Khan F I, Welch T L, Zillmer E A
Neuropsychology Clinic, Drexel University Philadelphia, PA 19104.
J Pers Assess. 1993 Feb;60(1):100-11. doi: 10.1207/s15327752jpa6001_7.
Domestic violence is a widespread problem in our society that has not been extensively studied using psychological assessment tools. In this investigation, the psychological functioning of battered women in transition was examined through the use of the Minnesota Multiphasic Personality Inventory-2 (MMPI-2). Thirty-one women (M age = 30 years, M education = 11.5 years) were evaluated as residents in a confidential shelter operated by Women Against Abuse. All subjects were asked to complete the MMPI-2 as well as information on their history of length, severity, and types of abuse (i.e., physical and/or psychological). Results indicated elevated MMPI-2 profiles in 90% of the subjects with the most frequent code type being a combination of Scales F, 4, 6, and 8. Scales 2 and 7, which are often associated with depression, anxiety, and other forms of subjective distress, were not consistently elevated. Supplementary MMPI-2 scales revealed elevations on scales MAC-R, Mt, PK, and PS. Regression analysis indicated significant relationships between length and severity of psychological forms of abuse and overall levels of psychological distress (i.e., F scale and average clinical T-score). Age and physical forms of abuse were not related to MMPI indices of psychological disturbance. Theoretical issues of domestic violence, intervention strategies with battered women, and the dangers of misdiagnosis are discussed.
家庭暴力是我们社会中一个普遍存在的问题,但尚未使用心理评估工具进行广泛研究。在这项调查中,通过使用明尼苏达多相人格问卷第二版(MMPI - 2)对处于过渡阶段的受虐妇女的心理功能进行了检查。31名女性(平均年龄 = 30岁,平均受教育年限 = 11.5年)作为居民在“反虐待妇女组织”运营的一个保密庇护所中接受了评估。所有受试者都被要求完成MMPI - 2以及关于她们受虐的时长、严重程度和类型(即身体虐待和/或心理虐待)的信息。结果显示,90%的受试者MMPI - 2剖面图升高,最常见的编码类型是量表F、4、6和8的组合。通常与抑郁、焦虑和其他形式主观痛苦相关的量表2和7并未持续升高。补充的MMPI - 2量表显示在MAC - R、Mt、PK和PS量表上有升高。回归分析表明,心理虐待的时长和严重程度与心理困扰的总体水平(即F量表和平均临床T分数)之间存在显著关系。年龄和身体虐待形式与心理障碍的MMPI指标无关。文中讨论了家庭暴力的理论问题、针对受虐妇女的干预策略以及误诊的风险。