探究生殖胁迫和亲密伴侣暴力对心理和性健康的影响
探究生殖胁迫和亲密伴侣暴力对心理和性健康的影响
Investigating the Impact of Reproductive Coercion and Intimate Partner Violence on Psychological and Sexual Wellbeing
——《人际暴力杂志》2025年第40卷第3-4期 ——
【摘要】新兴的研究表明，生殖胁迫和虐待 (RCA) 与亲密伴侣暴力 (IPV) 类似，会导致较差的心理和性健康结果，包括更严重的创伤后应激障碍 (PTSD) 和抑郁症状，以及较差的生理和性健康指标，如性传播感染、意外怀孕和性自主能力下降。尽管 RCA的受害者/幸存者报告了对未来关系的长期影响，包括恐惧和焦虑，但人们对 RCA对焦虑和总体健康的影响知之甚少，也对构成个人性自我概念的性健康的情感和心理成分也知之甚少。我们以澳大利亚的社区参与者样本为基础，进行了两项研究，探讨RCA和IPV对心理健康结果 (研究1) 和性健康结果 (研究2) 的影响。研究1 (n=368) 发现，经历IPV和RCA均显著且独特地导致心理健康结果较差。在控制年龄和伴侣暴力 (IPV) 因素后，RCA显著预测了抑郁、焦虑、压力、创伤后应激障碍 (PTSD) 以及生活满意度下降的症状。研究2 (n=329) 发现，IPV和RCA对性健康的各项指标的预测存在差异。IPV预测性满意度下降，性焦虑、抑郁和性交恐惧增加。在控制年龄和伴侣暴力 (IPV) 因素后，RCA显著且独特地预测了性自信水平下降，性抑郁和性交恐惧增加，但并未预测性满意度或焦虑。我们得出结论，RCA与严重的心理困扰和消极的性自我概念相关，这可能会影响未来的关系。有必要在不同环境中筛查IPV和RCA。
【关键词】生殖胁迫和虐待、亲密伴侣暴力、心理健康、性健康、针对妇女的暴力
[Abstract] Emerging research suggests that reproductive coercion and abuse (RCA), like intimate partner violence (IPV), is associated with poorer mental and sexual health outcomes, including greater symptoms of post-traumatic stress disorder (PTSD) and depression and poorer markers of physical and sexual health such as sexually transmitted infections, unplanned pregnancies and lowered sexual agency. Although victims/survivors of RCA report long-lasting impacts on future relationships, including fear and anxiety, little is known about impacts of RCA on anxiety and general wellbeing, nor emotional and mental components of sexual health that comprise a person’s sexual self-concept. With community samples of participants in Australia, we conducted two studies to explore the impact of RCA and IPV on psychological (study 1) and sexual (study 2) health outcomes. Study 1 (n?=?368) found that experiencing IPV and RCA both significantly and uniquely contributed to poorer mental health outcomes. After controlling for age and IPV, RCA significantly predicted symptoms of depression, anxiety, stress, PTSD, and reduced satisfaction with life. Study 2 (n?=?329) found that IPV and RCA differentially predicted various components of sexual health. IPV predicted decreased sexual satisfaction and increased sexual anxiety, depression, and fear of sexual encounters. After controlling for age and IPV, RCA significantly and uniquely predicted lower levels of sexual assertiveness and increased sexual depression and fear of sexual encounters, but not sexual satisfaction or anxiety. We conclude that RCA is associated with significant psychological distress and a negative sexual self-concept that may impact future relationships. Screening for both IPV and RCA across settings is warranted.
[Key words] reproductive coercion and abuse, intimate partner violence, psychological health, sexual health, violence against women
论文原文：Nicola Sheeran, Alisha Jenkins, Tiffany Humphreys, Sonja Ter Horst, and Mary Higgins (2025). Investigating the Impact of Reproductive Coercion and Intimate Partner Violence on Psychological and Sexual Wellbeing. Journal of Interpersonal Violence, Volume 40, Issue 3-4, Pages 726-755.
https://doi.org/10.1177/08862605241253026
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