Major depressive and post-traumatic stress disorder comorbidity in female victims of intimate partner violence

Stein, Murray B.; Kennedy, Colleen M.

doi:10.1016/s0165-0327(00)00301-3

Cited by 220 publications

(169 citation statements)

References 18 publications

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“…10,15 Our work lends support to studies that describe the co-occurrence of IPV with depression and substance abuse in IPV-involved individuals. 50 El-Bassel et al described rates of IPV and substance abuse in women of ethnic minorities, 51 and others have assessed the mental health impact of IPV in women, 18,20,21 but less attention has focused on the mental health symptoms and substance abuse problems of IPV-involved men coming to health care settings.…”

Section: In T Im At E Pa R T Ner V Iol Enc Ementioning

confidence: 99%

“…Although it is reasonable to consider whether IPV-involved men could benefi t from treatment under a medical model, the topic requires more study. Numerous studies quantify the co-occurrence of IPV and adverse mental health symptoms and substance use in women patients, [19][20][21] but fewer address these issues in IPV-involved men. 22 In fact, there are few venues for IPV-involved men to receive help outside the criminal justice setting.…”

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confidence: 99%

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Intimate Partner Violence and Comorbid Mental Health Conditions Among Urban Male Patients

Rhodes¹,

Houry²,

Cerulli³

et al. 2009

The Annals of Family Medicine

132

120

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PURPOSE We wanted to explore the associations between intimate partner violence (IPV) and comorbid health conditions, which have received little attention in male patients.METHODS Using a computer-based self-assessment health questionnaire, we screened sequential emergency department patients who were urban, male, and aged 18 to 55 years. We then examined associations between types of IPV disclosures, co-occurring mental health symptoms, and adverse health behaviors. RESULTSOf 1,669 men seeking nonurgent health care, 1,122 (67.2%) consented to be screened, and 1,026 (91%) completed the screening; 712 (63%) were in a relationship in the past year. Of these men, 261 (37%) disclosed IPV: 20% (n = 144) disclosed victimization only, 6% (n = 40) disclosed perpetration only, and 11% (n = 77) disclosed bidirectional IPV (defi ned as both victimization and perpetration in their relationships). Men disclosing both victimization and perpetration had the highest frequencies and levels of adverse mental health symptoms. Rates of smoking, alcohol abuse, and drug use were likewise higher in IPV-involved men.CONCLUSIONS A cumulative risk of poor mental health and adverse health behaviors was associated with IPV disclosures. Self-disclosure by men seeking acute health care provides the potential for developing tools to assess level of risk and to guide tailored interventions and referrals based on the sex of the patient. 2009;7:47-55. DOI: 10.1370/afm.936. Ann Fam Med INTRODUCTIONI ntimate partner violence (IPV), defi ned as a pattern of assaultive and coercive behaviors in intimate relationships, remains a major public health concern in the United States.1,2 The health care system advocates screening women for victimization and referring them to legal and community-based advocacy services. Both men and women, however, perpetrate a wide range of emotional and physical violence against their intimate partners, and 3-5 bidirectional IPV may be more common than generally recognized in medical settings. 6,7 Substance abuse and mental health problems have been found to be major cofactors in IPV, [8][9][10] and there is reason to believe that interventions aimed at reducing violent behavior will be only marginally effective if co-occurring mental health and substance abuse problems are ignored. [11][12][13][14][15] Recent research targeting substance use along with IPV behavior is promising. [16][17][18] The US Preventative Service Task Forces ranked the evidence in favor of routine screening for family violence as inconclusive and raised concerns for possible harm from retaliatory IPV after disclosure. Although it is reasonable to consider whether IPV-involved men could benefi t from treatment Karin V. Rhodes, MD 48 IN T IM AT E PA R T NER V IOL ENC Eunder a medical model, the topic requires more study. Numerous studies quantify the co-occurrence of IPV and adverse mental health symptoms and substance use in women patients, [19][20][21] but fewer address these issues in IPV-involved men. 22 In fact, there are few venues for ...

