中国临床心理学杂志

心理干预对降低新婚夫妻中女性受虐发生的效果

单位：1. 新疆自治区人民医院临床心理科新疆乌鲁木齐 830001
2. 中南大学湘雅二医院精神卫生研究所湖南长沙 410011
3. 天津安定医院

分类号：R395.5

出版年,卷(期):页码：2010,18(4):530-534

摘要：

目的:通过预防性心理干预夫妻暴力高危人群,旨在降低夫妻暴力的发生和升级,并提高婚姻质量。方法:在长沙市5个市辖区中随机抽取2个市辖区,根据夫妻暴力危险因素,从317对新婚登记夫妻中筛选出93对夫妻暴力高危人群,随机分为干预组(42对)和对照组(51对)。干预组主要接受关于夫妻暴力的健康心理教育及预防夫妻暴力发生的心理辅导训练(干预6～7次),对照组不接受任何干预。干预后6个月用夫妻暴力调查问卷和Locke-Wallace婚姻调试问卷评定。干预组完成25对,对照组完成37对。结果:随访6月后,妻子报告,研究组受虐的有14人(56.0%),低于对照组30人(81.8%)(P<0.05);丈夫报告随访6月后,研究组受虐的有12人(48.0%),显著低于对照组29人(78.4%)(P<0.05)。丈夫报告对照组在随访6月后妻子受虐频率比干预前明显增加(P<0.05)。随访6月后,研究组的婚姻调试问卷总分高于对照组(P<0.01)。结论:预防性心理干预,可以减少夫妻暴力的发生,降低夫妻暴力的升级,提高婚姻协调程度和质量。

Objective:To reduce occurrence of spousal violence(SV) by psychological intervention in high-risk target newly-married couples.Methods:2 districts from total 5 districts in Changsha were randomly chosen.93 couples with spousal violence were screened from a random sample of 317 couples as intervention group(42 couples),and control group(51 couples) respectively.Psychological instruction and relative trainings to prevent spousal violence were provided for the intervention group 6-7 times within six months;meanwhile no intervention methods were provided for the control group.After 6 months 25 couples in the intervention group and 37 couples in the control group finished the investigation and evaluation by a self-designed SV questionnaire and Short Marital-Adjustment and Prediction Test(SMAPT).Results:The total scores of SMAPT of the intervention group was significantly higher than that of the control group after follow-up(P<0.01);wives reported that:the percentage of abuse in the research group was significantly lower than that in the control group after following up six months(56% vs.81.8%,P<0.05).Husbands reported that the percentage of total wives abused in the research group was significantly lower than those of the control group after following up six months(48% vs.78.4%,P<0.05).Husbands reported that there was no difference between two groups in the frequency of wives abused before intervention(P>0.05).The frequency of wives abused in the research group were significantly lower than in the control group after following up six months(P<0.05).The frequency of wives abused increased in the control group after six months follow-up(P<0.05).Conclusion:Psychological preventive intervention of SV may decrease occurrence of SV,progress of SV,frequency of SV,and improve marital quality and adjustment.

基金项目：

国家社会科学基金项目(06BSH043);国家自然科学基金(30670753)

作者简介：

参考文献：

[1] Dube SR. Childhood abuse,household dysfunction,and the risk of attempted suicide throughout the lifespan[J].Journal of the American Medical Association,2001.3089-3096.
[2] Cohen MM,Forte T,Dumont J. Intimate partner violence among Canadian women with activity limitations[J].Journal of Epidemiology and Community Health,2005,(10):834-839.
[3] 张李玺,刘梦. 中国家庭暴力研究[M].北京:中国社会科学出版社,2004.52-53.
[4] Flisher AJ,Kramer RA,Hoven CW. Psychosocial characteristics of physically abused children and adolescents[J].Journal of the American Academy of Child and Adolescent Psychiatry,1997,(01):123-131.
[5] 邹韶红,张亚林,张勇. 夫妻暴力及其心理社会高危因素[J].中国临床心理学杂志,2007,(05):122-123.doi:10.3969/j.issn.1005-3611.2007.03.029.
[6] 曹玉萍,张亚林,杨世昌. 家庭暴力的表现形式及其相关因素的比较研究[J].中国临床心理学杂志,2008,(01):28-30.doi:10.3969/j.issn.1005-3611.2008.01.010.
[7] 龚耀先. 艾森克人格问卷[M].北京:中国地图出版社,1992.
[8] 肖水源. 社会支持评定量表[J].中国心理卫生杂志,1999,(增刊):127-131.
[9] 解亚宁. 简易应对方式问卷[J].中国心理卫生杂志,1999,(增刊):122-124.
[10] 汪向东,王希林,马弘. 心理卫生评定量表手册[M].北京:《中国心理卫生杂志》杂志社,1999.
[11] Jacoboson NS,Gurman AS,贾树华. 夫妻心理治疗与辅导指南[M].北京:中国轻工业出版社,2001.
[12] Robbins RN. Developing cohesion in court-mandated group treatment of male spouse abusers[J].INTERNATIONAL JOURNAL OF GROUP PSYCHOTHERAPY,2003,(03):261-284.
[13] Saunders DG. Feminist-cognitive-behavioral and Processpsychodynamic treatments for men who batter:interaction of abuser traits and treatment models[J].Violence and Victims,1996,(04):393-414.
[14] Kim S,Kim J. The effects of group intervention for battered women in Korea[J].Archives of Psychiatric Nursing,2001,(06):257-264.
[15] Taft CT,Murphy CM,Musser PH. Personahty,interpersonal,and motivational predictors of the working alliance in group cognitive-behavioral therapy for partner violent men[J].Journal of Consulting and Clinical Psychology,2004,(02):349-354.doi:10.1037/0022-006X.72.2.349.
[16] Dunford FW. The San Diego Navy experiment:An assessment of interventions for men who assault their wives[J].Journal of Consulting and Clinical Psychology,2000,(03):468-476.

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