Association between depression and abuse by partners of women attending general practice: descriptive, cross sectional survey
Association between depression and abuse by partners of women attending general practice: descriptive, cross sectional survey
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DOI：
10.1136/bmj.328.7440.621
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发表时间：
2004-03-13
影响因子：
105.7
通讯作者：
Small, R
中科院分区：
文献类型：
--
作者：
Hegarty, K;Gunn, J;Small, R
目的通过描述性横断面调查，对澳大利亚维多利亚州30名全科医生进行调查，研究对象为1257名连续的女性患者，主要测量成年亲密关系中的虐待类型(综合虐待量表)、抑郁(贝克抑郁量表或爱丁堡产后抑郁量表)和身体健康状况(SF-36)。结果18.0%(218/1213)的女性在成人亲密关系中经历过某种类型的虐待。在调整了其他重要的社会人口统计变量(优势比5.8，95%可信区间2.8至12.0)后，抑郁女性比没有抑郁的女性更有可能经历严重的联合虐待。这些变量包括未婚、受教育程度低、低收入、失业或领取养老金、怀孕状况或儿童时期遭受虐待。结论躯体、情感和性虐待与参加全科医生的女性抑郁密切相关。医生应该敏感地询问抑郁症女性在亲密关系中遭受暴力和虐待的经历。对抑郁症的研究应该包括纵向和干预性研究中对伴侣虐待的测量。
Objective To explore the association between depression and physical, emotional, and sexual abuse by partners or ex-partners of women attending general practice.Design Descriptive, cross sectional survey.Setting 30 general practitioners in Victoria, Australia.Participants 1257 consecutive female patients.Main outcome measures Some type of abuse in an adult intimate relationship (composite abuse scale), depression (Beck depression inventory or Edinburgh postnatal depression scale), and physical health (SF-36).Results 18.0% (218/1213) of women scored as currently probably depressed and 24.1% (277/1147) had experienced some type of abuse in an adult intimate relationship. Depressed women were significantly more likely to have experienced severe combined abuse than women who were not depressed after adjusting for other significant sociodemographic variables (odds ratio 5.8, 95% confidence interval 2.8 to 12.0). These variables included not being married, having a poor education, being on a low income, being unemployed or receiving a pension, pregnancy status, or being abused as a child.Conclusion Physical, emotional, and sexual abuse are strongly associated with depression in women attending general practice. Doctors should sensitively ask depressed women about their experiences of violence and abuse in intimate relationships. Research into depression should include measures of partner abuse in longitudinal and intervention studies.