亲密伴侣暴力的临床后果及识别与处理技巧

doi:10.12114/j.issn.1007-9572.2022.0534

中国全科医学 ›› 2023, Vol. 26 ›› Issue (10): 1278-1281.DOI: 10.12114/j.issn.1007-9572.2022.0534

亲密伴侣暴力的临床后果及识别与处理技巧

赵梓翔¹, 肖婧¹, 丰艳¹, 姜岳²^,^*()

1．100015　北京市，和睦家医疗全科实践与教育中心　北京和睦家医院
2．100015　北京市，清华大学第一附属医院全科医学科

收稿日期:2022-07-26 修回日期:2023-01-07 出版日期:2023-04-05 发布日期:2023-02-09
通讯作者: 姜岳
赵梓翔，肖婧，丰艳，等.亲密伴侣暴力的临床后果及识别与处理技巧[J].中国全科医学，2023，26（10）：1278-1281，1286.[www.chinagp.net]

作者贡献：赵梓翔、肖婧负责文献的收集和整理，撰写论文；丰艳负责文章的修订，并对文章的知识性内容进行批判性审阅；姜岳负责文章质量的控制及审校，并对文章整体负责、监督管理。

Intimate Partner Violence: Clinical Outcomes, Recognition and Management Techniques

ZHAO Zixiang¹, XIAO Jing¹, FENG Yan¹, JIANG Yue²^,^*()

1. United Family Healthcare Center for Primary Care Practice and Education/Beijing United Family Hospital, Beijing 100015, China
2. Department of General Medicine, the First Hospital of Tsinghua University, Beijing 100015, China

Received:2022-07-26 Revised:2023-01-07 Published:2023-04-05 Online:2023-02-09
Contact: JIANG Yue
About author:
ZHAO Z X, XIAO J, FENG Y, et al. Intimate partner violence: clinical outcomes, recognition and management techniques [J]. Chinese General Practice, 2023, 26 (10): 1278-1281, 1286.

分享到

摘要/Abstract

摘要： 亲密伴侣暴力（IPV）是最常见的一种家庭暴力，不仅危害受害人的身心健康和生命安全，还会影响其婚姻家庭和子女成长。IPV广泛存在于各种社会经济、宗教和文化群体中。中国约有1/4的女性曾遭受过配偶不同形式的IPV。绝大多数患者不会以IPV为主诉就诊，所以在各种非特异的症状和体征中快速识别出可能的IPV是临床医生工作的重点和难点。目前，我国尚没有官方指南指导IPV的诊疗，IPV相关研究也较少。本文通过对IPV研究相关英文文献进行证据综述，重点总结了IPV的临床后果及识别与处理技巧，并讨论了如何将这些证据应用于中国。

关键词: 亲密伴侣暴力, 家庭暴力, 亲密伴侣暴力筛查量表, 体征和症状, 诊断筛查项目, 全科医生

Abstract:

Intimate partner violence (IPV) is the most common type of domestic violence, which not only harms the victim's physical and mental health and life safety but also leads to the degradation of marriage, family, and children's development. IPV occurs among all socioeconomic, religious, and cultural groups. About a quarter of Chinese women have suffered some forms of IPV from their partner. Most patients will not present to the clinic with IPV. It is difficult yet essential for clinicians to quickly identify possible IPV among various non-specific symptoms and signs. There are no official guidelines for diagnosing and treating IPV in China, and the Chinese literature on IPV is scarce. This paper summarizes the evidence in English literature on IPV, focusing on the clinical outcome, identification, and management techniques of IPV, and attempts to discuss how this evidence can be applied to China.

