中国家庭暴力施害者自报告症状与心理社会因素的相关性：基于人群的样本。

Correlations between self-reported symptoms and psychosocial factors of perpetrators with domestic violence in China: a population-based sample.

机构信息

Mental Health Institute, Second Xiangya Hospital, Central South University, Changsha, Hunan, China.

出版信息

Chin Med J (Engl). 2011 Feb;124(4):546-50.

Abstract

BACKGROUND

Domestic violence (DV) is not only a devastating societal problem, but also a severe medical and mental health problem worldwide. Our previous study has shown that perpetrators were with higher prevalence of self-reported symptoms than that of controls. This study based on our former large scale population-based samples is aimed to further explore the correlations between the symptoms and psychosocial factors of the perpetrators with DV. It was helpful to provide some insight into possible strategies for clinicians to reduce the symptoms of the perpetrators with DV in China.

METHODS

From our former population-based epidemiological samples, 1098 households with a history of DV in preceding year, 318 perpetrators with DV were randomly selected. Face-to-face interviews were conducted. Symptom Checklist-90 (SCL-90) was administrated to check and classify the symptoms of perpetrators, Eysenck's personality questionnaire (EPQ), trait coping style questionnaire (TCSQ), life events scale (LES) and social supporting rating scale (SSRS) were administrated to evaluate the psychosocial factors of perpetrators. The correlation analysis was used to analyze the relationships between the symptoms and psychosocial factors of perpetrators of DV.

RESULTS

The global and all subscale scores of SCL-90 were significantly positively correlated with EPQ-N, negative TCSQ and negative LES scores (P < 0.01). The global score of SCL-90 was negatively correlated with both objective and subjective SSRS (P < 0.01). The negative LES and negative TCSQ were significantly positively correlated with EPQ-N (P < 0.01). Negative TCSQ was significantly positively correlated with negative LES and negatively correlated with subjective SSRS (P < 0.01).

CONCLUSIONS

The self-reported symptoms of perpetrators with DV were strongly correlated with their psychosocial factors, such as the neurotic personality, negative coping style, more negative life events and less subjective social supports. It suggested bio-psycho-socially oriented interventions were necessary to buffer the symptoms of perpetrators with DV.

摘要

背景

家庭暴力（DV）不仅是一个毁灭性的社会问题，也是一个严重的全球医学和心理健康问题。我们之前的研究表明，施暴者自我报告的症状比对照组更普遍。本研究基于我们之前的大规模基于人群的样本，旨在进一步探讨施暴者的症状与 DV 相关的心理社会因素之间的关系。这有助于为临床医生提供一些见解，以减少中国 DV 施暴者的症状。

方法

从我们之前的基于人群的流行病学样本中，随机选择了 1098 户在前一年有过 DV 史的家庭，其中有 318 名施暴者。采用面对面访谈的方式进行。施测症状自评量表（SCL-90），以检查和分类施暴者的症状，施测艾森克人格问卷（EPQ）、特质应对方式问卷（TCSQ）、生活事件量表（LES）和社会支持评定量表（SSRS），以评估施暴者的心理社会因素。采用相关分析方法分析 DV 施暴者症状与心理社会因素之间的关系。

结果

SCL-90 的总分及各因子分与 EPQ-N、负性 TCSQ 和负性 LES 得分呈显著正相关（P<0.01）。SCL-90 总分与客观和主观 SSRS 呈显著负相关（P<0.01）。负性 LES 和负性 TCSQ 与 EPQ-N 呈显著正相关（P<0.01）。负性 TCSQ 与负性 LES 呈显著正相关，与主观 SSRS 呈显著负相关（P<0.01）。