Psychometric Characteristics of an Intimate Partner Violence Screening Tool in Women With Mental Disorders

Salahi, Behnaz; Mohammad‐Alizadeh‐Charandabi, Sakineh; Ranjbar, Fatemeh; Sattarzadeh-Jahdi, Niloofar; Abdollahi, Solmaz; Nikan, Fariba; Alizadeh-Asl, Rogayeh

doi:10.15296/ijwhr.2018.34

Cited by 8 publications

(9 citation statements)

References 19 publications

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“…Similar ndings were reported in primary care setting (27). Additionally, there are reports that DA victims do not want to voluntarily disclose their experience of DA with their HCPs and that clinicians may ignore the signs and symptoms of DA in the absence of screening (23). Good accuracy in the diagnosis of the past year of DA was demonstrated with a cut-off score of 3 in the WAST-short questionnaire among women with mental disorders and it is recommended that HCPs at psychiatric facilities should use these tools for DA screening (25).…”

Section: Discussionsupporting

confidence: 76%

“…Previous studies showed that women with mental disorders have an increased vulnerability to DA and have an increased likelihood of suicide attempts, substance abuse, noncompliance with treatment and disruption of family and social relations (23), and that female victims often experience an escalation of perinatal depression and anxiety. A Trinidadian study highlighted that among women who report DA, suicide, depression, somatisation and PTSD are common (26).…”

Section: Discussionmentioning

confidence: 99%

“…Our ndings align with the results of a French study that highlighted how the French version of the WAST was a wellaccepted and valid screening tool in helping clinicians with early detection and a quick referral to speci c assistance in those experiencing abuse (22). A former cross-sectional study in Iran emphasised WASTshort with a cut-off score of 3 had good accuracy in the diagnosis of the previous year's DA among women with mental disorders and recommended the usage of such tools for DA screening (23). It was recognised that WAST-short could be used for initial DA screening in busy settings.…”

Section: Discussionmentioning

confidence: 99%

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What is the feasibility of using WAST-Short domestic abuse screening tool in primary care? An exploratory cross-sectional study in Northwest London

Sivarajasingam¹,

Karki

Bagkeris

et al. 2023

Preprint

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Background Domestic abuse (DA) is underdiagnosed in general practice. The primary care workforce plays a key role in the healthcare response to DA. Screening increases the early detection of DA in primary care, but such tools are not routinely used in primary care. We conducted a cross-sectional study of NHS patients across general practices in Northwest London to explore the use of a short DA screening tool in primary care. We explored the association of history of abuse with the WAST-short score after controlling for demographic characteristics. Methods An open, easily accessible anonymous 29-item e-Survey translated into 18 languages and including information on accessible support services was sent to eligible NHS patients (18 years and over) via SMS by general practices in Northwest London. Data was collected from 6,967 NHS patients between 3 March and 7 October 2022. Participants were asked about their personal experiences of DA. The WAST-short screening questionnaire was used to assess the degree of tension in the respondent's relationship of concern and their perceived difficulty in working out arguments within that relationship. The WAST-Short score was calculated by adding the points allocated to the answers to these two questions. Regression analysis explored the association between WAST-short score and a history of abuse. Results Data from 4,253 respondents to the anonymous survey were analysed. Almost half of the respondents confirmed having experienced DA, whereas 6.1% declined disclosure. After adjusting for a priori confounders (age, gender and ethnicity), the multivariable logistic regression model showed that those who disclosed a history of abuse and those who 'would rather not say' had significantly higher odds of having tension in their relationship and higher odds of having difficulty in working out arguments compared to those with no history of abuse. Conclusions Screening identifies victims, in particular, the cohort who may be struggling to disclose their experiences of abuse. The use of the validated non-obtrusive two-item WAST-short tool could help with the early identification of DA survivors in primary care. Upskilling health and social care professionals in administering this brief non-threatening screening tool would help raise awareness, identify and support victims.

