PTSD & Intimate Partner Violence: A National Sample

描述（由申请人提供）：这项拟议研究的目的是检查风险和保护因素与当前创伤后应激症状之间的一个全国代表性样本的成年女性（n = 397）目前生活在一个亲密的合作伙伴谁报告性侵犯，身体攻击，跟踪，和/或威胁他们在某些时候在关系的过程中。亲密伴侣暴力的独特性（戈登，2000年）使这项研究特别重要。拟议的研究是根据对全国暴力侵害妇女行为调查（Tjaden和Thoennes，1998年）中使用的全国代表性抽样数据进行的二次分析。在拟议的研究中，采用一种嵌套的生态模式（Bronfenbrenner，1986年）来确定风险和保护因素，该模式被用来解释被殴打妇女的经历（达顿，1996年），其中考虑到创伤事件的背景和对事件的感知方式（Giel，1998年）。我们预测目前创伤后应激症状的差异（IES-R;韦斯和Marmar，1997年），抑郁症，酒精和药物滥用，以及一般健康的1）类型的“指数”合作伙伴IPV（性攻击、身体攻击、跟踪、威胁），2）“指数”伴侣IPV的强度（严重程度、伤害、严重伤害或死亡威胁、武器使用、主观威胁评估、近因、持续时间、频率）3）受访者对持续暴力相关风险的威胁评估，4）受访者的童年和成年暴力受害的历史，5）受访者的努力离开“指数”的关系，和6）受访者的先前社区系统的参与（医疗保健，精神卫生保健，刑事司法，保护令）与他们的经验与IPV。《全国暴力侵害妇女行为调查》中采用的性暴力侵害率衡量标准反映了《全国暴力侵害妇女行为调查》建议的亲密伴侣暴力行为的全部范围和模式（Gordon，2000年）。多元统计模型用于测试预测的关系。

DESCRIPTION (provided by applicant): The aim of this proposed study is to examine risk and protective factors associated with current posttraumatic stress symptoms among a nationally representative sample of adult women (n = 397) currently living with an intimate partner who reportedly sexually assaulted, physically assaulted, stalked, and/or threatened them at some point during the course of the relationship. The unique characteristics of intimate partner violence (Gordon, 2000) render this study especially important. The proposed study is based on a secondary analysis of data drawn from a nationally representative sample used in the National Violence Against Women (NVAW) survey (Tjaden & Thoennes, 1998). In the proposed study, risk and protective factors were identified using a nested ecological model (Bronfenbrenner, 1986) adopted to explain battered women's experience (Dutton, 1996), which takes into account the context of the traumatic event, and the way in which the event is perceived (Giel, 1998). We predict differences in current post-traumatic stress symptoms ( IES-R; Weiss & Marmar, 1997), depression, alcohol and substance abuse, and general health by 1) type of "index" partner IPV (sexual assault, physical assault, stalking, threats), 2) intensity of "index" partner IPV (severity, injury, threat of serious harm or death, weapon use, subjective threat appraisal, recency, duration, frequency) 3) respondents' threat appraisal of ongoing violence-related risk, 4) respondents' prior history of childhood and adulthood violence victimization, 5) respondents' efforts to leave the "index" relationship, and 6) respondents' prior community-system involvement (medical care, mental health care, criminal justice, protection order) related to their experience with IPV. Measures of lPV utilized in the NVAW capture a full range and patterning of intimate partner violence recommended by (Gordon, 2000). Multivariate statistical modeling is used to test predicted relationships.