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Section: In T Im At E Pa R T Ner V Iol Enc Ementioning

confidence: 99%

mentioning

confidence: 99%

Intimate Partner Violence and Comorbid Mental Health Conditions Among Urban Male Patients

Rhodes¹,

Houry²,

Cerulli³

et al. 2009

The Annals of Family Medicine

132

120

View full text Add to dashboard Cite

show abstract

“…Studies show high comorbidity between depression and PTSD in a variety of population samples, such as those from conflict or post-conflict settings (Miller & Rasmussen, 2010), refugee camps (Gerritsen et al, 2006; Momartin, Silove, Manicavasagar, & Steel, 2004) and combat situations, victims of interpersonal violence (Stein & Kennedy, 2001), or survivors of natural or human-made disasters (Fernando, Miller, & Berger, 2010; Kar & Bastia, 2006; Neria, Nandi, & Galea, 2008). Political and economic instability and disparity; poverty, with its consequences of food scarcity and lack of access to medical care and education; politically motivated violence; crime; and exposure to weather phenomena due to climate change, which impacts negatively on an agriculture-based country such as Zimbabwe, further contribute towards poor mental health outcomes (Lund et al, 2010).…”

Section: Introductionmentioning

confidence: 99%

Prevalence and correlates of probable post-traumatic stress disorder and common mental disorders in a population with a high prevalence of HIV in Zimbabwe

Verhey

Gibson

Brakarsh

et al. 2018

European Journal of Psychotraumatology

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Background: We investigated the prevalence of and factors associated with post-traumatic stress disorder (PTSD) and common mental disorders (CMDs), which include depression and anxiety disorders, in a setting with a prevalence of high human immunodeficiency virus (HIV) within a primary care clinic, using the PTSD Checklist for DSM-5 and the 14-item Shona Symptom Questionnaire, both locally validated screening tools.Methods: A cross-sectional survey was carried out with adult patients (n = 204) from the largest primary care clinic facility in Harare, Zimbabwe, in June 2016.Results: A total of 83 patients (40.7%) met the criteria for probable PTSD, of whom 57 (69.5%) had comorbid CMDs. Among people living with HIV, 42 (55.3%) had PTSD. Probable PTSD was associated with having experienced a negative life event in the past 6 months [adjusted odds ratio (OR) 3.73, 95% confidence interval (CI) 1.49–9.34] or screening positive for one or more CMD (adjusted OR 6.48, 95% CI 3.35–2.54).Conclusion: People living with HIV showed a high prevalence of PTSD and CMD comorbidity. PTSD screening should be considered when the CMD screen is positive and there is a history of negative life events.

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“…[8][9][10] High rates of comorbidity between PTSD and depression have been reported in female victims of partner violence, as well as in Israeli and Vietnam veterans. [11][12][13] Furthermore, depression has been found to be the most common comorbid disorder in victims of fire and motor vehicle accidents diagnosed with PTSD. 14 In a review conducted by Boekamp et al, 15 the incidence of depression after SCL is found to be between 20 and 45%.…”

Section: Introductionmentioning

confidence: 99%

Post-traumatic stress disorder and emotional distress in persons with spinal cord lesion

Nielsen

2003

Spinal Cord

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Study design: Questionnaire. Objective: To evaluate the prevalence of post-traumatic stress disorder (PTSD) and emotional distress in persons with recent onset of spinal cord lesion. Setting: Denmark. Methods: A total of 69 patients with paraplegia or tetraplegia from two rehabilitation centres in Denmark filled in the questionnaire. PTSD and emotional distress were assessed using the Harvard Trauma Questionnaire and the Medical-Based Emotional Distress Scale, 83 days on average after the spinal cord lesion. The level of neurological lesion and completeness were recorded adhering to the International Standards for Neurological Classification of Spinal Cord Injury. Results: The prevalence of PTSD was 20%. Patients with PTSD experienced significantly more symptoms of depression and more emotional distress than patients without PTSD. Age and neurological level were related to PTSD in patients with traumatic injuries, but not in patients with nontraumatic lesions. Conclusions: Persons with a recent onset of spinal cord lesions are at increased risk of having PTSD, and comorbidities such as depression and other symptoms of emotional distress.

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Major depressive and post-traumatic stress disorder comorbidity in female victims of intimate partner violence

Cited by 220 publications

References 18 publications

Intimate Partner Violence and Comorbid Mental Health Conditions Among Urban Male Patients

Intimate Partner Violence and Comorbid Mental Health Conditions Among Urban Male Patients

Prevalence and correlates of probable post-traumatic stress disorder and common mental disorders in a population with a high prevalence of HIV in Zimbabwe

Post-traumatic stress disorder and emotional distress in persons with spinal cord lesion

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