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法医精神科门诊环境中的亲密伴侣暴力施暴者:犯罪史、精神病理学与受害情况

Intimate partner violence perpetrators in a forensic psychiatric outpatient setting: criminal history, psychopathology, and victimization.

作者信息

Henrichs Jens, Bogaerts Stefan, Sijtsema Jelle, Klerx-van Mierlo Fanny

机构信息

Tilburg University, The Netherlands.

Tilburg University, The Netherlands Catholic University of Leuven, Belgium The Kijvelanden, Forensic Psychiatric Centre, Rotterdam, The Netherlands

出版信息

J Interpers Violence. 2015 Jul;30(12):2109-28. doi: 10.1177/0886260514552272. Epub 2014 Oct 6.

DOI:10.1177/0886260514552272
PMID:25287409
Abstract

This study investigated criminological, psychopathological, and victimological profiles of intimate partner violence (IPV) perpetrators in a sample of 119 Dutch female and male forensic psychiatric outpatients aged 18 to 58 years. In addition, differences in criminological, psychopathological, and victimological factors between IPV perpetrators (n = 61, 51.3%) and non-intimate violence (NIV) perpetrators (n = 58, 48.7%) were examined. All data, including information on demographics, criminal history, history of psychological, sexual, and physical victimization during childhood or adolescence, family history of psychopathology, history of psychopathology in childhood and adolescence, and mental disorders, were derived from archival electronic medical records. Mental disorders were measured using structured psychiatric interviews and final consensus diagnoses were established during weekly case consultations. Both IPV and NIV perpetrators displayed high rates of criminal history, psychopathology, and previous victimization, but the two groups did not differ in these factors with two exceptions. IPV perpetrators were significantly more likely to have higher rates of previous physical victimization and intermittent explosive disorder than NIV perpetrators. The current study suggests that a history of physical victimization and intermittent explosive disorder are specific characteristics of IPV perpetrators in a forensic psychiatric outpatient setting. Future research should focus on mechanisms explaining the association of childhood victimization and IPV and increase our understanding of the role of intermittent explosive disorder in IPV.

摘要

本研究调查了119名年龄在18至58岁之间的荷兰法医精神病门诊患者样本中亲密伴侣暴力(IPV)施暴者的犯罪学、精神病理学和受害者学特征。此外,还考察了IPV施暴者(n = 61,51.3%)和非亲密暴力(NIV)施暴者(n = 58,48.7%)在犯罪学、精神病理学和受害者学因素方面的差异。所有数据,包括人口统计学信息、犯罪史、童年或青少年时期心理、性和身体受害史、精神病理学家族史、童年和青少年时期精神病理学史以及精神障碍,均来自存档的电子病历。使用结构化精神病访谈测量精神障碍,并在每周的病例会诊期间确定最终的共识诊断。IPV和NIV施暴者均表现出较高的犯罪史、精神病理学和既往受害率,但两组在这些因素上除两个例外并无差异。与NIV施暴者相比,IPV施暴者更有可能有更高的既往身体受害率和间歇性爆发障碍发生率。当前研究表明,身体受害史和间歇性爆发障碍是法医精神病门诊环境中IPV施暴者的特定特征。未来的研究应关注解释童年受害与IPV之间关联的机制,并增进我们对间歇性爆发障碍在IPV中作用的理解。

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