Machorrinho Joana, Marmeleira José, Veiga Guida, Santos Graça Duarte
Comprehensive Health Research Center, Universidade de Évora, Évora, Portugal.
Departamento de Desporto e Saúde, Escola de Saúde e Desenvolvimento Humano, Universidade de Évora, Évora, Portugal.
Front Psychol. 2023 Jul 6;14:1154385. doi: 10.3389/fpsyg.2023.1154385. eCollection 2023.
Intimate partner violence (IPV) is a worldwide concern, impacting victims' mental health, physical health, and quality of life. High rates of posttraumatic stress disorder (PTSD), depression, anxiety, bodily dissociation, and somatic symptoms have been found in victims of IPV, with an important impact on the chronicity of impairments and on the outcomes of psychological interventions. Therapeutic interventions available in shelter homes for victims are scarce in addressing their body-mind needs therefore asking for better empirical research. Thus, the aim of this study was to evaluate the feasibility and effects of Feel-Own-Move (FOM), an 8-week psychomotor therapy program for victims of IPV, on their mental health, levels of bodily dissociation, and general quality of life.
A within-subject repeated measures design was used to evaluate the intervention effects, and feasibility results were analyzed.
Seventeen women completed the program (mean age 42.8 years, range 21-64). Results showed a significant decrease in levels of bodily dissociation, with FOM having a large effect size. The intervention also had a large effect size at increasing the environment domain of quality of life, although no statistically significant differences were found. FOM ended with excellent rates of reach, adherence, acceptability, and satisfaction. A positive retention rate was also found.
In conclusion, FOM seems to be a feasible psychomotor therapy intervention for female victims of IPV living in shelters. Importantly, this program showed to be effective in reducing bodily dissociation among participants, which is suggested to prospectively contribute to their mental health and quality of life.
亲密伴侣暴力是一个全球性问题，影响着受害者的心理健康、身体健康和生活质量。亲密伴侣暴力受害者中创伤后应激障碍（PTSD）、抑郁症、焦虑症、身体解离和躯体症状的发生率很高，对损伤的慢性化和心理干预的结果有重要影响。庇护所中为受害者提供的治疗干预措施在满足他们身心需求方面很匮乏，因此需要更好的实证研究。因此，本研究的目的是评估“感受自我行动”（FOM）这一为期8周的针对亲密伴侣暴力受害者的心理运动治疗方案对其心理健康、身体解离水平和总体生活质量的可行性和效果。
采用受试者内重复测量设计来评估干预效果，并分析可行性结果。
17名女性完成了该方案（平均年龄42.8岁，范围21 - 64岁）。结果显示身体解离水平显著降低，FOM的效应量很大。该干预在提高生活质量的环境领域方面也有很大的效应量，尽管未发现统计学上的显著差异。FOM在覆盖范围、依从性、可接受性和满意度方面都有出色的表现。还发现了积极的保留率。
总之，FOM似乎是一种对居住在庇护所的亲密伴侣暴力女性受害者可行的心理运动治疗干预措施。重要的是，该方案被证明在减少参与者的身体解离方面是有效的，这被认为有望对他们的心理健康和生活质量产生积极影响。
