查亲密伴侣暴力的经验和退伍军人卫生管理局的使用
Galina A Portnoy1,2, Mark R Relyea1,2, Candice Presseau1,2
1VA Connecticut Healthcare System, West Haven.
JAMA network open
|October 13, 2023
概括
在精神卫生保健中对亲密伴侣暴力 (IPV) 的查发现IPV经历和实施率高. 对IPV使用和经验的同时查对人口统计学有好处,特别是对于那些患有PTSD的人来说.
科学领域:
- 公共卫生 公共卫生
- 心理健康服务 心理健康服务
- 暴力研究 研究 暴力研究
背景情况:
- 亲密伴侣暴力 (IPV) 是一个主要的公共卫生问题.
- 目前的查主要集中在IPV经历上,可能是犯下暴力行为的失踪个体.
- 有效的预防需要识别IPV的受害者和事者.
研究的目的:
- 确定在心理健康服务中成年患者中亲密伴侣暴力 (IPV) 经历和使用 (侵犯) 的比例.
- 在这些患者中确定与IPV披露相关的因素.
- 评估IPV经验和使用的并发查的有效性.
主要方法:
- 在5个退伍军人卫生管理局医疗中心进行了横截面研究.
- 分析了2021年11月至2022年2月期间接受心理健康服务的患者的电子医疗记录.
- 临床医生接受了培训,同时对所有患者进行查,以了解过去一年的IPV经验和使用情况.
主要成果:
- 在155名参与者中,49.0%报告了过去一年的IPV经验,46.4%报告了过去一年的IPV使用.
- 很大一部分 (43.2%) 报告了IPV经验和同时使用.
- 年轻的患者更有可能报告IPV的经验和使用. 创伤后应激障碍 (PTSD) 诊断与使用IPV的几率更高有关 (OR,2.14).
结论:
- 对IPV经验和在心理健康环境中使用的同时查发现了这两种情况的高率.
- 同时对IPV使用和经验进行查对不同性别和年龄都有好处.
- 创伤后应激障碍和IPV使用之间的关联强调了针对IPV进行有针对性的干预和治疗的必要性.
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