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创伤暴露和创伤后应激障碍在接受亲密伴侣暴力行为治疗的女性中。

Trauma Exposure and PTSD Among Women Receiving Treatment for Intimate Partner Violence Perpetration.

机构信息

University of Maryland, Baltimore County, MD, USA.

出版信息

J Interpers Violence. 2021 Jul;36(13-14):NP6803-NP6826. doi: 10.1177/0886260518820634. Epub 2019 Jan 7.

DOI:10.1177/0886260518820634
PMID:30616467
Abstract

Trauma exposure and posttraumatic stress disorder (PTSD) symptoms have been associated with men's perpetration of intimate partner violence (IPV), but relatively little research has examined these associations among women who perpetrate IPV. This exploratory investigation evaluated the associations among trauma, PTSD symptoms, and IPV perpetration for women and a comparison sample of men. During intake at a community-based Abuse Intervention Program (AIP), women ( = 32) and a demographically similar comparison sample of men ( = 64) completed measures of trauma exposure, PTSD symptoms, physical aggression and emotional abuse perpetration, and use of alcohol and other drugs. The vast majority of women (93.5%) reported traumatic event exposure, and close to half (43.8%) screened positive for a probable PTSD diagnosis. Women's level of PTSD symptoms correlated positively with emotional abuse perpetration, with medium-to-large effect sizes. After controlling for substance use, women's PTSD symptoms were significantly and positively correlated with physical assault and emotional abuse perpetration. Women reported significantly higher rates of exposure to IPV victimization and had significantly higher rates of probable PTSD and PTSD symptoms than did men from the same AIP. Gender did not significantly moderate the associations between PTSD symptoms and IPV perpetration. Overall, findings indicate that trauma exposure and PTSD symptoms are important correlates of women's IPV perpetration. Women in treatment for IPV perpetration may benefit from additional assessment and treatment of trauma and trauma-related symptoms.

摘要

创伤暴露和创伤后应激障碍(PTSD)症状与男性实施亲密伴侣暴力(IPV)有关,但相对较少的研究调查了实施 IPV 的女性中这些关联。这项探索性研究评估了创伤、PTSD 症状与女性和男性比较样本中 IPV 实施之间的关联。在基于社区的虐待干预计划(AIP)的摄入期间,女性(n=32)和人口统计学上相似的男性比较样本(n=64)完成了创伤暴露、PTSD 症状、身体攻击和情感虐待实施以及酒精和其他药物使用的测量。绝大多数女性(93.5%)报告了创伤事件暴露,近一半(43.8%)筛查出可能患有 PTSD 诊断。女性的 PTSD 症状与情感虐待实施呈正相关,具有中到大的效应大小。在控制了物质使用之后,女性的 PTSD 症状与身体攻击和情感虐待实施呈显著正相关。来自同一 AIP 的女性报告的 IPV 受害暴露率明显更高,患有 PTSD 和 PTSD 症状的可能性也明显更高。性别并未显著调节 PTSD 症状与 IPV 实施之间的关联。总体而言,研究结果表明,创伤暴露和 PTSD 症状是女性 IPV 实施的重要相关因素。接受 IPV 实施治疗的女性可能受益于对创伤和与创伤相关的症状进行额外的评估和治疗。

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