Figure - available from: Journal of Interpersonal Violence
This content is subject to copyright.
Source publication
Chinese immigrant survivors of men’s violence experience both significant mental health impacts from abuse and barriers to formal services. Therefore, we examined the preliminary efficacy of an innovative mobile-based empowerment-based intervention (self-compassion, health, and empowerment; SHE) that specifically focuses on abused Chinese immigrant...
Similar publications
This study conducted a meta-analysis to identify the primary risk and protective factors associated with the revictimization in intimate partner violence against women (IPVAW). Out of 2382 studies initially identified in eight databases, 22 studies met the inclusion criteria and provided the necessary data for calculating pooled effect sizes. The a...
Introduction
Childhood trauma is not restricted to abuse or neglect and other potentially traumatic experiences need to be pondered in practice and research. The study aimed to collect validity evidence of a new measure of exposure to a broad range of potentially traumatic experiences, the Childhood Interpersonal Trauma Inventory (CITI), by evaluat...
Citations
... Self-compassion is an important consideration when contextualising and understanding the resilience of women who experience IPV, as it has been identified as a significant source of inner strength during times of adversity (Karaksidou and Stalikas 2017). Self-compassion is understudied among IPV populations (Hall et al. 2009;Li et al. 2024;Scoglio et al. 2018;Tummala-Narra et al. 2012), and the consideration of positive psychological constructs, like self-compassion, are relatively new to IPV literature. Self-compassion is understood as a dynamic skill that enables individuals to direct compassion towards themselves for the experience of suffering (Neff 2023). ...
Limited access to social services often hinders women experiencing intimate partner violence (IPV) from seeking support. This mixed‐methods (survey‐ and interview‐based) study investigated the impact of a no‐cost, one‐month, self‐directed self‐compassion intervention on women experiencing IPV compared with women in non‐violent relationships. Among the 28 participants (n = 15 non‐IPV, n = 13 IPV), significant improvements were noted in total self‐compassion scores (F(2,52) = 6.126, p = 0.004, η²p = 0.18), and specific domains such as self‐kindness (F(2,52) = 6.552, p = 0.003, η²p = 0.20) and over‐identification (F(2,52) = 4.251, p = 0.020, η²p = 0.14) over time. Interview findings indicated that women perceived meaningful improvements in their mental health and resilience because of the intervention, with some women in violent relationships reporting that the intervention facilitated leaving the relationship. This intervention demonstrates strong potential as an accessible, effective health promotion intervention for women in violent relationships.
... After screening titles and abstracts, 493 full-text papers were considered for inclusion, of which 103 studies with 19,230 participants met the eligibility criteria and were included. [111][112][113][114][115][116][117][118][119][120][121][122][123][124][125][126][127][128][129][130] A total of 96 studies contributed to meta-analyses for at least one outcome (Fig. 1). References to the studies awaiting assessment as well as the excluded studies and the reasons for exclusion are reported in the Supplementary S2. ...
Background
Migrant populations are at increased risk of developing mental health problems. We aimed to compare the efficacy and acceptability of psychosocial interventions in this population.
Methods
We conducted a systematic review and network meta-analysis (NMA). Cochrane Central Register of randomised trials (CENTRAL), MEDLINE, PTSDpubs, PsycINFO, PubMed, CINAHL, EMBASE, Web of Science, Scopus, and ClinicalTrials.gov were searched from database inception to October 7, 2024, to identify randomized clinical trials assessing the efficacy of psychosocial interventions for migrant populations in reducing symptoms of post-traumatic stress disorder (PTSD), depression or anxiety. Studies with second-generation migrants were excluded if they comprised over 20% of participants. Two independent researchers screened, reviewed, and extracted data. The primary outcomes were the severity of PTSD, depression, and anxiety symptoms at post-intervention. Secondary outcomes included acceptability. Standardised mean differences (SMDs) and risk ratios (RRs) were pooled using pairwise and NMA. PROSPERO: CRD42023418817.
Findings
Of the 103 studies with 19,230 participants included, 96 contributed to the meta-analyses for at least one outcome, with women representing 64% of the participants. Narrative Exposure Therapy (NET), counselling, Eye Movement Desensitization and Reprocessing (EMDR), and creative expressive interventions demonstrated greater efficacy than treatment as usual (TAU) in reducing PTSD symptoms, with SMDs [95% Confidence Intervals (CIs)] ranging from −0.69 [−1.14, −0.24] to −0.60 [−1.20, −0.01], albeit with low confidence in the evidence. For depressive symptoms, Integrative therapy emerged as the top intervention compared to TAU, with moderate confidence (SMD [95% CI] = −0.70 [−1.21, −0.20]). For anxiety symptoms, NET, Integrative therapy, and Problem Management Plus (PM+)/Step-by-Step (SbS) were more effective than TAU, with SMDs [95% CIs] ranging from −1.32 [−2.05, −0.59] to −0.35 [−0.65, −0.05]. Still, the confidence in the evidence was low. Overall, head-to-head comparisons yielded inconclusive results, and the acceptability analysis revealed variations across interventions. 16% of the studies (17 studies) were classified as “high risk” of bias, 68% (70) as having “some concerns”, and 18% (19) as “low risk”. We identified considerable heterogeneity (I² of >70%).
