孕期受虐相关的社会心理因素

发布时间：2018-05-10 17:30

本文选题：家庭暴力 + 孕期　；参考：《中国心理卫生杂志》2013年02期

【摘要】：目的:通过调查孕期受虐相关社会心理因素,探讨家暴态度、家暴目睹经历、意外怀孕和流产史与孕期受虐的关系,为今后进一步研究提供参考。方法:用虐待评估问卷(AAS),对846名孕妇进行家庭暴力筛查,96名孕妇筛查为受虐者,从无受虐者中抽取匹配对照者150名,用简易应对方式问卷(SCSQ)、社会支持评定量表(SSRS)、自尊量表(SES)和艾森克人格问卷(EPQ)进行心理评估,并比较孕期受虐者和无受虐者间相关社会心理特征的差异性。结果:孕期受虐总的发生率为11.3%,精神暴力为主要形式(占所有被调查者的7.0%)。受虐组孕妇的流产史(19.8%)、意外怀孕(91.9%)、家暴认可态度(70.9%)和家暴目睹史(93.0%)的发生率均高于无受虐者(1.5%～42.3%,P0.001),受虐组孕妇的积极应对、SSRS、SES和EPQ的内外向得分均低于无受虐者(均P0.05),而消极应对和EPQ的神经质或情绪稳定性得分高于无受虐者(均P0.01)。孕期精神暴力和性暴力与流产史、意外怀孕、家暴认可态度、家暴目睹史呈正相关(r=0.21～0.35,Ps0.05)。回归分析显示,丈夫有吸烟史(OR=2.82)、经济状况较好(OR=10.39)、家暴认可态度(OR=57.90)、家暴目睹史(OR=45.32)、意外怀孕(OR=45.45)、流产史(OR=4.03)、主观支持缺乏(OR=3.45)者孕期发生受虐的可能性更大(P0.05)。结论:本研究提示,经济状况较好、丈夫有吸烟史、家暴认可、有家暴目睹史、意外怀孕、有流产史以及缺乏主观支持的孕妇,孕期越有可能发生受虐待。
[Abstract]:Objective: to explore the relationship between the attitude of domestic violence, the experience of domestic violence witness, the history of unwanted pregnancy and abortion and the abuse during pregnancy by investigating the social and psychological factors related to the abuse during pregnancy, and to provide reference for further study in the future. Methods: 846 pregnant women were screened for domestic violence with AASA questionnaire, 96 pregnant women were screened for abuse, 150 matched controls were drawn from non-abused women. Simple coping style questionnaire (SCSQQ), Social support rating scale (SSRS), Self-esteem scale (SES) and Eysenck Personality questionnaire (EPQ) were used to evaluate the psychological status and to compare the differences of related psychosocial characteristics between those who were abused during pregnancy and those who did not. Results: the total incidence of masochism during pregnancy was 11.3%, and mental violence was the main form (7.0% of all respondents). The incidence of miscarriage history of pregnant women in the abused group was 19.8m, the incidence of unwanted pregnancy was 91.9, the attitude towards domestic violence was 70.9) and the incidence of the history of domestic violence witnessed was 93.0).) the incidence rate of the history of abortion was higher than that of the non-abused women (P 0.001). The scores of positive response to SSRSSES and EPQ were lower in the abused group than those in the non-abused group (all P 0.05). The scores of neuroticism or emotional stability in negative coping and EPQ patients were higher than those in non-masochistic patients (all P 0. 01). Mental and sexual violence during pregnancy was positively correlated with history of abortion, unwanted pregnancy, attitude towards domestic violence, and history of domestic violence. Regression analysis showed that the husband had a history of smoking (2.82%), a good financial condition (10.39%), a positive attitude towards domestic violence (57.90), a history of domestic violence (45.32), an unwanted pregnancy (45.45), a history of abortion (4.03), and a higher risk of abuse during pregnancy (P0.05). Conclusion: this study suggests that the pregnant women with a good financial condition, a husband with a history of smoking, domestic violence approval, a history of domestic violence witness, an unwanted pregnancy, a history of abortion and a lack of subjective support, are more likely to be abused during pregnancy.
【作者单位】：中南大学湘雅二医院精神卫生研究所;天津市安定医院;新疆维吾尔自治区人民医院临床心理科;
【基金】：国家社科基金项目(06BSH043)
【分类号】：R395

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