Department of Clinical Epidemiology, Consorci Hospitalari de Vic.
Department of Psychiatry and Mental Health, Osona Salut Mental, Consorci Hospitalari de Vic, Vic (Barcelona).
J Nerv Ment Dis. 2020 Oct;208(10):749-754. doi: 10.1097/NMD.0000000000001207.
Intimate partner violence (IPV) has a remarkable impact on mental health and is common in people diagnosed with severe mental disorders (SMDs). Data of 102 outpatients were collected from clinical records and the Traumatic Life Events Questionnaire (TLEQ). Global estimation of lifetime IPV exposure was obtained by combining answers to selected TLEQ questions about physical, psychological, and sexual IPV. Overall, 24.5% of the participants reported at least one lifetime episode of IPV victimization. Female gender (odds ratio [OR] = 3.15, p = 0.016) and childhood trauma (OR = 4.7, p = 0.002) significantly increased the likelihood of IPV victimization. Conversely, posttraumatic stress disorder was not significantly increased in IPV victims. These findings are in line with current literature and suggest a remarkable and transdiagnostic prevalence of lifetime IPV victimization in SMD. Gender, childhood trauma, and SMD are relevant factors in IPV analysis and prevention. Diathesis of trauma, psychosocial vulnerability to revictimization and intersectional feminist theory help explain our results.
亲密伴侣暴力(IPV)对心理健康有显著影响,在被诊断患有严重精神障碍(SMD)的人群中很常见。从临床记录和创伤生活事件问卷(TLEQ)中收集了 102 名门诊患者的数据。通过结合关于身体、心理和性 IPV 的 TLEQ 问题的答案,获得了终生 IPV 暴露的总体估计。总体而言,24.5%的参与者报告至少有一次终生 IPV 受害经历。女性性别(比值比[OR] = 3.15,p = 0.016)和童年创伤(OR = 4.7,p = 0.002)显著增加了 IPV 受害的可能性。相反,创伤后应激障碍在 IPV 受害者中没有显著增加。这些发现与当前文献一致,表明 SMD 中终生 IPV 受害的发生率显著且具有跨诊断性。性别、童年创伤和 SMD 是 IPV 分析和预防的相关因素。创伤素质、易受再受害的心理社会脆弱性和交叉女权主义理论有助于解释我们的结果。