perpetration of violence

实施暴力
  • 文章类型: Journal Article
    亲密伴侣暴力(IPV)在退伍军人中非常普遍。建议的IPV危险因素包括战斗暴露,创伤后应激障碍(PTSD),抑郁症,酒精使用,和轻度创伤性脑损伤(mTBI)。虽然与IPV感染相关的潜在脑部病理生理特征在很大程度上仍然未知,先前的研究将侵略和暴力与边缘系统的改变联系起来。这里,我们调查了退伍军人的IPV感染是否与边缘微结构异常相关.Further,我们测试潜在风险因素的影响(即,创伤后应激障碍,抑郁症,物质使用障碍,mTBI,和与战区相关的压力)对IPV流行的影响。
    结构和扩散加权磁共振成像(dMRI)数据来自TBI和应激障碍转化研究中心(TRACTS)研究的49名伊拉克和阿富汗战争(持久自由行动/伊拉克自由行动;OEF/OIF)的男性退伍军人。使用修订的冲突战术量表(CTS2)的心理侵略和人身攻击子量表评估IPV的发生率。计算赔率以评估具有以下任一诊断的退伍军人IPV发生的可能性:PTSD,抑郁症,物质使用障碍,或者mTBI.计算边缘灰质结构(杏仁核-海马复合体,扣带回,海马旁回,内嗅皮层)。计算了IPV穿透率之间的偏相关,神经精神症状,和FA。
    诊断为PTSD的退伍军人,抑郁症,物质使用障碍,或mTBI有较高的发生IPV的几率。更大的战区相关压力,和创伤后应激障碍的症状严重程度,抑郁症,mTBI与IPV感染显著相关。CTS2(心理攻击),一种IPV行为的衡量标准,与右杏仁核-海马复合体中更高的FA相关(r=0.400,p=0.005)。
    患有精神疾病和/或mTBI的退伍军人参与IPV的几率更高。Further,创伤后应激障碍的症状越严重,抑郁症,或TBI,与战区有关的压力越大,IPV渗透的频率越大。此外,我们报道了对亲密伴侣的心理攻击与右侧杏仁核-海马复合体的微结构改变之间的显著关联.这些发现表明,大脑结构可能与潜在的IPV行为相关,需要进一步研究。
    UNASSIGNED: Intimate partner violence (IPV) perpetration is highly prevalent among veterans. Suggested risk factors of IPV perpetration include combat exposure, post-traumatic stress disorder (PTSD), depression, alcohol use, and mild traumatic brain injury (mTBI). While the underlying brain pathophysiological characteristics associated with IPV perpetration remain largely unknown, previous studies have linked aggression and violence to alterations of the limbic system. Here, we investigate whether IPV perpetration is associated with limbic microstructural abnormalities in military veterans. Further, we test the effect of potential risk factors (i.e., PTSD, depression, substance use disorder, mTBI, and war zone-related stress) on the prevalence of IPV perpetration.
    UNASSIGNED: Structural and diffusion-weighted magnetic resonance imaging (dMRI) data were acquired from 49 male veterans of the Iraq and Afghanistan wars (Operation Enduring Freedom/Operation Iraqi Freedom; OEF/OIF) of the Translational Research Center for TBI and Stress Disorders (TRACTS) study. IPV perpetration was assessed using the psychological aggression and physical assault sub-scales of the Revised Conflict Tactics Scales (CTS2). Odds ratios were calculated to assess the likelihood of IPV perpetration in veterans with either of the following diagnoses: PTSD, depression, substance use disorder, or mTBI. Fractional anisotropy tissue (FA) measures were calculated for limbic gray matter structures (amygdala-hippocampus complex, cingulate, parahippocampal gyrus, entorhinal cortex). Partial correlations were calculated between IPV perpetration, neuropsychiatric symptoms, and FA.
    UNASSIGNED: Veterans with a diagnosis of PTSD, depression, substance use disorder, or mTBI had higher odds of perpetrating IPV. Greater war zone-related stress, and symptom severity of PTSD, depression, and mTBI were significantly associated with IPV perpetration. CTS2 (psychological aggression), a measure of IPV perpetration, was associated with higher FA in the right amygdala-hippocampus complex (r = 0.400, p = 0.005).
    UNASSIGNED: Veterans with psychiatric disorders and/or mTBI exhibit higher odds of engaging in IPV perpetration. Further, the more severe the symptoms of PTSD, depression, or TBI, and the greater the war zone-related stress, the greater the frequency of IPV perpetration. Moreover, we report a significant association between psychological aggression against an intimate partner and microstructural alterations in the right amygdala-hippocampus complex. These findings suggest the possibility of a structural brain correlate underlying IPV perpetration that requires further research.
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    文章类型: Journal Article
    青少年实施的暴力行为会对他人造成身心伤害,并引起严重的公共卫生问题。这项研究是为了确定儿童创伤的患病率,并评估不良童年经历与其他预测因素之间的关系,以及三角洲州立监狱中年轻人的暴力行为。
    在三角洲州惩教设施中被定罪的293名青年中进行了描述性横断面研究设计。三角洲州的五个设施中的三个是使用简单随机抽样选择的,之后,从三个选定的设施中对被监禁的囚犯进行了全面抽样。数据使用;儿童创伤问卷(CTQ)来衡量不良的童年经历,以及对囚犯的罪行(无论是暴力还是非暴力)进行分类的形式。
    受访者的平均年龄为28.4±5.4岁。儿童创伤的总体患病率为5.1%。成长过程中最常见的虐待/忽视是身体忽视,占26.3%,其次是情感忽视(20.5%),身体虐待(7.2%),情感虐待(2.4%)和性虐待(1%)。暴力犯罪的患病率为46.1%。年龄,(OR=0.3;CI=0.2-0.6,p=0.001),获得初等教育(OR=3.4;CI=1.5-7.8,p=0.004)和在成长过程中目睹暴力(OR=2.0;CI=1.2-3.3,p=0.007)都是暴力发生的重要预测因素.
