Intimate partner violence (IPV) is an important social and public health problem, affecting millions of women worldwide. Violence in a relationship can occur in multiple ways, including physical violence, psychological aggression, and sexual violence. In this study, utilizing data from the National Intimate Partner and Sexual Violence Survey (NISVS), we comprehensively investigate the interplay between physical, psychological, and sexual violence, in terms of their co-occurrence patterns, their relation to trauma symptoms and overall health of victims. For this purpose, we perform network analysis and develop a visualization technique that enables in-depth navigation of the three-dimensional (physical, psychological, sexual) space of violence. Our findings show that physical violence tends to significantly co-occur with psychological abuse, and violence intensifies when both are present. We also find that sexual violence tends to overlap less with other types of violence, particularly with physical violence. Milder forms of psychological abuse are prominent in the population and seem to represent a separate type of abuse (micro-aggression) in terms of its occurrence patterns. Finally, we observe that trauma symptoms and health problems tend to be reported more by survivors at the presence of intense psychological aggression. Our findings can be useful in developing treatments that target different patterns of IPV.

No abstract

Intimate partner violence (IPV) is a complex problem with multiple layers of heterogeneity. We took a data-driven approach to characterize this heterogeneity. We integrated data from different studies, representing 640 individuals from various backgrounds. We used hierarchical clustering to systematically group cases in terms of their similarities according to violence variables. Results suggested that the cases can be clustered into 12 hierarchically organized subgroups, with verbal abuse and negotiation being the main discriminatory factors at higher levels. The presence of physical assault, injury, and sexual coercion was discriminative at lower levels of the hierarchy. Subgroups also exhibited significant differences in terms of relationship dynamics and individual factors. This study represents an attempt toward using integrative data analysis to understand the etiology of violence. These results can be useful in informing treatment efforts. The integrative data analysis framework we develop can also be applied to various other problems.