniques.
Most relationships exhibited complex dynamics, with all 3 distinct dynamic patterns found. The longer the relationship had lasted, the more predictable and periodic were its dynamics. The more frequent the violence, the more complex and sensitive to change were its dynamics. Comparing dynamic patterns, 3 distinct combinations of significant prior-day and prior-week associations were found.
Although complex dynamics were unrelated to duration of violence, there was a dynamic tension between (1) the duration of the relationship and its periodic temporal patterns and (2) the frequency of violence and its complex dynamics. Identification of dynamic patterns may aid understanding of the phenomena of intimate partner violence and lead to novel targeted screening, monitoring, and intervention/treatment approaches.
有三种理论试图解释亲密伴侣暴力的动态变化,每种理论代表一种不同的暴力动态模式:周期性、混乱性和随机性。但很少有研究实时评估暴力行为及其潜在预测因素,或允许对暴力动态进行评估。这项探索性研究的目的是估计暴力模式的复杂程度,并确定暴力事件的预测因素。
这项时间序列研究于2006年9月至2007年4月在一所大学附属家庭健康中心进行,研究对象为16名成年女性,她们在过去一个月内遭受过暴力。这些女性连续两个月每天通过电话评估家庭环境和婚姻关系。为了评估复杂程度,使用了三种不同的测量方法。李雅普诺夫指数和关联维数饱和度用于近似动态模式。向量自回归确定了前一周暴力行为的预测因素。使用荟萃分析技术汇总了提供每日报告的16名受试者的结果。
大多数关系呈现出复杂的动态变化,发现了所有三种不同的动态模式。关系持续的时间越长,其动态变化就越可预测且呈周期性。暴力发生的频率越高,其动态变化就越复杂且对变化越敏感。比较动态模式时,发现了前一天和前一周显著关联的三种不同组合。
虽然复杂的动态变化与暴力持续时间无关,但在(1)关系持续时间及其周期性时间模式与(2)暴力频率及其复杂动态之间存在动态张力。识别动态模式可能有助于理解亲密伴侣暴力现象,并导致新的有针对性的筛查、监测和干预/治疗方法。