Intimate Partner Violence and Long-Term Psychosocial Functioning in a National Sample of American Women

Zlotnick, Caron; Johnson, Dawn M.; Kohn, Robert

doi:10.1177/0886260505282564

Cited by 353 publications

(249 citation statements)

References 21 publications

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“…Likewise, the proposition that reduced maternal selfconfidence and self-esteem is sometimes in the path between SPVP and EBF seems quite tenable. This hypothesis is strengthened by connecting previous findings pointing out that low confidence and feelings of worthlessness are consistent with the long-term psychological consequences of SPVP victimization (38,39) , and with other studies indicating that the psychosocial wellbeing of women during pregnancy is an important protective factor for early weaning (5,(40)(41)(42)(43)(44)(45)(46)(47) . The importance of maternal self-esteem as a mediator of the relationship between SPVP and EBF is also reasonable when comparing the gradual effects of introducing the dimensions in the multivariate model.…”

Section: Discussionsupporting

confidence: 85%

Severe physical violence between intimate partners during pregnancy: a risk factor for early cessation of exclusive breast-feeding

Moraes

Oliveira

Reichenheim

et al. 2011

Public Health Nutr.

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Objective: To investigate the role of severe physical violence during pregnancy (SPVP) between intimate partners in early cessation of exclusive breast-feeding (EBF). Design: A health services survey. The revised Conflict Tactics Scale was used to characterize SPVP; premature breast-feeding cessation was identified using a current status data approach, which was based on the information reported from food recall during the preceding 7 d. The cumulative hazard function was estimated by complementary log-log transformation models, which allowed the ensuing estimation of early breast-feeding cessation rates in different age groups and the ratio of rates of weaning between women exposed and not exposed to violence. Setting: Five large public primary health-care facilities of Rio de Janeiro, Brazil. Subjects: The sample comprised 811 randomly selected mothers of children under 5 months of age who were waiting to be consulted. Results: SPVP is an independent risk factor of cessation of EBF since, after controlling for socio-economic, demographic, reproductive and lifestyle variables, women exposed to violence presented an incidence density that was 31 % higher than those who were not exposed (hazard ratio 5 1?30, 95 % CI 1?01, 1?69). Conclusions: The findings corroborate the hypothesis that SPVP is an important risk factor for EBF. This indicates the need for incentives to adequately train healthcare personnel in dealing with lactating women in order to gain a broader view of breast-feeding beyond the biological aspects of lactation, including the maternal psychological dimension.

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Section: Discussionsupporting

confidence: 85%

Severe physical violence between intimate partners during pregnancy: a risk factor for early cessation of exclusive breast-feeding

Moraes

Oliveira

Reichenheim

et al. 2011

Public Health Nutr.

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“…*Denotes a significant difference between groups, p<0.05. Self-perceived health ranges from 1(poor) to 5 (excellent), with higher scores reflecting higher perceived health findings further highlight the importance of detecting IPV because these mental health problems are often chronic in this population, 33,34 and treatment of these symptoms may reduce women's risk for subsequent IPV. 35 Thus, detection is critical because it provides the opportunity to treat associated health problems and offer appropriate social and mental health interventions to increase safety and well-being.…”

Section: Discussionmentioning

confidence: 90%

Clinical Utility of an Intimate Partner Violence Screening Tool for Female VHA Patients

