Taylor Janette Y, Holston Ezra C
University of Iowa College of Nursing and College of Liberal Arts, Department of Gender, Women's and Sexuality Studies, 50 Newton Road, 474 CNB, Iowa City, IA 52242, USA.
University of Tennessee, 1200 Volunteer Blvd, Rm 353, Knoxville, TN 37996, USA.
Nurs Res Pract. 2016;2016:7068528. doi: 10.1155/2016/7068528. Epub 2016 Sep 8.
Objective. To determine if incarcerated women survivors of IPV had a physiological response to the Music and Account-Making for Behavioral-Related Adaptation (MAMBRA) intervention, as measured by cortisol levels. Methods. A single-group repeated measures designed exploratory study was used to pilot-test MAMBRA. A convenience sample (n = 33) was recruited in a Midwestern women's correctional facility. Serving as their own control, participants provided demographics and pre-/post-MAMBRA salivary samples while attending four MAMBRA sessions. Baseline data were compared to participants' data collected over the remaining 3 MAMBRA sessions. Data were analyzed with descriptive and univariate statistics with an alpha of .05 and post-hoc power of .65. Results. Participants were predominantly White (52%), single (80%), and early middle-aged ([Formula: see text]), with a history of physical/nonphysical spousal abuse. Using a subsample (n = 26), salivary cortisol decreased between the pre-/post-MAMBRA over the sessions (F(3,75) = 4.59, p < .01). Conclusion. Participants had a physiological response to the MAMBRA intervention as evidenced by the decreased cortisol between the pre-/post-MAMBRA. This is the first step in examining MAMBRA's clinical utility as an intervention for female IPV survivors. Future longitudinal studies will examine MAMBRA's effectiveness given this change in cortisol.
目的。通过皮质醇水平测定，确定遭受亲密伴侣暴力（IPV）的在押女性幸存者对行为相关适应的音乐与叙述疗法（MAMBRA）干预是否有生理反应。方法。采用单组重复测量设计的探索性研究对MAMBRA进行预试验。在中西部一所女子惩教机构招募了一个便利样本（n = 33）。参与者在参加四次MAMBRA治疗课程时，提供人口统计学信息以及MAMBRA治疗前后的唾液样本，以自身作为对照。将基线数据与在其余三次MAMBRA治疗课程中收集的参与者数据进行比较。采用描述性和单变量统计分析数据，α值为0.05，事后检验效能为0.65。结果。参与者主要为白人（52%）、单身（80%）且处于中年早期（[公式：见正文]），有身体/非身体配偶虐待史。使用一个子样本（n = 26），在各治疗课程中，MAMBRA治疗前后唾液皮质醇水平有所下降（F(3,75) = 4.59，p < 0.01）。结论。参与者对MAMBRA干预有生理反应，MAMBRA治疗前后皮质醇水平下降证明了这一点。这是检验MAMBRA作为女性IPV幸存者干预措施的临床效用的第一步。鉴于皮质醇的这种变化，未来的纵向研究将考察MAMBRA的有效性。
