Mental and Physical Health of Men Who Sustain Partner Violence and Their Children

描述（由申请人提供）：国家家庭暴力调查的估计显示，在给定的一年内，12%的男性遭受亲密女性伴侣的身体攻击，4%的男性受到严重攻击。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%，占所有工作时间损失的受害者的38%。尽管这方面的知识IPV对男性的患病率，很少有人知道的精神和身体健康的后果，男性谁维持IPV，特别是在比较，我们知道的妇女谁维持IPV。我们之前的NIMH拨款表明，与女性受害者类似，维持IPV的男性有被诊断为任何心理健康障碍，创伤后应激障碍和药物滥用的风险。然而，很少有人知道他们的其他精神和身体健康问题的风险，已显示在妇女谁维持IPV，包括抑郁症，自杀行为，吸烟，胃肠道和心血管问题，也不是很多人知道IPV受害，心理健康和身体健康问题之间的影响方向。此外，虽然研究表明，目睹母亲持续IPV的儿童面临一系列身心健康问题的风险，但没有研究探讨目睹父亲持续IPV的儿童的身心健康影响。在拟议的研究中，我们通过在线匿名安全问卷调查两个样本，向缩小IPV研究中的这些差距迈出了一步：（1）750名男性的全国样本，他们曾向女性伴侣寻求IPV受害者的帮助，并将通过专门从事IPV、IPV男性受害者、离婚男性、父亲问题和男性健康问题的服务招募，以及（2）通过由知识网络维护的在线人口调查小组招募的1,500名男性社区样本。所有男性都将完成关于IPV受害史、冒险行为以及身心健康的问卷，有未成年子女的男性将完成关于他们最大的孩子目睹IPV的程度以及他们的身心健康的问卷。本项目的目的是回答以下问题：（1）维持男性IPV是否与心理健康结果相关（例如，PTSD、抑郁和自杀行为）;冒险行为（例如，酒精/药物滥用;和身体健康结果（例如，肌肉骨骼、胃肠道和心血管问题）？(2)这些构念的影响方向是什么？(3)维持IPV的男性的子女是否表现出情感，焦虑，ADHD，对立违抗问题，行为问题和药物/酒精使用等方面的心理健康问题;以及身体健康问题，包括头痛，胃痛和因病缺课的问题？以及（4）儿童的心理和身体健康是否随他们在家中暴露的IPV水平和他们目睹的事件的严重程度而不同？ 公共卫生相关性：全国暴力侵害妇女行为调查显示，妇女对男子的亲密伴侣暴力占一年期间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，如整体身体健康状况不佳，身体伤害，抑郁症和创伤后应激障碍，以及目睹父亲持续IPV的儿童的心理和身体健康状况不佳。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 national family violence surveys show that within a given year, 12% of men sustain physical aggression from their intimate female partners and 4% are severely assaulted. Also, men who sustain intimate partner violence (IPV) account for 40% of all injuries due to IPV and 38% of all victims who lose time from work. Despite this knowledge regarding the prevalence of IPV towards men, little is known of the mental and physical health consequences for men who sustain IPV, particularly in comparison to what we know about women who sustain IPV. Our previous NIMH grant showed that, similar to female victims, men who sustain IPV are at risk for diagnosis of any mental health disorder, PTSD, and substance abuse. However, little is known about their risk for other mental and physical health problems that have been shown in women who sustain IPV, including depression, suicidal behavior, smoking, and gastrointestinal and cardiovascular problems, nor is much known about the direction of effects among IPV victimization, mental health, and physical health problems. Further, although research shows that children who witness their mothers sustaining IPV are at risk for a range of physical and mental health problems, there is no research examining the physical and mental health implications of children witnessing their fathers sustaining IPV. In the proposed study, we take a step toward closing these gaps in the IPV research by interviewing, through an online, anonymous secure questionnaire, two samples: (1) a national sample of 750 men who have sought help for IPV victimization from a female partner and who will be recruited through services that specialize in IPV, male victims of IPV, divorced men, fathers' issues, and men's health issues, and (2) a community sample of 1,500 men who will be recruited through the online population-based survey panel maintained by Knowledge Networks. All men will complete questionnaires regarding their history of IPV victimization, risk-taking behaviors, and mental and physical health, and men with minor children will complete questionnaires regarding the extent to which their oldest child has witnessed the IPV, and their mental and physical health. The aims of this project are to answer the following questions: (1) Is sustaining IPV for men associated with mental health outcomes (e.g., PTSD, depression, and suicidal behavior); risk-taking behaviors (e.g., alcohol/ drug abuse; and physical health outcomes (e.g., musculoskeletal, gastrointestinal, & cardiovascular problems)? (2) What is the direction of effects among these constructs? (3) Do children of men who sustain IPV demonstrate mental health problems in the areas of affect, anxiety, ADHD, oppositional defiant issues, conduct problems and drug/alcohol use; and physical health problems, including problems with headaches, stomach aches, and missing school because of illness? and (4) Does children's mental and physical health differ with the level of IPV to which they are exposed in the home and the severity of the event that they witness? PUBLIC HEALTH RELEVANCE: 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 poor overall physical health, physical injuries, depression, and PTSD, and with poor mental and physical health in the children who witness their fathers sustaining IPV. 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.