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创伤知情护理要素与亲密伴侣暴力的 LGBTQ 幸存者中多种健康和心理社会风险之间的关联

Associations Between Trauma-Informed Care Components and Multiple Health and Psychosocial Risks Among LGBTQ Survivors of Intimate Partner Violence.

作者信息

Antebi-Gruszka Nadav, Scheer Jillian R

机构信息

Department of Psychology, Columbia University.

Department of Psychology, Syracuse University.

出版信息

J Ment Health Couns. 2021 Apr;43(2):139-156. doi: 10.17744/mehc.43.2.04. Epub 2021 Apr 7.

Abstract

Lesbian, gay, bisexual, transgender, and queer (LGBTQ) individuals disproportionately experience intimate partner violence (IPV) and resulting negative health consequences compared to cisgender heterosexual individuals. This study builds on prior recent work by examining specific trauma-informed care (TIC) components most associated with a comprehensive set of health and psychosocial risks among 298 LGBTQ IPV survivors who sought and accessed trauma-related services (e.g., mental health counseling). Results indicated that TIC components are differentially associated with LGBTQ clients' health and well-being. Specifically, greater perceptions of providers who fostered agency and mutual respect were associated with better outcomes, whereas greater perceptions of providers who focused on culture and increasing opportunities to connect with other survivors were related to negative outcomes. These findings underscore the need for providers to prioritize LGBTQ clients' sense of agency and mutual respect and identify for whom focusing on culture and connecting with other LGBTQ survivors might be beneficial.

摘要

与顺性别异性恋者相比,女同性恋、男同性恋、双性恋、跨性别者和酷儿(LGBTQ)群体遭受亲密伴侣暴力(IPV)以及由此产生负面健康后果的比例更高。本研究基于近期的前期工作,对298名寻求并获得创伤相关服务(如心理健康咨询)的LGBTQ IPV幸存者中,与一系列全面的健康和心理社会风险最相关的特定创伤知情护理(TIC)组成部分进行了研究。结果表明,TIC组成部分与LGBTQ客户的健康和福祉存在不同程度的关联。具体而言,对能够促进自主性和相互尊重的服务提供者的更高认知与更好的结果相关,而对专注于文化以及增加与其他幸存者联系机会的服务提供者的更高认知则与负面结果相关。这些发现强调,服务提供者需要优先考虑LGBTQ客户的自主感和相互尊重,并确定关注文化以及与其他LGBTQ幸存者建立联系对哪些人可能有益。

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