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亲密伴侣暴力干预措施的系统评价:现状及对从业者的影响。

A Systematic Review of Intimate Partner Violence Interventions: State of the Field and Implications for Practitioners.

机构信息

University of Rochester School of Medicine and Dentistry, Rochester, NY, USA.

University of Rochester School of Nursing, Rochester, NY, USA.

出版信息

Trauma Violence Abuse. 2020 Apr;21(2):311-325. doi: 10.1177/1524838018767934. Epub 2018 Apr 12.

DOI:10.1177/1524838018767934
PMID:29649966
Abstract

Intimate partner violence (IPV) victimization is a global public health issue and has serious consequences of women's health. While scholars and researchers have made some progress in addressing IPV and its impact across different levels of care, there is a paucity of intervention research in this area. For example, we know little about which intervention models work best for particular groups of IPV survivors. Previous reviews have concluded there is insufficient evidence to recommend specific treatment options for victims, but they have also been limited in scope of target populations or have employed narrow eligibility criteria. This systematic review examined the efficacy and effectiveness of interventions for victims of IPV related to physical and mental health and revictimization. Three large databases were searched and articles were selected using specified criteria. Fifty-seven articles met inclusion criteria. Results indicate that both empowerment-based advocacy and cognitively focused clinical interventions demonstrate positive outcomes on the vast sequelae of violence in the context of an intimate relationship. The heterogeneity of intervention approaches and frameworks makes comparisons across studies challenging, but this review demonstrates that interventions focused on problem-solving/solution seeking, enhanced choice making and the alteration in distorted self-thinking and perception are promising in facilitating and maintaining positive physical and mental health changes for women who experience violence.

摘要

亲密伴侣暴力(IPV)受害是一个全球性的公共卫生问题,对妇女健康有严重后果。虽然学者和研究人员在不同层面的护理方面对 IPV 及其影响的处理取得了一些进展,但在这一领域的干预研究仍然很少。例如,我们对哪些干预模式最适合特定群体的 IPV 幸存者知之甚少。以前的综述得出的结论是,没有足够的证据推荐针对受害者的具体治疗选择,但这些综述也受到目标人群范围的限制,或采用了狭隘的资格标准。这项系统评价检查了与身心健康和再次受害有关的 IPV 受害者干预措施的疗效和效果。对三个大型数据库进行了搜索,并使用指定的标准选择了文章。57 篇文章符合纳入标准。结果表明,在亲密关系的暴力背景下,基于赋权的倡导和以认知为重点的临床干预都显示出积极的结果。干预方法和框架的异质性使得跨研究进行比较具有挑战性,但本综述表明,以解决问题/寻求解决方案、增强选择、改变扭曲的自我思维和感知为重点的干预措施在促进和维持经历过暴力的妇女的身心健康积极变化方面具有很大的潜力。

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