1 Faculty of Medicine, Nursing and Health Sciences, School of Public Health and Preventive Medicine, Monash University , Melbourne, Australia .
2 Institute of Women's Health, Tokyo Women's Medical University , Tokyo, Japan .
J Womens Health (Larchmt). 2018 May;27(5):716-723. doi: 10.1089/jwh.2016.6276. Epub 2017 Sep 7.
The aim of this study was to examine the impact of sexual intimate partner violence (IPV) on mental health among Japanese women and to explore to what extent sexual IPV is an important contributor to the severity of mental health problems in comparison with physical and psychological IPV.
A cross-sectional analysis was conducted of the medical records of participants during psychiatric consultation at the Institute of Women's Health, Tokyo Women's Medical University, including 62 women who experienced IPV without sexual violence and 83 women who experienced IPV with sexual violence. Mental health problems were compared, including anxiety, depression, suicidality, post-traumatic stress disorder (PTSD), and dissociative experiences.
The results demonstrated a higher incidence and severity of somatic symptoms, insomnia, social dysfunction, severe depression and suicidality, PTSD, and dissociative experiences among women in the sexual IPV group than in the women who experienced IPV without sexual violence. In analyzing the relative contribution of sexual, physical, and psychological violence to the severity of mental health problems of the survivors, results indicated that sexual violence was an independent predictor of both PTSD and dissociative experiences.
The present research showed that significant adverse effects on mental health were observed among women who experienced IPV with sexual violence compared with the ones without. These findings provide important implications for considering the specific approaches to meet the needs of those women experiencing sexual IPV and the need for timely and effective interventions, including healthcare, social services, and primary prevention.
本研究旨在探讨性亲密伴侣暴力（IPV）对日本女性心理健康的影响，并探讨性 IPV 在多大程度上与身体和心理 IPV 相比，是导致心理健康问题严重程度的重要因素。
对东京女子医科大学妇女健康研究所心理咨询期间参与者的病历进行了横断面分析，包括 62 名未遭受性暴力的 IPV 女性和 83 名遭受性暴力的 IPV 女性。比较了焦虑、抑郁、自杀意念、创伤后应激障碍（PTSD）和分离体验等心理健康问题。
结果表明，性 IPV 组女性的躯体症状、失眠、社交功能障碍、重度抑郁和自杀意念、PTSD 和分离体验的发生率和严重程度均高于未遭受性暴力的 IPV 女性。在分析性、身体和心理暴力对幸存者心理健康问题严重程度的相对贡献时，结果表明性暴力是 PTSD 和分离体验的独立预测因子。
本研究表明，与未遭受性暴力的 IPV 女性相比，遭受性 IPV 的女性心理健康受到显著不良影响。这些发现为考虑针对遭受性 IPV 的女性的具体方法提供了重要启示，以及为及时有效的干预措施（包括医疗保健、社会服务和初级预防）提供了必要性。
