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收容所中的家庭暴力受害者:我们对他们的心理健康了解多少?

Domestic Violence Victims in Shelters: What Do We Know About Their Mental Health?

作者信息

Akyazi Senem, Tabo Abdulkadir, Guveli Hulya, İlnem Mehmet Cem, Oflaz Serap

机构信息

Ankara Yenimahalle State Hospital, Ankara, Turkey.

Bakirkoy Training and Research Hospital for Psychiatry, Neurology and Neurosurgery, Istanbul, Turkey.

出版信息

Community Ment Health J. 2018 Apr;54(3):361-369. doi: 10.1007/s10597-018-0240-1. Epub 2018 Feb 5.

Abstract

In this study, the relationship between mental disorders, childhood trauma and sociodemographic characteristics was evaulated in women staying in shelters due to domestic violence. The study comprised 59 volunteers, staying in women's shelters in Istanbul due to domestic violence. The structured clinical interview for DSM-IV TR axis 1 disorders (SCID-I), Domestic Violence Data Form, Hamilton Rating Scale for Depression, Beck Anxiety Inventory and Childhood Trauma Questionnaire were applied by a psychiatric expert in face-to-face interviews. Of the cases 76.3% were diagnosed with at least one psychiatric disorder. Post traumatic stress disorder was the most common diagnosis (50.8%). In our study 59% of women had attempted suicide at least once, and 66% of these were found to have attempted suicide after violence started. Previous psychiatric diagnosis and exposure to childhood abuse were observed to be risk factors for suicide attempts. Psychiatric disease comorbidities and suicide attempt were identified at high rates in women exposed to domestic violence.

摘要

在本研究中,对因家庭暴力而住在庇护所的女性的精神障碍、童年创伤和社会人口学特征之间的关系进行了评估。该研究包括59名因家庭暴力而住在伊斯坦布尔妇女庇护所的志愿者。由一名精神病学专家通过面对面访谈应用了针对DSM-IV TR轴I障碍的结构化临床访谈(SCID-I)、家庭暴力数据表格、汉密尔顿抑郁评定量表、贝克焦虑量表和童年创伤问卷。在这些病例中,76.3%被诊断患有至少一种精神障碍。创伤后应激障碍是最常见的诊断(50.8%)。在我们的研究中,59%的女性至少有过一次自杀企图,其中66%是在暴力开始后被发现有自杀企图。既往精神科诊断和童年期受虐待被观察到是自杀企图的危险因素。在遭受家庭暴力的女性中,精神疾病共病和自杀企图的发生率很高。

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