    儿童创伤的总体患病率较低;然而,在这项研究中,暴力的持续性被认为是很高的。需要进行进一步的研究,以开发针对儿童创伤的研究工具,这些工具要考虑到当地的社会文化习俗,更加针对具体情况。
    UNASSIGNED: Violent acts perpetrated by young people can cause physical and psychological harm to others and is of serious public health concern. This study was conducted to determine the prevalence of childhood trauma, and to assess the relationship between adverse childhood experiences and other predicting factors, and the perpetration of violence among young adults in Delta state prisons.
    UNASSIGNED: A descriptive cross-sectional study design was conducted amongst 293 youths who were convicted prison inmates in Delta State Correctional facilities. Three out of the five facilities in Delta State were selected using simple random sampling, after which a total sampling of incarcerated inmates from the three selected facilities was carried out. Data were collected using the; Childhood Trauma Questionnaire (CTQ) to measure adverse childhood experiences, and a proforma to classify the offence of the inmate (whether violent or non-violent).
    UNASSIGNED: The mean age of the respondents was 28.4 ± 5.4 years. The overall prevalence of childhood trauma was 5.1%. The most common abuse/neglect experienced while growing up was physical neglect with 26.3% followed by emotional neglect (20.5%), physical abuse (7.2%), emotional abuse (2.4%) and sexual abuse (1%).The prevalence of violent offences was 46.1%. Age, (OR=0.3; CI= 0.2-0.6, p=0.001), attaining primary education (OR=3.4; CI= 1.5-7.8, p=0.004) and having witnessed violence while growing up (OR=2.0; CI= 1.2-3.3, p=0.007) were all significant predictors of the perpetration of violence.
    UNASSIGNED: The overall prevalence of childhood trauma was low; however, the perpetuation of violence was found to be high in this study. Further research is required to develop study instruments for childhood trauma that are more context specific bearing in mind local sociocultural practices.
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  • 文章类型: Journal Article
    这项定性研究调查了什么,根据36名被强行招募的女性和男性,使他们在乌干达北部长达20年的内战中被迫招募期间和之后,“继续前进”。此外,该研究传达了大多数被强行招募的前者继续进行的方式,今天在不依赖心理社会干预的情况下应对正在进行的与战争有关的逆境和艰难的重返社会进程。36名男女中有35人在孩提时代被上帝抵抗军(LRA)从乌干达北部的Acholi地区强行招募。在2012年至2016年对Acholi地区的五次访问中,进行了10个月的人种学实地调查,包括访谈和参与者观察。36名Acholi男女分享了他们如何经历和应对残酷的酷刑,并被迫对试图逃离上帝抵抗军的Acholi同胞实施经常致命的暴力。本文概述了对这种与战争有关的逆境的反应,并记录了在这项研究中,在36名前被强行招募的男女中,回避应对是首选和最常见的应对反应。我们采用跨学科的方法来讨论这些回避性应对反应如何与心理创伤学研究对与战争有关的创伤的反应以及韧性的概念化产生共鸣。我们以这样的论点结束,即对与战争有关的逆境的回避反应,当面对临床和诊断环境时,不应仅从生物医学的角度来理解:必须与经历过与战争有关的逆境的人类合作,并基于考虑当地的观念的综合和流行方法,仔细研究与战争有关的逆境和“继续前进”。
    This qualitative study investigates what, according to 36 former forcibly recruited women and men, enabled them to \"keep on going\" during and after their forced recruitment in the twenty-year-long civil war in northern Uganda. Furthermore, the study conveys the ways most of the former forcibly recruited kept on going and today cope with ongoing war-related adversity and difficult reintegration processes without relying on psycho-social intervention. Thirty-five of the 36 women and men were forcibly recruited when they were children by the Lord\'s Resistance Army (LRA) from the Acholi region of northern Uganda. Over the course of five visits to the Acholi region from 2012 to 2016, 10 months of ethnographic fieldwork was carried out involving interviews and participant observation. The 36 Acholi women and men shared how they experienced and responded to suffering from brutal torture and being forced to perpetrate often lethal violence against fellow Acholi who had tried to escape the LRA. The article provides an overview of the responses to this war-related adversity and the results document how avoidant coping is the preferred and most common coping response among the 36 former forcibly recruited women and men in this study. We take an interdisciplinary approach to discussing how these avoidant coping responses resonate with psycho-traumatology research on responses to war-related trauma and with conceptualizations of resilience. We end with the argument that avoidant responses to war-related adversity, when faced in clinical and diagnostic settings, should not be understood exclusively from a biomedical perspective: Responses to war-related adversity must be carefully investigated in collaboration with the human beings who have experienced the war-related adversity and based on integrative and emic approaches that consider the locally situated notions of how to cope with adversity and \"keep on going\" in their own right.
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