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亲密伴侣暴力发病与特定性别抑郁之间的关联:一项全国代表性样本的纵向研究。

The association between intimate partner violence onset and gender-specific depression: A longitudinal study of a nationally representative sample.

机构信息

Institute of Health Services Research, Yonsei University, Seoul, Republic of Korea; Department of Public Health, Graduate School, Yonsei University, Seoul, Republic of Korea.

Institute of Health Services Research, Yonsei University, Seoul, Republic of Korea; Department of Preventive Medicine, Yonsei University College of Medicine, Seoul, Republic of Korea.

出版信息

J Affect Disord. 2019 May 1;250:79-84. doi: 10.1016/j.jad.2019.02.065. Epub 2019 Feb 26.

DOI:10.1016/j.jad.2019.02.065
PMID:30836283
Abstract

BACKGROUND

Intimate partner violence (IPV) is a serious social problem that is often hidden, unnoticed or ignored. However, few studies have explored the effects of partner violence onset and/or persistence on the mental health of individuals. Thus, we aimed to investigate the association between IPV onset and depressive symptoms in both married men and women.

METHODS

In this study, nationally representative data from the Korea Welfare Panel Study were employed to track 1040 men and 3732 women for a period of six years (2010-2015). Depressive symptoms were scored according to the 11-item Center for Epidemiologic Studies Depression Scale (CES-D-11).

RESULTS

Of our study population, 415 men (39.9%) and 866 women (23.2%) suffered from continuous intimate partner violence, meaning that they reported experience of IPV in both the previous and current year of investigation. Such subjects had significantly higher CES-D-11 scores (men β: 1.745, p ≤  0001; women β: 1.970, p  ≤  0001) as did subjects whose partners turned violent from non-violent (men β: 1.623, p  ≤  0001; women β: 1.594, p  ≤  0001) than those with continuously non-violent partners (reference group). Subjects whose partners turned non-violent from violent continued to be more depressed (men β: 0.312, p  ≤  009; women β: 0.880, p  ≤  000) than those with continuously non-violent partners. Through subgroup analysis, we also found that lower SES, as a covariate relative to educational attainment, household income, and economic status, was associated with worsened depression following IPV onset. Unemployed women with consistently violent partners (β: 2.957, p  ≤ .0001) and unemployed men with newly violent partners (β: 3.010, p  ≤ .0001) were more depressed than the employed or self-employed.

CONCLUSION

Our findings reveal that continuous IPV, as well as its onset, can have serious consequences for the mental health of its victims.

摘要

背景

亲密伴侣暴力(IPV)是一个严重的社会问题,通常是隐藏的、未被注意到的或被忽视的。然而,很少有研究探讨伴侣暴力的发生和/或持续对个人心理健康的影响。因此,我们旨在调查 IPV 发生和抑郁症状之间的关联,包括已婚男性和女性。

方法

本研究使用全国代表性的韩国福利面板研究数据,对 1040 名男性和 3732 名女性进行了为期六年的追踪(2010-2015 年)。抑郁症状根据 11 项中心流行病学研究抑郁量表(CES-D-11)进行评分。

结果

在我们的研究人群中,415 名男性(39.9%)和 866 名女性(23.2%)遭受持续的亲密伴侣暴力,这意味着他们在调查的前一年和当前年均报告了经历过 IPV。与持续非暴力伴侣相比,这些对象的 CES-D-11 评分明显更高(男性β:1.745,p≤0001;女性β:1.970,p≤0001),而那些伴侣从非暴力转为暴力的对象(男性β:1.623,p≤0001;女性β:1.594,p≤0001)也是如此。与持续非暴力伴侣相比,那些伴侣从暴力转为非暴力的对象继续表现出更严重的抑郁(男性β:0.312,p≤009;女性β:0.880,p≤000)。通过亚组分析,我们还发现,相对于教育程度、家庭收入和经济状况等因素,SES 较低与 IPV 发生后抑郁恶化有关。一直遭受暴力的失业女性(β:2.957,p≤0.0001)和新遭受暴力的失业男性(β:3.010,p≤0.0001)比就业或自营职业者更抑郁。

结论

我们的研究结果表明,持续的 IPV 以及其发生,可能对受害者的心理健康造成严重后果。

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