ABSTRACT

This 2.5-year longitudinal, Canadian tri-provincial study (Alberta, Saskatchewan, Manitoba) of women abused by intimate partners examined the nature of the partner abuse, physical and mental conditions, disabilities, child abuse history, and quality of life (QOL). The women retained at 30-months (419 of 665) were identified as Indigenous (48.5%), White (46.6%), or visible minority (4.9%). Physical and mental health conditions were noted by 62.3%; 41.8% of these were disabilities. Over half (54.5%) reported histories of child sexual abuse, with 24.2% reporting other childhood abuse, and 21.3% were not abused as children. Consistent with similar longitudinal studies, over time the women significantly improved their QOL and had less mental stress (SCL-10) and PTSD symptoms (PCL); however, neither PCL nor SCL-10 scores were clinically problematic at any time period. Depression symptoms (CES-D-10) remained constant over time but were not in the clinical range over the 2.5 years. Only IPV severity and having a disability were associated with more severe mental health/well-being scores at 30-months. Implications for practice such as training IPV advocates and counselors to better address disabilities and to avoid stigmatizing women abused by partners as necessarily having mental health issues are presented.

摘要

这项为期 2.5 年的加拿大三省纵向研究（阿尔伯塔省、萨斯喀彻温省、曼尼托巴省）对受亲密伴侣虐待的女性进行了调查，研究了伴侣虐待的性质、身心状况、残疾、虐待儿童史和生活质量 (QOL) . 保留 30 个月的女性（665 名中的 419 名）被确定为土著 (48.5%)、白人 (46.6%) 或可见的少数族裔 (4.9%)。62.3% 的人注意到身心健康状况；其中 41.8% 为残疾。超过一半 (54.5%) 报告了儿童性虐待的历史，24.2% 报告了其他童年虐待，21.3% 未在儿童时期受到虐待。与类似的纵向研究一致，随着时间的推移，这些女性的生活质量显着提高，精神压力 (SCL-10) 和 PTSD 症状 (PCL) 更少；然而，PCL 和 SCL-10 评分在任何时间段都没有临床问题。抑郁症状 (CES-D-10) 随着时间的推移保持不变，但在 2.5 年中不在临床范围内。在 30 个月时，只有 IPV 严重程度和残疾与更严重的心理健康/幸福感评分相关。介绍了实践的意义，例如培训 IPV 倡导者和顾问以更好地解决残疾问题并避免将被伴侣虐待的妇女污名化为必然有心理健康问题。