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韩国女性亲密伴侣暴力与抑郁之间相互关系的前瞻性研究。

Prospective study on the reciprocal relationship between intimate partner violence and depression among women in Korea.

机构信息

Department of Social Welfare, Seoul Women's University, Rm #721, Inmoonsawhoi-Kwan Bldg., 621 Hwarangno, Kongneung 2dong, Nowon, Seoul 139-774, South Korea.

School of Social Work, University of Southern Mississippi, 118 College Drive #5114, Hattiesburg, MS 39406, USA.

出版信息

Soc Sci Med. 2013 Dec;99:42-8. doi: 10.1016/j.socscimed.2013.10.014. Epub 2013 Oct 22.

Abstract

This study aimed to examine the bi-directional relationship between intimate partner violence (IPV) and depression using prospective data. Data from the Korean Welfare Panel Study (KOWEPS) were used to test whether IPV was associated with an increased overall level of depression and with the rate of change over time in depressive symptoms and whether this model of change in depressive symptoms was associated with subsequent incidences of IPV. This study utilized data from 3153 married women who participated in the KOWEPS from 2006 through 2009. The KOWEPS is a panel study of a nationally representative sample of Korean households. The women's responses to multiple questions adopted from the Conflict Tactics Scale (CTS) were used to create a dichotomous IPV variable at Wave1 and Wave4. The CESD-11 was used to measure the women's level of depression. We utilized a latent growth model (LGM) of depression using IPV at Wave1 as a predictor and IPV at Wave4 as an outcome predicted by the model parameters of the LGM of depression. We found that after controlling for the effects of age, education, social support and income, IPV at Wave1 was positively associated with overall depression levels and negatively associated with the growth rate of depression. Further, IPV at Wave4 was associated with the intercept and the slope of the depression LGM and with IPV at Wave1. The overall model fit the data well. This study indicated that experiencing IPV influences a woman's level of depression in terms of its overall level and rate of change, which, in turn, influences the victim's likelihood of experiencing subsequent IPV.

摘要

本研究旨在使用前瞻性数据检验亲密伴侣暴力(IPV)和抑郁之间的双向关系。本研究使用韩国福利面板研究(KOWEPS)的数据,以检验 IPV 是否与整体抑郁水平的升高以及抑郁症状随时间变化的速率相关,以及这种抑郁症状变化模型是否与随后发生的 IPV 相关。本研究利用了 2006 年至 2009 年参加 KOWEPS 的 3153 名已婚女性的数据。KOWEPS 是一项对韩国家庭进行全国代表性抽样的面板研究。该研究采用来自冲突策略量表(CTS)的多个问题的回答来创建一个二分类的 IPV 变量,该变量在第 1 波和第 4 波进行测量。CESD-11 用于衡量女性的抑郁水平。我们使用了抑郁的潜在增长模型(LGM),将第 1 波的 IPV 作为预测因子,将第 4 波的 IPV 作为该模型参数预测的结果。我们发现,在控制了年龄、教育、社会支持和收入的影响后,第 1 波的 IPV 与整体抑郁水平呈正相关,与抑郁的增长率呈负相关。此外,第 4 波的 IPV 与抑郁 LGM 的截距和斜率以及第 1 波的 IPV 相关。总体模型很好地拟合了数据。本研究表明,经历 IPV 会影响女性的抑郁水平,包括其整体水平和变化率,这反过来又会影响受害者随后经历 IPV 的可能性。

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