Mental Health Status of Male Help-Seekers for Partner Violence Victimization

描述（由申请人提供）：全国家庭暴力调查（Straus & Gelles，1990年）的估计表明，在给定的一年内，12%的男性遭受其亲密女性伴侣的身体侵犯，4%的男性人口受到其伴侣的严重侵犯。此外，遭受亲密伴侣暴力的男子占所有亲密伴侣暴力伤害的40%，占所有因工作而损失时间的受害者的38%，占所有担心身体受到伤害的受害者的31%（根据2000年Tjaden和Thoennes全国暴力侵害妇女调查计算）。初步研究表明，维持IPV的男性可能有心理健康问题，包括抑郁，压力和心身症状。因此，IPV对男性可以被认为是一个重大的健康问题，在这个国家，但还没有研究系统地调查的经验，男性寻求帮助的IPV受害。也就是说，我们对IPV对男性求助者的预测因素，他们亲密伴侣关系的动态，或维持IPV并寻求帮助的男性的心理健康问题知之甚少。此外，由于对男性的IPV没有得到很好的认识，一些寻求帮助的男性报告说，他们在接受援助时遇到了体制障碍，这可能会加剧任何先前存在的心理健康问题。在这项研究中，我们采取了初步的步骤，通过采访一个全国性的样本500名男子谁是寻求帮助，从一个专门从事男性IPV受害和人口为基础的全国样本的500名男子，以缩小这些差距的家庭暴力研究。该项目的具体目标是：（1）描述维持IPV并寻求帮助的男子的经历;（2）将他们的经历和心理健康问题与人口抽样中的男子进行比较;（3）检验强制控制理论是否适用于针对男子的IPV;（4）调查患有IPV并寻求帮助的男性的身心健康状况，包括PTSD和酒精/药物滥用;以及（5）描述对维持IPV并寻求帮助的男性的潜在制度性障碍，以及这些障碍的经历与心理健康之间的任何潜在联系。- 对妇女的暴力行为全国调查显示，在一年的时间里，妇女对男子的亲密伴侣暴力占所有亲密伴侣暴力伤害的40%，占所有需要医疗照顾的伤害的27%，占所有害怕身体伤害的受害者的31%。有证据表明，男性持续的IPV与男性的各种身心健康问题有关，如身体伤害、抑郁、压力、心身症状和一般心理困扰。因此，针对男性的IPV，像其他形式的家庭暴力一样，可以被认为是这个国家的一个重要的公共卫生和心理健康问题;然而，为了有效地治疗和预防所有类型的家庭暴力，研究人员，服务提供者以及公共和心理健康从业者必须更多地了解针对男性的IPV。

DESCRIPTION (provided by applicant): Estimates from the National Family Violence Surveys (Straus & Gelles, 1990) show that within a given year, 12% of men sustain physical aggression from their intimate female partners and 4% of the male population is severely assaulted by their partners. In addition, men who sustain intimate partner violence (IPV) account for 40% of all injuries due to IPV, 38% of all victims who lose time from work, and 31% of all victims who fear bodily harm (calculated from the National Violence Against Women Survey, Tjaden & Thoennes, 2000). Preliminary research shows men who sustain IPV are likely to have mental health problems, including depression, stress, and psychosomatic symptoms. Thus, IPV against men can be considered a significant health problem in this country, but no study has yet systemically investigated the experiences of men who seek help for IPV victimization. That is, we know little about the predictors of IPV against male help-seekers, the dynamics of their intimate partner relationships, or the mental health concerns of men who sustain IPV and seek help. In addition, because IPV against men is not well recognized, some men who seek help report experiencing institutional barriers to receiving assistance, which could exacerbate any pre-existing mental health problems. In this study, we take a preliminary step toward closing these gaps in the family violence research by interviewing a national sample of 500 men who are seeking assistance from a helpline specializing in male IPV victimization and a population-based national sample of 500 men. The specific aims of this project are to: (1) describe the experiences of men who sustain IPV and seek help; (2) compare their experiences and mental health concerns with those of men from a population-based sample; (3) test the coercive control theory as it applies to IPV against men; (4) investigate the physical and mental health status, including PTSD and alcohol/substance abuse, of men who sustain IPV and seek help; and (5) describe potential institutional barriers to men who sustain IPV and seek help, as well as any potential associations between the experience of these barriers and mental health. - PHS Agency Application Relevance to Public Health The National Violence Against Women Survey showed that intimate partner violence (IPV) by women against men accounts for 40% of all injuries due to IPV during a one-year time period, 27% of all injuries requiring medical attention, and 31% of all victims who fear bodily harm. There is evidence that IPV sustained by men is associated with various physical and mental health problems in men, such as physical injuries, depression, stress, psychosomatic symptoms, and general psychological distress. Thus, IPV against men, like other forms of family violence, can be considered a significant public health and mental health problem in this country; however, in order to effectively treat and prevent all types of family violence, researchers, service providers, and public and mental health practitioners must learn more about IPV against men.