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斯洛文尼亚亲密伴侣暴力受害者中的抑郁:家庭实践就诊者确定的因素的致残模式。

Depression in Intimate Partner Violence Victims in Slovenia: A Crippling Pattern of Factors Identified in Family Practice Attendees.

机构信息

Department of Family Medicine, Faculty of Medicine, University of Ljubljana, Poljanski nasip 58, 1000 Ljubljana, Slovenia.

出版信息

Int J Environ Res Public Health. 2018 Jan 26;15(2):210. doi: 10.3390/ijerph15020210.

Abstract

This multi-centre cross-sectional study explored associations between prevalence of depression and exposure to intimate partner violence (IPV) at any time in patients' adult life in 471 participants of a previous IPV study. In 2016, 174 interviews were performed, using the Short Form Domestic Violence Exposure Questionnaire, the Zung Scale and questions about behavioural patterns of exposure to IPV. Family doctors reviewed patients' medical charts for period from 2012 to 2016, using the Domestic Violence Exposure Medical Chart Check List, for conditions which persisted for at least three years. Depression was found to be associated with any exposure to IPV in adult life and was more likely to affect women. In multivariable logistic regression modelling, factors associated with self-rated depression were identified (p < 0.05). Exposure to emotional and physical violence was identified as a risk factor in the first model, explaining 23% of the variance. The second model explained 66% of the variance; past divorce, dysfunctional family relationships and a history of incapacity to work increased the likelihood of depression in patients. Family doctors should consider IPV exposure when detecting depression, since lifetime IPV exposure was found to be 40.4% and 36.9% of depressed revealed it.

摘要

这项多中心横断面研究旨在探讨在之前一项关于亲密伴侣暴力(IPV)的研究中,471 名参与者的成年生活中任何时候的抑郁患病率与 IPV 暴露之间的关联。2016 年,使用简短家庭暴力暴露问卷、Zung 量表和有关 IPV 暴露行为模式的问题对 174 名参与者进行了访谈。家庭医生使用家庭暴力暴露医疗图表检查表,查阅了患者从 2012 年至 2016 年的医疗记录,寻找至少持续三年的病症。研究发现,抑郁与成年生活中任何 IPV 暴露有关,且更可能影响女性。在多变量逻辑回归模型中,确定了与自评抑郁相关的因素(p < 0.05)。在第一个模型中,情感和身体暴力的暴露被确定为一个风险因素,解释了 23%的方差。第二个模型解释了 66%的方差;过去离婚、功能失调的家庭关系和无法工作的病史增加了患者抑郁的可能性。家庭医生在检测抑郁时应考虑 IPV 暴露,因为终生 IPV 暴露的发生率为 40.4%,而有 36.9%的抑郁患者揭示了这一点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4259/5858279/495563bb8d4d/ijerph-15-00210-g001.jpg

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