城市青春期女孩的抑郁症状、约会暴力和恋爱关系中的权力之间的关联。
Associations among depressive symptoms, dating violence, and relationship power in urban, adolescent girls.
作者信息
Volpe Ellen M, Hardie Thomas L, Cerulli Catherine
机构信息
Centers for Health Equity Research and Global Woman's Health, University of Pennsylvania, 418 Curie Boulevard, 233L, Philadelphia, PA 19104-4217, USA.
出版信息
J Obstet Gynecol Neonatal Nurs. 2012 Jul-Aug;41(4):506-18. doi: 10.1111/j.1552-6909.2012.01384.x. Epub 2012 Jun 14.
OBJECTIVE
To explore the associations among dating violence (DV), aggression, relationship power, and depressive symptoms.
DESIGN
A cross-sectional survey secondary analysis.
SETTING
An urban, school based health center, October, 2009 through May, 2009.
PARTICIPANTS
Low income, adolescent girls (n = 155), ages 14-18.
METHODS
Descriptive and bivariate analyses were conducted to illustrate patterns and associations among variables. Key variables included depressive symptoms, DV victimization and aggression, and relationship power. We used mediation analyses to determine the direct and indirect effects among variables.
RESULTS
Both DV victimization and aggression were reported frequently. Furthermore, DV victimization had a significant direct effect on depression and an indirect effect through relationship power. Depressive symptoms and relationship power were associated with DV aggression. Although relationship power did have a significant inverse effect on depressive symptoms, it was not through DV aggression.
CONCLUSIONS
Complex associations remain between mental health and DV; however, relationship power partially accounts for DV victimization's effect on depressive symptoms. Depressive symptoms are associated with DV victimization and aggression; therefore, nurses should address relationship power in clinical and community interventions.
目的
探讨约会暴力（DV）、攻击行为、关系权力和抑郁症状之间的关联。
设计
横断面调查二次分析。
地点
2009年10月至2009年5月，一所城市的校内健康中心。
参与者
低收入青春期女孩（n = 155），年龄14 - 18岁。
方法
进行描述性和双变量分析以阐明变量之间的模式和关联。关键变量包括抑郁症状、DV受害情况和攻击行为以及关系权力。我们使用中介分析来确定变量之间的直接和间接影响。
结果
DV受害情况和攻击行为的报告都很频繁。此外，DV受害情况对抑郁有显著直接影响，并通过关系权力产生间接影响。抑郁症状和关系权力与DV攻击行为相关。虽然关系权力确实对抑郁症状有显著的反向影响，但并非通过DV攻击行为。
结论
心理健康与DV之间仍存在复杂的关联；然而，关系权力部分解释了DV受害情况对抑郁症状的影响。抑郁症状与DV受害情况和攻击行为相关；因此，护士应在临床和社区干预中关注关系权力。
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