Maria M Galano, Sara F Stein, Andrew C Grogan-Kaylor, Hannah M Clark, Sandra A Graham-Bermann
{"title":"调查母亲赋权计划对有IPV病史的妇女8年创伤应激症状轨迹的影响。","authors":"Maria M Galano, Sara F Stein, Andrew C Grogan-Kaylor, Hannah M Clark, Sandra A Graham-Bermann","doi":"10.1037/ort0000577","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>Intimate partner violence (IPV) is a pressing issue, affecting nearly one-third of women in the U.S. over their lifetimes, and has been linked with a number of deleterious outcomes, including the development of posttraumatic stress disorder (PTSD). Although IPV is often chronic, few studies have prospectively examined trajectories of PTSD symptoms (PTSS) in this population. The goal of the present study was to assess the effects of the Moms' Empowerment Program-an IPV-specific intervention; as well as trauma exposure, domestic violence (DV) shelter use, and depression symptoms on PTSS trajectories in women with histories of IPV.</p><p><strong>Method: </strong>Data were drawn from a sample of 118 women who participated in a randomized controlled trial (RCT) of an intervention specifically designed for women and children experiencing IPV. Sixty-seven women from the original sample completed an assessment 8 years following the conclusion of the intervention.</p><p><strong>Results: </strong>On average, women's PTSS decreased over time. Intervention group assignment did not affect these trajectories; however, women who attended more sessions had significantly fewer PTSS at the 8-year follow-up. Greater IPV exposure, higher depression symptoms, and shelter use were all associated with higher PTSS over time, with some variation across PTSS subdomains.</p><p><strong>Conclusions: </strong>These results provide preliminary evidence that brief intervention may have long-term effects. They also demonstrate how addressing ongoing IPV and concurrent symptoms of depression is likely an essential component of treating PTSS in this population. Finally, these results underscore the need for more research on relations between formal DV services and mental health. (PsycInfo Database Record (c) 2021 APA, all rights reserved).</p>","PeriodicalId":409666,"journal":{"name":"The American journal of orthopsychiatry","volume":" ","pages":"776-788"},"PeriodicalIF":0.0000,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"1","resultStr":"{\"title\":\"Investigating the effects of the Moms' Empowerment Program on 8-year traumatic stress symptom trajectories in women with histories of IPV.\",\"authors\":\"Maria M Galano, Sara F Stein, Andrew C Grogan-Kaylor, Hannah M Clark, Sandra A Graham-Bermann\",\"doi\":\"10.1037/ort0000577\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>Intimate partner violence (IPV) is a pressing issue, affecting nearly one-third of women in the U.S. over their lifetimes, and has been linked with a number of deleterious outcomes, including the development of posttraumatic stress disorder (PTSD). Although IPV is often chronic, few studies have prospectively examined trajectories of PTSD symptoms (PTSS) in this population. The goal of the present study was to assess the effects of the Moms' Empowerment Program-an IPV-specific intervention; as well as trauma exposure, domestic violence (DV) shelter use, and depression symptoms on PTSS trajectories in women with histories of IPV.</p><p><strong>Method: </strong>Data were drawn from a sample of 118 women who participated in a randomized controlled trial (RCT) of an intervention specifically designed for women and children experiencing IPV. Sixty-seven women from the original sample completed an assessment 8 years following the conclusion of the intervention.</p><p><strong>Results: </strong>On average, women's PTSS decreased over time. Intervention group assignment did not affect these trajectories; however, women who attended more sessions had significantly fewer PTSS at the 8-year follow-up. Greater IPV exposure, higher depression symptoms, and shelter use were all associated with higher PTSS over time, with some variation across PTSS subdomains.</p><p><strong>Conclusions: </strong>These results provide preliminary evidence that brief intervention may have long-term effects. They also demonstrate how addressing ongoing IPV and concurrent symptoms of depression is likely an essential component of treating PTSS in this population. Finally, these results underscore the need for more research on relations between formal DV services and mental health. 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引用次数: 1
摘要
目的:亲密伴侣暴力(IPV)是一个紧迫的问题,影响了近三分之一的美国女性的一生,并与许多有害的结果有关,包括创伤后应激障碍(PTSD)的发展。虽然IPV通常是慢性的,但很少有研究前瞻性地检查这一人群的PTSD症状(PTSS)轨迹。本研究的目的是评估母亲赋权计划的效果,这是一项针对ipvv的干预措施;以及创伤暴露、家庭暴力(DV)庇护所使用和抑郁症状对有IPV病史的妇女ptsd轨迹的影响。方法:数据来自118名妇女,她们参加了一项针对IPV妇女和儿童的干预措施的随机对照试验(RCT)。来自原始样本的67名妇女在干预结束8年后完成了评估。结果:平均而言,女性的创伤后应激障碍随着时间的推移而减少。干预组分配不影响这些轨迹;然而,在8年的随访中,参加更多疗程的女性患创伤后应激障碍的几率明显降低。随着时间的推移,更多的IPV暴露、更高的抑郁症状和庇护所使用都与更高的ptsd相关,在ptsd子域之间存在一些差异。结论:这些结果为短期干预可能具有长期效果提供了初步证据。他们还证明了如何解决持续的IPV和并发的抑郁症状可能是治疗该人群ptsd的重要组成部分。最后,这些结果强调需要对正式家庭暴力服务与心理健康之间的关系进行更多的研究。(PsycInfo Database Record (c) 2021 APA,版权所有)。
Investigating the effects of the Moms' Empowerment Program on 8-year traumatic stress symptom trajectories in women with histories of IPV.
Objective: Intimate partner violence (IPV) is a pressing issue, affecting nearly one-third of women in the U.S. over their lifetimes, and has been linked with a number of deleterious outcomes, including the development of posttraumatic stress disorder (PTSD). Although IPV is often chronic, few studies have prospectively examined trajectories of PTSD symptoms (PTSS) in this population. The goal of the present study was to assess the effects of the Moms' Empowerment Program-an IPV-specific intervention; as well as trauma exposure, domestic violence (DV) shelter use, and depression symptoms on PTSS trajectories in women with histories of IPV.
Method: Data were drawn from a sample of 118 women who participated in a randomized controlled trial (RCT) of an intervention specifically designed for women and children experiencing IPV. Sixty-seven women from the original sample completed an assessment 8 years following the conclusion of the intervention.
Results: On average, women's PTSS decreased over time. Intervention group assignment did not affect these trajectories; however, women who attended more sessions had significantly fewer PTSS at the 8-year follow-up. Greater IPV exposure, higher depression symptoms, and shelter use were all associated with higher PTSS over time, with some variation across PTSS subdomains.
Conclusions: These results provide preliminary evidence that brief intervention may have long-term effects. They also demonstrate how addressing ongoing IPV and concurrent symptoms of depression is likely an essential component of treating PTSS in this population. Finally, these results underscore the need for more research on relations between formal DV services and mental health. (PsycInfo Database Record (c) 2021 APA, all rights reserved).