Posttraumatic Stress Disorder Symptom Clusters and Perpetration of Intimate Partner Violence: Findings From a U.S. Nationally Representative Sample.
Posttraumatic Stress Disorder Symptom Clusters and Perpetration of Intimate Partner Violence: Findings From a U.S. Nationally Representative Sample.
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创伤后应激障碍症状群和亲密伴侣暴力行为：来自美国全国代表性样本的调查结果。
DOI：
10.1002/jts.22048
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发表时间：
2015
影响因子：
3.3
通讯作者：
Homish,GregoryG
中科院分区：
文献类型：
--
作者：
Smith,KathrynZ;Smith,PhilipH;Violanti,JohnM;Bartone,PaulT;Homish,GregoryG
创伤后应激障碍(PTSD)和亲密伴侣暴力(IPV)之间的联系在非退伍军人样本中尚未得到广泛研究。二次分析是使用具有全国代表性的美国样本进行的，仅限于那些报告在过去一年中有过恋情的人(N=25652)。这一样本主要是白人(72.0%)，大多数人完成了高中/普通教育发展(GED；87.8%)，大约一半是女性(49.2%)，平均年龄为46.44岁(SD=15.92)。我们假设，过去一年诊断出的创伤后应激障碍与更多的IPV行为有关，而觉醒/反应和侵袭症状群将证明与IPV有最强的关联。与预期一致的是，过去一年的创伤后应激障碍诊断与更多的IPV行为相关，OR=2.07，95%CI[1.89，2.26]。在过去一年诊断为创伤后应激障碍的患者(n=1,742)中，觉醒/反应性症状群得分与男性和女性更多地进行IPV相关，AOR=1.27，95%CI[1.11，1.44]；侵袭性症状群得分仅与男性进行IPV相关，AOR=1.56，95%CI[1.20，2.04]；而消极认知/情绪症状群得分仅在女性中显著，AOR=1.12，95%CI[1.01，1.24]。结果表明，将创伤后应激障碍与军队样本中的IPV行为联系起来的理论和实证工作扩展到了普通人群。
Associations between posttraumatic stress disorder (PTSD) and perpetration of intimate partner violence (IPV) have not been extensively studied in nonveteran samples. Secondary analysis was conducted using a nationally representative U.S. sample and limited to those who reported being in a relationship in the past year (N= 25,652). This sample was mostly White (72.0%), the majority had completed high school/ general educational development (GED; 87.8%), about half were female (49.2%), and the mean age was 46.44 years (SD= 15.92). We hypothesized that a diagnosis of PTSD in the past year would be associated with greater perpetration of IPV and that the arousal/reactivity and intrusion symptom clusters would evidence the strongest associations with IPV. Consistent with expectations, a PTSD diagnosis in the past year was associated with greater perpetration of IPV,OR= 2.07, 95% CI [1.89, 2.26]. Among those with a PTSD diagnosis in the past year (n= 1,742), arousal/reactivity symptom cluster scores were associated with greater perpetration of IPV for both men and women, AOR = 1.27, 95% CI [1.11, 1.44]; intrusion symptom cluster scores were associated with perpetration of IPV for men only, AOR = 1.56, 95% CI [1.20, 2.04]; whereas negative cognitions/mood symptom cluster scores were only significant among women, AOR = 1.12, 95% CI [1.01, 1.24]. Results suggested that theoretical and empirical work linking PTSD and perpetration of IPV in military samples extends to the general population.