Jonas S, Khalifeh H, Bebbington P E, McManus S, Brugha T, Meltzer H, Howard L M
Department of Mental Health Sciences, University College London, London, UK.
National Centre for Social Research, London, UK.
Epidemiol Psychiatr Sci. 2014 Jun;23(2):189-99. doi: 10.1017/S2045796013000292. Epub 2013 Jun 10.
Aims. To assess the extent to which being a victim of intimate partner violence (IPV) is associated with psychiatric disorders in men and women. Methods. A stratified multistage random sample was used in the third English psychiatric morbidity survey. Psychiatric disorders were measured by the Clinical Interview Schedule (Revised) and screening questionnaires. IPV was measured using British Crime Survey questions. Results. 18.7% (95% CI 17.1-20.4; n = 595 of 3197) of men had experienced some form of IPV compared with 27.8% of women (95% CI 26.2-29.4; n = 1227 of 4206; p < 0.001). IPV was associated with all disorders measured (except eating disorders in men). Physical IPV was significantly linked to psychosis and with substance and alcohol disorders in men and women, but significant associations with common mental disorders (CMDs), post-traumatic stress disorder (PTSD) and eating disorders were restricted to women. Emotional IPV was associated with CMDs in men and women. Conclusions. The high prevalence of experiences of partner violence, and strength of the association with every disorder assessed, suggests enquiry about partner violence is important in identifying a potential risk and maintenance factor for psychiatric disorders, and to ascertain safety, particularly in women as they are at greatest risk of being victims of violence.
目的。评估亲密伴侣暴力(IPV)受害者与男性及女性精神障碍之间的关联程度。方法。在第三次英国精神疾病患病率调查中采用分层多阶段随机抽样。精神障碍通过修订版临床访谈表及筛查问卷进行测量。IPV通过英国犯罪调查问题进行测量。结果。18.7%(95%可信区间17.1 - 20.4;3197名男性中有595名)的男性曾经历某种形式的IPV,相比之下,女性为27.8%(95%可信区间26.2 - 29.4;4206名女性中有1227名;p < 0.001)。IPV与所测量的所有障碍相关(男性的饮食障碍除外)。身体暴力在男性和女性中均与精神病以及物质和酒精障碍显著相关,但与常见精神障碍(CMDs)、创伤后应激障碍(PTSD)和饮食障碍的显著关联仅限于女性。情感暴力与男性和女性的CMDs相关。结论。伴侣暴力经历的高患病率以及与所评估的每种障碍的关联强度表明,询问伴侣暴力对于识别精神障碍的潜在风险和维持因素以及确定安全性很重要,尤其是在女性中,因为她们是暴力受害者的风险最大。