Impacts of Peer Support on Coping and Cortisol Levels for Women Affected by Domestic Violence and Coercive Control.

Nicole Letourneau, Carrie McManus, Jason Novick, Andrea Silverstone
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Abstract

Purpose: Gendered domestic violence and coercive control are prevalent public heath concerns in Canada with dire consequences for survivors. Peer support groups may address and reduce negative impacts of domestic violence and coercive control on women's stress, coping, safety, and alliances with social support network members, the focus of this study.

Methods: A one-group, pre-test/post-test quasi-experimental study was undertaken to evaluate the effectiveness of Growth Circle, a 14-week peer support program offered at an agency serving women affected by domestic violence in a major western Canadian city. Through convenience sampling, women 18 years and older who experienced domestic violence were recruited and provided data on stress, coping, safety-related empowerment, and social support/alliances. Thirty-five participants provided all pre-test and post-test data, with a subsample of 14 providing repeated hair samples. Hair was employed to determine stress hormone (cortisol) levels.

Results: A significant reduction in self-reported levels of perceived stress and stress hormone levels following completion of the Growth Circle program was revealed. Participants also reported a significant increase in safety-related empowerment, and supportive alliances with group members.

Conclusions: The Growth Circle peer support program was demonstrated to be effective. Further implementation and research into the Growth Circle program across Canada is recommended.

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同伴支持对受家庭暴力和强制控制影响的妇女的应对能力和皮质醇水平的影响。
目的:性别化家庭暴力和胁迫性控制是加拿大普遍存在的公共健康问题,对幸存者造成了严重后果。同伴互助小组可以解决和减少家庭暴力和胁迫性控制对妇女的压力、应对、安全以及与社会支持网络成员的联盟等方面的负面影响,这也是本研究的重点:在加拿大西部的一个大城市,为受家庭暴力影响的妇女提供服务的机构开展了一项为期 14 周的同伴支持计划--"成长圈"。通过方便抽样,招募了 18 岁及以上经历过家庭暴力的妇女,并提供了有关压力、应对、安全相关赋权和社会支持/联盟的数据。35 名参与者提供了所有测试前和测试后的数据,其中 14 人提供了重复的头发样本。头发样本用于测定压力荷尔蒙(皮质醇)水平:结果表明,在完成 "成长圈 "计划后,参与者自我报告的压力感知水平和压力荷尔蒙水平均有明显下降。参与者还报告说,与安全相关的能力以及与小组成员之间的支持性联盟也有了明显提高:结论:"成长圈 "同伴支持计划被证明是有效的。结论:"成长圈 "同伴支持计划被证明是有效的,建议在加拿大进一步实施和研究 "成长圈 "计划。
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来源期刊
CiteScore
4.00
自引率
4.80%
发文量
32
期刊介绍: We are pleased to announce the launch of the CJNR digital archive, an online archive available through the McGill University Library, and hosted by the McGill University Library Digital Collections Program in perpetuity. This archive has been made possible through a Richard M. Tomlinson Digital Library Innovation and Access Award to the McGill School of Nursing. The Richard M. Tomlinson award recognizes the ongoing contribution and commitment the CJNR has made to the McGill School of Nursing, and to the development and nursing science in Canada and worldwide. We hope this archive proves to be an invaluable research tool for researchers in Nursing and other faculties.
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