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男性实施亲密伴侣暴力期间的创伤、创伤后应激障碍症状和分离体验。

Trauma, posttraumatic stress disorder symptoms, and dissociative experiences during men's intimate partner violence perpetration.

机构信息

Department of Psychology, University of Maryland.

出版信息

Psychol Trauma. 2017 Sep;9(5):567-574. doi: 10.1037/tra0000205. Epub 2016 Oct 6.

Abstract

OBJECTIVE

Research with partner-violent men has found that a subset of this population reports dissociative experiences during their violence (e.g., inability to remember violence [despite admission that it had occurred]; flashbacks during violence). However, the literature examining this phenomenon has been primarily limited to clinical observations and case studies, and there is a need for more thorough empirical investigation regarding the prevalence and correlates of dissociative violence among individuals in intimate partner violence (IPV) intervention programs. The primary goals of this study were to provide descriptive information about the rates of endorsement of dissociative experiences during IPV perpetration and to examine their associations with trauma exposure and posttraumatic stress disorder (PTSD) symptoms.

METHOD

Participants were 302 men presenting for services at a community-based IPV intervention program. All variables were assessed via self-report and clinician interview at program intake.

RESULTS

Results indicated that 22.2% of participants reported 1 or more dissociative experiences during partner violence perpetration. Additionally, frequency of dissociative IPV perpetration showed significant positive correlations with the total number of potentially traumatic events (PTEs) reported and PTSD symptoms, with effect sizes in the small and medium ranges of magnitude, respectively. Finally, PTSD symptoms significantly mediated the relationship between total number of PTEs and dissociative IPV perpetration.

CONCLUSIONS

Findings indicate a potentially meaningful relationship between trauma, PTSD symptoms, and dissociative experiences during IPV perpetration. Further qualitative and quantitative investigation is needed to better understand this phenomenon and how it can be addressed in IPV treatment. (PsycINFO Database Record

摘要

目的

对伴侣暴力男性的研究发现,该人群中有一部分人在暴力期间会出现分离体验(例如,无法记住暴力行为(尽管承认发生过);在暴力期间出现闪回)。然而,研究这一现象的文献主要局限于临床观察和案例研究,需要对亲密伴侣暴力(IPV)干预计划中的个体的分离性暴力的患病率和相关性进行更全面的实证研究。本研究的主要目的是提供关于在 IPV 实施过程中出现分离体验的发生率的描述性信息,并研究其与创伤暴露和创伤后应激障碍(PTSD)症状的关联。

方法

参与者是 302 名在社区为基础的 IPV 干预计划中寻求服务的男性。所有变量均通过自我报告和临床医生在项目开始时的访谈进行评估。

结果

结果表明,22.2%的参与者报告在伴侣暴力实施过程中有 1 次或多次分离体验。此外,分离性 IPV 实施的频率与报告的潜在创伤性事件(PTE)总数和 PTSD 症状呈显著正相关,效应大小分别处于小和中范围。最后,PTSD 症状显著中介了 PTE 总数与分离性 IPV 实施之间的关系。

结论

研究结果表明,创伤、PTSD 症状与 IPV 实施过程中的分离体验之间存在潜在的重要关系。需要进一步进行定性和定量研究,以更好地了解这一现象以及如何在 IPV 治疗中解决这一问题。

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