Adverse Childhood Experiences, Trauma Symptoms, Mindfulness, and Intimate Partner Violence: Therapeutic Implications for Marginalized Men

Family Process - Tập 59 Số 4 - Trang 1588-1607 - 2020
Laura A. Voith1, Katie Russell1, Hyunjune Lee1, RaeAnn E. Anderson2
1Jack, Joseph and Morton Mandel School of Applied Social Sciences, Case Western Reserve University, Cleveland, OH
2Department of Psychology, University of North Dakota, Grand Forks, ND

Tóm tắt

Adverse childhood experiences (ACEs) and trauma symptoms have been linked with intimate partner violence (IPV) perpetration and victimization among men, yet the field lacks depth in several key areas hampering progress toward violence intervention. Specifically, posttraumatic stress disorder (PTSD) dominates the field’s scope of trauma symptoms under study, limiting understanding of other manifestations of trauma especially among men. Furthermore, most research focuses exclusively on men’s physical IPV perpetration and rarely focuses on other types of IPV, severity of violence, or men’s victimization. Also, few studies examine potential protective factors grounded in the ACE framework, such as mindfulness, among clinical populations. Finally, most research has not focused on men of color, despite some racial/ethnic minority groups disproportionate rates of IPV exposure. Therefore, the relationships between IPV frequency and severity (psychological, physical, injury) and ACEs, PTSD, trauma symptomology (separate from PTSD), and mindfulness self‐efficacy were examined in a sample of 67 predominantly low‐income men of color in a batterer intervention program. More than half of the sample (51.5%) reported exposure to four or more ACEs, and 31.1% met the clinical cutoff for a probable PTSD diagnosis. Higher ACE scores predicted increased rates for nearly all types of self‐reported IPV perpetration and victimization. PTSD symptoms and complex trauma symptom severity together explained between 13% and 40% of IPV outcomes, and each was uniquely associated with certain types of self‐reported IPV victimization and perpetration frequency and severity. Mindfulness self‐efficacy was associated with decreased self‐report psychological IPV perpetration and victimization frequency and severity. Clinical implications relevant to marginalized men are reviewed, including screening, training, and potential therapeutic interventions.

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Tài liệu tham khảo

10.1177/1524838015622440

Allison P. D., 1999, Multiple regression: A primer

10.1007/s00406-005-0624-4

10.1016/j.cpr.2015.01.002

Black M. C., 2011, The National Intimate Partner and Sexual Violence Survey (NISVS): 2010 summary report

10.1016/0005-7967(96)00033-2

10.1093/pm/pnw089

10.1037/pas0000254

10.1080/02791072.2011.628913

10.1177/0886260516660297

10.1155/2013/410395

10.1891/1946-6560.7.3.226

10.1891/1946-6560.3.2.231

10.1177/1077801218816187

Cayoun B. A. Francis S. E. Kasselis N. &Skilbeck C.(2012).Mindfulness‐Based Self Efficacy Scale‐Revised (MSES‐R). Retrieved fromhttp://www.mindfulness.net.au/mindfulness‐based‐self‐efficacy‐scale.html

10.1037/0022-006X.73.5.965

10.1037/1942-9681.S.1.86

10.1111/dar.12496

10.3109/09540261.2011.559456

10.2307/1229039

10.1037/tra0000151

10.1016/j.amepre.2015.02.001

10.1037/h0047358

DeGruy Leary J., 2005, Post Traumatic Slave Syndrome: America’s legacy of enduring injury and healing

10.1016/j.cbpra.2011.08.003

10.1111/j.1749-6632.2009.05336.x

10.1016/S0749-3797(98)00017-8

10.1016/j.concog.2012.01.008

10.1177/1524838017692382

10.1155/2018/4505191

10.1007/s10896-015-9710-1

10.1177/1524838014520723

10.1080/10509674.2011.650349

10.1016/j.chiabu.2007.03.016

10.1177/0192513X02023003006

10.1037/tra0000157

10.1016/j.avb.2012.10.002

10.1177/1079063214535819

Luxenberg T., 2001, Complex trauma and disorder of extreme stress (DESNOS) diagnosis, Part one: Assessment, Directions in Psychiatry, 21, 373

10.1080/10509674.2018.1487898

10.1080/15374416.2018.1437736

National Center for PTSD(2016).Using the PTSD Checklist for DSM‐5 (PCL‐5). Retrieved fromhttp://www.ptsd.va.qov/professional/assessment/adult‐sr/ptsd‐checklist.asp

10.1177/1077801210363608

10.1002/jts.2490100103

10.1891/0886-6708.24.6.757

10.1016/B978-012088519-0/50016-2

10.1002/jts.21699

Resick P. A., 2014, Handbook of PTSD: Science and practice, 419

10.1037/0022-006X.60.5.748

10.1016/j.cpr.2010.07.004

10.1016/j.copsyc.2015.02.006

10.3138/jcfs.34.1.7

10.3109/00048679809065528

10.1177/0032885507303753

10.1037/vio0000041

10.1007/s11199-006-9029-8

Shonkoff J. P., 2012, The lifelong effects of early childhood adversity and toxic stress, Pediatric Dentistry, 36, 102

10.1001/jamapsychiatry.2017.4249

Smith S. G. Zhang X. Basile K. C. Merrick M. T. Wang J. Kresnow M.et al. (2018).National Intimate Partner and Sexual Violence Survey: 2015 data brief ‐ Update release.National Center for Injury Prevention and Control Centers for Disease Control and Prevention. Retrieved fromhttps://www.cdc.gov/violenceprevention/pdf/2015data‐brief508.pdf

10.1111/jftr.12113

10.1177/019251396017003001

10.1037/a0022196

10.1177/1524838017744772

Voith L., Trauma‐informed principles in research with marginalized populations: Practices and barriers to implementation, Social Work Research

Voith L. A., 2018, A paradigm shift in batterer intervention programming: A need to address unresolved trauma, Trauma, Violence, & Abuse, 1

Weathers F. W., 2013, The PTSD Checklist for DSM‐5 (PCL‐5)

Williams O. W., 2004, Prisoner reentry and intimate partner violence in the African American community: The case for culturally competent interventions, Journal of the Institute of Justice & International Studies, 4, 147

Wingenfeld K., 2011, The reliable, valid and economic assessment of early traumatization: First psychometric characteristics of the German version of the Adverse Childhood Experiences Questionnaire (ACE), Psychotherapy and Psychosomatics, 61, e10‐4

10.1177/2167702614545480

10.1037/vio0000097

10.1037/a0037946

10.1016/S0010-440X(97)90033-X