Remission of PTSD after victims of intimate partner violence leave a shelter.
Remission of PTSD after victims of intimate partner violence leave a shelter.
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DOI：
10.1002/jts.21673
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发表时间：
2012-04
影响因子：
3.3
通讯作者：
Zlotnick C
中科院分区：
文献类型：
--
作者：
Johnson DM;Zlotnick C
亲密伴侣暴力（IPV）是一个重大的公共卫生问题，与创伤后应激障碍（PTSD）的高发病率相关。很少有纵向研究调查了与 IPV 相关的 PTSD，而且据我们所知，迄今为止只有 1 项纵向研究探讨了受虐妇女庇护所居民与 IPV 相关的 PTSD。本报告描述了一项针对 IPV 相关 PTSD 的前瞻性研究，该研究以受虐妇女庇护所的 147 名居民为初始样本。在 6 个月的随访期内，研究了 IPV 相关 PTSD 缓解的基线相关性（即 PTSD 和 IPV 严重程度、个人和社会资源的损失、虐待的停止、与施虐者的团聚以及庇护所停留的时间长度）。尽管研究结果与先前的研究一致，表明 IPV 受害者的 PTSD 会自然恢复，但它们也表明大量 (46.8%) 的女性患有慢性 PTSD。 PTSD 在随访中缓解的参与者在基线时与 IPV 相关的 PTSD 较轻（部分 η2 = .104），个人和社会资源损失较少（部分 η2 = .095），并且与慢性 PTSD 参与者相比，离开庇护所后与施虐者团聚的可能性更小（分别为 3.3% 和 22.4%）。讨论了研究结果的临床意义和局限性。
Intimate partner violence (IPV) is a significant public health problem associated with high rates of posttraumatic stress disorder (PTSD). Few longitudinal studies have investigated IPV-related PTSD and we know of only 1 longitudinal study to date that has explored IPV-related PTSD in residents of battered women’s shelters. The current report describes a prospective study of IPV-related PTSD in an initial sample of 147 residents of battered women’s shelters. Baseline correlates of remission of IPV-related PTSD (i.e., PTSD and IPV severity, loss of personal and social resources, cessation of abuse, reunion with abuser, and length of shelter stay) over a 6-month follow-up period were investigated. Although findings are consistent with prior research suggesting a natural recovery of PTSD in IPV-victims, they also show that a significant number (46.8%) of women exhibit chronic PTSD. Participants whose PTSD remitted over follow-up had at baseline less severe IPV-related PTSD (partial η2 = .104) and fewer loss of personal and social resources (partial η2 = .095), and were less likely to reunite with their abuser after leaving the shelter than participants with chronic PTSD (3.3% and 22.4%, respectively). Clinical implications and limitations of findings are discussed.