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高灵敏度和特异性筛选具有临床意义的亲密伴侣暴力。

High sensitivity and specificity screening for clinically significant intimate partner violence.

机构信息

Family Translational Research Group.

Department of Psychology and Neuroscience.

出版信息

J Fam Psychol. 2021 Feb;35(1):80-91. doi: 10.1037/fam0000781. Epub 2020 Jul 16.

DOI:10.1037/fam0000781
PMID:32673030
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7906486/
Abstract

The U.S. Preventive Services Task Force has recommended that clinicians screen patients for intimate partner violence (IPV). This article aims to develop and test the first screeners for clinically significant physical and psychological IPV (i.e., acts meeting criteria in the International Classification of Diseases (11th ed.; ICD-11; World Health Organization, 2019) and the (5th ed.; DSM-5; American Psychiatric Association, 2013). The goal was to derive screeners that (1) are maximally brief, while still achieving high sensitivity and specificity; (2) assess perpetration and victimization when either men or women are reporting; and (3) use ICD-11/ criteria as the reference standard. Random samples of active duty service members at 82 installations worldwide were obtained via e-mail invitation (2006: = 54,543; 2008: = 48,909); their response rates were excellent for long general population surveys with no payment (2006: 44.7%, 2008: 49.0%). The population of spouses at the participating installation was invited by mailed postcard (2006: = 19,722; 2008: = 12,127; response rates-2006: 12.3%, 2008: 10.8%). Clinically significant physical intimate partner violence can be effectively screened with as few as four items, with sensitivities > 90% and specificities > 95%; clinically significant psychological intimate partner violence can be screened with two items. Men and women can be screened with equivalent accuracy, as can those committing the violence and those victimized by it. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

摘要

美国预防服务工作组建议临床医生对患者进行亲密伴侣暴力(IPV)筛查。本文旨在开发和测试用于临床显著的身体和心理 IPV 的首个筛查工具(即符合国际疾病分类(第 11 版;世界卫生组织,2019 年)和《精神障碍诊断与统计手册》(第 5 版;美国精神病学协会,2013 年)标准的行为)。目标是开发出(1)尽量简短,同时仍保持高灵敏度和特异性的筛查工具;(2)在男性或女性报告时评估施暴者和受害者;(3)使用国际疾病分类(第 11 版)/标准作为参考标准。通过电子邮件邀请,在全球 82 个设施中获得现役军人的随机样本(2006 年:=54543;2008 年:=48909);对于没有报酬的长型一般人群调查,他们的回复率非常高(2006 年:44.7%,2008 年:49.0%)。参与设施的配偶群体通过邮寄明信片邀请(2006 年:=19722;2008 年:=12127;回复率-2006 年:12.3%,2008 年:10.8%)。使用不超过四个项目可以有效地筛查出具有临床意义的身体亲密伴侣暴力,敏感性>90%,特异性>95%;使用两个项目可以筛查出具有临床意义的心理亲密伴侣暴力。男性和女性可以用同等的准确性进行筛查,施暴者和受害者也可以进行筛查。(PsycInfo 数据库记录(c)2021 APA,保留所有权利)。

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J Fam Psychol. 2020 Feb;34(1):101-111. doi: 10.1037/fam0000560. Epub 2019 Jul 22.
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A case-controlled field study evaluating ICD-11 proposals for relational problems and intimate partner violence.一项评估国际疾病分类第11版中关于关系问题和亲密伴侣暴力提议的病例对照实地研究。
Int J Clin Health Psychol. 2018 May-Aug;18(2):113-123. doi: 10.1016/j.ijchp.2018.03.001. Epub 2018 Apr 7.
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JAMA. 2018 Oct 23;320(16):1678-1687. doi: 10.1001/jama.2018.14741.
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