Department of Clinical, Neuro and Developmental Psychology, Amsterdam Public Health Research Institute, Vrije Universiteit Amsterdam, the Netherlands.
UNDP/UNFPA/UNICEF/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction, World Health Organisation, Geneva, Switzerland.
J Glob Health. 2020 Jun;10(1):010409. doi: 10.7189/jogh.10.010409.
Intimate partner violence (IPV) is prevalent worldwide and presents pernicious consequences for women in developing countries or humanitarian settings. We examined the efficacy of psychosocial interventions for IPV among women in low- and middle-income countries (LMICs).
Seven databases were systematically searched for randomised controlled trials (RCTs) examining psychosocial interventions for IPV in LMICs. Thirteen RCTs were included in random-effects meta-analyses. Risk ratios (RR) and risk difference were calculated as pooled effect sizes. Risk of bias was assessed using an adapted version of the Cochrane tool accounting for cluster RCTs. Sensitivity analyses were conducted for risk of bias and design characteristics. Publication bias and heterogeneity were assessed.
Psychosocial interventions reduced any form of IPV by 27% at shortest (relative risk (RR) = 0.73) and 25% at longest (RR = 0.75) follow up. Physical IPV was reduced by 22% at shortest (RR = 0.78) and 27% at longest (RR = 0.73) follow up. Sexual IPV was reduced by 23% at longest follow up (RR = 0.77) but showed no significant effect at shortest follow-up. Sensitivity analyses for risk of bias led to an increase in magnitude of the effect for any form of IPV and physical IPV. The effect on sexual IPV was no longer significant. Heterogeneity was moderate to high in the majority of comparisons.
Psychosocial interventions may reduce the impact of IPV in humanitarian or low and middle income settings. We acknowledge heterogeneity and limited availability of RCTs demonstrating minimal risk of bias as limitations.
亲密伴侣暴力（IPV）在全球范围内普遍存在，对发展中国家或人道主义环境中的妇女造成严重后果。我们研究了心理社会干预对中低收入国家（LMICs）妇女 IPV 的疗效。
系统检索了 7 个数据库，以查找针对 LMIC 中 IPV 的心理社会干预的随机对照试验（RCTs）。13 项 RCT 被纳入随机效应荟萃分析。风险比（RR）和风险差异被计算为汇总效应量。使用针对群组 RCT 进行了调整的 Cochrane 工具评估偏倚风险。对偏倚风险和设计特征进行了敏感性分析。评估了发表偏倚和异质性。
心理社会干预在最短（相对风险（RR）=0.73）和最长（RR=0.75）随访时将任何形式的 IPV 减少了 27%，将身体暴力 IPV 减少了 22%（RR=0.78）和 27%（RR=0.73）最短和最长随访。最长随访时性暴力 IPV 减少了 23%（RR=0.77），但最短随访时无显著效果。偏倚风险的敏感性分析导致任何形式的 IPV 和身体暴力 IPV 的效果增加。对性暴力 IPV 的影响不再显著。大多数比较的异质性为中度至高度。
心理社会干预可能会减少人道主义或中低等收入环境中 IPV 的影响。我们承认存在异质性和 RCT 数量有限，表明存在最小的偏倚风险。