Key words: Intimate partner violence, Domestic violence, IPV screening tool, Signs and symptoms, Diagnostic screening programs, General practitioners

赵梓翔,肖婧,丰艳,等. 亲密伴侣暴力的临床后果及识别与处理技巧[J]. 中国全科医学, 2023, 26(10): 1278-1281. DOI: 10.12114/j.issn.1007-9572.2022.0534.
ZHAO Zixiang,XIAO Jing,FENG Yan, et al. Intimate Partner Violence: Clinical Outcomes, Recognition and Management Techniques[J]. Chinese General Practice, 2023, 26(10): 1278-1281. DOI: 10.12114/j.issn.1007-9572.2022.0534.

参考文献 35

[1]	全国人大常委会法制工作委员会社会法室. 中华人民共和国反家庭暴力法解读[M]. 北京：中国法制出版社，2016.
[2]	Ending violence against women[J]. Popul Rep L，1999(11):1-43.
[3]	SARDINHA L, MAHEU-GIROUX M, STÖCKL H，et al. Global，regional，and national prevalence estimates of physical or sexual，or both，intimate partner violence against women in 2018[J]. Lancet，2022，399(10327):803-813.
[4]	BREIDING M J, CHEN J, BLACK M C. Intimate partner violence in the United States-2010[M]. Atlanta ：National Center for Injury Prevention and Control，2014.
[5]	WANG X X, FANG G, LI H T. Gender-based violence and hegemonic masculinity in China：an analysis based on the quantitative research[J]. China Population and Development Studies，2019，3(1):84-97. DOI：10.1007/s42379-019-00030-9.
[6]	KOURTI A, STAVRIDOU A, PANAGOULI E，et al. Domestic violence during the COVID-19 pandemic：a systematic review[J]. Trauma Violence Abuse，2021，17:15248380211038690.
[7]	SPRAGUE S, GOSLINGS J C, HOGENTOREN C，et al. Prevalence of intimate partner violence across medical and surgical health care settings：a systematic review[J]. Violence Against Women，2014，20(1):118-136. DOI：10.1177/1077801213520574.
[8]	COKER A L, DAVIS K E, ARIAS I，et al. Physical and mental health effects of intimate partner violence for men and women[J]. Am J Prev Med，2002，23(4):260-268.
[9]	CAMPBELL J C. Health consequences of intimate partner violence[J]. Lancet，2002，359(9314):1331-1336.
[10]	WUEST J, MERRITT-GRAY M, FORD-GILBOE M，et al. Chronic pain in women survivors of intimate partner violence[J]. J Pain，2008，9(11):1049-1057. DOI：10.1016/j.jpain.2008.06.009.
[11]	BREIDING M J, BLACK M C, RYAN G W. Chronic disease and health risk behaviors associated with intimate partner violence-18 U.S. states/territories，2005[J]. Ann Epidemiol，2008，18(7):538-544. DOI：10.1016/j.annepidem.2008.02.005.
[12]	DROSSMAN D A, TALLEY N J, LESERMAN J，et al. Sexual and physical abuse and gastrointestinal illness. Review and recommendations[J]. Ann Intern Med，1995，123(10):782-794. DOI：10.7326/0003-4819-123-10-199511150-00007.
[13]	DROSSMAN D A, LESERMAN J, NACHMAN G，et al. Sexual and physical abuse in women with functional or organic gastrointestinal disorders[J]. Ann Intern Med，1990，113(11):828-833. DOI：10.7326/0003-4819-113-11-828.
[14]	SAREEN J, PAGURA J, GRANT B. Is intimate partner violence associated with HIV infection among women in the United States[J]. Gen Hosp Psychiatry，2009，31(3):274-278.
[15]	MCCAULEY J, KERN D E, KOLODNER K，et al. The "battering syndrome"：prevalence and clinical characteristics of domestic violence in primary care internal medicine practices[J]. Ann Intern Med，1995，123(10):737-746.
[16]	BONOMI A E, ANDERSON M L, REID R J，et al. Medical and psychosocial diagnoses in women with a history of intimate partner violence[J]. Arch Intern Med，2009，169(18):1692-1697.
[17]	WALLER M W, IRITANI B J, CHRIST S L，et al. Relationships among alcohol outlet density，alcohol use，and intimate partner violence victimization among young women in the United States[J]. J Interpers Violence，2012，27(10):2062-2086.
