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Vol. 39. Issue 1.
Pages 85-92 (March 2010)
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Vol. 39. Issue 1.
Pages 85-92 (March 2010)
Artículos originales
DOI: 10.1016/S0034-7450(14)60238-9
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Association between Intimate Partner Violence and Posttraumatic Stress Disorder: A Case-Control Study
Asociación entre violencia doméstica por la pareja y trastorno de estrés postraumático: un estudio de casos y controles
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Leddy Marina Contreras-Pezzotti1, Juan Ernesto Arteaga-Medina2, José Fidel Latorre2, Jorge Óscar Folino3, Adalberto Campo-Arias4,
Corresponding author
campoarias@comportamientohumano.org

Correspondencia: Adalberto Campo-Arias, Instituto de Investigación del Comportamiento Humano, Carrera 7B No. 108A-90, Bogotá, Colombia
1 MD, MSc.
2 MD, MSc. Associate professor, Facultad de Medicina, Universidad de Santander, Bucaramanga, Colombia
3 MD, PhD. Adjunct Professor of Psychiatry, Universidad Nacional de la Plata, La Plata, Argentina
4 MD. Grupo de Investigación del Comportamiento Humano (Human Behavior Research Group), Instituto de Investigación del Comportamiento Humano (Human Behavioral Research Institute), Bogotá, Colombia
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Abstract
Background

Intimate partner violence (IPV) against women is a common form of interpersonal violence in both developed and developing countries, and represents a forensic and public health problem. IPV is related to Post-traumatic Stress Disorder (PTSD). This relationship however, has not been investigated in Colombian population.

Objective

To determine the strength of the association between IPV and PTSD in women referred for forensic psychiatric evaluation in Bucaramanga, Colombia.

Method

A case-control study was designed. A total of 132 cases involving women referred for forensic psychiatric evaluation met criteria for PSTD according to the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). A group of 262 women without PTSD were taken as controls. First, odds ratio (OR) was computed. Logistic regression was used to control confounding variables.

Results

A total of 76 (56.6%) in the case group reported IPV during the past year compared to 85 (32.6%) in the control group. IPV and PTSD were associated (OR=3.09, 95%CI: 1.58-6.03) after controlling for age, employment, medico-legal loss or injury, and current aggressor (partner).

Conclusions

IPV increased the risk for PTSD three-fold among women attending forensic assessment in Bucaramanga, Colombia.

Key words:
Domestic violence
post-traumatic stress disorders
forensic psychiatry
case-control studies
Resumen
Introducción

La violencia doméstica por la pareja (VDP) contra las mujeres es un evento frecuente de violencia interpersonal en países en desarrollo y desarrollados y representa un problema médico-legal y de la salud pública. La VDP se relaciona con el trastorno de estrés postraumático (TEP); sin embargo, esta asociación no se ha investigado en Colombia.

Objetivo

Establecer la fortaleza de la asociación entre VDP y TEP en mujeres remitidas a evaluación psiquiátrica forense en Bucaramanga, Colombia.

Método

Se diseñó un estudio de casos y controles. Se tomaron como casos 132 mujeres que reunieron criterios para TEP, según los criterios de la Asociación Psiquiátrica Americana, y como controles a un grupo de 262 mujeres sin TEP. Primero se calculó la razón de oportunidad (OR); posteriormente, se usó la regresión logística para controlar variables confusoras.

Resultados

Un total de 76 (56,6%) mujeres en el grupo de casos informó VDP durante el último año, comparado con 85 (32,6%) en el grupo control. La VDP se asoció significativamente con TEP (OR=3,09; IC95%: 1,58-6,03), aun después de controlar por edad, empleo, incapacidad médico-legal y pareja agresora actual.

Conclusiones

La VDP incrementa tres veces el riesgo de TEP en mujeres que asisten a evaluación psiquiátrica forense en Bucaramanga, Colombia.

Palabras clave:
violencia doméstica
trastornos por estrés postraumático
psiquiatría forense
estudio de casos y controles
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Conflicto de interés: los autores manifiestan que no tienen ningún conflicto de interés en este artículo.

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