Magne H, Delbreil A, Gambier M, Goutaudier N, Jaafari N, Voyer M
Centre Hospitalier Henri-Laborit, Centre Régional de Psychotraumatologie Nord Nouvelle Aquitaine, Pavillon Pierre Janet, 370, avenue Jacques-Cœur, BP 587, 86021 Poitiers cedex, France.
Université de Poitiers, faculté de médecine et de pharmacie, 15, rue de l'Hôtel-Dieu, 86000 Poitiers, France; CHU de Poitiers, département de médecine légale (IML/UMJ), 2, rue de la Milétrie, CS 90577, 86021 Poitiers cedex, France; Centre hospitalier Henri-Laborit, unité d'accueil médico-psychologique, 370, avenue Jacques-Coeur, CS 10587, 86021 Poitiers cedex, France.
Encephale. 2022 Aug;48(4):422-429. doi: 10.1016/j.encep.2021.04.001. Epub 2021 Jul 5.
This study aimed to: (1) evaluate posttraumatic growth in survivors of intimate partner violence, (2) compare and characterize this posttraumatic growth with the one measured in survivors of other types of violence, and (3) evaluate post-traumatic stress disorder and its relationship with posttraumatic growth in our clinical population.
We realized a monocentric pilot study in Poitiers (Vienne, France) recruiting 17 survivors of intimate partner violence and 42 survivors of other types of violence from two medical departments: the Unit of Forensic Medicine, where victims are oriented following complaints, and the Psychotrauma Center. Participants were administrated questionnaires comprising socio-demographics data and specific scales, namely the PTGI and PCL-5.
We found a higher prevalence of posttraumatic growth in survivors of intimate partner violence (82 %), when compared with survivors of sexual assault and other interpersonal types of violence (52 % and 53 %, respectively). Posttraumatic growth was low to moderate, and faster as it was detected in victims recruited in the Unit of Forensic Medicine. All domains of posttraumatic growth were positively affected, i.e. higher scores from the PTGI were recorded in survivors of intimate partner violence. No difference was found when results were compared between groups from the Psychotrauma Center. We were unable to identify socio-demographic predictors of posttraumatic growth. À posttraumatic stress disorder was found in survivors of intimate partner violence, and negatively related to posttraumatic growth.
To our knowledge, this is the first study comparing post-traumatic growth across such conditions and using specific and recognized scales. Our pilot study demonstrated that survivors of intimate partner violence were able to develop low to moderate posttraumatic growth faster than survivors of other types of violence. All domains of posttraumatic growth were affected, demonstrating the ability of survivors to withstand adversity. Scientific data regarding the link between posttraumatic growth and posttraumatic stress disorder is unclear, probably depending on the trauma, the circumstances, the timing of the measurement. In our study, we found a clear negative correlation between the two parameters. Our results underline the necessity to provide overall and rapid intervention in survivors of intimate partner violence, comprising legal, psychological, social and medical approaches, to facilitate the development of posttraumatic growth.
本研究旨在:(1)评估亲密伴侣暴力幸存者的创伤后成长;(2)将这种创伤后成长与其他类型暴力幸存者所测得的创伤后成长进行比较并加以描述;(3)评估创伤后应激障碍及其与我们临床人群中创伤后成长的关系。
我们在法国维埃纳省的普瓦捷进行了一项单中心试点研究,从两个医学科室招募了17名亲密伴侣暴力幸存者和42名其他类型暴力幸存者:法医学科,受害者在投诉后会被转诊至此;以及心理创伤中心。参与者填写了包含社会人口统计学数据和特定量表的问卷,即创伤后成长评定量表(PTGI)和创伤后应激障碍量表(PCL - 5)。
我们发现,与性侵犯和其他人际暴力幸存者(分别为52%和53%)相比,亲密伴侣暴力幸存者的创伤后成长发生率更高(82%)。创伤后成长程度为低到中度,在法医学科招募的受害者中检测到的创伤后成长速度更快。创伤后成长的所有领域均受到积极影响,即亲密伴侣暴力幸存者的PTGI得分更高。在比较心理创伤中心的两组结果时未发现差异。我们无法确定创伤后成长的社会人口统计学预测因素。在亲密伴侣暴力幸存者中发现了创伤后应激障碍,且与创伤后成长呈负相关。
据我们所知,这是第一项在这些情况下比较创伤后成长并使用特定且公认量表的研究。我们的试点研究表明,亲密伴侣暴力幸存者比其他类型暴力幸存者能够更快地实现低到中度的创伤后成长。创伤后成长的所有领域都受到了影响,表明幸存者有承受逆境的能力。关于创伤后成长与创伤后应激障碍之间联系的科学数据尚不清楚,可能取决于创伤、情况以及测量时间。在我们的研究中,我们发现这两个参数之间存在明显的负相关。我们的结果强调了有必要对亲密伴侣暴力幸存者提供全面且迅速的干预,包括法律、心理、社会和医学方法,以促进创伤后成长的发展。