Intimate Partner Violence and Current Mental Health Needs Among Female Veterans
Intimate Partner Violence and Current Mental Health Needs Among Female Veterans
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DOI：
10.3122/jabfm.2015.06.150154
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发表时间：
2015-11-01
影响因子：
2.9
通讯作者：
Gerber, Megan R.
中科院分区：
文献类型：
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作者：
Iverson, Katherine M.;Vogt, Dawne;Gerber, Megan R.
背景：退伍军人健康管理局(VHA)建议筛查女性患者的亲密伴侣暴力(IPV)，但很少有研究告知这一人群的IPV筛查工作。本研究调查了女性退伍军人在过去一年中经历过IPV的比例，以及IPV与抑郁症、创伤后应激障碍(PTSD)、酒精依赖、精神健康多发病(2-3种情况)和军中性创伤(MST)的关系。方法：2012年在新英格兰进行了一项横断面邮件调查，调查对象为160名有亲密伴侣的女性VHA患者。使用伤害、侮辱、威胁、尖叫筛查工具评估自我报告的IPV。调查还包括抑郁症(流行病学研究中心抑郁量表)、PTSD(创伤后应激障碍检查表-平民)、酒精滥用(10项酒精使用障碍识别测试)和MST的有效筛查工具。结果：约37%的女性在过去一年中报告了关于伤害、侮辱、威胁、尖叫工具的IPV。报告IPV和精神健康结果之间的关联的优势比在2.75到3.67之间。除酒精依赖外，在对MST进行调整后，IPV仍然与心理健康状况密切相关。结论：这些发现可以增加提供者对过去一年的IPV与女性退伍军人心理健康状况之间密切联系的了解。这可能会鼓励IPV筛查，并促进适当的转诊、治疗概念化以及VHA和其他卫生保健机构内的规划。
Background: The Veterans Health Administration (VHA) recommends screening female patients for intimate partner violence (IPV), yet few studies inform IPV screening efforts among this population. This study examined the proportion of women who experienced IPV within the past year and the associations between IPV and depression, post-traumatic stress disorder (PTSD), alcohol dependence, mental health multimorbidity (ie, 2 or 3 of these conditions), and military sexual trauma (MST) among female veterans.Methods: A cross-sectional mail survey of 160 female VHA patients with an intimate partner within the past year was conducted in 2012 in New England. Self-reported IPV was assessed using the Hurt, Insult, Threaten, Scream screening tool. The survey also included validated screening measures of depression (Center for Epidemiologic Studies Depression Scale), PTSD (PTSD Checklist-Civilian), alcohol misuse (10-item Alcohol Use Disorders Identification Test), and MST.Results: Approximately 37% of women reported IPV within the past year on the Hurt, Insult, Threaten, Scream tool. Odds ratios for the associations between reporting IPV and mental health outcomes ranged between 2.75 and 3.67. With the exception of alcohol dependence, IPV remained strongly associated with mental health conditions when adjusting for MST.Conclusions: These findings can increase provider knowledge of the strong connection between past-year IPV and mental health conditions among female veterans. This may encourage IPV screening and facilitate appropriate referrals, treatment conceptualization, and planning within the VHA and other health care settings.