精神暴力自我評估量表編制

Development of the Psychological Violence Self-Assessment Scale in Taiwan

研究目的：親密暴力是侵犯人權與心理衛生的重要問題。本研究編製精神暴力自我評估量表，提供當事人具有信效度的精神暴力自我評估工具，鼓勵當事人在匿名的處境下，進行多面向的自我評估，了解個人所面臨精神暴力的處境。研究方法：本研究採問卷調查法，分為四個階段編製量表。前三階段邀請助人工作者進行親密暴力評估，確認量表題項。第四階段，邀請180位受害當事人填寫問卷（37位男性，平均38.56歲；143位女性，平均35.79歲），並驗證量表的信效度與適配度。研究結果：精神暴力自我評估量表分為「語言貶抑」、「攻擊威脅」、「控制隔離」及「情緒威脅」四個構面，具有信度與效度，且提供良好的適配度。多群組分析進一步驗證本量表具有性別恆等性。ROC曲線分析驗證本量表具有良好的篩檢力，並提供適切的評估。研究結論：本研究區分出「高風險」與「低風險」確實可以反映精神暴力嚴重程度的高低，亦幫助當事人自我評估精神暴力的危險程度。

Purpose: Intimate partner violence is an important issue in human rights and mental health. We developed the psychological violence self-assessment scale to provide victims with a reliable and valid anonymous tool to help them assess their level of risk for psychological violence. Methods: We developed the scale in 4 stages. In the first 3 stages, different groups of social workers, psychological counselors, clinical psychologists, teachers, and medical staff completed an intimate partner violence assessment to confirm the items to be included on the scale. In the fourth stage, 180 victims (37 males, mean age 38.56; 143 females, mean age 35.79) to completed the questionnaire. We used CFA to verify its reliability and validity, and multi-group analysis and ROC curve analysis to test gender invariance and screening ability. Results: We identified 4 reliable and valid dimensions for the scale with good fit: derogatory speech, intimidation, forced isolation, and emotional threats. The analysis demonstrated gender invariance and verified that the scale has good screening ability and can provide appropriate assessment. Conclusions: The distinction between high and low risk as measured by the new tool indicates the level of severity of psychological violence that the victim has experienced. This tool can help individuals to recognize their level of risk.