Hoyt Tim, Wray Alisha M, Rielage Jennifer Klosterman
Madigan Army Medical Center-Tacoma, WA, USA.
J Interpers Violence. 2014 Apr;29(6):1094-110. doi: 10.1177/0886260513506058. Epub 2013 Nov 7.
Significant rates of intimate partner violence (IPV) perpetration have been identified among men with military backgrounds. Research indicates posttraumatic stress symptoms place military men at increased risk for IPV perpetration, but may be negatively associated with IPV among nonmilitary samples. However, no previous studies have directly compared court-referred IPV offenders with and without military experience, which may have clinical implications if posttraumatic stress symptoms are differentially associated with IPV perpetration across these two samples. Twenty court-referred IPV offenders with military background were demographically matched with 40 court-referred IPV offenders without military background. As anticipated, self- and partner-report of physically assaultive acts and injurious acts during baseline assessment showed significantly greater physical assault and injury perpetrated by offenders with military background. However, 1-year follow-up data on convictions indicated a significantly lower rate of recidivism among offenders with military background than among nonmilitary offenders. As hypothesized, symptoms of posttraumatic stress at intake showed a significant positive correlation with IPV perpetration among offenders with military background; however, this relationship showed a negative correlation among offenders without military background. Clinical implications are discussed including treatment avenues, such as Veterans Courts and other incarceration diversion programs, which may be particularly appropriate for offenders with military backgrounds.
在有军事背景的男性中,已发现亲密伴侣暴力(IPV)的发生率颇高。研究表明,创伤后应激症状会使军人实施IPV的风险增加,但在非军人样本中,这些症状可能与IPV呈负相关。然而,此前尚无研究直接比较有和没有军事经历的法庭转介的IPV犯罪者,如果创伤后应激症状在这两个样本中与IPV犯罪的关联存在差异,这可能具有临床意义。二十名有军事背景的法庭转介的IPV犯罪者在人口统计学特征上与四十名无军事背景的法庭转介的IPV犯罪者相匹配。正如预期的那样,在基线评估期间,自我报告和伴侣报告的身体攻击行为和伤害行为显示,有军事背景的犯罪者实施的身体攻击和伤害明显更多。然而,关于定罪的一年随访数据表明,有军事背景的犯罪者的再犯率明显低于非军事背景的犯罪者。正如所假设的那样,入院时的创伤后应激症状在有军事背景的犯罪者中与IPV犯罪呈显著正相关;然而,这种关系在无军事背景的犯罪者中呈负相关。文中讨论了临床意义,包括治疗途径,如退伍军人法庭和其他监禁转移计划,这些可能对有军事背景的犯罪者特别适用。