Chiaramonte Danielle, Schick Melissa R, Woerner Jacqueline, Hernandez Ana J, Sullivan Tami P
Yale University School of Public Health, New York, NY, USA.
Yale University School of Medicine, New Haven, CT, USA.
J Interpers Violence. 2025 Aug;40(15-16):3770-3799. doi: 10.1177/08862605241286026. Epub 2024 Oct 24.
The co-occurrence of physical, psychological, and sexual intimate partner violence (IPV) is associated with heightened risk for deleterious mental and physical health outcomes, including PTSD symptoms and substance use. However, few studies have investigated the heterogeneity of experiences with respect to this co-occurrence among women who experience IPV as it unfolds naturally in women's daily lives. In this study, we developed a novel approach to classify and visualize daily patterns of IPV experiences, PTSD-related distress, and substance use among women who experience IPV. Women (N = 244, Mage = 37.1 years) who reported experiencing IPV and using substances were recruited from the community. Micro-longitudinal data were collected four times per day for 14 days using automated telephone-based data collection. Analyses included latent class analysis (LCA) and multilevel analysis (interval-, day-, and person-level), complimented by novel data visualization tool (EventFlow). We identified three classes that significantly differed in the prevalence of and patterns among IPV types, PTSD, and substance use. Based on examination of LCA results and visualization of the latent classes in EventFlow. Different patterns of associations among IPV types, PTSD symptoms, and substance use were identified within classes at the interval-, day-, and person-level. Results from this study provide greater insight into the heterogeneity of women's lived experiences than do studies solely relying on cross-sectional survey data. Findings with this type of data collection can inform the development of interventions to increase the precision in clinical practice, identify new avenues for future research, and have important policy implications.
身体暴力、心理暴力和性亲密伴侣暴力（IPV）的共同发生与有害身心健康后果的风险增加有关，包括创伤后应激障碍（PTSD）症状和物质使用。然而，很少有研究调查经历亲密伴侣暴力的女性在日常生活中自然发生这种共同情况时经历的异质性。在本研究中，我们开发了一种新颖的方法来分类和可视化经历亲密伴侣暴力的女性的亲密伴侣暴力经历、与创伤后应激障碍相关的痛苦以及物质使用的日常模式。从社区招募了报告经历过亲密伴侣暴力并使用物质的女性（N = 244，平均年龄 = 37.1岁）。使用基于自动电话的数据收集，在14天内每天收集4次微观纵向数据。分析包括潜在类别分析（LCA）和多层次分析（区间、日和个体层面），并辅以新颖的数据可视化工具（事件流）。我们确定了三类在亲密伴侣暴力类型、创伤后应激障碍和物质使用的患病率和模式上有显著差异的类别。基于对潜在类别分析结果的检查以及事件流中潜在类别的可视化。在区间、日和个体层面的类别中，确定了亲密伴侣暴力类型、创伤后应激障碍症状和物质使用之间不同的关联模式。与仅依赖横断面调查数据的研究相比，本研究结果能更深入地洞察女性的生活经历异质性。这种数据收集方式的研究结果可为干预措施的制定提供参考，以提高临床实践的精准度，为未来研究确定新途径，并具有重要的政策意义。
