婚姻暴力夫妻完成婚姻治療的分析

Adherence Analysis of Couples with Violence Completing Marital Therapy

目的：識別預測丈夫為施暴者之夫妻參與完成婚姻治療的因素。方法：以 70 對參與探 討一般精神科處遇對婚姻暴力夫妻治療成效之研究的夫妻為對象，研究者分析人口統計學、 臨床相關、婚姻暴力和婚姻權力變項，以識別個案能夠堅持參與而完成婚姻治療的變項，並 呈現變項之間的效果關係。結果：存活分析發現妻子收入顯著比丈夫高 (p < 0.05)、婚姻暴 力開始的年齡愈大、丈夫的資源權力愈大、輕度暴力頻率愈低，以及丈夫的情感權力愈大都 能預測個案能夠堅持參與婚姻治療 (p < 0.001)。進一步以結構方程模式發現丈夫的受教育年 數高對夫妻能堅持完成婚姻治療有正向直接效果，而先生的年齡經由對輕度暴力頻率的負向 影響而對堅持完成婚姻治療有間接的正向效果。總之，年輕、輕度暴力頻率愈高和丈夫受教 育年數較低的夫妻較難堅持完成婚姻治療。結論：這是一個對堅持參與婚姻暴力夫妻關係處 遇模式之婚姻治療預測因素的前驅研究，研究結果可作為後續實務及研究有用的參考。

Objectives:This study was intended to study the predictive factors of adher- ence to and completion of marital therapy of couples with intimate partner vio- lence. Methods:The participants in this study were 70 couples with husband-ini- tiated aggression against their wives, and who attended a study evaluating the effectiveness of ordinary psychiatric treatment. We analyzed variables such as so- cial status, clinical factors, intimate partner violence, and marital power, to iden- tify the predictive factors of adherence to marital therapy, and the cause-and-effect relation between those variables. Results:The result of the survival analysis showed that wife with higher income (p< 0.05), later age of onset for intimate partner violence, lower frequency of mild violence, and husband with more affec- tion predicted the adherence of couples to marital therapy (p< 0.001). Structural equation modeling further revealed that a husband with more years of education had direct positive effects on a couple’s adherence to marital therapy, husband’s age had indirect positive effects, and high frequency of mild violence had direct negative effects on the couples’ completing marital therapy. In short, husbands who were younger in age, with frequent mild violence, and with lower academic achievement had difficulty adhering to marital therapy. Conclusion:The results of this study can increase our understanding of intimate partner violence, provide intervention strategies for family domestic violence prevention and augment the quality of services.