Post-traumatic stress disorder and health-related quality of life in female victims of intimate partner violence.

Post-traumatic stress disorder and health-related quality of life in female victims of intimate partner violence.
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DOI:
10.1891/vivi.2003.18.2.227
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发表时间:
2003-04-01
影响因子:
1.1
通讯作者:
Stein, Murray B
Stein, Murray B
中科院分区:
医学4区
文献类型:
--
作者:
Laffaye, Charlene;Kennedy, Colleen;Stein, Murray B

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研究亲密伴侣暴力(IPV)女性受害者的创伤后应激障碍(PTSD)与健康相关生活质量(QOL)之间的关系。采用简明健康调查问卷(SF-36)评定健康相关生活质量。有创伤后应激障碍的IPV患者(IPV/PTSD+;n=18)、无PTSD的IPV患者(IPV/PTSD-;n=22)和未滥用的对照组(NA;n=30)进行比较。多因素协方差分析(社会经济地位和年龄不同)显示,三组在与健康相关的生活质量上得分显著不同,IPV/PTSD组明显比NA组受损更严重。IPV/PTSD+受试者在身体功能、心理健康、活力、因情绪健康而造成的角色限制和社会功能方面的损害显著高于IPV/PTSD受试者。多元回归分析显示,在控制抑郁症状和身心虐待程度后,创伤后应激障碍的严重程度是SF-36心理健康综合得分(而不是身体健康综合得分)的显著统计预测因子。
The association between post-traumatic stress disorder (PTSD) and health-related quality of life (QOL) in female victims of intimate partner violence (IPV) was examined. The Short-Form Health Survey (SF-36) was used to evaluate health-related QOL. IPV victims with PTSD (IPV/PTSD+; n = 18), IPV victims without PTSD (IPV/PTSD-; n = 22), and a non-abused control group (NA; n = 30) were compared. Multiple Analyses of Covariance (covarying for socioeconomic status and age) indicated that the three groups scored significantly differently on health-related QOL, and the IPV/PTSD- group was significantly more impaired than the NA group. IPV/PTSD+ subjects were significantly more impaired than IPV/PTSD- subjects on physical functioning, mental health, vitality, role limitations due to emotional health, and social functioning. Multiple regression analyses indicated that PTSD severity was a significant statistical predictor of SF-36 mental health composite scores (but not of physical health composite scores), after controlling for depressive symptomatology and extent of physical and psychological abuse.