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Section: Discussionsupporting

confidence: 76%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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What is the feasibility of using WAST-Short domestic abuse screening tool in primary care? An exploratory cross-sectional study in Northwest London

Sivarajasingam¹,

Karki

Bagkeris

et al. 2023

Preprint

View full text Add to dashboard Cite

show abstract

“…The correlations carried out allowed the authors to conclude that although WAST is usually applied in the long version, with 8 questions, in the adapted version (WAST-M) there are two scales that can be evaluated separately, the WAST-M short (Question 1 and Question 2), and the IPV Assessment or WAST-M long (Questions 3 to 8). These data confirm the characterization of the WAST as a single instrument divided into two parts, where the WAST-short consisting of the first two questions, was used to trace the presence of abuse, while the remaining six questions were used for a complete assessment of IPV in relation to the three areas of IPV -physical, sexual and psychological (Salahi et al, 2018).…”

Section: Discussionsupporting

confidence: 73%

Cross-cultural adaptation of an intimate partner violence screening tool (WAST) for the Mozambican context; implications for more effective HIV prevention and treatment counseling

Matavel¹,

Munguambe²,

Wilson³

et al. 2021

Int. J. Psychol. Couns.

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“…Salahi et al (2018) assessed validity of an intimate partner violence screening tool in women with mental health conditions at a psychiatric hospital in Iran. 41 They found that the Farsi version of the Women Abuse Screening Tool (WAST) (and the WAST-Short Form) was easy to implement, suitable for initial screening in busy settings and correlated well with prevalence from the reference standard Conflict Tactics Scale-2. This study was assessed to have low risk of bias, indicating promising evidence to support this intervention's effectiveness.…”

Section: Sexual Violencementioning

confidence: 99%

From words to actions: systematic review of interventions to promote sexual and reproductive health of persons with disabilities in low- and middle-income countries

et al. 2020

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IntroductionPersons with disabilities have the same sexual and reproductive health and rights (SRHR) as non-disabled persons. Yet they face numerous barriers in their access to sexual and reproductive health services and their rights are often not met. Evidence on SRHR for persons with disabilities is sparse, particularly evaluations of interventions demonstrating ‘what works.’ This systematic review assessed interventions to promote SRHR for persons with disabilities in low- and middle-income countries.MethodsWe searched for qualitative, quantitative or mixed method observational studies representing primary research, published between 2010 and 2019, using MEDLINE, Embase, PubMed, Global Health and CINAHL Plus. Search strings were compiled for different elements of SRHR and for all forms of disability. 24,919 records were screened, leading to over 380 relevant papers, most of which were descriptive, focussing on needs and barriers to SRHR needs being fulfilled. Of the 33 full-text articles assessed for eligibility, 18 were included in the synthesis. All included studies were assessed for bias and quality of evidence, using STROBE (Strengthening the Reporting of Observational Studies in Epidemiology) and RATS (relevance, appropriateness, transparency andsoundness) tools. Among the 16 interventions (from 18 articles), 25% had low risk of bias, 31% had moderate risk of bias and 44% had high risk of bias. Data analysis used narrative synthesis; a method suited for systematic reviews with heterogeneous studies. We used Levesque healthcare access model to analyse the focus of interventions.Results11 interventions were from upper middle-income settings; two from lower-income settings; only one operated in rural areas. Interventions addressed intellectual impairment (6), visual impairment (6), hearing impairment (4), mental health conditions (2) and physical impairments (2). Most interventions (15/16) focus on information provision and awareness raising. We could not identify any intervention promoting access to maternal health, family planning and contraception, or safe abortion for people with disabilities.ConclusionThis systematic review has highlighted stark gaps in evidence. More rigorous evaluations are needed.

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Psychometric Characteristics of an Intimate Partner Violence Screening Tool in Women With Mental Disorders

Cited by 8 publications

References 19 publications

What is the feasibility of using WAST-Short domestic abuse screening tool in primary care? An exploratory cross-sectional study in Northwest London

What is the feasibility of using WAST-Short domestic abuse screening tool in primary care? An exploratory cross-sectional study in Northwest London

Cross-cultural adaptation of an intimate partner violence screening tool (WAST) for the Mozambican context; implications for more effective HIV prevention and treatment counseling

From words to actions: systematic review of interventions to promote sexual and reproductive health of persons with disabilities in low- and middle-income countries

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