A Longitudinal Investigation of Interpersonal Violence in Relation to Mental Health and Substance Use

Department of Psychiatry and Behavioral Sciences, Medical Universityof South Carolina, Charleston, SC 29425, USA.
Journal of Consulting and Clinical Psychology (Impact Factor: 4.85). 09/2008; 76(4):633-47. DOI: 10.1037/0022-006X.76.4.633
Source: PubMed


The authors examined longitudinally the mental health status of women as a function of different types and combinations of exposure to interpersonal violence. A structured telephone interview was administered to a household probability sample of 4,008 women (18-89 years of age), who were then recontacted for 1- and 2-year follow-up interviews. Interviews assessed lifetime violence history (i.e., sexual assault, physical assault, witnessed serious injury or violent death), past-year mental health functioning (i.e., posttraumatic stress disorder [PTSD], depression, and substance use problems), and new instances of violence occurring after the baseline interview. Results indicate that (a) lifetime violence exposure was associated with increased risk of PTSD, depression, and substance use problems; (b) odds of PTSD, depression, and substance use problems increased incrementally with the number of different types of violence experienced; (c) relations were fairly stable over a 2-year period; and (d) new incidents of violence between the baseline and follow-up interviews were associated with heightened risk of PTSD and substance use problems. Greater understanding of the cumulative impact of violence exposure will inform service provision for individuals at high risk.

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    • "For example, one study found that individuals who had been abused, neglected, or both, had significantly higher PCL-R scores than those who had not, even after controlling for differences in demographic characteristics and criminal history (Weiler and Widom 1996). In addition, early victimisation and neglect have been identified as predictors of traits associated with psychopathy such as violence, substance abuse, sexual offending, and callousness (for example, Hedtke et al. 2008). Porter (1996) also posits that childhood trauma may lead to the reduced affective responsiveness seen in psychopathy, as indexed by Factor 1. "
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    ABSTRACT: This study aimed to determine whether distinct subgroups of psychopathic traits exist in a sample of civil psychiatric patients, using data from the MacArthur Violence Risk Assessment Project (n = 810), by means of latent class analysis. Multinomial logistic regression was used to interpret the nature of the latent classes, or groups, by estimating the associations with criminal behaviour, violence, and gender. The best fitting latent class model was a 4-class solution: a ‘high psychopathy class’ (class 1; 26.4%), an ‘intermediate psychopathy class’ (class 2; 16.0%), a ‘low affective-interpersonal and high antisocial-lifestyle psychopathy class’ (class 3; 31.3%), and a ‘normative class’ (class 4; 26.3%). Each of the latent classes was predicted by differing external variables. Psychopathy is not a dichotomous entity, rather it falls along a skewed continuum that is best explained by four homogenous groups that are differentially related to gender, and criminal and violent behaviour.
    Full-text · Article · Jul 2015 · The Howard Journal of Criminal Justice
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    • "It is possible that when substance abuse was problematic for mothers, it, and not domestic violence, was the maltreatment report type. Although throughout the literature, substance abuse has been highly correlated with domestic violence (e.g., Bennett & Bland, 2008; Campbell, 2002; Hedtke et al., 2008; Martin, Moracco, Chang, Council, & Dulli, 2008), this relationship may play out differently for immigrants, given that in our study and prior child welfare studies, immigrant parents were less likely to have been identified as having concerns with substance abuse than nonimmigrant parents (Dettlaff, Earner & Phillips, 2009; Berger-Cardoso, Dettlaff Finno-Velasquez, Scott, & Faulkner, 2014). "
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    ABSTRACT: Many children involved with the child welfare system witness parental domestic violence. The association between children's domestic violence exposure and child welfare involvement may be influenced by certain socio-cultural factors; however, minimal research has examined this relationship. The current study compares domestic violence experiences and case outcomes among Latinas who are legal immigrants (n = 39), unauthorized immigrants (n = 77), naturalized citizens (n = 30), and US-born citizen mothers (n = 383) reported for child maltreatment. This analysis used data from the second round of the National Survey of Child and Adolescent Well-being. Mothers were asked about whether they experienced domestic violence during the past year. In addition, data were collected to assess if (a) domestic violence was the primary abuse type reported and, if so, (b) the maltreatment allegation was substantiated. Results show that naturalized citizens, legal residents, and unauthorized immigrants did not differ from US-born citizens in self-reports of domestic violence; approximately 33% of mothers reported experiences of domestic violence within the past year. Yet, unauthorized immigrants were 3.76 times more likely than US-born citizens to have cases with allegations of domestic violence as the primary abuse type. Despite higher rates of alleged domestic violence, unauthorized citizens were not more likely than US-born citizens to have these cases substantiated for domestic violence (F(2.26, 153.99) = 0.709, p = .510). Findings highlight that domestic violence is not accurately accounted for in families with unauthorized immigrant mothers. We recommend child welfare workers are trained to properly assess and fulfill the needs of immigrant families, particularly as it relates to domestic violence.
    Full-text · Article · Nov 2014 · Child Abuse & Neglect
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    • "Interpersonal violence, including childhood abuse (Little, 1999), intimate partner violence (Bracken, Messing, Campbell, La Flair, & Kub, 2010), and workplace violence (Campbell et al., 2011; Cavanaugh et al., 2012; Gerberich et al., 2004), are common among nurses and nursing personnel. Violence co-occurs (Anderson, 2002; Cavanaugh et al., 2012; Hedtke et al., 2008; Little, 1999), with nearly one-third of women who experience interpersonal violence experiencing more than one type (Hedtke et al., 2008). An accumulating literature also suggests that individuals who have experienced a greater number of traumatic events, particularly childhood adversities (Chapman et al., 2004; Edwards, Holden, Felitti , & Anda, 2003), are more likely to experience mental health symptoms including depression and PTS (Follette, Polusny, Bechtle, & Naugle, 1996; Graham-Bermann, Sularz, & Howell, 2011; Scott, 2007), as well as comorbid PTSD–depression (Kaltman, Green, Mete, Shara, & Miranda, 2010). "
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    ABSTRACT: This study examined the impact of cumulative violence victimization on health care workers' subsequent posttraumatic stress-depression comorbidity. Female nurses and nursing personnel (N = 1,044) answered questions about lifetime violence victimization (e.g., childhood abuse, intimate partner violence, and workplace violence) at baseline and completed the Primary Care Posttraumatic Stress (PTS) Disorder screen and Center for Epidemiologic Studies Depression Scale 6 months later. Seven percent screened positive for comorbid posttraumatic stress-depression at 6-month monitoring. Workers who reported one, two, or three or more types of violence victimization at baseline had 2.41 (p < .10), 2.35 (p > .05), and 6.44 (p < .01) greater odds, respectively, of subsequently screening positive for comorbid PTS-depression compared to their counterparts who reported no violence victimization at baseline. These results suggest the need to provide female nurses and nursing personnel with information about (1) the risk cumulative violence victimization poses for poorer mental health and functioning, and (2) evidence-based trauma informed treatment options outside their place of employment for those affected by violence victimization who develop mental health symptoms. [Workplace Health Saf 2014;62(6):224-232.].
    Full-text · Article · Jun 2014 · Workplace health & safety
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