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立陶宛残疾妇女在性别、残疾、家庭暴力和心理健康服务相互交织时的经历。

Experiences of women with disabilities in Lithuania when their gender, disability, domestic violence, and mental health services intertwine.

作者信息

Grigaitė Ugnė, Aginskaitė Simona, Pedrosa Bárbara, Oyine Aluh Deborah, Santos-Dias Margarida, Silva Manuela, Cardoso Graça, Miguel Caldas-de-Almeida José

机构信息

Lisbon Institute of Global Mental Health, Comprehensive Health Research Centre/NOVA Medical School, National School of Public Health, Universidade NOVA de Lisboa, Rua do Instituto Bacteriológico 5, Edifício Amarelo, 1150-190, Lisboa, Portugal.

Vilnius University Institute of International Relations and Political Science, Vilnius, Lithuania.

出版信息

Disabil Health J. 2025 Apr 11:101837. doi: 10.1016/j.dhjo.2025.101837.

Abstract

BACKGROUND

Women with disabilities are two to five times more likely to experience domestic violence (DV), including intimate partner violence (IPV), when compared with women without disabilities. Survivors of DV and IPV are around three times more likely than women without this life experience to develop mental health conditions or a psychosocial disability.

OBJECTIVE

To explore the perspectives of women with disabilities who are survivors of DV and IPV about their help-seeking experiences and their use of mental health services in Lithuania.

METHODS

A qualitative explorative study was implemented within an experiential framework. Semi-structured interviews (n = 15) were conducted with women-survivors of DV who have sensory, physical, psychosocial, and intellectual disabilities. Audio recordings were transcribed verbatim and analysed thematically using MAXQDA software.

RESULTS

The key findings highlight the complex intersection between gender, disability, and DV, including IPV. Women with disabilities may be extremely dependent on their abusers for daily individual support and may also experience disability-based violence as a result of this situation. Societal stigma and victim-blaming attitudes, as well as the lack of community-based services, may prevent survivors from seeking help. However, those who do may benefit greatly from support provided by mental health services.

CONCLUSIONS

Further qualitative and quantitative research concerning the interlink between the areas of gender, disability, DV and IPV, and the provision of mental health services is needed, especially about what interventions might be the most effective for this particular population.

摘要

背景

与非残疾女性相比,残疾女性遭受家庭暴力(包括亲密伴侣暴力)的可能性高出两到五倍。家庭暴力和亲密伴侣暴力的幸存者出现心理健康问题或心理社会残疾的可能性比没有这种生活经历的女性高出约三倍。

目的

探讨立陶宛遭受家庭暴力和亲密伴侣暴力的残疾女性对于她们寻求帮助的经历以及使用心理健康服务情况的看法。

方法

在一个体验框架内开展了一项定性探索性研究。对有感官、身体、心理社会和智力残疾的家庭暴力女性幸存者进行了半结构式访谈(n = 15)。对录音进行逐字转录,并使用MAXQDA软件进行主题分析。

结果

主要研究结果突出了性别、残疾和家庭暴力(包括亲密伴侣暴力)之间复杂的交叉关系。残疾女性在日常生活中可能极度依赖施虐者提供个人支持,并且由于这种情况还可能遭受基于残疾的暴力。社会污名和指责受害者的态度,以及缺乏社区服务,可能会阻碍幸存者寻求帮助。然而,那些寻求帮助的人可能会从心理健康服务提供的支持中受益匪浅。

结论

需要进一步开展关于性别、残疾、家庭暴力和亲密伴侣暴力领域之间相互联系以及心理健康服务提供情况的定性和定量研究,特别是关于哪些干预措施可能对这一特定人群最有效。

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