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， 妇女尽管在理解创伤后应激障碍和抑郁症以及相关的 尽管IPV具有神经生物学特征，但IPV对这些疾病的长期影响仍然难以捉摸。我们建议 在一个205名拉丁裔的队列中，对IPV对PTSD和抑郁症的影响进行纵向研究 妈妈们这项纵向研究题为“亲密伴侣暴力和拉丁美洲人的心理健康” 响应医学研究所的呼吁，进行长期跟踪研究，以检查原因， 暴力侵害妇女行为的后果。一个创新的框架，重点是脆弱性和保护 因素提出。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 反映累积应力暴露（非稳态负荷）的神经生物学特征。主要目的是：（1）评估 PTSD和抑郁症的纵向病程（患病率、严重程度和神经生物学特征） 症状的拉丁裔母亲谁不同的IPV暴露和情绪和行为问题的 儿童通过他们的第一个五年的生活; 2）评估最近的IPV的附加或交互作用， 非IPV创伤对PTSD和抑郁症状的影响，以及与此相关的非稳态负荷的生物标志物。 队列。此外，脆弱性因素（社会经济地位低、文化适应、药物滥用）在改变 非IPV创伤与PTSD、抑郁症和神经生物学指标之间的关系将随着时间的推移而变化。 评估母亲依恋对PTSD和抑郁症的叠加或交互作用 症状和非稳态负荷的生物标志物。我们还将评估保护因素是否 (e.g.掌握，应对，弹性，社会支持和利用医疗保健）将修改的关系 IPV和每种结果之间的关系。该样本将被跟踪四年， 参加每6个月进行的共7次面试。将使用的分析策略包括 多元回归、结构方程模型和纵向增长曲线分析。结果来自.this 一个独特的项目将为了解IPV对PTSD的影响提供重要信息， 抑郁症症状和随着时间的推移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，但鲜为人知 IPV对拉丁裔女性的长期影响。这项研究将跟踪一组拉丁美洲妇女， 时间，让我们了解可能减轻或减轻心理健康相关的长期因素 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.