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亲密伴侣暴力幸存者的世界观、宗教信仰与创伤后应激障碍

World assumptions, religiosity, and PTSD in survivors of intimate partner violence.

作者信息

Lilly Michelle M, Howell Kathryn H, Graham-Bermann Sandra

机构信息

Northern Illinois University, DeKalb, USA

University of Memphis, Memphis, USA.

出版信息

Violence Against Women. 2015 Jan;21(1):87-104. doi: 10.1177/1077801214564139. Epub 2014 Dec 24.

DOI:10.1177/1077801214564139
PMID:25540252
Abstract

Intimate partner violence (IPV) is among the most frequent types of violence annually affecting women. One frequent outcome of violence exposure is posttraumatic stress disorder (PTSD). The theory of shattered world assumptions represents one possible explanation for adverse mental health outcomes following trauma, contending that trauma disintegrates individuals' core assumptions that the world is safe and meaningful, and that the self is worthy. Research that explores world assumptions in relationship to survivors of IPV has remained absent. A more consistent finding in research on IPV suggests that religiosity is strongly associated with survivors' reactions to, and recovery from, IPV. The present study found that world assumptions was a significant mediator of the relationship between IPV exposure and PTSD symptoms. Religiosity was also significantly, positively related to PTSD symptoms, but was not significantly related to amount of IPV exposure. Though African American women reported more IPV exposure and greater religiosity than European American women in the sample, there were no interethnic differences in PTSD symptom endorsement. Implications of these findings are discussed.

摘要

亲密伴侣暴力(IPV)是每年影响女性的最常见暴力类型之一。遭受暴力的一个常见后果是创伤后应激障碍(PTSD)。破碎世界假设理论是创伤后不良心理健康后果的一种可能解释,该理论认为创伤会瓦解个体关于世界是安全且有意义以及自我是有价值的核心假设。探索与亲密伴侣暴力幸存者相关的世界假设的研究仍然缺乏。关于亲密伴侣暴力的研究中一个更一致的发现是,宗教信仰与幸存者对亲密伴侣暴力的反应及从中恢复密切相关。本研究发现,世界假设是亲密伴侣暴力暴露与创伤后应激障碍症状之间关系的一个重要中介变量。宗教信仰也与创伤后应激障碍症状显著正相关,但与亲密伴侣暴力暴露的程度无显著关联。尽管在样本中,非裔美国女性报告的亲密伴侣暴力暴露情况和宗教信仰程度均高于欧裔美国女性,但在创伤后应激障碍症状认可方面不存在种族间差异。本文讨论了这些发现的意义。

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