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决策与虐待:暴力受害者之间存在什么关系?

Decision-Making and Abuse, What Relationship in Victims of Violence?

机构信息

Department of Psychology, Sapienza University of Rome, Via dei Marsi 78, 00185 Rome, Italy.

Department of Human Neuroscience, Sapienza University of Rome, Piazzale Aldo Moro 1, 00185 Rome, Italy.

出版信息

Int J Environ Res Public Health. 2023 May 19;20(10):5879. doi: 10.3390/ijerph20105879.

DOI:10.3390/ijerph20105879
PMID:37239605
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10218381/
Abstract

Gender-Based violence is a worldwide persisting phenomenon: during their lifetime, 30% of women have experienced sexual and/or physical violence. The literature has investigated for several years the association between abuse and possible psychiatric and psychological consequences which may occur even after many years. The most common consequences involve mood and stress disorders (e.g., depression and PTSD). These disorders seem to have secondary long-term effects, such as decision-making and cognitive function impairments. Therefore, the present literature synthesis aimed to investigate whether and how the decision-making capacities of individuals experiencing violence can change because of abuse. We conducted a thematic synthesis using PRISMA guidelines: through a double-blind procedure, 4599 studies were screened; a total of 46 studies were selected for full-text reading, which was reduced to 13 by excluding papers with a wrong focus. To better understand the results of the thematic synthesis, two main focuses have been identified: "leave or stay decision making" and "multifactorial dimensions of decision making". Results showed that decision-making is an important process in avoiding secondary victimization.

摘要

性别暴力是一种全球普遍存在的现象

女性在其一生中,有 30%的人经历过性暴力和/或身体暴力。多年来,文献一直在研究虐待与可能发生的精神和心理后果之间的关联,这些后果甚至可能在多年后才出现。最常见的后果包括情绪和压力障碍(例如,抑郁和 PTSD)。这些障碍似乎有次要的长期影响,如决策和认知功能障碍。因此,目前的文献综述旨在探讨经历暴力的个体的决策能力是否会因虐待而发生变化。我们按照 PRISMA 指南进行了主题综合:通过双盲程序,筛选了 4599 项研究;共有 46 项研究进行了全文阅读,排除了焦点错误的论文后,将其减少到 13 项。为了更好地理解主题综合的结果,确定了两个主要焦点:“离开或留下的决策”和“决策的多因素维度”。结果表明,决策是避免二次受害的一个重要过程。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c17f/10218381/0041571f81c2/ijerph-20-05879-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c17f/10218381/0041571f81c2/ijerph-20-05879-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c17f/10218381/0041571f81c2/ijerph-20-05879-g001.jpg

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Witnessing inter-parental violence in childhood and help-seeking behaviours in violence against women in Peru.目睹童年时期的父母间暴力行为与秘鲁针对妇女的暴力行为中的求助行为。
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本文引用的文献

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Int J Environ Res Public Health. 2022 Dec 19;19(24):17040. doi: 10.3390/ijerph192417040.
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When "Stay at Home" Can Be Dangerous: Data on Domestic Violence in Italy during COVID-19 Lockdown.当“居家”可能变得危险时:意大利新冠封锁期间的家庭暴力数据。
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Intimate Partner Violence during the COVID-19 Pandemic: A Review of the Phenomenon from Victims' and Help Professionals' Perspectives.
亲密伴侣暴力在 COVID-19 大流行期间:从受害者和帮助专业人员的角度来看这一现象。
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Intimate Partner Violence and Women's Health.亲密伴侣暴力与妇女健康。
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Dissecting the impact of depression on decision-making.剖析抑郁对决策的影响。
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Intimate Partner Violence.亲密伴侣暴力
N Engl J Med. 2019 Feb 28;380(9):850-857. doi: 10.1056/NEJMra1807166.
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Childhood abuse and late-life depression: Mediating effects of psychosocial factors for early- and late-onset depression.童年期虐待与晚年抑郁症:心理社会因素对早发性和晚发性抑郁症的中介作用。
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The Association Between Past Sexual Abuse and Depression in Older Adults From Colombia.哥伦比亚老年人过去遭受性虐待与抑郁症之间的关联。
J Geriatr Psychiatry Neurol. 2018 Jan;31(1):13-18. doi: 10.1177/0891988717743588. Epub 2017 Nov 26.
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