Katerndahl David A, Burge Sandra K, Ferrer Robert L, Becho Johanna, Wood Robert
The University of Texas Health Science Center at San Antonio, USA.
J Interpers Violence. 2020 Apr;35(7-8):1610-1634. doi: 10.1177/0886260517698280. Epub 2017 Mar 20.
Taking action among women in violent relationships appears to involve sudden changes and reversals after periods of building stress, suggesting that decision making is a "catastrophic" phenomenon. This study sought to determine whether readiness-to-change is best modeled as a cusp catastrophic (CCM) phenomenon among women in violent relationships. A total of 143 women who experienced violence in the previous month completed baseline and end-of-study interviews assessing her hope, coping strategies, social network, and readiness-for-action (seeking help, taking legal action, and leaving) concerning the violence. Daily assessments of his violent behavior, forgiveness sought and given, and her perceived need-for-action were collected via telephone Interactive Voice Response for 8 weeks. Using regression analysis, the impact of factor-analyzed asymmetry (violence burden) and bifurcation (hope and cope, support, forgiveness, and number of children) variables on the outcomes (readiness-for-help, legal action, and leaving) was modeled, comparing the CCM against linear models to determine which model accounts for the most variance in each outcome. Cusp catastrophe models for all three actions accounted for more variance than either linear model comparison, but violence burden was only relevant to readiness-for-help and different bifurcation variables were at work for each action. While forgiveness was an important bifurcation factor in readiness-for-help and number of children served as the bifurcation factor for readiness-for-legal-action, readiness-to-leave was more complex with both number of children and hope-and-cope as bifurcation factors. Not only should we expect sudden changes in readiness but efforts to facilitate decision making should focus on addressing the bifurcation factors that may distort her interpretation of reality.
针对处于暴力关系中的女性采取行动,似乎涉及在压力不断累积后的突然变化和转变,这表明决策是一种“灾难性”现象。本研究旨在确定,对于处于暴力关系中的女性而言,改变意愿是否最好被建模为一种尖点突变(CCM)现象。共有143名在上个月遭受过暴力的女性完成了基线和研究结束时的访谈,评估了她们的希望、应对策略、社交网络以及针对暴力行为的行动意愿(寻求帮助、采取法律行动和离开)。通过电话互动语音应答,在8周内每日收集其暴力行为、寻求和给予的宽恕,以及她所感知到的行动需求。使用回归分析,对经因子分析的不对称性(暴力负担)和分歧(希望与应对、支持、宽恕以及子女数量)变量对结果(寻求帮助的意愿、法律行动和离开)的影响进行建模,将CCM与线性模型进行比较,以确定哪种模型能解释每个结果中最大的方差。所有三种行动的尖点突变模型解释的方差均比线性模型比较更多,但暴力负担仅与寻求帮助的意愿相关,且不同的分歧变量在每种行动中起作用。虽然宽恕是寻求帮助意愿中的一个重要分歧因素,子女数量是采取法律行动意愿的分歧因素,但离开的意愿更为复杂,子女数量和希望与应对都是分歧因素。我们不仅应预期行动意愿会突然改变,而且促进决策的努力应侧重于解决可能扭曲她对现实的理解的分歧因素。