Menon Suvarna V, Crouch Julie L, Milner Joel S
Northern Illinois University, DeKalb, USA.
J Interpers Violence. 2025 Jul 12:8862605251353477. doi: 10.1177/08862605251353477.
This study examined post-traumatic stress disorder (PTSD) symptomatology as a potential pathway explaining the association between childhood exposure to parental intimate partner violence (IPV) and different forms of IPV perpetration in a community sample of adults ( = 454). We hypothesized that PTSD symptom total scores would mediate the relationship between childhood exposure to parental IPV and different forms of IPV perpetration (physical violence, psychological violence, and coercive control). In addition, we examined the four PTSD symptom clusters (intrusions, avoidance, negative changes in thinking and mood, and changes in arousal/reactivity) and hypothesized that the arousal/reactivity symptom cluster would mediate the association between childhood exposure to parental IPV and each form of IPV perpetration assessed. As expected, PTSD symptom total scores partially mediated the relationship between childhood exposure to parental IPV and perpetration of physical IPV (β = .38, < .001, 95% CI [0.29, 0.47]), psychological IPV (β = .20, < .001, 95% CI [0.15, 0.25]), and coercive control (β = .67, < .001, 95% CI [0.59, 0.75]). Analyses examining the PTSD symptom clusters revealed that, as hypothesized, the arousal/reactivity symptom cluster partially mediated the relationship between childhood exposure to parental IPV and physical IPV perpetration (β = 1.04, < .001, 95% CI [0.51, 1.57]), psychological IPV perpetration (β = .55, < .001, 95% CI [0.25, 0.86]), and coercive control (β = 1.83, < .001, 95% CI [1.36, 2.30]). Although not hypothesized, intrusion symptoms (β = 1.10, < .001, 95% CI [0.50, 1.70]) also partially mediated the association between childhood exposure to parental IPV and coercive control. Findings support the importance of both childhood IPV exposure and arousal/reactivity symptoms as risk factors for IPV perpetration, highlighting the potential relevance of the developmental psychopathology model in the study of the intergenerational transmission of IPV perpetration.
本研究考察了创伤后应激障碍（PTSD）症状学，将其作为一条潜在途径，以解释在一个由454名成年人组成的社区样本中，童年时期暴露于父母亲密伴侣暴力（IPV）与不同形式的IPV perpetration之间的关联。我们假设PTSD症状总分将介导童年时期暴露于父母IPV与不同形式的IPV perpetration（身体暴力、心理暴力和强制控制）之间的关系。此外，我们考察了PTSD的四个症状群（侵入性症状、回避症状、思维和情绪的消极变化以及觉醒/反应性变化），并假设觉醒/反应性症状群将介导童年时期暴露于父母IPV与所评估的每种IPV perpetration形式之间的关联。正如预期的那样，PTSD症状总分部分介导了童年时期暴露于父母IPV与身体IPV perpetration（β = 0.38，p < 0.001，95%置信区间[0.29, 0.47]）、心理IPV perpetration（β = 0.20，p < 0.001，95%置信区间[0.15, 0.25]）和强制控制（β = 0.67，p < 0.001，95%置信区间[0.59, 0.75]）之间的关系。对PTSD症状群的分析表明，正如所假设的那样，觉醒/反应性症状群部分介导了童年时期暴露于父母IPV与身体IPV perpetration（β = 1.04，p < 0.001，95%置信区间[0.51, 1.57]）、心理IPV perpetration（β = 0.55，p < 0.001，95%置信区间[0.25, 0.86]）和强制控制（β = 1.8,3，p < 0.001，95%置信区间[1.36, 2.30]）之间的关系。尽管未作假设，但侵入性症状（β = 1.10，p < 0.001，95%置信区间[0.50, 1.70]）也部分介导了童年时期暴露于父母IPV与强制控制之间的关联。研究结果支持了童年时期暴露于IPV和觉醒/反应性症状作为IPV perpetration风险因素的重要性，突出了发展性精神病理学模型在IPV perpetration代际传递研究中的潜在相关性。 （注：“IPV perpetration”这里可能是指实施亲密伴侣暴力行为，文中未明确给出其准确中文表述，所以保留英文。）
