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社区中遭受亲密伴侣暴力的女性,通过回溯报告和经验取样方法评估创伤后应激障碍症状的一致性。

Concordance of Posttraumatic Stress Disorder Symptoms Assessed via Retrospective Report Versus Experience Sampling Methods in Community Women Experiencing Intimate Partner Violence.

机构信息

University of Rhode Island, Kingston, RI, USA.

Yale School of Medicine, New Haven, CT, USA.

出版信息

J Interpers Violence. 2024 Feb;39(3-4):605-630. doi: 10.1177/08862605231197737. Epub 2023 Sep 14.

Abstract

Posttraumatic stress disorder (PTSD) is one of the most prominent negative health consequences that women experiencing intimate partner violence (IPV) may develop. However, research on PTSD among women experiencing IPV has largely relied on retrospective reporting methods, which are vulnerable to bias and may consequently misrepresent PTSD symptoms. This study evaluated the concordance between PTSD symptoms assessed via retrospective self-report and experience sampling methods (ESM), which involve repeated within-day sampling of experiences in near real-time and in natural environments. Community women ( = 134) experiencing IPV ( = 40.7, 30.4% Black) responded to ESM surveys three times a day for 30 days and then completed a follow-up interview. Retrospective self-report of PTSD symptoms, which were assessed during the follow-up interview, were compared to ESM reports of PTSD symptoms. Retrospective reports of PTSD symptoms were significantly different from PTSD symptoms reported during the ESM period, but most closely resembled PTSD symptoms. Notably, retrospective reports of PTSD symptoms were significantly different, with a very large effect size, from PTSD symptoms reported during the ESM period. Discordance scores were significantly negatively associated with the number of days on which any IPV occurred, suggesting that as the frequency of IPV experiences increased, differences between retrospective PTSD symptoms and each ESM symptom pattern decreased. This study provides an important contribution to the literature by highlighting meaningful differences in PTSD symptoms assessed via retrospective self-report versus ESM and the role of IPV context. Findings emphasize the importance of utilizing ESM in PTSD research with women experiencing IPV.

摘要

创伤后应激障碍(PTSD)是女性经历亲密伴侣暴力(IPV)后可能出现的最显著的负面健康后果之一。然而,针对经历 IPV 的女性 PTSD 的研究在很大程度上依赖于回顾性报告方法,这些方法容易受到偏差的影响,可能因此无法准确反映 PTSD 症状。本研究评估了通过回顾性自我报告和经验采样方法(ESM)评估的 PTSD 症状之间的一致性,ESM 涉及在接近实时和自然环境中重复进行日内采样。经历 IPV 的社区女性(n=134,40.7%为黑人,30.4%为白人)每天接受 3 次 ESM 调查,持续 30 天,然后完成后续访谈。在后续访谈中评估 PTSD 症状的回顾性自我报告与 ESM 报告的 PTSD 症状进行了比较。回顾性 PTSD 症状报告与 ESM 期间报告的 PTSD 症状显著不同,但最接近 PTSD 症状。值得注意的是,回顾性 PTSD 症状报告与 ESM 期间报告的 PTSD 症状差异显著,效应量非常大。不和谐评分与任何发生 IPV 的天数呈显著负相关,这表明随着 IPV 经历的频率增加,回顾性 PTSD 症状与每个 ESM 症状模式之间的差异减少。本研究通过强调通过回顾性自我报告与 ESM 评估的 PTSD 症状之间存在有意义的差异以及 IPV 背景的作用,为文献做出了重要贡献。研究结果强调了在研究经历 IPV 的女性 PTSD 时利用 ESM 的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b54c/11262423/fe607cb0b632/nihms-2003380-f0001.jpg

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