Nair Shruti, A Satyanarayana Veena, Desai Geetha
Department of Psychiatry, National Institute of Mental Health and Neurosciences, Bangalore, 560029, India.
Department of Clinical Psychology, National Institute of Mental Health and Neurosciences, Bangalore, 560029, India.
Asian J Psychiatr. 2020 Aug;52:102131. doi: 10.1016/j.ajp.2020.102131. Epub 2020 Apr 28.
Women with severe mental illness (SMI) are a vulnerable population in whom varying rates of Intimate Partner Violence (IPV) have been reported with impact on their illness. The current study aimed to assess the prevalence and clinical correlates of IPV among women with SMI admitted to a tertiary care psychiatric hospital. The study was a cross sectional assessment of IPV among women with severe mental illness receiving inpatient care. The assessments included Indian Family Violence and Control Scale (IFVCS) for IPV, Brief Psychiatric Rating Scale (BPRS version 4) for psychopathology, The Suicide Behaviours Questionnaire Revised (SBQ-R) for suicidality, Physical Health Questionnaire (PHQ) for physical health, Scale for Assessment of Somatic Symptoms (SASS) for somatic symptoms and also semi structured schedule for their sociodemographic profile. A total of 100 women diagnosed with SMI with a cohabiting partner were assessed. The lifetime prevalence of IPV in the women with SMI was 22 %. Last 1-year prevalence of IPV in them was 20 %. Control and emotional violence were the most commonly reported form of violence, followed by physical violence, and sexual violence was the least reported. Significant association of IPV with suicidal behaviour, depression scores, physical health and somatic symptoms were found. IPV is prevalent in women with SMI and needs to be addressed. It is important to assess all types of IPV as it can impact the illness and the lives of these women, overall.
患有严重精神疾病（SMI）的女性是弱势群体，据报道她们遭受亲密伴侣暴力（IPV）的比例各不相同，这对她们的病情产生了影响。本研究旨在评估入住三级护理精神病医院的患有严重精神疾病的女性中IPV的患病率及其临床相关因素。该研究是对接受住院治疗的患有严重精神疾病的女性中IPV的横断面评估。评估内容包括用于评估IPV的印度家庭暴力与控制量表（IFVCS）、用于评估精神病理学的简明精神病评定量表（第4版BPRS）、用于评估自杀倾向的自杀行为问卷修订版（SBQ-R）、用于评估身体健康的身体健康问卷（PHQ）、用于评估躯体症状的躯体症状评估量表（SASS），以及关于她们社会人口学特征的半结构化问卷。总共对100名被诊断患有严重精神疾病且有同居伴侣的女性进行了评估。患有严重精神疾病的女性中IPV的终生患病率为22%。她们中过去1年IPV的患病率为20%。控制和情感暴力是最常报告的暴力形式，其次是身体暴力，而性暴力报告最少。研究发现IPV与自杀行为、抑郁评分、身体健康和躯体症状之间存在显著关联。IPV在患有严重精神疾病的女性中很普遍，需要加以解决。评估所有类型的IPV很重要，因为它会对这些女性的病情和生活产生全面影响。