[18]	DUTTON M A, GREEN B L, KALTMAN S I，et al. Intimate partner violence，PTSD，and adverse health outcomes[J]. J Interpers Violence，2006，21(7):955-968.
[19]	GILL J M, SZANTON S L, PAGE G G. Biological underpinnings of health alterations in women with PTSD：a sex disparity[J]. Biol Res Nurs，2005，7(1):44-54.
[20]	GIELEN A C, MCDONNELL K A, O'CAMPO P J，et al. Suicide risk and mental health indicators：do they differ by abuse and HIV status[J]. Women's Health Issues，2005，15(2):89-95.
[21]	WUEST J, MERRITT-GRAY M, FORD-GILBOE M，et al. Chronic pain in women survivors of intimate partner violence[J]. J Pain，2008，9(11):1049-1057. DOI：10.1016/j.jpain.2008.06.009.
[22]	LEVIS B, BENEDETTI A, THOMBS B D，et al. Accuracy of Patient Health Questionnaire-9（PHQ-9） for screening to detect major depression：individual participant data meta-analysis[J]. BMJ，2019，365:l1476.
[23]	MANEA L, GILBODY S, HEWITT C，et al. Identifying depression with the PHQ-2：a diagnostic meta-analysis[J]. Journal of Affective Disorders，2016，203:382-395.
[24]	WU V, HUFF H, BHANDARI M. Pattern of physical injury associated with intimate partner violence in women presenting to the emergency department：a systematic review and meta-analysis[J]. Trauma Violence Abuse，2010，11(2):71-82.
[25]	MACMILLAN H L, KIMBER M, STEWART D E. Intimate partner violence：recognizing and responding safely[J]. JAMA，2020，324(12):1201-1202. DOI：10.1001/jama.2020.11322.
[26]	US Preventive Services Task Force, CURRY S J, KRIST A H，et al. Screening for intimate partner violence，elder abuse，and abuse of vulnerable adults：US preventive services task force final recommendation statement[J]. JAMA，2018，320(16):1678-1687. DOI：10.1001/jama.2018.14741.
[27]	ASHUR M L. Asking about domestic violence：SAFE questions[J]. JAMA，1993，269(18):2367.
[28]	MCFARLANE J, PARKER B, SOEKEN K，et al. Assessing for abuse during pregnancy. Severity and frequency of injuries and associated entry into prenatal care[J]. JAMA，1992，267(23):3176-3178. DOI：10.1001/jama.267.23.3176.
[29]	SHERIN K M, SINACORE J M, LI X Q，et al. HITS：a short domestic violence screening tool for use in a family practice setting[J]. Fam Med，1998，30(7):508-512.
[30]	FELDHAUS K M, KOZIOL-MCLAIN J, AMSBURY H L，et al. Accuracy of 3 brief screening questions for detecting partner violence in the emergency department[J]. JAMA，1997，277(17):1357-1361.
[31]	SOHAL H, ELDRIDGE S, FEDER G. The sensitivity and specificity of four questions（HARK） to identify intimate partner violence：a diagnostic accuracy study in general practice[J]. BMC Fam Pract，2007，8:49. DOI：10.1186/1471-2296-8-49.
[32]	PARANJAPE A, LIEBSCHUTZ J. STaT：a three-question screen for intimate partner violence[J]. J Womens Health（Larchmt），2003，12(3):233-239. DOI：10.1089/154099903321667573.
[33]	BROWN J B, LENT B, SCHMIDT G，et al. Application of the Woman Abuse Screening Tool（WAST） and WAST-short in the family practice setting[J]. J Fam Pract，2000，49(10):896-903.
[34]	NELSON H D, BOUGATSOS C, BLAZINA I. Screening women for intimate partner violence：a systematic review to update the U.S. Preventive Services Task Force recommendation[J]. Ann Intern Med，2012，156(11):796-282.
[35]	RABIN R F, JENNINGS J M, CAMPBELL J C，et al. Intimate partner violence screening tools：a systematic review[J]. Am J Prev Med，2009，36(5):439-445.e4.

