Domestic violence and mental health: a cross-sectional survey of women seeking help from domestic violence support services (Retracted article. See vol. 9, 30899, 2016)
Domestic violence and mental health: a cross-sectional survey of women seeking help from domestic violence support services (Retracted article. See vol. 9, 30899, 2016)
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DOI：
10.3402/gha.v9.29890
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发表时间：
2016-01-01
影响因子：
2.6
通讯作者：
Feder, Gene Solomon
中科院分区：
文献类型：
--
作者：
Ferrari, Giulia;Agnew-Davies, Roxane;Feder, Gene Solomon
背景：家庭暴力和虐待(DVA)会增加精神疾病的风险，但我们对寻求家庭暴力服务支持的DVA幸存者的心理健康知之甚少。目的：我们的目标是描述在英国寻求DVA专家服务的女性的人口学和心理健康特征，并调查虐待严重程度与心理健康和健康状况效用指标之间的关系，这是重要的混杂因素和调节因素。设计：对260名参加DVA幸存者心理干预的随机对照试验的基线数据进行分析。我们报告了招募时精神健康状况和虐待严重程度的流行率及其之间的关联。我们分别对二元和连续结果使用Logistic回归模型和正态回归模型。使用以下心理健康测量工具：常规评估中的临床结果-结果测量(CORE-OM)、患者健康问卷、综合焦虑障碍评估和创伤后应激障碍诊断量表(PTSD)。结果：DVA的暴露程度较高，平均CAS得分为56(SD 34)。CORE-OM评分平均为18(SD8)，其中76%高于临床阈值(95%可信区间：70-81%)。抑郁和焦虑水平很高，均值接近临床阈值，超过四分之三的受访者记录的创伤后应激障碍得分高于临床阈值。随着DVA严重程度的增加，精神疾病的症状逐渐增加。结论：寻求DVA服务支持的女性DVA幸存者最近经历了高度的虐待、抑郁、焦虑，尤其是创伤后应激障碍。临床医生需要意识到，出现精神健康状况或抑郁或焦虑症状的患者可能正在经历或已经经历过DVA。这一人群的心理发病率很高，这意味着需要为寻求DVA服务支持的幸存者提供创伤信息心理支持。
Background: Domestic violence and abuse (DVA) are associated with increased risk of mental illness, but we know little about the mental health of female DVA survivors seeking support from domestic violence services.Objective: Our goal was to characterise the demography and mental health of women who access specialist DVA services in the United Kingdom and to investigate associations between severity of abuse and measures of mental health and health state utility, accounting for important confounders and moderators.Design: Baseline data on 260 women enrolled in a randomized controlled trial of a psychological intervention for DVA survivors were analysed. We report the prevalence of and associations between mental health status and severity of abuse at the time of recruitment. We used logistic and normal regression models for binary and continuous outcomes, respectively. The following mental health measures were used: Clinical Outcomes in Routine Evaluation - Outcome Measure (CORE-OM), Patient Health Questionnaire, Generalised Anxiety Disorder Assessment, and the Posttraumatic Diagnostic Scale to measure posttraumatic stress disorder (PTSD). The Composite Abuse Scale (CAS) measured abuse.Results: Exposure to DVA was high, with a mean CAS score of 56 (SD 34). The mean CORE-OM score was 18 (SD 8) with 76% above the clinical threshold (95% confidence interval: 70-81%). Depression and anxiety levels were high, with means close to clinical thresholds, and more than three-quarters of respondents recorded PTSD scores above the clinical threshold. Symptoms of mental illness increased stepwise with increasing severity of DVA.Conclusions: Women DVA survivors who seek support from DVA services have recently experienced high levels of abuse, depression, anxiety, and especially PTSD. Clinicians need to be aware that patients presenting with mental health conditions or symptoms of depression or anxiety may be experiencing or have experienced DVA. The high psychological morbidity in this population means that trauma-informed psychological support is needed for survivors who seek support from DVA services.