Interpretation
The analysis revealed no clear differences in the efficacy of psychosocial interventions compared to TAU for reducing symptoms of PTSD, depression, and anxiety. While certain interventions showed potential benefits, confidence in these findings was generally low, limiting the ability to draw definitive conclusions about their comparative effectiveness.
Funding
This research received no specific grant from any funding agency.
... Here, we focus on feasibility and acceptability; detailed information about methods and preliminary efficacy can be found elsewhere (Y. Li et al., 2024). The study is registered in ClinicalTrials. ...
... Detailed information about these tools is provided elsewhere (Y. Li et al., 2024). ...
... Detailed information on participant flow is provided elsewhere (Y. Li et al., 2024). Out of the 25 participants in the intervention group, 19 completed the post-intervention assessment, while in the control group, 20 out of 25 participants completed the assessment. ...
Background
Intimate partner violence (IPV) is a significant public health concern, particularly in vulnerable populations such as Chinese immigrant women.
Aim
This study aimed to assess the feasibility and acceptability of an empowerment-based intervention integrated with relaxation and self-compassion techniques for Chinese immigrant women experiencing IPV.
Methods
The present study was a part of a pilot randomized controlled trial (RCT). A total of 50 Chinese immigrant women who had experienced IPV in the past year were recruited online and randomized to either the intervention or the control group. The intervention group engaged in seven weekly sessions delivered with a phone call and a mobile application. Quantitative and qualitative data were collected through surveys and interviews to evaluate intervention adherence, participants’ perceptions, and areas for improvement.
Results
64% of the participants completed each weekly session, demonstrating favorable intervention adherence. The intervention was perceived to be helpful by most participants, with reported decreases in stress, anxiety, fatigue, pain, and family conflicts, and with reported improvements in emotion regulation and self-compassion. However, technical issues with the mobile platform and lack of personalization were identified as limitations.
Conclusion
This study demonstrates the feasibility and acceptability of the intervention for Chinese immigrant women experiencing IPV and warrants a full-scale RCT to determine its efficacy. It will be essential to personalize the intervention and reduce any barriers to participation.
... Intervention Evaluation. Three articles tested the effectiveness of intervention programs (Choi et al., 2019(Choi et al., , 2023Li et al., 2024). Choi et al. (2019Choi et al. ( , 2023 identified the high rate of church affiliation among Korean Americans and thus suggested that churches and faith leaders could play crucial roles in preventing DV and protecting survivors in Asian immigrant communities. ...
... At the 6-month follow-up assessment, the intervention group still reported higher knowledge and self-efficacy in DV prevention and intervention as opposed to the control group. Differently, Li et al. (2024) randomized controlled trial focused on Chinese victims' self-compassion, health, and empowerment after completing the SHE intervention. A total of 50 Chinese survivors were recruited and half of them completed the intervention. ...
Domestic violence (DV) is a prevalent social problems that threaten individuals’ health and well-being, and the issue of DV in Asian communities requires extensive and comprehensive investigation. Following the steps by Arksey and O’Malley, a scoping review was conducted to (a) summarize and synthesize existing quantitative evidence on the topic of DV in Asian immigrant communities in North America, and (b) identify research gaps in the literature to guide future work. Inclusion criteria were that (a) the studies must comprise a sample of Asian immigrants in North America, (b) the focus of the article was specifically on individuals’ experiences of DV in the past year or lifetime, (c) DV was measured as either independent or dependent variable, (d) full-text publications written in English, (e) articles must be peer-reviewed, quantitative studies. On completion of the review process, 35 full-text articles were identified for review. Across studies, five main topics emerged: factors related to DV victimization, prevalence and forms of DV, individuals’ attitudes and/or perceptions about DV, DV-related consequences, and intervention evaluation. Some less common topics include help-seeking behaviors and sources and culturally responsive scales. The findings of this review suggest that future research will benefit from using a nationally representative Asian sample and culturally sensitive tools, examining potential protective factors against DV victimization, and employing an experimental design to evaluate the effectiveness of culturally sensitive interventions. Policies should provide stronger support to agencies and practitioners to deliver culturally sensitive services.
