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亲密伴侣暴力女性幸存者的心理健康、种族与社会支持

Mental Health, Race, and Social Support among Women Survivors of Intimate Partner Violence.

作者信息

Rhee Stephanie L, Silver Thelma

机构信息

University of Wisconsin-Green Bay, USA.

Youngstown State University, Youngstown, OH, USA.

出版信息

J Interpers Violence. 2025 May;40(9-10):2257-2280. doi: 10.1177/08862605241270072. Epub 2024 Aug 21.

Abstract

Women with mental health (MH) symptoms are more vulnerable to the adverse effects of intimate partner violence (IPV). Social support (SS) helps those women cope with adversities and regain their overall well-being. Examining specific sources and functions of SS will help expand knowledge about resources for and barriers to MH services for women IPV survivors. However, few studies examined functional and relational SS among women IPV survivors residing in shelters. This cross-sectional study examined how 31 racially diverse women IPV survivors with different MH symptoms perceive relational SS from various sources as they stay in a shelter that provides functional SS. Cluster analyses were performed to classify participants into two groups: more MH or fewer MH symptoms. Results showed that the women with more MH symptoms reported higher tangible support than those with fewer MH symptoms. Results from ANCOVA showed a significant cross-over interaction between MH and race for overall SS, indicating that women of color with more MH symptoms were less likely to perceive overall SS than Caucasians when controlling for functional SS. MANCOVA analyzed the specific sources of overall SS, such as family, friends, and others. There was a significant cross-over interaction of MH and race on SS from others when controlling for functional SS. These findings suggest that women IPV survivors of color who experience more MH symptoms perceive support from others as less supportive and trustworthy. Social service providers must provide culturally sensitive and strengths-based SS programs to help women of color who have experienced social isolation, stigma, and shame associated with IPV and mental illnesses (MIs). They also must engage in community outreach programs by educating community members about the needs and rights of women IPV survivors with MIs and collaborating to build communities that promote safety, trust, diversity, equity, and inclusion.

摘要

有心理健康(MH)症状的女性更容易受到亲密伴侣暴力(IPV)的不良影响。社会支持(SS)有助于这些女性应对逆境并恢复整体幸福感。研究社会支持的具体来源和功能将有助于扩展关于为遭受亲密伴侣暴力的女性提供心理健康服务的资源和障碍的知识。然而,很少有研究调查居住在庇护所的遭受亲密伴侣暴力的女性中的功能性和关系性社会支持。这项横断面研究调查了31名具有不同心理健康症状、种族各异的遭受亲密伴侣暴力的女性在居住于提供功能性社会支持的庇护所期间如何从各种来源感知关系性社会支持。进行聚类分析以将参与者分为两组:心理健康症状较多或较少。结果显示,心理健康症状较多的女性报告的实际支持高于心理健康症状较少的女性。协方差分析的结果表明,在控制功能性社会支持时,心理健康状况和种族之间在总体社会支持方面存在显著的交叉交互作用,这表明心理健康症状较多的有色人种女性比白人女性更不容易感知到总体社会支持。多元协方差分析分析了总体社会支持的具体来源,如家人、朋友和其他人。在控制功能性社会支持时,心理健康状况和种族在来自他人的社会支持方面存在显著的交叉交互作用。这些发现表明,经历更多心理健康症状的有色人种亲密伴侣暴力幸存者认为来自他人的支持较少且不值得信赖。社会服务提供者必须提供具有文化敏感性和基于优势的社会支持项目,以帮助那些经历过与亲密伴侣暴力和精神疾病(MI)相关的社会孤立、污名化和羞耻感的有色人种女性。他们还必须开展社区外展项目,通过向社区成员宣传患有精神疾病的亲密伴侣暴力幸存者的需求和权利,并合作建设促进安全、信任、多样性、公平和包容的社区。

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