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儿童期虐待和心境障碍女性中的亲密伴侣暴力。

Childhood abuse and intimate partner violence among women with mood disorders.

机构信息

Department of Psychiatry, National Institute of Mental Health and Neuro Sciences, Bangalore 560029, India.

Department of Psychiatric Social Work, National Institute of Mental Health and Neuro Sciences, Bangalore 560029, India.

出版信息

J Affect Disord. 2020 Jul 1;272:335-339. doi: 10.1016/j.jad.2020.03.113. Epub 2020 May 6.

Abstract

BACKGROUND

Mild to moderate association between childhood abuse (CA) and intimate partner violence (IPV) is reported among women from community samples. CA and IPV in clinical samples have shown strong association with adult psychopathology.

METHODS

We investigated the association between CA and IPV among women with mood disorders (MD), in comparison with healthy women (HW), at a tertiary mental health centre in India. Women diagnosed with mental health disorders (n=609) and healthy volunteers (n=100), between the ages of 18 to 50 years, were assessed as part of a larger study. For the purpose of this analysis, we have taken a sample of women with MD (n=251) this includes 121 women with unipolar depression, 130 with Bipolar disorder and HW (n=72), with intimate partners.

RESULTS

Incidences of childhood emotional abuse (χ =4.200, p=<0.05) and IPV [Severe combine abuse (t=3.924, p<0.01), Emotional abuse (t=3.895, p<0.01), Physical abuse (t=2.333, p<0.05)] were higher in women with MD as compared to HW. We noted a positive correlation between CA and IPV, in women with MD. And also CA came out as a predictor for IPV in later life among women with MD on regression analysis.

LIMITATIONS

No information about the total number of depressive and manic episodes, and also the mood ratings at the entry point.

CONCLUSIONS

CA and IPV have an additive effect which might lead to the expression of severe mental disorders like MD and these factors might also have an impact on course and outcome of mood disorder which needs further studies.

摘要

背景

社区样本中的女性报告称,童年期虐待(CA)与亲密伴侣暴力(IPV)之间存在轻度到中度的关联。临床样本中的 CA 和 IPV 与成人精神病理学之间存在强烈关联。

方法

我们在印度的一家三级精神卫生中心调查了心境障碍(MD)女性与健康女性(HW)之间 CA 与 IPV 的关联。在这项更大规模研究的一部分,评估了患有心理健康障碍的女性(n=609)和健康志愿者(n=100),年龄在 18 至 50 岁之间。出于本分析的目的,我们从 MD 女性中抽取了一个样本(n=251),其中包括 121 名单相抑郁症女性、130 名双相情感障碍女性和 72 名 HW,她们有亲密伴侣。

结果

童年期情感虐待(χ=4.200,p<0.05)和 IPV[严重合并虐待(t=3.924,p<0.01)、情感虐待(t=3.895,p<0.01)、身体虐待(t=2.333,p<0.05)]在 MD 女性中发生率更高。我们注意到 MD 女性中的 CA 与 IPV 之间存在正相关。而且在回归分析中,CA 也成为 MD 女性晚年 IPV 的一个预测因素。

局限性

没有关于抑郁和躁狂发作的总次数以及进入点时的情绪评分的信息。

结论

CA 和 IPV 具有相加效应,可能导致 MD 等严重精神障碍的表达,这些因素也可能对心境障碍的病程和结果产生影响,需要进一步研究。

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