Intimate partner violence

亲密伴侣暴力(IPV)与创伤后应激障碍(PTSD)和抑郁症有关 女人。尽管在理解创伤后应激障碍和抑郁症方面取得了重大进展，并与 尽管有神经生物学特征，但IPV对这些疾病的长期影响仍然难以捉摸。我们建议 在205名拉丁裔队列中进行IPV对创伤后应激障碍和抑郁影响的纵向研究 母亲们。这项题为“亲密伴侣暴力与拉丁裔心理健康”的纵向研究 响应医学研究所的呼吁，进行长期跟踪研究，以检查原因和 暴力侵害妇女的后果。关注脆弱性和防护性的创新框架 提出了应考虑的因素。心理健康结果包括创伤后应激障碍和抑郁症状以及相关的 反映累积应激暴露(恒定负荷)的神经生物学特征。主要目标是：1)评估 创伤后应激障碍和抑郁的纵向过程(患病率、严重程度和神经生物学特征) 感染IPV的拉丁裔母亲的症状不同，以及 2)评估最近的IPV的相加或交互影响，以及 非IPV创伤对创伤后应激障碍和抑郁症状的影响，以及与变态负荷相关的生物标志物 一群人。此外，脆弱性因素(低社会经济地位、文化适应、药物滥用)在改变 非IPV创伤对创伤后应激障碍、抑郁和神经生物学指标超时的关系将是 检查；以及3)评估母亲依恋对创伤后应激障碍和抑郁的相加或交互作用 队列中不平衡负荷的症状和生物标志物。我们还将评估保护性因素是否 (例如，掌握、应对、弹性、社会支持和卫生保健的利用)将改变关系 随着时间的推移，IPV和每个结果之间的关系。该样本将被跟踪四年，并将 每6个月参加7次面试。要使用的分析策略，包括 多元回归、结构方程建模和纵向生长曲线分析。的结果。这是 独特的项目将为了解IPV对创伤后应激障碍的影响和 随着时间的推移，抑郁症状和改变这种关系的因素。 亲密伴侣暴力(IPV)经常与其他健康问题一起出现，但知之甚少 关于IPV对拉丁裔妇女的长期影响。这项研究将跟踪一群拉丁裔妇女 时间，并让我们了解哪些因素可能会减轻或缓解与心理健康有关的长期问题 IPV的影响。

Intimate partner violence (IPV) is associated with posttraumatic stress disorder (PTSD) and depression for women. Despite significant advances in understanding PTSD and depression and associated neurobiological features, the long term impact of IPV on these conditions remains elusive. We propose to conduct longitudinal research on the impact of IPV on PTSD and depression in a cohort of 205 Latina mothers. This longitudinal study entitled "Intimate Partner Violence and Mental Health of Latinas" responds to the Institute of Medicine's call for long-term follow up studies to examine the causes and consequences of violence against women. An innovative framework focusing on Vulnerability and Protective factors is proposed. Mental health outcomes include PTSD and depression symptoms and associated neurobiological profiles reflecting cumulative stress exposure (allostatic load). Major aims are to: 1) assess the longitudinal course (prevalence, severity and neurobiological characteristics) of PTSD and depression symptoms for Latina mothers who differ in IPV exposure and the emotional and behavioral problems of the children through their first five years of life; 2) assess the additive or interactive effects of recent IPV and non-IPV trauma on PTSD and depression symptoms, and associated biomarkers of allostatic load in this cohort. In addition, the role of vulnerability factors (low SES, acculturation, substance abuse) in modifying the relationships between non-IPV trauma on PTSD, depression, and neurobiological indicators overtime will be examined; and 3) assess the additive or interactive effects of maternal attachment on PTSD and depression symptoms and biomarkers of allostatic load in the cohort. We will also assess whether protective factors (e.g. mastery, coping, resiliency, social support, and utilization of health care) will modify the relationships between IPV and each of the outcomes over time. The sample will be followed for four years and will participate in a total of seven interviews conducted every 6 months. Analytic strategies to be used, include multiple regression, structural equation modeling, and longitudinal growth curve analysis. Results from.this unique project will provide important information for understanding the impact of IPV on PTSD and depression symptoms and factors that modify this relationship over time. Intimate partner violence (IPV) is frequently seen in conjunction with other health problems but little is known on the long term impact of IPV on Latino women. This research will follow a group of Latino women over time and allow us to learn about factors which may lessen or alleviate the mental health related long term impact of IPV.