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女性退伍军人对亲密伴侣暴力相关咨询的偏好:为以患者为中心的干预提供信息。

Female veterans' preferences for counseling related to intimate partner violence: Informing patient-centered interventions.

作者信息

Iverson Katherine M, Stirman Shannon Wiltsey, Street Amy E, Gerber Megan R, Carpenter S Louisa, Dichter Melissa E, Bair-Merritt Megan, Vogt Dawne

机构信息

National Center for PTSD, VA Boston Healthcare System, Boston, Massachusetts; Department of Psychiatry, Boston University School of Medicine, Boston, Massachusetts.

National Center for PTSD, VA Boston Healthcare System, Boston, Massachusetts; Department of Psychiatry, Boston University School of Medicine, Boston, Massachusetts.

出版信息

Gen Hosp Psychiatry. 2016 May-Jun;40:33-8. doi: 10.1016/j.genhosppsych.2016.03.001. Epub 2016 Mar 18.

Abstract

OBJECTIVE

Female veterans are at high risk for intimate partner violence (IPV). A critical issue in the provision of health care to women who experience IPV is the delivery of effective brief counseling interventions that address women's unique needs. We aimed to identify female veterans' priorities and preferences for healthcare-based IPV counseling.

METHOD

A 2014 Web-based survey was administered to a national sample of US female veterans. Among 411 respondents (75% participation rate), 55% (n=226) reported IPV during their lifetime. These women identified priorities for the content focus of IPV-related counseling and preferences for the delivery of these services.

RESULTS

Women prioritized counseling that focuses on physical safety and emotional health, with learning about community resources being a relatively lower priority. Participants preferred counseling to focus specifically on enhancing coping skills and managing mental health symptoms. In addition, women want counseling to be individualized and preferred the option to meet with a counselor immediately following disclosure. Affordable services and attention to privacy concerns were of paramount importance in the context of IPV-related counseling.

CONCLUSION

These findings can inform patient-centered brief counseling interventions for women who experience IPV, which may ultimately reduce health disparities and violence among this population.

摘要

目的

女性退伍军人遭受亲密伴侣暴力(IPV)的风险很高。为遭受IPV的女性提供医疗保健时的一个关键问题是提供有效的简短咨询干预措施,以满足女性的独特需求。我们旨在确定女性退伍军人对基于医疗保健的IPV咨询的优先事项和偏好。

方法

2014年对美国女性退伍军人的全国样本进行了基于网络的调查。在411名受访者(参与率75%)中,55%(n=226)报告在其一生中遭受过IPV。这些女性确定了与IPV相关咨询的内容重点的优先事项以及这些服务提供方式的偏好。

结果

女性将侧重于身体安全和情绪健康的咨询列为优先事项,了解社区资源的优先级相对较低。参与者希望咨询具体侧重于增强应对技能和管理心理健康症状。此外,女性希望咨询能够个性化,并希望在披露后立即与咨询师会面。在与IPV相关的咨询背景下,负担得起的服务和对隐私问题的关注至关重要。

结论

这些发现可为遭受IPV的女性提供以患者为中心的简短咨询干预措施提供参考,这最终可能减少该人群中的健康差距和暴力行为。

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