中文摘要：

目的 探讨国内社区家庭暴力高发家系严重躯体施暴者的精神创伤形式及影响,为家庭暴力干预及施暴者的心理治疗提供理论依据.方法 采用线索调查的方法,结合当地派出所、妇联、社区街道办事处、社区卫生服务中心提供的存在严重家庭暴力的备案登记资料,上门走访或电话预约进行面谈及问卷评估,筛选入组暴力家系施暴者（AP） 136例,无暴力家系施暴者（ANP） 93例,暴力家系非施暴者（NAP） 105例,无暴力家系非施暴者（NANP） 198例,评估并比较不同家系来源家庭暴力施暴者的创伤经历及创伤症状.结果 （1）AP组经历的创伤事件数量在6件以上总比例占了66.1％.AP组的创伤事件中位数达到7件,组间比较差异有统计学意义（P＜0.01）.（2）AP组的回避[（1.37±0.79）分]、闯入症状分[（1.40±0.80）分]及创伤症状总分[（4.08±2.30）分]均明显高于其他三组,AP组的高警觉性症状分[（1.31±0.88）分]高于NAP组[（0.95±0.75）分]及NANP组[（0.94±0.83）分],ANP组闯入[（1.22±0.80）分]、高警觉性症状分[（1.14±0.85）分]高于NANP组（P＜0.05）.（3）目睹家庭暴力、儿童期受虐分、经历创伤事件数量分别与三大创伤主症状分呈显著正相关.结论 暴力高发家系施暴者创伤性事件经历与严重躯体施暴行为呈显著相关.某些创伤事件经历,可能成为家庭暴力施暴行为出现的保护因素.在暴力高发家系中成长的施暴者创伤症状最严重,而闯入、高警觉症状与严重躯体施暴行为显著正相关。

英文摘要：

Objetive To explore the feature and influence of psychological trauma of severe physical violence （SPV） perpetrators with or without violent pedigree,and to provide theoretical basis in the intervention of domestic violence.Methods The cases of domestic violence were identified based on appeals for help to police stations,local Women＇ s Federations,Residents＇ Community Committee,Center of Community Health Services,the judicial branch of city governments.The subjects were screened,recruited and divided into the group of the abusers with violent pedigree（AP,n=136）,the group of abusers without violent pedigree （ANP,n =105）,the group of non-abusers with violent pedigree（NAP,n=105） and the group of non-abusers without violent pedigree（NANP,n =198）.The features and influence of psychological trauma in four groups were compared.Results （1） In AP group,above 6 traumatic events got 66.1 percent.The median of the number of traumatic events in AP group was 7,and outstanding statistical significance existed among four groups（P〈0.01）.（2）The scores of avoidance （1.37± 0.79） and intrusion（1.40±0.80） and added scores of IES-R（4.08±2.30） in AP group were significantly higher than the other groups,while the scores of hyper-vigilance （1.31 ± 0.88） were higher than NAP （0.95 ± 0.75） and NANP group（0.94±0.83）.The scores of intrusion（1.22±0.83） and hyper-vigilance （1.14±0.85） in ANP group were significantly higher than those in the NANP group（P〈0.05）.（3）The scores of witness DV,childhood emotional,physical and sexual abuse and the numbers of traumatic events were positively related with the traumatic symptoms.Conclusion The traumatic experiences are significantly correlated with severe physical violence behavior among violence perpetrator with violent pedigree.Some traumatic experiences may be the protective factors of domestic violence behavior.In the violent pedigrees,abusers have the most severe traumatic symptoms and their traumatic symptoms,es