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亲密伴侣暴力施害者中有无童年期家庭暴力者的 MCMI-III 心理病理特征的差异。

Differential MCMI-III psychopathological profiles between intimate partner violence perpetrators with and without childhood family violence.

机构信息

Departament of Health Sciences, Universidad Pública de Navarra, Pamplona, Spain.

Instituto de Investigación Sanitaria de Navarra (IdiSNA), Pamplona, Spain.

出版信息

Clin Psychol Psychother. 2021 Sep;28(5):1020-1029. doi: 10.1002/cpp.2557. Epub 2021 Jan 28.

DOI:10.1002/cpp.2557
PMID:33496355
Abstract

This study explored the differential prevalence of personality disorders (PD) and clinical syndromes between male perpetrators of intimate partner violence (IPV) with and without a history of childhood family violence (CFV). A sample of 981 perpetrators of IPV was assessed with the Millon Clinical Multiaxial Inventory-III (MCMI-III). Comparisons of sociodemographic characteristics and MCMI-III scales' scores between perpetrators with (n = 293) and without (n = 688) CFV were carried out. Results showed that IPV perpetrators with CFV had a lower level of education, were less frequently employed, and had higher rates of previous psychiatric history than perpetrators without CFV. Statistically significant differences between groups in almost all the MCMI-III scales were found. Perpetrators with CFV presented with higher scores on most of the evaluated scales and showed a more severe psychopathological profile than perpetrators without CFV. The multivariate analysis showed that the main MCMI-III domains related to CFV were higher scores on the disclosure and alcohol dependence scales and lower scores on the passive-aggressive scale. These findings reveal that CFV is associated with a more severe psychopathological profile in perpetrators of IPV. In order to develop tailored interventions, the presence of CFV and psychopathological symptoms should be assessed in IPV perpetrators.

摘要

这项研究探讨了有和没有儿童期家庭暴力(CFV)史的男性亲密伴侣暴力(IPV)实施者之间人格障碍(PD)和临床综合征的差异患病率。对 981 名 IPV 实施者进行了米尔登临床多轴量表-III(MCMI-III)评估。对有(n=293)和没有(n=688)CFV 的实施者的社会人口统计学特征和 MCMI-III 量表得分进行了比较。结果表明,有 CFV 的 IPV 实施者受教育程度较低,就业频率较低,且有既往精神病史的比例高于没有 CFV 的实施者。两组在 MCMI-III 量表的几乎所有指标上都存在显著差异。有 CFV 的实施者在大多数评估量表上的得分较高,表现出比没有 CFV 的实施者更严重的精神病理特征。多变量分析表明,与 CFV 相关的主要 MCMI-III 域是披露和酒精依赖量表上的得分较高,以及被动攻击量表上的得分较低。这些发现表明,CFV 与 IPV 实施者更严重的精神病理特征有关。为了制定有针对性的干预措施,应该评估 IPV 实施者中 CFV 的存在和精神病理症状。

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