Sparrow Katherine, Kwan Jamie, Howard Louise, Fear Nicola, MacManus Deirdre
Forensic and Neurodevelopmental Sciences Department, Institute of Psychiatry Psychology and Neuroscience, King's College London, PO23, 16 De Crespigny Park, London, SE5 8AF, UK.
Department of Psychological Medicine, Weston Education Centre, 10 Cutcombe Road, London, SE5 9RJ, UK.
Soc Psychiatry Psychiatr Epidemiol. 2017 Sep;52(9):1059-1080. doi: 10.1007/s00127-017-1423-8. Epub 2017 Jul 26.
There is growing awareness of the problem of intimate partner violence (IPV) among military populations. IPV victimisation has been shown to be associated with mental disorder. A better understanding of the link between IPV and mental disorder is needed to inform service development to meet the needs of military families. We aimed to systematically review the literature on the association between IPV victimisation and mental health disorders among military personnel.
Searches of four electronic databases (Embase, Medline, PsycINFO, and Web of Science) were supplemented by reference list screening. Heterogeneity among studies precluded a meta-analysis.
Thirteen studies were included. There was stronger evidence for an association between IPV and depression/alcohol problems than between IPV and PTSD. An association between IPV and mental health problems was more frequently found among veterans compared to active duty personnel. However, the link between IPV and alcohol misuse was more consistently found among active duty samples. Finally, among active duty personnel psychological IPV was more consistently associated with depression/alcohol problems than physical/sexual IPV. The review highlighted the lack of research on male IPV victimisation in the military.
There is evidence that the burden of mental health need may be significant among military personnel who are victims of IPV. The influence of attitudes towards gender in the military on research in this area is discussed. Further research is needed to inform development of services and policy to reduce IPV victimisation and the mental health consequences among military personnel.
军事人群中对亲密伴侣暴力（IPV）问题的认识日益提高。IPV受害已被证明与精神障碍有关。需要更好地理解IPV与精神障碍之间的联系，以为满足军人家庭需求的服务发展提供信息。我们旨在系统回顾关于军人中IPV受害与心理健康障碍之间关联的文献。
通过检索四个电子数据库（Embase、Medline、PsycINFO和科学网），并辅以参考文献筛选。研究之间的异质性使得无法进行荟萃分析。
纳入了13项研究。与IPV和创伤后应激障碍（PTSD）之间的关联相比，IPV与抑郁/酒精问题之间存在关联的证据更强。与现役人员相比，在退伍军人中更常发现IPV与心理健康问题之间存在关联。然而，在现役样本中更一致地发现IPV与酒精滥用之间的联系。最后，在现役人员中，心理IPV比身体/性IPV更一致地与抑郁/酒精问题相关。该综述强调了对军队中男性IPV受害情况缺乏研究。
有证据表明，IPV受害者军人的心理健康需求负担可能很大。讨论了军队中性别态度对该领域研究的影响。需要进一步研究以为减少军人中IPV受害情况及其心理健康后果的服务和政策发展提供信息。
