International Centre for Reproductive Health, Ghent University, Ghent, Belgium.
Georgia State University Alumna, Atlanta, Georgia, United States of America.
PLoS One. 2020 Jun 25;15(6):e0235177. doi: 10.1371/journal.pone.0235177. eCollection 2020.
BACKGROUND: Intimate partner violence (IPV) is a key public health issue, with a myriad of physical, sexual and emotional consequences for the survivors of violence. Social support has been found to be an important factor in mitigating and moderating the consequences of IPV and improving health outcomes. This study's objective was to identify and assess network oriented and support mediated IPV interventions, focused on improving mental health outcomes among IPV survivors. METHODS: A systematic scoping review of the literature was done adhering to PRISMA guidelines. The search covered a period of 1980 to 2017 with no language restrictions across the following databases, Medline, Embase, Web of Science, PROQUEST, and Cochrane. Studies were included if they were primary studies of IPV interventions targeted at survivors focused on improving access to social support, mental health outcomes and access to resources for survivors. RESULTS: 337 articles were subjected to full text screening, of which 27 articles met screening criteria. The review included both quantitative and qualitative articles. As the focus of the review was on social support, we identified interventions that were i) focused on individual IPV survivors and improving their access to resources and coping strategies, and ii) interventions focused on both individual IPV survivors as well as their communities and networks. We categorized social support interventions identified by the review as Survivor focused, advocate/case management interventions (15 studies), survivor focused, advocate/case management interventions with a psychotherapy component (3 studies), community-focused, social support interventions (6 studies), community-focused, social support interventions with a psychotherapy component (3 studies). Most of the studies, resulted in improvements in social support and/or mental health outcomes of survivors, with little evidence of their effect on IPV reduction or increase in healthcare utilization. CONCLUSION: There is good evidence of the effect of IPV interventions focused on improving access to social support through the use of advocates with strong linkages with community based structures and networks, on better mental health outcomes of survivors, there is a need for more robust/ high quality research to assess in what contexts and for whom, these interventions work better compared to other forms of IPV interventions.
背景:亲密伴侣暴力(IPV)是一个关键的公共卫生问题,对暴力幸存者有身体、性和情感等诸多后果。社会支持被认为是减轻和缓和 IPV 后果以及改善健康结果的一个重要因素。本研究的目的是确定和评估以网络为导向和支持为中介的 IPV 干预措施,重点是改善 IPV 幸存者的心理健康结果。
方法:按照 PRISMA 指南进行了系统的文献综述。该搜索涵盖了 1980 年至 2017 年的时间段,没有语言限制,涵盖了以下数据库:Medline、Embase、Web of Science、PROQUEST 和 Cochrane。如果研究是针对 IPV 干预措施的主要研究,目标是改善幸存者获得社会支持、心理健康结果和资源的机会,则将其纳入研究。
结果:有 337 篇文章经过全文筛选,其中 27 篇符合筛选标准。该综述包括定量和定性文章。由于综述的重点是社会支持,我们确定了干预措施,这些干预措施是:i)专注于个体 IPV 幸存者,改善他们获得资源和应对策略的机会;ii)干预措施既关注个体 IPV 幸存者,也关注他们的社区和网络。我们将综述中确定的社会支持干预措施分为:以幸存者为重点、倡导/个案管理干预措施(15 项研究)、以幸存者为重点、倡导/个案管理干预措施结合心理治疗(3 项研究)、以社区为重点、社会支持干预措施(6 项研究)、以社区为重点、社会支持干预措施结合心理治疗(3 项研究)。大多数研究都导致了幸存者的社会支持和/或心理健康结果的改善,几乎没有证据表明这些干预措施对减少 IPV 或增加医疗保健利用有影响。
结论:有很好的证据表明,通过利用与社区为基础的结构和网络有强大联系的倡导者来改善获得社会支持的机会的 IPV 干预措施,对幸存者的心理健康结果有积极影响,但需要进行更多的稳健/高质量研究,以评估在何种情况下以及对哪些人来说,这些干预措施比其他形式的 IPV 干预措施效果更好。
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