亲密伴侣暴力的临床后果及识别与处理技巧

Intimate Partner Violence: Clinical Outcomes, Recognition and Management Techniques

RichHTML

PDF

可视化

摘要/Abstract

引用本文

使用本文

参考文献 35

相关文章 15

编辑推荐

Metrics

留言

[1]	杨辉. 全科医学研究脑洞：经济、健康、基本医疗服务的提供和利用[J]. 中国全科医学, 2025, 28(25): 0-C6.
[2]	崔珑严, 代高岚歆, 陶红兵. 全科医生亚专长培养模式的国际经验及对中国的启示[J]. 中国全科医学, 2025, 28(22): 2720-2725.
[3]	赵璨, 申颖, 陈培萌, 彭厚瑄, 奚谦, 顾劲梅, 覃丽, 梁睿莹, 左延莉. 广西壮族自治区经"5+3"路径培养的农村订单定向毕业生在乡镇卫生院应诊能力的评价性研究[J]. 中国全科医学, 2025, 28(22): 2731-2739.
[4]	赵亚利, 路孝琴, 刘珏, 张艺帆, 朱祖懿, 陈开元, 刘民, 梁万年. 智能全科医生评估指标体系构建[J]. 中国全科医学, 2025, 28(22): 2705-2711.
[5]	刘志扬, 李红艳, 杨创豪. 中国省际全科医生分布特征与均衡性研究[J]. 中国全科医学, 2025, 28(16): 1992-2000.
[6]	叶青, 陈明敏, 任菁菁. 基层全科医师发展精神卫生亚专长的必要性及路径探索[J]. 中国全科医学, 2025, 28(16): 1950-1954.
[7]	顾洁, 黄延焱. 罕见病诊治及全过程管理：全科医生的作用不可或缺[J]. 中国全科医学, 2025, 28(16): 1955-1960.
[8]	史穆然, 武宁, 宋丽娟. 我国中医全科医生队伍发展现状及统计优化建议[J]. 中国全科医学, 2025, 28(13): 1560-1566.
[9]	乐霄, 王玫. 老年前期及老年住院患者特征与高频症状的增龄性研究[J]. 中国全科医学, 2025, 28(12): 1439-1445.
[10]	黄晶, 苗依婷, 贺雪梅, 蒋东洋, 梁英. 我国全科医生工作满意度及影响因素的系统综述[J]. 中国全科医学, 2025, 28(10): 1220-1227.
[11]	张鹏, 刘力滴, 廖晓阳, 伍佳, 杨梓钰, 张亚琳. 基层医疗卫生机构全科医生工作满意度及影响因素研究[J]. 中国全科医学, 2025, 28(07): 869-874.
[12]	庞姝, 刁洋, 陈祥雪, 姜春燕. "医学难以解释的症状"面临的挑战及对策[J]. 中国全科医学, 2025, 28(07): 807-813.
[13]	姚丁烨, 罗桂平, 孙俊生, 任菁菁. 口臭的全科诊疗思路[J]. 中国全科医学, 2025, 28(07): 900-904.
[14]	李玲琦, 高银燕, 张玉琴, 孙鼎奎, 吴心音, 张卫茹. 基层全科医生常见病诊疗能力现状与能力提升需求调查[J]. 中国全科医学, 2025, 28(04): 443-449.
[15]	刘海燕, 宁艳花, 孔维娟, 郭亚红, 史晶, 柳玲娜, 吕兄兄, 李美曼. 我国农村家庭医生签约服务老年人健康管理实践影响因素：一项范围综述[J]. 中国全科医学, 2025, 28(04): 482-490.