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Responding to the needs of survivors of intimate partner violence in Lithuania: perceptions of mental health and social care professionals
Abstract
Around eight out of ten survivors of domestic violence in Lithuania are women, and of those, eight out of ten suffer violence specifically from their intimate partners (IPV). Women who experience IPV are at higher risk of having mental health conditions. This study aims to explore the perspectives of mental health and social care professionals regarding the provision of mental health support to IPV survivors in Lithuania. Four focus groups were conducted among 29 service providers from across the country. Audio recordings were transcribed verbatim and analysed thematically using MAXQDA software. The five main themes derived from the analysis reveal: 1) low levels of IPV awareness among IPV survivors who seek support with their mental health; 2) a lack of specialised training among professionals as a barrier to effective support; 3) a low prioritisation on the national level; 4) little inter-sectoral collaboration which undermines the complexity of needed responses; 5) broader systemic problems. The provision of mental health support to IPV survivors lacks the recognition that IPV is gender-based violence and a major public (mental) health problem. The complexity of needed services is absent. Further research needs to explore the utilisation of mental health services by IPV survivors and their perceptions concerning it.
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Coercive control is an under researched type of intimate partner violence (IPV). The aims of this review were to (a) synthesize all available evidence regarding associations with coercive control and mental health outcomes including post-traumatic stress disorder (PTSD), complex PTSD, and depression; and (b) compare these with associations involving broader categories of psychological IPV. Primary studies which measured associations of coercive control with PTSD, complex PTSD, depression, or other mental health symptoms, were identified via a systematic search of electronic databases (PsycINFO, Medline, CINAHL, Scopus). Eligible studies involved observational designs and reported associations between coercive control and mental health outcomes, among participants who were at least 18 years old. Studies were published in peer-reviewed journals and English language. Random-effects meta-analyses were used to synthesize correlational data from eligible studies. The search identified 68 studies while data from 45 studies could be included in the meta-analyses. These indicated moderate associations involving coercive control and PTSD (r = .32; 95% confidence interval [.28, .37]) and depression (r = .27; [.22, .31]). These associations were comparable to those involving psychological IPV and PTSD (r = .34; [.25, .42]) and depression (r = .33; [.26, .40]). Only one study reported on the relationship between coercive control and complex PTSD and meta-analyses could not be performed. This review indicated that coercive control exposure is moderately associated with both PTSD and depression. This highlights that mental health care is needed for those exposed to coercive control, including trauma-informed psychological interventions.
Background:
The aim of this systematic review was to assess the magnitude of the association between types of IPV and mental health outcomes and shed light on the large variation in IPV prevalence rates between low-middle income countries and high-income countries.
Methods: Study design: Systematic review and meta-analysis. Data Sources: Cochrane, MEDLINE, EMBASE, PsycINFO, CINAHL, and ASSIA. Inclusion criteria: quantitative studies published from 2012 to 2020 on IPV exposure in women aged 16+, using validated measures. Analysis: Random effects meta-analyses; subgroup analysis exploring heterogeneity across population groups in different economic contexts.
Results: 201 studies were included with 250,599 women, primarily from high income countries. Higher prevalence rates were reported for women’s lifetime IPV than past year IPV. Lifetime psychological violence was the most prevalent form of IPV. Women in the community reported the highest prevalence for physical, psychological, and sexual violence in the past year compared to clinical groups. Perinatal women were most likely to have experienced lifetime physical IPV. Prevalence rates differed significantly (p=0.037 – p<0.001) for ‘any IPV’ and all subtypes by income country level. Meta-analysis suggested increased odds for all mental health outcomes associated with IPV including depression (OR=2.04 to 3.14), Post-Traumatic Stress Disorder (PTSD) (OR =2.15 to 2.66) and suicidality (OR=2.17 to 5.52).
Conclusions: Clinical and community populations were exposed to high prevalence of IPV and increased likelihood of depression, PTSD and suicidality. Future research should seek to understand women’s perspectives on service/support responses to IPV to address their mental health needs. Work with IPV survivors should be carried out to develop bespoke services to reduce IPV in groups most at risk such as pregnant and/or help-seeking women.
