Intimate partner violence/abuse and depressive symptoms among female health care workers: longitudinal findings.
Intimate partner violence/abuse and depressive symptoms among female health care workers: longitudinal findings.
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女性卫生保健工作者的亲密伴侣暴力/虐待和抑郁症状：纵向发现。
DOI：
10.1016/j.whi.2011.07.001
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发表时间：
2012-01
期刊：
影响因子：
--
通讯作者：
Campbell JC
中科院分区：
文献类型：
--
作者：
La Flair LN;Bradshaw CP;Campbell JC
亲密伴侣暴力和虐待（IPV/A）已被证明对心理健康功能有重大影响。本研究评估了最近IPV/A和抑郁症状之间的纵向关联，以确定妇女预防干预的潜在目标。随机效应模型被用来检查在6个月的时间间隔从一个队列的1438名女性医护人员收集的数据的四波。最近的IPV/A（例如，在调整年龄、时间、婚姻状况和童年创伤后，过去5年中发生的性暴力和身体暴力、心理虐待）与4个波中较高的CES-D 10评分相关。在过去5年中报告IPV/A的女性的CES-D 10评分（β 1.31，95% CI 0.79 -1.82，p<0.0001）高于未受虐待的女性。这种关联通常随时间而恒定，表明所有四波数据之间存在横截面关联。此外，在整个队列和基线时CES-D 10评分低于10（可能抑郁的阈值）的人群中，近期IPV/A与抑郁症状随时间的变化相关。近期IPV/A独立相关的抑郁症状的横截面和纵向。在基线时没有抑郁的人中，纵向关联更强。医疗机构和工作场所的政策解决IPV/A的影响进行了讨论。
Intimate partner violence and abuse (IPV/A) have been shown to have a major impact on mental health functioning. This study assessed the longitudinal association between recent IPV/A and depressive symptoms in order to identify potential targets for preventive interventions for women. Random effects models were used to examine four waves of data collected at 6-month intervals from a cohort of 1438 female healthcare workers. Recent IPV/A (e.g., sexual and physical violence, psychological abuse) in the past 5 years was associated with higher CES-D 10 scores across 4 waves after adjustment for age, time, marital status, and childhood trauma. Women who reported IPV/A in the past 5 years had higher CES-D 10 scores (β 1.31, 95% CI .79-1.82, p<.0001) than non-abused women. This association was generally constant with time, suggestive of a cross-sectional association across all four waves of data. Additionally, recent IPV/A was associated with change in depressive symptoms over time among the full cohort and those with CES-D 10 scores below 10 (the threshold for likely depression) at baseline. Recent IPV/A was independently associated with depressive symptoms both cross-sectionally and longitudinally. The longitudinal association was stronger among those not depressed at baseline. Implications for healthcare settings and workplace policies addressing IPV/A are discussed.
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影响因子：
--
作者：
Kendler, KS;Hettema, JM;Prescott, CA
通讯作者：
Prescott, CA
影响因子：
--
作者：
Campbell, J;Jones, AS;Wynne, C
通讯作者：
Wynne, C
影响因子：
3
作者：
Carter, Alice S.;Martinez-Pedraza, Frances de L.;Gray, Sarah A. O.
通讯作者：
Gray, Sarah A. O.
影响因子：
1.1
作者：
Coker, Ann L;Weston, Rebecca;Blakeney, Patricia
通讯作者：
Blakeney, Patricia
影响因子：
168.9
作者：
Jewkes, R
通讯作者：
Jewkes, R