et al. 2013

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OBJECTIVES: Female Veterans are at high risk for physical, sexual, and psychological forms of intimate partner violence (IPV) victimization. This study evaluated the accuracy of a brief IPV victimization screening tool for use with female Veterans Health Administration (VHA) patients. DESIGN: Participants completed a paper-and-pencil mail survey that included the four-item Hurt/Insult/ Threaten/Scream (HITS) and the 39-item Revised Conflict Tactics Scales (CTS-2). Operating characteristics, including sensitivity and specificity, were calculated using the CTS-2 as the reference standard for pastyear IPV. PARTICIPANTS: Female veterans from a roster of randomly selected female patients of the New England VA Healthcare System. Women must have reported being in an intimate relationship in the past year to be included. MAIN MEASURES: Primary measures included the HITS (index test) and the CTS-2 (reference standard). KEY RESULTS: This study included 160 women. The percentage of women who reported past-year IPV, as measured by any physical assault, sexual coercion, and/or severe psychological aggression on the CTS-2, was 28.8 %. The receiver-operator characteristic curve demonstrated that the HITS cutoff score of 6 maximizes the true positives while minimizing the false positives in this sample. The sensitivity of the optimal HITS cutoff score of 6 was 78 % (95 % CI 64 % to 88 %), specificity 80 % (95 % CI 71 % to 87 %), positive likelihood ratio 3.9 (95 % CI 2.61 to 5.76), negative likelihood ratio 0.27 (95 % CI 0.16 to 0.47), positive predictive value 0.61 (95 % CI 0.47, 0.73), and negative predictive value 0.90 (95 % CI 0.82, 0.95). CONCLUSIONS: For a low-burden screen, the HITS demonstrated good accuracy in detecting past-year IPV relative to the CTS-2 in a sample of female VHA patients with an optimal cutpoint of 6. The HITS may help VHA and other health-care providers detect past-year IPV and deliver appropriate care for female Veterans. I ntimate partner violence (IPV) refers to actual or threatened physical, sexual, and psychological abuse by a current or former intimate partner. 1 IPV is a major public health problem that causes and exacerbates physical health problems, including cardiovascular, respiratory, chronic pain, gynecological disorders, and adverse pregnancy outcomes. [2][3][4] Similarly, IPV increases risk for psychiatric conditions such as posttraumatic stress disorder (PTSD), other anxiety disorders, depression, substance misuse, eating disorders, and suicidality. [3][4][5] Relative to civilians, female veterans are at higher risk for physical and sexual forms of IPV (33.0 % vs. 23.8 % lifetime prevalence). 2 Although the reasons for elevated risk among female Veterans remain unknown, some theorize that women's exposure to violence-prone environments, such as violent childhood homes and the military, may elevate women's risk for IPV. 6,7 IPV may be particularly common among women seeking care at Veterans Health Affairs (VHA) health-care facilities. 6,8,9 Studies have found lifetime reports of IPV a...

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“…Although previous research has found that those in violent intimate relationships are more likely to have depressive symptoms in the aftermath of their IPV experiences (Anderson, 2002;Prospero, 2008;Zlotnick, Johnson, & Kohn, 2006), other studies have explored whether depressive symptoms occur prior to the violent interactions (Keenan-Miller, Hammen, & Brennan, 2007). For example, Lipsky, Caetano, Field, and Bazargan (2005) found that depressive symptoms predicted both IPV perpetration and victimization.…”

Section: Depressive Symptomologymentioning

confidence: 97%

Bidirectional, Unidirectional, and Nonviolence: A Comparison of the Predictors Among Partnered Young Adults

Melander¹,

Noel²,

Tyler³

2010

Violence Vict

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In order to more fully understand the context and impact of intimate partner violence (IPV), it is important to make distinctions between different types of relationship aggression. As such, the current study longitudinally examines the differential effects of childhood, adolescent, and demographic factors on three different partner violence groups: those who experience bidirectional IPV, those who experience unidirectional IPV, and those who do not experience either form of IPV. Multinomial logistic regression results reveal that depressive symptoms and lower partner education predict bidirectional when compared to unidirectional IPV and nonviolence. In contrast, other risk factors such as illicit drug use are found to be predictors of unidirectional violence only, which reveals that the correlates of violence vary depending upon the type of IPV examined.

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Intimate Partner Violence and Long-Term Psychosocial Functioning in a National Sample of American Women

Cited by 353 publications

References 21 publications

Severe physical violence between intimate partners during pregnancy: a risk factor for early cessation of exclusive breast-feeding

Severe physical violence between intimate partners during pregnancy: a risk factor for early cessation of exclusive breast-feeding

Clinical Utility of an Intimate Partner Violence Screening Tool for Female VHA Patients

Bidirectional, Unidirectional, and Nonviolence: A Comparison of the Predictors Among Partnered Young Adults

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