Intimate partner violence is characterized by violent actions against a person perpetrated by his or her former or current partner, regardless of cohabitation. It most frequently affects women, and one of its most relevant outcomes is the health problems associated with the experience of repeated violence. Thus, the main objective of this study is to analyse the prevalence of health problems among women for whom there was a medical suspicion of being victims of intimate partner violence. The specific objectives are to analyse the prevalence of (a) health risk behaviours; (b) traumatic injuries and intoxications; (c) mental health conditions; and (d) somatic diseases. We conducted a real-world, retrospective, observational, cross-sectional and multicentric study based on secondary data analyses of electronic health records and health care register data in patients of the Local Healthcare Unit of Matosinhos (between 2001 and 2021). The identified data were extracted from electronic health records corresponding to the Health Insurance Portability and Accountability Act Safe Harbor Standard. Information was obtained considering the International Classification of Diseases, the International Classification of Primary Care, and the Anatomical Therapeutic Chemical Classification System, as well as clinical notes (according to previously defined keywords). Considering all information sources, 1676 cases were obtained. This number means that just 2% of the women observed at this health care unit were suspected of being victims of intimate partner violence, which is far from the known statistics. However, we found much higher rates of all health risk behaviours, trauma and intoxication cases, mental health conditions, and somatic disorders we looked for, when compared to the general population. Early detection of these cases is mandatory to prevent or minimize their related health outcomes.
Study questions
To describe the prevalence of physical, sexual, and psychological intimate partner violence (IPV) against women in the European Union (EU) and to search for their determinants among demographic, socioeconomic, health-related factors, and partner characteristics.
Methods
Observational study. Data from the violence against women survey, the first study conducted in the EU, which simultaneously measured all dimensions of IPV and many characteristics. The EU Agency for Fundamental Rights randomly conducted face-to-face interviews among the 28 countries with 42,002 women aged 18–74 who resided in the survey country and spoke the language. IPV is defined by a positive answer to at least one question about physical, sexual, or psychological violence perpetrated by a current or ex-partner.
Findings
Among the 40,357 women having already been in a relationship, 51.7% (51.2–52.2) reported having been victims of violence in their lifetime. The prevalence of physical, sexual, and psychological IPV was, respectively, 20.0% (19.6–20.4), 8.4% (8.2–8.7), and 48.5% (48.1–49.0). Women, who were younger, employed, had highly qualified work, had at least one immigrant parent, lived in an urban setting, were unmarried, separated, divorced, widowed, childless, cohabited with a partner, and others over the age of 18, had worse self-perceived health, or a history of violence before the age of 15 were more likely to report IPV. It was the same when their partners had a lower level of education, no work, were home staying, earned less than they did, were involved in 10 years of relationship, were frequently drunk, or were violent otherwise.
Major implication
The lifetime prevalence of reported IPV among women in Europe is high and likely underestimated. The results emphasize the importance of a comprehensive definition of IPV and partners' characteristics. They highlight socioeconomic differences and poorer health status for victims of IPV.
Background
Perinatal intimate partner violence is a hidden under reported and difficult to identify problem which has negative effects on mother and child. The present study aimed to explore barriers and facilitators of perinatal intimate partner violence disclosure.
Methods
This qualitative study was carried out from October 2019 to January 2021 in Mashhad, Iran. Participants included 23 abused women (11 pregnant and 12 after birth) which were selected via purposive sampling. Semi-structured in-depth interviews and focus group discussion were conducted until the data saturation was achieved. The data analysis was performed based on conventional content analysis adopted by Graneheim & Lundman.
Results
The main themes “barriers to disclosure” and “facilitators of disclosure” were emerged as the result of data analysis. Barriers to disclosure included negative disclosure consequences and protection of family privacy. Facilitators of disclosure included maternal self-efficacy, threats to security, and formal and informal supportive networks.
Conclusions
Most abused women did not disclose violence despite routine screening for perinatal intimate partner violence in antenatal care. Recognizing the barriers to and facilitators of violence disclosure play an important role in eliminating barriers, strengthening facilitators, providing effective supportive services for abused women, and reducing perinatal violence. Focus on the barriers to and the facilitators of disclosure will be useful to policymakers, health program planners, and health care providers to identify and manage intimate partner violence, appropriately.
Purpose
Healthcare settings remain important contexts for the identification of intimate partner violence (IPV); however, identification strategies for IPV are diverse and work in complex ways that may differ across contexts. To understand how, rather than if, IPV identification strategies work, we undertook a systematic review of reviews with realist synthesis.Methods
We undertook a search of five databases for full-text, peer-reviewed systematic reviews addressing identification strategies for IPV in healthcare contexts. We screened titles and full texts in duplicate and independently, appraised included systematic reviews and synthesized them using methods from realist synthesis to develop context-mechanism-outcome configurations (CMOCs).ResultsWe included 29 reviews reported in 32 publications. Our findings were summarized in four CMOCs at system, system–clinician, clinician and patient levels. CMOCs underscored the role of supportive clinical and practice contexts, patient-provider relationships and continuity of care to ensure the benefits, and reduce the potential harms, of a range of identification strategies. CMOCs also highlighted the importance of supporting clinicians through clinical policies and protocols to ensure a consistent, safe and effective response to IPV.Conclusions
Future work should address how supportive clinical contexts that facilitate effective inquiry, disclosure, and referral to services can be created, acknowledging that what works in one context may not work in another. Included systematic reviews did not permit exploration of how racial and ethnic diversity relate to identification strategies. This is an area requiring urgent research to inform clinical practice.
