Department of Psychiatry, School of Medicine, Yale University, New Haven, CT 06511, USA.
Psychiatry Res. 2013 Mar 30;206(1):37-42. doi: 10.1016/j.psychres.2012.09.020. Epub 2012 Oct 4.
Deliberate self-harm (DSH) among women in the general population is correlated separately with posttraumatic stress, depression, and abuse during childhood and adulthood. The prevalence of these DSH correlates is particularly high among women exposed to intimate partner violence (IPV), yet few studies have examined DSH among this high-risk population and none have examined these correlates simultaneously. Two hundred and twelve IPV-victimized women in the community participated in a 2-h retrospective interview. One-third reported current or past DSH. Discriminant analysis was used to examine which posttraumatic stress and depression symptoms and types of current IPV and childhood abuse were uniquely associated with current DSH. Findings show that women who currently use DSH reported greater severity of posttraumatic stress numbing symptoms and more severe sexual IPV compared to women who used DSH only in the past. Examining factors that are associated with women's current DSH in this population is critical so that a focus on DSH can be integrated into the treatment plans of women who are receiving mental health care, but also so that women who are not receiving such care can be referred to adequate mental health services.
在一般人群中,女性故意自我伤害(DSH)与创伤后应激、抑郁以及儿童期和成年期的虐待分别相关。在遭受亲密伴侣暴力(IPV)的女性中,这些 DSH 相关因素的患病率尤其高,但很少有研究检查过这一高风险人群中的 DSH,也没有研究同时检查这些相关因素。社区中 212 名遭受 IPV 侵害的女性参加了一个 2 小时的回顾性访谈。三分之一的人报告目前或过去有 DSH。判别分析用于检查哪些创伤后应激和抑郁症状以及当前 IPV 和儿童期虐待的类型与当前 DSH 有独特关联。研究结果表明,目前使用 DSH 的女性报告了更严重的创伤后应激麻木症状,以及更严重的性 IPV,与过去仅使用 DSH 的女性相比。在这一人群中,检查与女性当前 DSH 相关的因素至关重要,以便可以将对 DSH 的关注纳入接受心理健康护理的女性的治疗计划,也可以将未接受此类护理的女性转介到适当的心理健康服务。