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新冠疫情期间经历的身心家暴与心理健康症状之间的关联。

The Association between Physical and Psychological Domestic Violence Experienced during the COVID-19 Pandemic and Mental Health Symptoms.

机构信息

Department of Educational Studies in Psychology, Research Methodology and Counseling, University of Alabama, P.O. Box 870231, Tuscaloosa, AL 35487, USA.

Clement J. Zablocki VA Medical Center, 10 Tri-Park Way, Appleton, WI 54914-1658, USA.

出版信息

Int J Environ Res Public Health. 2023 Feb 14;20(4):3312. doi: 10.3390/ijerph20043312.

DOI:10.3390/ijerph20043312
PMID:36834007
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9958925/
Abstract

Research has shown that rates of domestic violence generally increased during the coronavirus 2019 (COVID-19) pandemic, likely related to mitigation efforts that promoted staying at home and lockdown protocols. However, the link between pandemic-related domestic violence victimization and mental health outcomes has been less explored. The present study examined the possible association between exposure to domestic physical and psychological violence during the COVID-19 pandemic and depressive and post-traumatic stress symptoms (PTSS) in an online sample of American adults recruited in December 2021. Data from 604 participants were analyzed. Forty-four percent of participants ( = 266) reported experiencing physical domestic violence, psychological domestic violence, or both during the pandemic, with psychological violence more commonly reported than physical violence. Exposure to both forms of violence was associated with higher rates of depressive and post-traumatic stress symptoms. Given the high rates and negative associations between psychological domestic violence and mental health symptoms in this sample, healthcare providers should assess for domestic violence exposure even if no indications of physical abuse are present or if there were not concerns about domestic violence exposure prior to the pandemic. Potential psychological sequalae should also be assessed if a patient has a positive history of domestic violence victimization.

摘要

研究表明,2019 年冠状病毒病(COVID-19)大流行期间,家庭暴力发生率普遍上升,这可能与促进居家和封锁协议的缓解措施有关。然而,与大流行相关的家庭暴力受害与心理健康结果之间的联系尚未得到充分探讨。本研究在 2021 年 12 月招募的美国成年人在线样本中,考察了 COVID-19 大流行期间遭受家庭身体和心理暴力与抑郁和创伤后应激症状(PTSS)之间的可能关联。对 604 名参与者的数据进行了分析。44%的参与者(n=266)报告在大流行期间经历过家庭身体暴力、心理暴力或两者兼有,心理暴力比身体暴力更为常见。接触这两种形式的暴力与更高的抑郁和创伤后应激症状发生率相关。鉴于该样本中心理性家庭暴力与心理健康症状之间的高发生率和负面关联,如果没有身体虐待的迹象,或者在大流行之前没有对家庭暴力暴露的担忧,医疗保健提供者也应该评估家庭暴力的暴露情况。如果患者有家庭暴力受害的阳性病史,也应该评估潜在的心理后果。

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本文引用的文献

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Domestic violence during the COVID-19 pandemic - Evidence from a systematic review and meta-analysis.新冠疫情期间的家庭暴力——来自系统评价与荟萃分析的证据
J Crim Justice. 2021 May-Jun;74:101806. doi: 10.1016/j.jcrimjus.2021.101806. Epub 2021 Mar 9.
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Ever-changing but always constant: "Waves" of disability discrimination during the COVID-19 pandemic in the United States.不断变化但始终不变:美国 COVID-19 大流行期间残疾歧视的“浪潮”。
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Domestic Violence During the COVID-19 Pandemic: A Systematic Review.新冠疫情期间的家庭暴力:系统综述。
Trauma Violence Abuse. 2023 Apr;24(2):719-745. doi: 10.1177/15248380211038690. Epub 2021 Aug 17.
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Predicting PTSS in general population during COVID-19 pandemic: The mediating role of health anxiety.预测 COVID-19 大流行期间一般人群中的创伤后应激障碍:健康焦虑的中介作用。
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Mental Health, Sense of Coherence, and Interpersonal Violence during the COVID-19 Pandemic Lockdown in Germany.德国新冠疫情封锁期间的心理健康、连贯感与人际暴力
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The COVID-19 pandemic, stress, and trauma in the disability community: A call to action.COVID-19 大流行、残疾人群体的压力和创伤:采取行动的呼吁。
Rehabil Psychol. 2020 Nov;65(4):313-322. doi: 10.1037/rep0000368. Epub 2020 Oct 29.
7
Levels of Severity of Depressive Symptoms Among At-Risk Groups in the UK During the COVID-19 Pandemic.在新冠疫情期间英国高危人群的抑郁症状严重程度水平。
JAMA Netw Open. 2020 Oct 1;3(10):e2026064. doi: 10.1001/jamanetworkopen.2020.26064.
8
Interpersonal violence against people with disabilities: Additional concerns and considerations in the COVID-19 pandemic.人际暴力侵害残疾人:COVID-19 大流行中的额外关注和考虑。
Rehabil Psychol. 2020 Aug;65(3):199-205. doi: 10.1037/rep0000347.
9
The impact of the Covid-19 pandemic in the precipitation of intimate partner violence.Covid-19 大流行对亲密伴侣暴力事件发生的影响。
Int J Law Psychiatry. 2020 Jul-Aug;71:101606. doi: 10.1016/j.ijlp.2020.101606. Epub 2020 Jun 26.
10
Acute-on-chronic stress in the time of COVID-19: assessment considerations for vulnerable youth populations.新冠疫情期间的急性慢性应激:弱势青年群体的评估考量
Pediatr Res. 2020 Dec;88(6):829-831. doi: 10.1038/s41390-020-1039-7. Epub 2020 Jun 29.