Purposeof Review
Intimate partner violence (IPV) is a complex traumatic experience that often co-occurs, or is causally linked, with other forms of structural violence and oppression. However, few IPV interventions integrate this social-ecological perspective. We examine trauma- and violence-informed care (TVIC) in the context of existing IPV interventions as an explicitly equity-oriented approach to IPV prevention and response.
Recent Findings
Systematic reviews of IPV interventions along the public health prevention spectrum show mixed findings, with those with a theoretically grounded, structural approach that integrates a trauma lens more likely to show benefit.
Summary
TVIC, embedded in survivor-centered protocols with an explicit theory of change, is emerging as an equity-promoting approach underpinning IPV intervention. Explicit attention to structural violence and the complexity of IPV, systems and sites of intervention, and survivors’ diverse and intersectional lived experiences has significant potential to transform policy and practice.
Purpose
The present study examines the association between psychological violence and posttraumatic stress disorder (PTSD), depression, and anxiety, while comparing the specific subtypes of psychological violence and simultaneously focusing on methodological shortcomings.
Method
A systematic review and random-effects meta-analyses were applied on the three main outcomes: PTSD, depression, and anxiety. Four electronic databases were searched (PsycINFO, PubMed, EMBASE, and Web of Science), and a total of 194 studies were included ( k = 149 for meta-analyses). GRADEpro was used to evaluate the certainty of the evidence from the meta-analyses.
Results
Psychological violence had strong associations with the three main outcomes, with the strongest association for PTSD in both female and male victims. Coercive control was particularly associated with PTSD for female victims, while emotional/verbal and dominance/isolation had the strongest association with depression. Although the identified studies were characterized by gender bias, psychological violence appear to affect male mental health too.
Discussion
Findings from the meta-analyses support the notion that psychological violence is a traumatic experience, which is strongly association with PTSD and other common mental health problems linked to trauma. GRADEpro rated the certainty of evince to be low, and thus, our confidence in the estimated effect is limited. Gender bias, the applied terminology, and other methodological shortcomings are discussed. Despite the substantial amount of research on this topic, more research is needed before we can draw any final conclusions on the effect of psychological violence on mental health.
Background
Economic abuse is a unique form of intimate partner violence (IPV) and includes behaviors that control a survivor’s ability to acquire, use, and maintain resources. These tactics can result in someone becoming economically dependent on their partner and may limit their ability to leave the relationship and establish independence. The aim of this study was to conduct a scoping review focused on the impact of economic abuse on survivors of IPV.
Methods
A total of 14 databases were reviewed, which resulted in 35 peer-reviewed manuscripts for inclusion in the study. Manuscripts were included if they were: written in English, published since the year 2000, focused specifically on the impact of economic abuse perpetrated by an intimate partner, economic abuse was measured as an independent variable, and if economic abuse was looked at separately from other forms of IPV. Both convenience and population-based samples were included in the review. Information was extracted using a data charting form. The data were analyzed using a combination of grouping techniques and constant comparison methods to identify key findings.
Results
Studies found significant associations between economic abuse and a range of outcomes, such as mental and physical health, financial impacts, parent-child interactions, and quality of life. The most frequently examined were mental health, followed by financial issues.
Conclusions
Limitations of these studies included a lack of longitudinal research and a focus on heterosexual relationships with male-perpetrated violence toward female survivors. Study findings highlight the wide-ranging potential impacts of economic abuse on survivors and the need for additional research to better understand potential outcomes and implement and evaluate interventions to address them.
