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创伤性事件与男性亲密伴侣暴力行为的关系。

Centrality of traumatic events and men's intimate partner violence perpetration.

机构信息

Department of Psychology.

出版信息

Psychol Trauma. 2020 Feb;12(2):200-206. doi: 10.1037/tra0000497. Epub 2019 Jul 18.

Abstract

OBJECTIVE

The event centrality model indicates that the development and maintenance of posttraumatic stress symptoms (PTSSs) occurs when a traumatic event becomes central to one's identity, marking a key turning point in one's life narrative and influencing the meaning assigned to subsequent posttrauma events. Previous research has shown that event centrality is associated with PTSSs among survivors of intimate partner violence (IPV). However, research has not yet determined whether event centrality may explain associations between trauma exposure and IPV among perpetrators of IPV. Trauma and PTSSs are key risk factors for IPV perpetration, but many questions remain about the mechanisms that explain these associations.

METHOD

Study participants came from a sample of 134 men presenting for treatment at a community-based relationship violence intervention program in the Baltimore-Washington, DC metro area between July 2013 and July 2015 during routine program intake. In the hypothesized serial model, exposure to potentially traumatic events predicted event centrality, which predicted PTSSs, which predicted IPV perpetration and relationship problems.

RESULTS

The serial mediation model was significant for physical assault, psychological aggression, emotional abuse, and relationship problems, but not for sexual coercion.

CONCLUSIONS

The results indicate that the extent to which a trauma becomes central to one's identity is important in understanding the links between trauma exposure, PTSSs, and IPV perpetration. These findings support the development and application of trauma-informed interventions to reduce IPV perpetration and reduce event centrality in this population. (PsycINFO Database Record (c) 2020 APA, all rights reserved).

摘要

目的

事件中心模型表明,创伤后应激症状(PTSS)的发展和维持发生在创伤事件成为一个人身份的中心时,这标志着一个人生活叙事的一个关键转折点,并影响随后创伤后事件赋予的意义。先前的研究表明,事件中心与亲密伴侣暴力(IPV)幸存者的 PTSD 有关。然而,研究尚未确定事件中心是否可以解释创伤暴露与 IPV 施害者之间的关联。创伤和 PTSD 是 IPV 发生的关键风险因素,但仍有许多问题需要解释这些关联的机制。

方法

研究参与者来自 2013 年 7 月至 2015 年 7 月期间在巴尔的摩-华盛顿特区大都市区的一个基于社区的关系暴力干预计划中接受治疗的 134 名男性的样本。在假设的串联模型中,潜在创伤事件的暴露预测事件中心,事件中心预测 PTSD, PTSD 预测 IPV 发生和关系问题。

结果

身体攻击、心理攻击、情感虐待和关系问题的串联中介模型具有统计学意义,但性胁迫模型不具有统计学意义。

结论

结果表明,创伤在多大程度上成为一个人身份的中心对于理解创伤暴露、PTSD 和 IPV 发生之间的联系非常重要。这些发现支持开发和应用以创伤为中心的干预措施,以减少 IPV 的发生,并降低该人群中事件的中心性。(APA,所有权利保留)。

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