University of Michigan, Ann Arbor, USA.
J Interpers Violence. 2021 Mar;36(5-6):NP2298-NP2323. doi: 10.1177/0886260518760005. Epub 2018 Mar 26.
Intimate partner violence (IPV) is a significant social and public health problem that includes physical violence, sexual violence, threats of physical or sexual violence, stalking, and psychological aggression by an intimate partner. Estimates suggest that 35% of Latinas living in the United States experience IPV in their lifetime, with known severe negative outcomes. One mental health consequence of concern is depression, which disproportionately affects IPV-exposed Latinas. The present study tested the effectiveness of the Moms' Empowerment Program (MEP), a culturally adapted intervention to reduce depressive symptoms among IPV-exposed Spanish-speaking Latina mothers. Additional psychosocial predictors of levels of depressed affect over time are examined, including levels of post-traumatic stress, IPV exposure, positive parenting, parental acceptance of children's negative emotions, and maternal employment. Participants ( = 72) were assigned to a treatment or a wait-list comparison condition, and those in the treatment group completed a 10-week group intervention addressing the unique problems associated with IPV exposure, mental health, and parenting among Spanish-speaking Latinas. Results of multilevel modeling revealed that participation in the MEP was associated with significant reductions in depressed affect. Lower levels of post-traumatic stress and higher levels of positive parenting, maternal acceptance of children's negative emotions, and maternal employment predicted lower levels of depressed affect. The amount of total IPV exposure was not significantly associated with the extent of depressed affect. The MEP represents a culturally tailored, evidence-based intervention to reduce depressed affect among Spanish-speaking Latinas. The clinical implications of the additional predictors of levels of depressed affect are discussed.
亲密伴侣暴力(IPV)是一个重大的社会和公共卫生问题,包括身体暴力、性暴力、身体或性暴力威胁、跟踪和亲密伴侣的心理攻击。估计有 35%居住在美国的拉丁裔女性在其一生中经历过 IPV,并已知会产生严重的负面影响。一个令人关注的心理健康后果是抑郁,它不成比例地影响到经历过 IPV 的拉丁裔女性。本研究测试了妈妈赋权计划(MEP)的有效性,这是一种文化适应的干预措施,旨在减少经历过 IPV 的讲西班牙语的拉丁裔母亲的抑郁症状。还研究了随着时间的推移,预测抑郁程度的其他心理社会预测因素,包括创伤后应激水平、IPV 暴露、积极育儿、父母对孩子负面情绪的接受程度以及母亲就业情况。参与者(n=72)被分配到治疗组或等待名单对照组,治疗组完成了一项为期 10 周的小组干预,针对与 IPV 暴露、心理健康和讲西班牙语的拉丁裔母亲育儿相关的独特问题。多层次模型的结果显示,参加 MEP 与抑郁程度的显著降低有关。较低的创伤后应激水平和较高的积极育儿、母亲对孩子负面情绪的接受程度以及母亲就业情况预测了较低的抑郁程度。总的 IPV 暴露量与抑郁程度没有显著关联。MEP 是一种文化适应的、基于证据的干预措施,可以减少讲西班牙语的拉丁裔女性的抑郁程度。讨论了抑郁程度的其他预测因素的临床意义。