Intimate Partner Violence and Current Mental Health Needs Among Female Veterans

Iverson, Katherine M.; Vogt, Dawne; Dichter, Melissa E.; Carpenter, S. Louisa; Kimerling, Rachel; Street, Amy E.; Gerber, Megan R.

doi:10.3122/jabfm.2015.06.150154

Cited by 37 publications

(32 citation statements)

References 18 publications

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“…These findings emphasize the importance of detecting and responding to IPV within the VHA system. Consistent with non-VA data demonstrating elevated health care utilization and costs associated with recent IPV, 46,47 past-year IPV was associated with higher 49 may also yield important insights into opportunities for care coordination as well as opportunities to facilitate disclosure. These results should be interpreted with several caveats.…”

Section: Discussionsupporting

confidence: 64%

Prevalence of Intimate Partner Violence among Women Veterans who Utilize Veterans Health Administration Primary Care

et al. 2016

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OBJECTIVES:The objectives of this study were to identify the prevalence of past-year intimate partner violence (IPV) among women Veterans utilizing Veterans Health Administration (VHA) primary care, and to document associated demographic, military, and primary care characteristics. DESIGN: This was a retrospective cohort design, where participants completed a telephone survey in 2012 (84% participation rate); responses were linked to VHA administrative data for utilization in the year prior to the survey. PARTICIPANTS: A national stratified random sample of 6,287 women Veteran VHA primary care users participated in the study. MAIN MEASURES: Past-year IPV was assessed using the HARK screening tool. Self-report items and scales assessed demographic and military characteristics. Primary care characteristics were assessed via selfreport and VHA administrative data. KEY RESULTS: The prevalence of past-year IPV among women Veterans was 18.5% (se = 0.5%), with higher rates (22.2% -25.5%) among women up to age 55. Other demographic correlates included indicators of economic hardship, lesbian or bisexual orientation, and being a parent/ guardian of a child less than 18 years old. Military correlates included service during Vietnam to post-Vietnam eras, less than 10 years of service, and experiences of Military Sexual Trauma (MST). Most (77.3%, se = 1.2%) women who experienced IPV identified a VHA provider as their usual provider. Compared with women who did not report past-year IPV, women who reported IPV had more primary care visits, yet experienced lower continuity of care across providers. CONCLUSIONS: The high prevalence of past-year IPV among women beyond childbearing years, the majority of whom primarily rely on VHA as a source of health care, reinforces the importance of screening all women for IPV in VHA primary care settings. Key considerations for service implementation include sensitivity with respect to sexual orientation, race/ethnicity, and other aspects of diversity, as well as care coordination and linkages with social services and MST-related care.

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Section: Discussionsupporting

confidence: 64%

Prevalence of Intimate Partner Violence among Women Veterans who Utilize Veterans Health Administration Primary Care

et al. 2016

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“…All studies were conducted in high-income countries, with two conducted in Canada [ 44 , 45 ], and the other 11 conducted in the USA. Five of the 13 studies were conducted in clinical settings [ 52 , 81 – 84 ] and eight in non-clinical settings [ 44 , 45 , 47 , 48 , 50 , 54 , 58 , 85 ]. Five of the 13 studies were categorised as high quality (i.e., scoring 50% or higher for selection bias) [ 44 , 45 , 47 , 48 , 50 ].…”

Section: Resultsmentioning

confidence: 99%

“…Studies examined IPV measured over a variety of time periods. Four studies reported on past-year IPV [ 50 , 54 , 84 , 85 ], six studies on lifetime [ 47 , 48 , 58 , 81 – 83 ], two studies on IPV experienced over the course of the current relationship [ 44 , 45 ], and one study on IPV experienced during military service [ 52 ]. Further details of sample size, study methods, and findings are presented in Tables 2 and 3 .…”

Section: Resultsmentioning

confidence: 99%

“…Nine studies examined depressive symptoms among individuals who have experienced IPV victimisation [ 44 , 45 , 47 , 48 , 52 , 54 , 58 , 84 , 85 ], with four studies rated as high quality [ 44 , 45 , 47 , 48 ]. Six studies found a statistically significant association between IPV victimisation and depression after taking account of potential confounders [ 44 , 45 , 47 , 48 , 54 , 84 ], of which four were rated as high quality.…”

Section: Resultsmentioning

confidence: 99%

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Systematic review of mental health disorders and intimate partner violence victimisation among military populations

