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Mental and Physical Health Changes Following an Abusive Intimate Relationship: A Systematic Review of Longitudinal Studies
Trauma, Violence, & Abuse ( IF 5.4 ) Pub Date : 2021-01-20 , DOI: 10.1177/1524838020985554
Samantha C Patton 1 , Yvette Z Szabo 1, 2 , Tamara L Newton 1
Affiliation  

Longitudinal studies are critical to understanding health changes following trauma. The present systematic review adopted a longitudinal perspective on intimate partner abuse (IPA) by examining characteristics and findings of studies that followed persons who recently left an abusive relationship or who were at a point where they might leave and reported on health over time. Web of Science, EBSCO, Published International Literature on Traumatic Stress, and PubMed databases were searched using combinations of terms reflecting IPA, longitudinal study design, and health outcomes. Quantitative studies that recruited adults or adolescents, had multiple time points, used a health indicator as an outcome, and where IPA was a predictor, independent variable, or inclusion criterion were included. These methods yielded 36 studies from 20 unique samples. The following domains were coded for each article: citation, demographics, risk of bias, sample setting, design, follow-up, relationship and IPA characteristics, outcomes, and analytic focus. Results showed that all samples were female, and most were help-seeking. Depression, post-traumatic stress, and physical symptoms decreased over time, while quality of life increased in most studies. Changes in anxiety symptoms over time were less consistent. Ongoing IPA and social support were the most consistent predictors of health changes over time, showing relations with indicators of poorer or better health, respectively. There was preliminary evidence that decreases in emotional and physical symptoms plateaued within 9 months of the baseline assessment. Sampling, study design, measurement, and analysis are considered, and recommendations for future research are provided.



中文翻译:

虐待亲密关系后的身心健康变化:纵向研究的系统评价

纵向研究对于了解创伤后的健康变化至关重要。本系统评价采用了关于亲密伴侣虐待 (IPA) 的纵向观点,通过研究跟踪最近离开虐待关系或可能离开并报告健康状况的人的研究的特征和结果。使用反映 IPA、纵向研究设计和健康结果的术语组合搜索了 Web of Science、EBSCO、已出版的创伤性压力国际文献和 PubMed 数据库。招募成人或青少年、有多个时间点、使用健康指标作为结果的定量研究,其中 IPA 是预测因子、自变量或纳入标准。这些方法从 20 个独特的样本中产生了 36 项研究。为每篇文章编码了以下领域:引文、人口统计、偏倚风险、样本设置、设计、随访、关系和 IPA 特征、结果和分析重点。结果显示,所有样本均为女性,且大部分为求助者。在大多数研究中,抑郁、创伤后压力和身体症状随着时间的推移而减少,而生活质量则有所提高。随着时间的推移,焦虑症状的变化不太一致。持续的 IPA 和社会支持是随时间推移健康变化的最一致的预测指标,分别显示与较差或较好健康指标的关系。有初步证据表明,在基线评估后的 9 个月内,情绪和身体症状的减少趋于稳定。考虑了抽样、研究设计、测量和分析,

更新日期:2021-01-20
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