This study examines if differing types of victimization and coping strategies influence the type of social reactions experienced by 173 current victims of intimate partner violence (IPV). Results of path analyses showed that psychological and sexual IPV victimization were related to positive social reactions while physical, psychological, and sexual IPV victimization were related to negative social reactions. Indirect relationships between victimization and social reactions differed by types of coping strategies (social support, problem-solving, and avoidance) examined. Implications are discussed regarding the development of interventions with women's support networks and the augmentation of services to help victims modify their coping strategies. KeywordsIntimate Partner Violence; Disclosure; Social reactions Among women who experience intimate partner violence (IPV), many choose to talk about their IPV victimization with or "disclose" it to people in their support networks. How recipients of those disclosures react to victims (i.e., social reactions) has been the topic of a fair amount of research in the last decade (Ahrens, 2006;Ahrens, Campbell, Ternier-Thames, Wasco, & Sefl, 2007;Campbell, Ahrens, Sefl, Wasco, & Barnes, 2001;Coker, Smith et al., 2002;Dunham & Senn, 2000;Goodkind, Gillum, Bybee, & Sullivan, 2003;Ullman, 1996bUllman, , 1996cUllman, , 2003Ullman & Filipas, 2001Ullman, Filipas, Townsend, & Starzynski, 2006;Ullman, Townsend, Filipas, & Starzynski, 2007;Yoshioka, Gilbert, El-Bassel, & Baig-Amin, 2003). The vast majority of this research has been on the disclosure of adulthood or childhood sexual assault and has focused on social reactions as predictors of victims' health outcomes. Findings show that the type of social reaction women experience in response to their disclosure, namely positive or negative, is significantly related to women's wellbeing. In particular, positive social reactions, such as telling the woman it is not her fault, accepting her account of what happened, or acting like the disclosure recipient cares about her, are associated with fewer mental health Correspondence concerning this article should be sent to Tami P. Sullivan, Ph.D., Division of Prevention and Community Research and The Consultation Center, Department of Psychiatry, Yale University School of Medicine, 389 Whitney Ave, New Haven, CT, 06511, Phone 203.789.7645, Fax 203.562.6355 or tami.sullivan@yale.edu. NIH Public Access Author ManuscriptViolence Against Women. Author manuscript; available in PMC 2010 November 9. Published in final edited form as:Violence Against Women. 2010 June ; 16(6): 638-657. doi:10.1177/1077801210370027. NIH-PA Author ManuscriptNIH-PA Author Manuscript NIH-PA Author Manuscript problems. Negative social reactions, such as blaming the woman for the victimization, changing the subject, or making a joke about experiences like hers, are associated with a greater number of mental health problems (Coker, Smith et al., 2002;Goodkind et al., 2003;Mitchell & Hodson, 1983;Ullman, 1996bUllman...

Multisystemic Therapy (MST) is an evidence-based treatment for high-risk youth and their families shown to reduce subsequent delinquent activity. This study investigated (1) re-arrest rates of a statewide MST dissemination; and (2) the relation of child, family, and case characteristics to re-arrest rates following receipt of MST. Analyses examined outcomes for 633 youth following referral to MST. Separate models examined predictors of general re-arrest of any type and of more serious misdemeanor or felony arrests. Sixty-five percent of youth experienced a new arrest of any type within 12-months of MST initiation; fewer (53%) experienced a misdemeanor or felony charge in that timeframe. Recipients who were younger, had an externalizing behavior disorder, and had a greater number and severity of pre-MST charges were more likely to recidivate. Findings highlight potential child and case factors that may account for variability in treatment effects when MST is implemented broadly within a system.

ImportanceAssessment of response after radiotherapy (RT) using 18F–fluorodeoxyglucose positron emission tomography (PET) with computed tomography (CT) is routine in managing head and neck squamous cell carcinoma (HNSCC). Freeform reporting may contribute to a clinician’s misunderstanding of the nuclear medicine (NM) physician’s image interpretation, with important clinical implications.ObjectiveTo assess clinician-perceived freeform report meaning and discordance with NM interpretation using the modified Deauville score (MDS).Design, Setting, and ParticipantsIn this retrospective cohort study that was conducted at an academic referral center and National Cancer Institute–designated Comprehensive Cancer Center and included patients with HNSCC treated with RT between January 2014 and December 2019 with a posttreatment PET/CT and 1 year or longer of follow-up, 4 masked clinicians independently reviewed freeform PET/CT reports and assigned perceived MDS responses. Interrater reliability was determined. Clinician consensus–perceived MDS was then compared with the criterion standard NM MDS response derived from image review. Data analysis was conducted between December 2021 and February 2022.ExposuresPatients were treated with RT in either the definitive or adjuvant setting, with or without concurrent chemotherapy. They then underwent posttreatment PET/CT response assessment.Main Outcomes and MeasuresClinician-perceived (based on the freeform PET/CT report) and NM-defined response categories were assigned according to MDS. Clinical outcomes included locoregional control, progression-free survival, and overall survival.ResultsA total of 171 patients were included (45 women [26.3%]; median [IQR] age, 61 [54-65] years), with 149 (87%) with stage III to IV disease. Of these patients, 52 (30%) received postoperative RT and 153 (89%) received concurrent chemotherapy. Interrater reliability was moderate (κ = 0.68) among oncology clinicians and minimal (κ = 0.36) between clinician consensus and NM. Exact agreement between clinician consensus and the NM was 64%. The NM-rated MDS was significantly associated with locoregional control, progression-free survival, and overall survival.Conclusions and RelevanceThe results of this cohort study suggest that considerable variation in perceived meaning exists among oncology clinicians reading freeform HNSCC post-RT PET/CT reports, with only minimal agreement between MDS derived from clinician perception and NM image interpretation. The NM use of a standardized reporting system, such as MDS, may improve clinician-NM communication and increase the value of HNSCC post-RT PET/CT reports.

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