Patterns of Intimate Partner Violence Victimization Among South African Women and Their Relation to Emotional Distress During Pregnancy and Postpartum.

Patterns of Intimate Partner Violence Victimization Among South African Women and Their Relation to Emotional Distress During Pregnancy and Postpartum.
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DOI:
10.1177/0886260518786738
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发表时间:
2021-04
影响因子:
2.5
通讯作者:
Moodley D
Moodley D
中科院分区:
心理学3区
文献类型:
--
作者:
McNaughton Reyes HL;Maman S;Chen MS;Groves AK;Moodley D

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虽然许多研究已经建立了IPV受害和孕产妇心理健康之间的联系,现存的研究检查这种关联没有考虑到IPV的形式,妇女的经验异质性。这是一个重要的差距,因为类型学的观点表明,IPV受害的心理健康后果可能取决于所经历的IPV的特定模式。目前的研究使用潜在类别分析:(1)识别和表征不同的模式的身体,心理和性IPV和男性控制行为的样本南非孕妇(n=1480)和(2)检查IPV模式和情绪困扰之间的关联在怀孕期间(基线)和产后9个月(随访)。潜在的类分析确定了一个三级的解决方案,其中最大的类表现出低概率的IPV受害的所有指标(非受害者; 72%的样本)和最小的类表现出高概率的经历了中度和重度形式的IPV受害以及男性控制行为(多种形式的严重控制IPV; 4%的样本)。确定了第三类(中度IPV),其中很有可能经历中度但不严重的身体和心理IPV(占样本的24%)。年龄,教育,同居状况,童年虐待的经验,和强迫的第一次性行为与阶级成员。多形式的严重控制IPV受害者报告显着更大的情绪困扰比中度IPV受害者和非受害者在基线和后续。这些结果有助于了解IPV模式的异质性,女性的经验,可能反映不同的病因过程,并保证不同的预防和治疗方法。
Although numerous studies have established a link between IPV victimization and maternal mental health, extant research examining this association has not considered heterogeneity in the forms of IPV that women experience. This is an important gap given that typological perspectives suggest that mental health consequences of IPV victimization may depend on the particular pattern of IPV that is experienced. The current study used latent class analysis to: (1) identify and characterize distinct patterns of physical, psychological, and sexual IPV and male controlling behavior in a sample of pregnant South African women (n=1480) and (2) examine associations between IPV patterns and emotional distress during pregnancy (baseline) and nine months postpartum (follow-up). Latent class analysis identified a three-class solution wherein the largest class demonstrated a low probability of IPV victimization across all indicators (non-victims; 72% of the sample) and the smallest class demonstrated high probabilities of having experienced moderate and severe forms of IPV victimization as well as male controlling behavior (multiform severe controlling IPV; 4% of the sample). A third class (moderate IPV) was identified for which there was a high probability of experiencing moderate, but not severe, physical and psychological IPV (24% of the sample). Age, education, cohabitation status, experience of childhood abuse, and forced first sex were associated with class membership. Multiform severe controlling IPV victims reported significantly greater emotional distress than moderate IPV victims and non-victims at baseline and follow-up. The results contribute to understanding heterogeneity in the patterns of IPV that women experience that may reflect distinct etiological processes and warrant distinct prevention and treatment approaches.
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