Smith Kathryn Z, Smith Philip H, Violanti John M, Bartone Paul T, Homish Gregory G
Department of Psychology, Wayne State University, Detroit, Michigan, USA.
Department of Psychiatry, School of Medicine, Yale University, New Haven, Connecticut, USA.
J Trauma Stress. 2015 Oct;28(5):469-74. doi: 10.1002/jts.22048.
Associations between posttraumatic stress disorder (PTSD) and perpetration of intimate partner violence (IPV) have not been extensively studied in nonveteran samples. Secondary analysis was conducted using a nationally representative U.S. sample and limited to those who reported being in a relationship in the past year (N = 25,652). This sample was mostly White (72.0%), the majority had completed high school/ general educational development (GED; 87.8%), about half were female (49.2%), and the mean age was 46.44 years (SD = 15.92). We hypothesized that a diagnosis of PTSD in the past year would be associated with greater perpetration of IPV and that the arousal/reactivity and intrusion symptom clusters would evidence the strongest associations with IPV. Consistent with expectations, a PTSD diagnosis in the past year was associated with greater perpetration of IPV, OR = 2.07, 95% CI [1.89, 2.26]. Among those with a PTSD diagnosis in the past year (n = 1,742), arousal/reactivity symptom cluster scores were associated with greater perpetration of IPV for both men and women, AOR = 1.27, 95% CI [1.11, 1.44]; intrusion symptom cluster scores were associated with perpetration of IPV for men only, AOR = 1.56, 95% CI [1.20, 2.04]; whereas negative cognitions/mood symptom cluster scores were only significant among women, AOR = 1.12, 95% CI [1.01, 1.24]. Results suggested that theoretical and empirical work linking PTSD and perpetration of IPV in military samples extends to the general population.
创伤后应激障碍(PTSD)与亲密伴侣暴力行为(IPV)之间的关联在非退伍军人样本中尚未得到广泛研究。本研究使用具有全国代表性的美国样本进行了二次分析,样本仅限于那些报告在过去一年处于恋爱关系中的人(N = 25,652)。该样本大多为白人(72.0%),大多数人完成了高中/普通教育发展(GED;87.8%),约一半为女性(49.2%),平均年龄为46.44岁(标准差 = 15.92)。我们假设过去一年被诊断为PTSD会与更高的IPV发生率相关,并且唤醒/反应性和侵入性症状群与IPV的关联最为强烈。与预期一致,过去一年被诊断为PTSD与更高的IPV发生率相关,OR = 2.07,95% CI [1.89, 2.26]。在过去一年被诊断为PTSD的人群(n = 1,742)中,唤醒/反应性症状群得分与男性和女性更高的IPV发生率相关,AOR = 1.27,95% CI [1.11, 1.44];侵入性症状群得分仅与男性的IPV行为相关,AOR = 1.56,95% CI [1.20, 2.04];而消极认知/情绪症状群得分仅在女性中具有显著性,AOR = 1.12,95% CI [1.01, 1.24]。结果表明,将军事样本中PTSD与IPV行为联系起来的理论和实证研究扩展到了一般人群。