Leiding Delia, Kaiser Franziska, Hüpen Philippa, Kirchhart Ramona, Puiu Andrei Alexandru, Steffens Marion, Bergs Rene, Habel Ute
Department of Psychiatry and Psychotherapy, Faculty of Medicine, RWTH Aachen University, Aachen, Germany.
Center for Ambulant Psychotherapy, Röher Parkklinik, Eschweiler, Germany.
Front Psychol. 2022 Mar 15;13:762079. doi: 10.3389/fpsyg.2022.762079. eCollection 2022.
Violence is a known risk factor for health problems. In this epidemiological study across 5,385 male patients, we investigate the prevalence of perpetrated violence, exposure to violence, their overlap and the relationship between violence, mental, and psychosomatic health, as well as adverse health behaviors, such as self-harming behavior and the consumption of drugs. Participants completed an anonymous questionnaire addressing violence experience (i.e., both expose and perpetration), age of victimization/perpetration, frequency, and perceived severity of violence exposure. We considered physical, psychological as well as sexual violence. Information on health status and adverse health behaviors complemented the data. Results showed that 48.4% of the sample reported having experienced violence (perpetration, victimization, or both). The victim-perpetrator overlap formed the largest group, in which the incidence of having experienced multiple types of violence was significantly higher compared to victims and perpetrators. The age-crime curve flattened more slowly with increasing age in this group. Although the perceived severity of exposure to violence is lower in the overlap group, its health status and adverse health behaviors were worse. Interventions should focus on this group since they constitute a burden for the healthcare system.
暴力是健康问题的一个已知风险因素。在这项针对5385名男性患者的流行病学研究中,我们调查了实施暴力行为、遭受暴力的发生率、二者的重叠情况以及暴力行为与心理健康、心身健康以及不良健康行为(如自我伤害行为和药物使用)之间的关系。参与者完成了一份关于暴力经历(即遭受暴力和实施暴力)、受害/施暴年龄、频率以及所感知的暴力暴露严重程度的匿名问卷。我们考虑了身体暴力、心理暴力以及性暴力。关于健康状况和不良健康行为的信息补充了这些数据。结果显示,48.4%的样本报告曾经历过暴力(实施暴力、遭受暴力或两者皆有)。受害者-施暴者重叠组构成了最大的群体,与受害者和施暴者相比,该组中经历多种类型暴力行为的发生率显著更高。随着年龄增长,该组的年龄-犯罪曲线平缓得更慢。尽管重叠组中所感知的暴力暴露严重程度较低,但其健康状况和不良健康行为更差。干预措施应聚焦于这一群体,因为他们给医疗系统带来了负担。