Department of Psychology, 5415University of Memphis, Memphis, TN, USA.
Child Maltreat. 2021 Nov;26(4):376-386. doi: 10.1177/10775595211031655. Epub 2021 Aug 1.
Patterns of exposure to intimate partner violence (IPV) and child abuse (CA) were explored in 467 women seeking psychological assistance following IPV. Using latent class analysis, three classes were obtained: women who had experienced physical, sexual, and psychological IPV, along with childhood physical and sexual abuse (IPV + CA; 38.5%); women who had experienced physical, sexual, and psychological IPV only (IPV/no CA; 52.9%); and women who had experienced psychological IPV only (Psych IPV only; 8.6%). Associations of class membership with severity of specific mental health conditions were examined, along with the number of diagnosed conditions. Significant between-class differences were noted on severity of IPV-related posttraumatic stress disorder, depressive disorders, alcohol and substance use disorders, and social phobia. Classes also differed significantly on the number of mental health conditions. Understanding patterns of betrayal-based trauma (e.g., IPV and CA) can inform care within agencies that serve IPV survivors by highlighting individuals at-risk for mental health conditions.
本研究旨在探讨 467 名遭受亲密伴侣暴力（IPV）后寻求心理援助的女性的 IPV 和儿童虐待（CA）暴露模式。采用潜在类别分析，得出了三个类别：经历过身体、性和心理 IPV 以及儿童期身体和性虐待的女性（IPV+CA；38.5%）；仅经历过身体、性和心理 IPV 的女性（IPV/无 CA；52.9%）；仅经历过心理 IPV 的女性（仅心理 IPV；8.6%）。研究还检查了类别成员与特定心理健康状况严重程度之间的关联，以及诊断出的疾病数量。在与 IPV 相关的创伤后应激障碍、抑郁障碍、酒精和物质使用障碍以及社交恐惧症的严重程度上，不同类别之间存在显著差异。在心理健康状况的数量上，各组也存在显著差异。了解基于背叛的创伤模式（例如，IPV 和 CA）可以通过突出有心理健康问题风险的个体，为服务于 IPV 幸存者的机构提供护理。
