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中国男性家庭暴力实施者的创伤经历和创伤后应激障碍症状:一项比较和结构方程建模研究。

Traumatic Experiences and PTSD Symptoms in the Chinese Male Intrafamilial Physical Violence Perpetrators: A Comparative and Structural Equation Modeling Study.

机构信息

Department of Medical Psychology, Nanjing Medical University, Affiliated Nanjing Brain Hospital, Nanjing, Jiangsu Province, P.R. China.

Mental Health Institute, Second Xiangya Hospital of Central South University, Changsha, Hunan Province, P.R. China.

出版信息

J Interpers Violence. 2021 Mar;36(5-6):2841-2861. doi: 10.1177/0886260518764103. Epub 2018 Mar 21.

Abstract

We aimed to compare traumatic experiences among the groups of perpetrators with or without violent pedigree, and establish a structural model of posttraumatic stress disorder (PTSD) symptoms as mediators of traumatic experiences and severe intrafamilial physical violence among Chinese male perpetrators. A cross-sectional survey and a face-to-face interview were conducted to examine intimate partner violence (IPV) perpetration and violent pedigree, childhood maltreatment, other traumatic events, PTSD symptoms, and severe intrafamilial physical violence in a community sample of 229 abusive men and 303 controlled men in China. Using structural equation modeling (SEM) techniques, the scores of the questionnaires were entered into the theoretical model and calculated. Findings demonstrated that the numbers of the traumatic events in four groups were significantly different with a declining trend, and the SEM data had an adequate fit. The loadings of pathways from childhood witness domestic violence (DV) to severe physical violence (SPV) were more salience than other pathways, and the indirect effect of every pathway, except for the childhood witness DV to PTSD symptoms, on severe intrafamilial physical violence in the model was significant. The results suggest that PTSD symptoms cluster as mediator of the intergenerational transmission of SPV perpetration in Chinese abusive men. Childhood witness IPV has effects on adulthood perpetration of IPV.

摘要

我们旨在比较有暴力家族史和无暴力家族史的施害者群体之间的创伤经历,并建立一个结构模型,以探讨创伤后应激障碍(PTSD)症状作为中国男性施害者创伤经历和严重家庭内身体暴力的中介因素。本研究采用横断面调查和面对面访谈的方法,在中国社区中对 229 名施虐男性和 303 名对照男性进行了亲密伴侣暴力(IPV)施害和暴力家族史、儿童期虐待、其他创伤事件、PTSD 症状和严重家庭内身体暴力的研究。采用结构方程模型(SEM)技术,将问卷得分输入理论模型并进行计算。结果表明,四个组别的创伤事件数量存在显著差异,呈下降趋势,且 SEM 数据具有较好的拟合度。童年期目击家庭暴力(DV)到严重身体暴力(SPV)的路径负荷比其他路径更显著,除了童年期目击 DV 到 PTSD 症状的路径外,模型中每条路径对严重家庭内身体暴力的间接效应均具有统计学意义。研究结果表明,PTSD 症状群作为 SPV 施害者代际传递的中介因素在中国施虐男性中存在。童年期目击 IPV 对成年期 IPV 的施害具有影响。

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本文引用的文献

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