时空交汇:亲密伴侣暴力侵害妇女行为导致的重度抑郁障碍负担。

IF 4.2 2区 医学 Q1 PSYCHIATRY European Journal of Psychotraumatology Pub Date : 2024-01-01 Epub Date: 2024-10-02 DOI:10.1080/20008066.2024.2386226
Pengfei Guo, Rizhen Wang, Jiacheng Li, Yinghua Qin, Nan Meng, Linghan Shan, Huan Liu, Jingjing Liu, Qunhong Wu
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引用次数: 0

摘要

背景:亲密伴侣暴力与重度抑郁症之间存在密切的因果关系,这在一定程度上危及妇女一生的安全,并可能影响后代的发展。国际社会已将解决亲密伴侣暴力问题及由此造成的精神疾病负担列为重中之重。对于亲密伴侣暴力导致的重度抑郁症,需要从时间趋势和空间分布两方面收集数据,以反映幸存者的优先事项和期望:本研究从《2019 年全球疾病负担》(Global Burden of Disease 2019)中获取了亲密伴侣暴力导致的重度抑郁症的原始残疾调整生命年(DALYs)信息。利用估算的年度百分比变化和双向固定效应模型,对1990年至2019年的年龄标准化残疾调整生命年率进行了二次时空分析:2019年,重度抑郁障碍女性的残疾调整寿命年数损失(316万)占全球因亲密伴侣暴力造成的残疾调整寿命年数损失的37.18%。亲密伴侣暴力导致的重度抑郁障碍年龄标准化残疾调整寿命年数损失率为每10万人108.57年。最高的年龄段集中在绝经过渡期(45-55 岁),每 100 000 人中有 133.61 人,尤其分布在乌干达(每 100 000 人中有 429.31 人)。从 1990 年到 2019 年,早期生殖期(15-19 岁)的年龄标准化残疾调整寿命年数比率呈上升趋势,这主要是由马来西亚(每年 3.73%)推动的。此外,年龄标准化残疾调整寿命年数比率初始水平较高的国家比初始水平较低的国家增长更快:结论:亲密伴侣暴力导致的重度抑郁症负担显示出生物和空间上的不平等,应优先针对处于生育早期和更年期过渡阶段的弱势妇女采取干预措施。应实施和发展政治、社会文化和医疗相结合的措施,以预防暴力和治疗重度抑郁症。
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Temporal and spatial convergence: the major depressive disorder burden attributed to intimate partner violence against women.

Background: There is a strong causal relationship between intimate partner violence and major depressive disorder, which partly endangers women's safety across the life course and potentially affects the development of future generations. The international community has placed a high priority on addressing the intimate partner violence and the resulting burden of mental illness. Data collection needs to be captured across the temporal trend and spatial distribution for major depressive disorder attributed to intimate partner violence, to reflect the priorities and expectations of survivors.Method: This research obtained raw disability-adjusted life years (DALYs) information for major depressive disorder attributed to intimate partner violence from the Global Burden of Disease 2019. Using estimated annual percentage change and two-way fixed effects models, a secondary spatio-temporal analysis of the age-standardized DALYs rate from 1990 to 2019 was performed.Results: In 2019, DALYs lost among women experiencing major depressive disorder (3.16 million) accounted for 37.18% of the DALYs lost worldwide due to intimate partner violence. The age-standardized DALYs rate of major depressive disorder attributed to intimate partner violence was 108.57 per 100,000. The highest was concentrated in the menopausal transition (45-55), with 133.61 per 100,000, and particularly distributed in Uganda (429.31 per 100,000). The early reproductive period (15-19) showed the increasing age-standardized DALYs rate from 1990 to 2019, which was mainly driven by Malaysia (3.73% per year). Furthermore, countries with higher initial levels of the age-standardized DALYs rate were growing faster than those with lower levels.Conclusions: The burden of major depressive disorder attributed to intimate partner violence showed biological and spatial inequality, prioritized intervention should be targeted at vulnerable stage women in their early reproductive period and menopausal transition. Combined political, socio-cultural as well as medical measures to prevent violence and treat major depressive disorder should be implemented and developed.

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来源期刊
CiteScore
7.60
自引率
12.00%
发文量
153
审稿时长
18 weeks
期刊介绍: The European Journal of Psychotraumatology (EJPT) is a peer-reviewed open access interdisciplinary journal owned by the European Society of Traumatic Stress Studies (ESTSS). The European Journal of Psychotraumatology (EJPT) aims to engage scholars, clinicians and researchers in the vital issues of how to understand, prevent and treat the consequences of stress and trauma, including but not limited to, posttraumatic stress disorder (PTSD), depressive disorders, substance abuse, burnout, and neurobiological or physical consequences, using the latest research or clinical experience in these areas. The journal shares ESTSS’ mission to advance and disseminate scientific knowledge about traumatic stress. Papers may address individual events, repeated or chronic (complex) trauma, large scale disasters, or violence. Being open access, the European Journal of Psychotraumatology is also evidence of ESTSS’ stand on free accessibility of research publications to a wider community via the web. The European Journal of Psychotraumatology seeks to attract contributions from academics and practitioners from diverse professional backgrounds, including, but not restricted to, those in mental health, social sciences, and health and welfare services. Contributions from outside Europe are welcome. The journal welcomes original basic and clinical research articles that consolidate and expand the theoretical and professional basis of the field of traumatic stress; Review articles including meta-analyses; short communications presenting new ideas or early-stage promising research; study protocols that describe proposed or ongoing research; case reports examining a single individual or event in a real‑life context; clinical practice papers sharing experience from the clinic; letters to the Editor debating articles already published in the Journal; inaugural Lectures; conference abstracts and book reviews. Both quantitative and qualitative research is welcome.
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