School of Public Health, University of Queensland, Herston Qld 4006, Australia.
School of Public Health, University of Queensland, Herston Qld 4006, Australia.
J Psychiatr Res. 2024 Sep;177:352-360. doi: 10.1016/j.jpsychires.2024.07.032. Epub 2024 Jul 27.
Experiences of intimate partner violence (IPV) are associated with a wide range of measures of poor mental health. While there is a body of evidence to suggest that IPV leads to poor mental health, there is some evidence to suggest the association between IPV and mental illness may be bi-directional. We take data from a long running cohort study to test the hypothesis that poor mental health experienced during the adolescent and young adult periods of the life course predict adult occurring IPV. At 14 years respondents were administered the Youth Self Report (YSR), and at 21 years they completed the Young Adult Self Report (YASR) as well as the Composite International Diagnostic Interview. At 30 years, respondents completed the Composite Abuse Scale (CAS), with five measures of IPV; Severe Combined Abuse, Physical Abuse, Emotional Abuse, Harassment and Coercive Control. After adjustment for possible confounding, measures of delinquency and substance use disorder at 21 years predicted all forms of IPV. For example, in the fully adjusted data, substance use disorders to 21 years predict Severe Combined Abuse (2.30:1.15, 4.61), Physical Abuse (1.67:1.11, 2.52), and Coercive Control (1.74:1.14, 2.65) at 30 years. The findings raise the possible benefits of early intervention programs to reduce adult occurring IPV.
亲密伴侣暴力（IPV）的经历与多种心理健康不良的指标有关。虽然有大量证据表明 IPV 会导致心理健康不良，但也有一些证据表明 IPV 和精神疾病之间的关联可能是双向的。我们从一项长期队列研究中获取数据，以检验以下假设：生命历程中青少年和成年早期经历的心理健康不良会预测成年后发生的 IPV。在 14 岁时，受访者接受了青少年自我报告（YSR），在 21 岁时，他们完成了青年自我报告（YASR）以及综合国际诊断访谈。在 30 岁时，受访者完成了综合虐待量表（CAS），其中包括五种 IPV 措施：严重混合虐待、身体虐待、情感虐待、骚扰和强制控制。在调整了可能的混杂因素后，21 岁时的犯罪和物质使用障碍措施预测了所有形式的 IPV。例如，在完全调整的数据中，21 岁时的物质使用障碍预测严重混合虐待（2.30:1.15,4.61）、身体虐待（1.67:1.11,2.52）和强制控制（1.74:1.14,2.65）在 30 岁时发生。这些发现提出了早期干预计划可能带来的好处，以减少成年后发生的 IPV。
