探究生殖脅迫和親密伴侶暴力對心理和性健康的影響

Investigating the Impact of Reproductive Coercion and Intimate Partner Violence on Psychological and Sexual Wellbeing

——《人際暴力雜誌》2025年第40卷第3-4期 ——

Volume 40, Issue 3-4, 2025

【摘要】新興的研究表明，生殖脅迫和虐待 (RCA) 與親密伴侶暴力 (IPV) 類似，會導致較差的心理和性健康結果，包括更嚴重的創傷後應激障礙 (PTSD) 和抑鬱症狀，以及較差的生理和性健康指標，如性傳播感染、意外懷孕和性自主能力下降。儘管 RCA的受害者/倖存者報告了對未來關係的長期影響，包括恐懼和焦慮，但人們對 RCA對焦慮和總體健康的影響知之甚少，也對構成個人性自我概念的性健康的情感和心理成分也知之甚少。我們以澳大利亞的社區參與者樣本為基礎，進行了兩項研究，探討RCA和IPV對心理健康結果 (研究1) 和性健康結果 (研究2) 的影響。研究1 (n=368) 發現，經歷IPV和RCA均顯著且獨特地導致心理健康結果較差。在控制年齡和伴侶暴力 (IPV) 因素後，RCA顯著預測了抑鬱、焦慮、壓力、創傷後應激障礙 (PTSD) 以及生活滿意度下降的症狀。研究2 (n=329) 發現，IPV和RCA對性健康的各項指標的預測存在差異。IPV預測性滿意度下降，性焦慮、抑鬱和性交恐懼增加。在控制年齡和伴侶暴力 (IPV) 因素後，RCA顯著且獨特地預測了性自信水平下降，性抑鬱和性交恐懼增加，但並未預測性滿意度或焦慮。我們得出結論，RCA與嚴重的心理困擾和消極的性自我概念相關，這可能會影響未來的關係。有必要在不同環境中篩查IPV和RCA。

【關鍵詞】生殖脅迫和虐待、親密伴侶暴力、心理健康、性健康、針對婦女的暴力

[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

論文原文：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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