Sparrow

Kwan

Howard

et al. 2017

Soc Psychiatry Psychiatr Epidemiol

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PurposeThere is growing awareness of the problem of intimate partner violence (IPV) among military populations. IPV victimisation has been shown to be associated with mental disorder. A better understanding of the link between IPV and mental disorder is needed to inform service development to meet the needs of military families. We aimed to systematically review the literature on the association between IPV victimisation and mental health disorders among military personnel.MethodsSearches of four electronic databases (Embase, Medline, PsycINFO, and Web of Science) were supplemented by reference list screening. Heterogeneity among studies precluded a meta-analysis.ResultsThirteen studies were included. There was stronger evidence for an association between IPV and depression/alcohol problems than between IPV and PTSD. An association between IPV and mental health problems was more frequently found among veterans compared to active duty personnel. However, the link between IPV and alcohol misuse was more consistently found among active duty samples. Finally, among active duty personnel psychological IPV was more consistently associated with depression/alcohol problems than physical/sexual IPV. The review highlighted the lack of research on male IPV victimisation in the military.ConclusionsThere is evidence that the burden of mental health need may be significant among military personnel who are victims of IPV. The influence of attitudes towards gender in the military on research in this area is discussed. Further research is needed to inform development of services and policy to reduce IPV victimisation and the mental health consequences among military personnel.Electronic supplementary materialThe online version of this article (doi:10.1007/s00127-017-1423-8) contains supplementary material, which is available to authorized users.

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“…Iverson et al 12 report on their findings of intimate partner violence among female veterans in the Veteran's Health Administration. Screening positive for intimate partner violence within the past year was strongly associated with screening positive for common mental health conditions.…”

Section: Specific Medical Topicsmentioning

confidence: 99%

New Tools and Approaches for Family Physicians

Seehusen

Bowman²,

Neale³

2015

The Journal of the American Board of Family Medicine

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This issue of the journal is filled with useful information for practicing family physicians. Several articles introduce new ideas for family physicians to use in the care of their patients, whereas other articles cover new approaches to old problems. Several studies report on procedures performed by family physicians: battlefield acupuncture, colonoscopy, and ultrasound. Some unique alternative care models are described and evaluated. An innovative method of delivering diabetes education seems to work well. Ways to use technology to improve patient care, an update on chronic hepatitis B, and a novel use of social media to understand a rare disease are also included. Readers will come away from this issue with many ideas to consider implementing in their own practices. Office ProceduresMany family physicians are interested in expanding the number of procedures they perform. Three articles address procedures that some family physicians are currently adding to their skill set. Battlefield acupuncture refers to a type of acupuncture named after its use by the military for acute injuries in the field. It is relatively easy to learn, puts the needles or tacks only in the outer ear, and has a very low rate of complications. In the article by Moss and Crawford, 1 family physicians were trained to use this type of acupuncture for acute sore throat. Great idea-and nice success, with a considerable decrease in pain and ibuprofen use; however, time away from work was not statistically significant. Having another tool to provide relief that is fast, easy, and potentially reimbursable is a nice outcome. Maybe it should be considered for other acute painful conditions in the office as well.The office use of ultrasound is quickly becoming commonplace, but it takes more training than some more common office procedures. The amount and type of training that leads to excellent accuracy by family physician operators is unclear. A small study by Bornemann et al 2 looks at the family physician training for and outcomes using a pocket-sized ultrasound as a screening tool for left ventricular hypertrophy. This study, and its results, give the reader a peek at the exciting future possibilities of this technology.Colonoscopy is increasingly used for colorectal cancer screening. Inadequate numbers of endoscopists to handle the growing need could be resolved by more family physicians being trained to perform colonoscopies. Several quality indicator outcomes, recommended by the American Society for Gastrointestinal Endoscopy, among 1155 colonoscopies completed by family physicians were reviewed by McClellan et al. 3 The results of several quality indicators recommended by the ASC were generally positive. Alternative Models of CareA topic of much current interest-at least certainly when estimated from the large number of participants attending the national conferences on the topic-direct primary care is increasing rapidly in the United States. The current forces that are changing family physicians' clinical workload, administrative burden, ...

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Intimate Partner Violence and Current Mental Health Needs Among Female Veterans

Cited by 37 publications

References 18 publications

Prevalence of Intimate Partner Violence among Women Veterans who Utilize Veterans Health Administration Primary Care

Prevalence of Intimate Partner Violence among Women Veterans who Utilize Veterans Health Administration Primary Care

Systematic review of mental health disorders and intimate partner violence victimisation among military populations

New Tools and Approaches for Family Physicians

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