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美国全国样本中人际暴力暴露及其与精神疾病的关联:性别比较

Exposure to Interpersonal Violence and Its Associations With Psychiatric Morbidity in a U.S. National Sample: A Gender Comparison.

作者信息

Iverson Katherine M, McLaughlin Katie A, Gerber Megan R, Dick Alexandra, Smith Brian N, Bell Margret E, Cook Natasha, Mitchell Karen S

机构信息

National Center for PTSD, VA Boston Healthcare System, Boston, Massachusetts, and Boston, University School of Medicine.

Boston Children's Hospital, Boston, Massachusetts, and Harvard Medical School.

出版信息

Psychol Violence. 2013 Jul;3(3):273-287. doi: 10.1037/a0030956.

Abstract

OBJECTIVES

We examine gender differences in population rates of various types of interpersonal violence in a U.S. national sample and investigate gender as a moderator of the associations between interpersonal violence and lifetime mental disorders and suicide attempts.

METHODS

Data were drawn from the National Comorbidity Survey-Replication study; 5,692 women and men completed interviews assessing lifetime exposure to nine types of interpersonal violence, , fourth edition () mental health diagnoses, and suicide attempts.

RESULTS

Approximately 46% of women and 42% of men reported one or more types of interpersonal violence. Women were more likely to experience kidnapping, physical assault by an intimate partner, rape, sexual assault, and stalking, whereas men were more likely to experience mugging or physical assault by someone other than parents or an intimate partner. Interpersonal violence was associated with risk for many mental disorders and attempted suicide. Although women were at higher risk for several forms of interpersonal violence, the impact of interpersonal violence on mental health outcomes did not vary by gender.

CONCLUSIONS

It is clearly important to identify and provide mental health treatment to women after interpersonal violence exposure. Findings also underscore the need for prevention and intervention efforts for women men, including routine screening for interpersonal violence by health care providers and appropriate treatment to address mental health conditions.

摘要

目的

我们在美国全国样本中研究各类人际暴力的人群发生率中的性别差异,并将性别作为人际暴力与终生精神障碍及自杀未遂之间关联的调节因素进行调查。

方法

数据取自全国共病调查复制研究;5692名男女完成了访谈,评估终生遭受九种人际暴力的经历、《精神疾病诊断与统计手册》第四版(DSM-IV)心理健康诊断及自杀未遂情况。

结果

约46%的女性和42%的男性报告遭受过一种或多种人际暴力。女性更有可能经历绑架、亲密伴侣身体攻击、强奸、性侵犯和跟踪骚扰,而男性更有可能经历抢劫或来自父母或亲密伴侣以外其他人的身体攻击。人际暴力与多种精神障碍风险及自杀未遂相关。尽管女性在几种形式的人际暴力中风险更高,但人际暴力对心理健康结果的影响并无性别差异。

结论

人际暴力暴露后识别并为女性提供心理健康治疗显然很重要。研究结果还强调了针对女性和男性开展预防及干预工作的必要性,包括医疗保健提供者对人际暴力进行常规筛查以及针对心理健康状况进行适当治疗。

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