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研究、干预还是两者皆有?女性参与一项关于亲密伴侣暴力的纵向研究后的变化。

Research or intervention or both? Women's changes after participation in a longitudinal study about intimate partner violence.

作者信息

Burge Sandra K, Ferrer Robert L, Foster Erin L, Becho Johanna, Talamantes Melissa, Wood Robert C, Katerndahl David A

机构信息

Department of Family and Community Medicine, University of Texas Health Science Center at San Antonio.

Department of Medicine, University of Texas Health Science Center at San Antonio.

出版信息

Fam Syst Health. 2017 Mar;35(1):25-35. doi: 10.1037/fsh0000246. Epub 2017 Jan 9.

Abstract

INTRODUCTION

The tensions between risk and benefit in research are particularly evident in studies about intimate partner violence. Recalling and relating traumatic experiences may deepen posttraumatic stress or relieve the burden of terrible events long borne in secret. In this article, we examine the effects of study participation in a longitudinal investigation of intimate partner violence using both qualitative and quantitative data.

METHOD

Researchers enrolled 200 women in moderately violent intimate relationships and asked them to report about their relationships every day for 12 weeks. Daily, participants telephoned an automated survey and responded to 34 survey questions. They also completed baseline and end-of-study surveys and maintained telephone contact with 1 researcher weekly. Forty-2 participants completed qualitative end-of-study interviews to describe their relationships and their experiences in the study.

RESULTS

Over 12 weeks, participants showed improvements in coping strategies, hope, and mental health, and increased readiness to leave their partners. In qualitative interviews, women reported gaining insight, feeling better emotionally, making behavioral changes, finding comfort in daily surveys, learning resources for help, and taking action to improve their lives. Fourteen percent left their partners by end-of-study; 35% sought counseling.

DISCUSSION

The study's daily survey invited the participant to become more reflective about her relationship, which changed how she saw herself and her situation. The study methods also included weekly conversations with a compassionate researcher, allowing women to tell their stories. These 2 strategies may be incorporated into brief interventions for intimate partner violence in primary care settings. (PsycINFO Database Record

摘要

引言

研究中风险与益处之间的紧张关系在关于亲密伴侣暴力的研究中尤为明显。回忆和讲述创伤经历可能会加深创伤后应激反应,也可能会减轻长期隐秘承受的可怕事件的负担。在本文中,我们使用定性和定量数据研究了参与一项亲密伴侣暴力纵向调查的影响。

方法

研究人员招募了200名处于中度暴力亲密关系中的女性,要求她们在12周内每天报告自己的关系状况。参与者每天致电自动调查系统,回答34个调查问题。他们还完成了基线调查和研究结束时的调查,并每周与一名研究人员保持电话联系。42名参与者完成了研究结束时的定性访谈,以描述她们的关系以及在研究中的经历。

结果

在12周的时间里,参与者在应对策略、希望和心理健康方面有所改善,离开伴侣的意愿增强。在定性访谈中,女性报告说获得了洞察力,情绪感觉更好,行为有所改变,从日常调查中得到了安慰,学到了寻求帮助的资源,并采取行动改善自己的生活。到研究结束时,14%的人离开了伴侣;35%的人寻求了咨询。

讨论

该研究的每日调查促使参与者对自己的关系进行更多反思,这改变了她看待自己和自身处境的方式。研究方法还包括每周与一位富有同情心的研究人员进行交谈,让女性能够讲述自己的故事。这两种策略可纳入初级保健环境中针对亲密伴侣暴力的简短干预措施。(PsycINFO数据库记录)

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