[[alternative]]Exploring influencing factors of psychological health in women who suffered from intimate partner violence

[[abstract]]背景：家庭暴力具有慢性、長期及重複發生的特質，因而造成家庭暴力受害人長期處於慢性且複雜的身心創傷壓力。婚姻暴力造成受害者有憂鬱及創傷後壓力症候群的情形，對其生活品質有非常大的影響。本研究目的在探討影響婚姻暴力受害婦女心理健康狀態之相關因素。對象：以求助於臺灣北部某醫學中心與某婦女基金會的婚姻暴力受害婦女為對象，於2010年1月到2010年12月共收案108名。方法：採橫斷性描述性相關性研究，以自填式問卷收集資料。研究工具包括基本資料表、危險評估量表、社會支持量表、憂鬱量表、創傷後症狀量表。使用SPSS 17版軟體進行資料統計及分析，主要統計方法包括描述性統計資料、T檢定、單因子變異數分析、皮爾森相關係數、階層迴歸分析及Sobel test。結論：研究發現婚暴婦女的憂鬱量表平均得分為25.23分，創傷後壓力症候群量表平均得分為67.81分，重度憂鬱者有31位(28.7%)，75位(69.4%)有創傷後壓力症候群。年齡、就業情形與創傷後症候群呈現相關。家庭危險程度與創傷後壓力症候群(r=0.54, p<0.01)及憂鬱程度(r=0.43, p<0.01)均成正相關。而創傷後壓力症候群與憂鬱程度也成正相關，階層迴歸分析結果顯示，創傷後壓力症候群程度的重要預測因子為家庭危險程度，憂鬱程度的重要預測因子為創傷後壓力症候群。經Sobel中介變項分析發現創傷後壓力症候群程度可能為家庭危險程度與憂鬱程度之顯著中介變項，結果顯示家庭危險程度對憂鬱的影響，有88.32%會透過創傷後壓力症候群程度之中介影響。討論：婚姻暴力受害婦女身處於高危險的環境中，且憂鬱程度及創傷後症候群程度相當高，希望能喚起醫護人員重視此問題，能提供此群弱勢族群適當的心理衛生輔導，或搭配相關的心理諮詢，進一步提供自我保護的方法與庇護，作為婦女保護自己與家人的參考。[[abstract]]Background: Intimate partner violence is the most common type of domestic violence and has huge impacts on victims’ physical and psychological health. Intimate partner violence can cause serious depression and post-trauma stress disorder (PTSD) in the victims and can also affect their families’ quality of life greatly. If we can be more aware of the influencing factors of these womens’ psychological health, we may be able toprovide better help for them. Object: The purpose of study is to explore influencing factors of psychological health in women who suffered from intimate partner violence.Methods: This study was a descriptive correlational design and cross-sectional data was collected using questionnaires. A convenience sample of 108 battered women was recruited from a women foundation and a medical center in Taiwan. The study questionnaires included questions on demographics, Danger Assessment (DA) Scale, Social Support Sacle, CES-D and Davidson Trauma Scale. Data were collected from January 2010 to December 2010. Descriptive statistics, T-test, one way analysis of variance, Pearson Product Moment correlation coefficient, hierarchical regression and sobel test were applied to explore clients’ psychological health and its related factors.Result: The average scores of depression and PTSD were 25.2 (SD=9.6) and 67.8 (SD=34.1), respectively. Among the 108 participants, 31 (28.7%) of them had major depression, and 75 (69.4%) of them had a PTSD. The severity of PTSD was associated with age and work status The level of intimate partner violence risk was positively associated with the severity of PTSD (r=0.54, p<0.01) and the degress of depression (r=0.43, p