Department of Psychology, Michigan State University.
Counseling, Developmental and Educational Psychology, Boston College.
Am J Orthopsychiatry. 2018;88(5):563-570. doi: 10.1037/ort0000286. Epub 2017 Aug 17.
Domestic violence is a potentially traumatizing experience that has devastating psychological and physical consequences. In response, domestic violence shelter programs have focused increasing attention on helping adult and child survivors understand and heal from this trauma. What have come to be called trauma-informed practices include (a) reflecting an understanding of trauma and its many effects on health and behavior, (b) addressing both physical and psychological safety concerns, (c) using a culturally informed strengths-based approach, (d) helping to illuminate the nature and effects of abuse on survivors' everyday experience; and (e) providing opportunities for clients to regain control over their lives. Despite the proliferation of these practices, little is known about their effects on survivors. In response, the current study explored the extent to which trauma-informed practices, as experienced by shelter residents, related to changes in their levels of self-efficacy, safety-related empowerment, and depressive symptoms over the course of approximately 30 days in shelter. Fifty-seven shelter residents from 4 programs in Ohio completed surveys shortly after arriving in shelter and again before exit. Their perception of the degree to which they received trauma-informed services was associated with significant improvement in their self-efficacy and safety-related empowerment, but had no impact on depressive symptoms. Depressive symptoms decreased over time, regardless of receipt of trauma-informed practice. Implications for policy and practice are discussed. (PsycINFO Database Record
家庭暴力是一种潜在的创伤经历，会对受害者造成严重的心理和身体影响。因此，家庭暴力庇护所项目越来越关注帮助成年和儿童幸存者理解和疗愈这种创伤。所谓的创伤知情实践包括：(a) 反映对创伤及其对健康和行为的诸多影响的理解；(b) 解决身体和心理安全问题；(c) 采用文化敏感的优势方法；(d) 帮助揭示虐待对幸存者日常经历的性质和影响；(e) 为客户提供重新掌控生活的机会。尽管这些实践已经普及，但对于它们对幸存者的影响知之甚少。为此，本研究探讨了庇护所居民所经历的创伤知情实践与他们在大约 30 天的庇护期间自我效能感、与安全相关的赋权和抑郁症状变化之间的关系。俄亥俄州 4 个项目的 57 名庇护所居民在入住庇护所后不久和离开前完成了调查。他们对接受创伤知情服务程度的感知与自我效能感和与安全相关的赋权的显著改善有关，但对抑郁症状没有影响。无论是否接受创伤知情实践，抑郁症状都会随着时间的推移而减轻。讨论了政策和实践的影响。
