Kastello Jennifer C, Jacobsen Kathryn H, Gaffney Kathleen F, Kodadek Marie P, Bullock Linda C, Sharps Phyllis W
School of Nursing, University of Virginia, 202 Jeanette Lancaster Way, PO Box 800782, Charlottesville, VA, 222903, USA.
Department of Global and Community Health, George Mason University, Fairfax, VA, USA.
Arch Womens Ment Health. 2016 Jun;19(3):521-8. doi: 10.1007/s00737-015-0594-0. Epub 2015 Dec 30.
Women exposed to intimate partner violence (IPV) and other forms of lifetime trauma may be at risk for negative mental health outcomes including posttraumatic stress disorder (PTSD). The purpose of this study was to examine potential predictors of PTSD among low-income women exposed to perinatal IPV. This study analyzed baseline cross-sectional data from 239 low-income pregnant women in the USA who participated in a nurse home visitation intervention between 2006 and 2012 after reporting recent IPV. PTSD was assessed with the Davidson Trauma Scale (DTS) in which participants answer questions about the most disturbing traumatic event (MDTE) in their lifetime that affected them the week before the interview. In total, 40 % of the women were identified as having PTSD (DTS ≥40). PTSD prevalence significantly increased with age to nearly 80 % of women ages 30 and older (n = 23). Age was also the strongest predictor of PTSD (p < 0.001). Most participants (65 %) identified non-IPV-related traumas as their MDTEs. Psychological (94 %), physical (82 %), and sexual (44 %) violence were not significantly associated with PTSD status. Despite recent exposure to IPV, most participants identified other traumatic events as more disturbing than IPV-related trauma. Further, the risk for PTSD increased with age, suggesting that the cumulative effect of trauma, which may include IPV, increases the risk for PTSD over a lifetime. Implementing comprehensive screening for trauma during prenatal care may lead to the early identification and treatment of PTSD during pregnancy in a community setting.
遭受亲密伴侣暴力(IPV)及其他形式终身创伤的女性可能面临负面心理健康后果的风险,包括创伤后应激障碍(PTSD)。本研究的目的是调查遭受围产期IPV的低收入女性中PTSD的潜在预测因素。本研究分析了2006年至2012年间参与护士家庭访视干预的239名美国低收入孕妇的基线横断面数据,这些孕妇在报告近期遭受IPV后参与了该干预。使用戴维森创伤量表(DTS)评估PTSD,参与者需回答有关其一生中在访谈前一周影响他们的最令人不安的创伤事件(MDTE)的问题。总体而言,40%的女性被确定患有PTSD(DTS≥40)。PTSD患病率随年龄显著增加,30岁及以上女性中近80%患病(n = 23)。年龄也是PTSD最强的预测因素(p < 0.001)。大多数参与者(65%)将与IPV无关的创伤确定为其MDTE。心理暴力(94%)、身体暴力(82%)和性暴力(44%)与PTSD状态无显著关联。尽管近期遭受了IPV,但大多数参与者认为其他创伤事件比与IPV相关的创伤更令人不安。此外,PTSD风险随年龄增加,这表明创伤的累积效应(可能包括IPV)会增加一生中患PTSD的风险。在产前护理期间实施全面的创伤筛查可能会在社区环境中实现孕期PTSD的早期识别和治疗。