Interpersonal trauma, posttraumatic stress and depression

人际创伤、创伤后应激和抑郁

基本信息

批准号：
7613615
负责人：
Brennan Young
金额：
$ 4.1万
依托单位：
UNIVERSITY OF DENVER (COLORADO SEMINARY)
依托单位国家：
美国
项目类别：
财政年份：
2008
资助国家：
美国
起止时间：
2008-12-24 至 2010-12-23
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7613615
关键词：
Accident and Emergency department Address Adult Affect Age Chronic Commit Couples Courtship Development Domestic Violence Early Intervention Emotional Future Goals Injury Intervention Investigation Investments Maintenance Marriage Measures Mental Depression Mental Health Modeling Occupational Outcome Pattern Play Post-Traumatic Stress Disorders Process Psychopathology Public Health Range Rate Relative (related person)Reporting Risk Role Sampling Staging Stress Symptoms Theoretical model Time Trauma United States Victimization Violence Visit Well in self Woman Woman in Development college cost dating violence experience intimate partner violence perpetrators prevent resilience response satisfaction sexual trauma violent relationship

Accident and Emergency department Address Adult Affect Age Chronic Commit Couples Courtship Development Domestic Violence Early Intervention Emotional Future Goals Injury Intervention Investigation Investments Maintenance Marriage Measures Mental Depression Mental Health Modeling Occupational Outcome Pattern Play Post-Traumatic Stress Disorders Process Psychopathology Public Health Range Rate Relative (related person)Reporting Risk Role Sampling Staging Stress Symptoms Theoretical model Time Trauma United States Victimization Violence Visit Well in self Woman Woman in Development college cost dating violence experience intimate partner violence perpetrators prevent resilience response satisfaction sexual trauma violent relationship

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项目摘要

DESCRIPTION (provided by applicant): As many as 1.5 million married women experience trauma within the context of intimate relationships each year in the U.S. (Tjaden & Thoennes, 2000). Women who experience violent interpersonal trauma develop depression and PTSD at 3 to 5 times the rate of non victims (Dutton et al., 2006). Violent interpersonal trauma is not confined to marriage; rather, it seems that patterns of violence are present during early stages of courtship (Vezina & Hebert, 2007) and, in many cases, persist as a relationship becomes more stable and long lasting (Roscoe & Benaske, 1985). Women who experience continuing trauma within an ongoing relationship are at even higher risk for psychopathology (Arata, 2002). Thus, emerging adulthood represents a critical window of opportunity in which to prevent future trauma and its concomitant psychopathology by disrupting early patterns of violence. The current proposal seeks to clarify the role that depression, posttraumatic stress and relationship investment play in emerging adult women's decisions to maintain or end a traumatic dating relationship, as well as the impact of this decision upon subsequent psychopathology. A longitudinal sample of 200 emerging adult women who currently report physical or sexual trauma from a dating partner will complete two assessments of their relationships, each of which will be administered electronically 12 months apart. Measures in the current study will assess women's depression, posttraumatic stress and relationship investment both as outcomes of experiencing interpersonal trauma and as predictors of subsequent relationship outcome, repeat victimization and psychopathology. Trauma within intimate relationships represents an enormous public health concern. Interpersonal trauma exerts a powerful influence both upon women's physical and psychological well-being, including higher rates of injury-related emergency room visits, psychopathology (e.g., depression and PTSD) and decreased occupational functioning (Campbell & Soeken, 1999). At last estimate, the annual cost of domestic violence in the United States was as high as $67 billion (1993 dollars) (Miller, Cohen & Wiersema, 1996). The current proposal seeks to address this public health concern by furthering our understanding of the mental health and interpersonal factors involved in ending violent relationships and identifying targets for early-intervention with the goal of preventing future trauma and psychopathology.

描述（由申请人提供）：在美国每年的亲密关系中，多达150万已婚妇女经历创伤（Tjaden＆Thoennes，2000年）。经历着暴力人际关系创伤的妇女的抑郁症和PTSD的速度是非受害者率的3至5倍（Dutton等，2006）。人际关系创伤不仅限于婚姻。相反，似乎在求爱的早期阶段存在暴力模式（Vezina＆Hebert，2007年），并且在许多情况下，随着恋爱关系变得更加稳定和持久（Roscoe＆Benaske，1985）。在持续关系中持续创伤的妇女的心理病理风险更高（Arata，2002）。因此，新兴的成年代表了一个关键的机会之窗，在这种机会中，通过破坏早期暴力模式来防止未来创伤及其随之而来的心理病理学。当前的提案旨在阐明抑郁症，创伤后压力和关系投资在新兴的成年妇女维持或结束创伤性关系的决定中的作用，以及这一决定对随后的心理病理学的影响。目前报告的200名成年妇女的纵向样本将从约会伴侣报告其身体或性创伤，将完成两次对其关系的评估，每个人的关系将相隔12个月以电子方式进行管理。当前研究中的措施将评估妇女的抑郁症，创伤后压力和关系投资，既可以作为经历的结果人际创伤，并作为后续关系结果的预测因素，重复受害和心理病理学。亲密关系中的创伤代表了巨大的公共卫生问题。人际创伤对妇女的身体和心理健康产生了强大的影响，包括较高的与伤害有关的急诊室就诊，心理病理学（例如抑郁症和PTSD）和职业功能降低（Campbell＆Soeken，1999年）。最后，美国的家庭暴力每年成本高达670亿美元（1993年）（Miller，Cohen＆Wiersema，1996年）。当前的提案旨在通过进一步了解我们对结束暴力关系和确定早期干预目标的心理健康和人际关系因素的理解来解决这种公共卫生的关注，以防止未来的创伤和精神病理学。