Intimate partner violence (IPV) is an important problem that has significant detrimental effects on the wellbeing of female victims. The chronic physical and psychological effects of intimate partner violence (IPV) are complex, long-lasting, chronic, and require treatments focusing on improving mental health issues, safety, and support. Various psycho-social intervention programs are being implemented to improve survivor wellbeing. However, little is known about the effectiveness of different treatments on IPV survivors' wellbeing. For this purpose, we conducted a systematic review and meta-analysis to assess the effectiveness of interventions on improving outcomes that describe the wellbeing of adult female survivors of IPV. We searched PubMed, PsycINFO, and Cochrane Library. We explored the effectiveness of available interventions on multiple outcomes that are critical for the wellbeing of adult female victims of IPV. To provide a broad and comprehensive view of survivors' wellbeing, we considered outcomes including mental health, physical health, diminishing further violence, social support, safety, self-efficacy, and quality of life. We reviewed 2,770 citations. Among these 25 randomized-controlled-study with a total of 4,683 participants met inclusion criteria. Findings of meta-analyses on interventions indicated promising results in improving anxiety [standardized mean difference (SMD) −7.15, 95% confidence interval (CI) −8.39 to −5.92], depression (SMD −0.26, CI −0.56 to −0.05), safety (SMD = 0.43, CI 0.4 to −0.83), violence prevention (SMD = −0.92, CI −1.66 to −0.17), health (SMD = 0.39, CI 0.12 to 0.66), self-esteem (SMD = 1.33, CI −0.73 to 3.39), social support (SMD =0.40, CI 0.20 to 0.61), and stress management (SMD = −8.94, CI −10.48 to −7.40) at the post-test. We found that empowerment plays a vital role, especially when treating depression and Post-Traumatic Stress Disorder (PTSD), which are difficult to improve across interventions. We found mixed findings on self-efficacy and quality of life. The effects of IPV are long-lasting and require treatments targeting co-morbid issues including improving safety and mental health issues.
Sexual and gender minority (SGM) individuals experience intimate partner violence (IPV) victimization at disproportionate rates compared to cisgender and heterosexual individuals. Given the widespread consequences of experiencing IPV victimization, intervention and prevention strategies should identify readily accessible and culturally competent services for this population. SGM individuals who experience IPV victimization face unique individual-, interpersonal-, and systemic-level barriers to accessing informal and formal support services needed to recover from IPV. This chapter reviews IPV victimization prevalence rates among SGM individuals in the context of minority stress and highlights unique forms of IPV victimization affecting this population, namely identity abuse. The literature on help-seeking processes among IPV survivors in general and help-seeking patterns and barriers specifically among SGM individuals who experience IPV victimization in the context of minority stress (e.g., discrimination, internalized stigma, rejection sensitivity, identity concealment) are discussed. How minority stressors at individual, interpersonal, and structural levels act as barriers to help-seeking among SGM individuals experiencing IPV victimization is presented. The chapter concludes with a review of emerging evidence for interventions aimed at reducing help-seeking barriers among SGM individuals who face IPV victimization and a discussion of future directions for research on help-seeking barriers in this population.
This article discusses economic and sexual violence against women, which are the two forms of intimate partner violence the least recognised by both Lithuanian society and the survivors of such abuse themselves. The authors of this article analyse the roots of this lack of recognition, and how it is affected and influenced by the patriarchal context and gendered conditioning of Lithuanian society. The article also explores how this conditioning contributes to the reasons why women in contemporary Lithuania still tend not to seek help, regardless of the endemic prevalence of intimate partner violence perpetrated against them. The article is based on a recent study completed in Lithuania. It suggests that a better recognition of economic and sexual coercive control as well as abandonment of ‘victim blaming’ attitudes could be followed by a broader education on gender equality and recognition of gendered stereotypes, in order to more effectively prevent and also respond to this significant social problem.
Depression is the most common mental disorder in pregnancy. An important risk factor in the development of prenatal depression is lifetime history of abuse. The current review quantitatively synthesized research on the association between history of abuse and prenatal depressive symptoms using a meta-analytic technique. A total of 3322 articles were identified through electronic searches of the following databases: PsycINFO, PubMed, CINAHL, and EMBASE Cochrane Collaboration databases between the years of 1980 and 2016. All were independently screened against the following inclusion criteria: articles reporting on original data that included measures of prenatal depression and abuse. Data were extracted by the first and second authors. Descriptive analyses were conducted using Excel version 15.32, and all analyses involving effect sizes were conducted using comprehensive meta-analysis (CMA) version 3.0. Seventy articles met the inclusion criteria and were included in the meta-analyses. Meta-bias detected no publication bias. Abuse had a significant positive relation with prenatal depressive symptoms, with effect sizes in the moderate range for any abuse (r¯ = 0.287), physical abuse (r¯ = 0.271), sexual abuse (r¯ = 0.259), and emotional abuse (r¯ = 0.340; Cohen 1969. Statistical power analysis for the behavioral sciences. Academic Press, New York). The meta-analyses found a robust relation between abuse and prenatal depressive symptoms holding across a variety of demographic and study design characteristics. These results reinforce the established association between trauma victimization and subsequent psychopathology, extending current knowledge to specifically address the under-studied area of prenatal depression. These findings highlight the need for women who have survived child or adulthood abuse to receive appropriate referral and psychological treatment to mitigate their risk for prenatal depression.
Objective
We reviewed cohort studies to determine the magnitude and temporal direction of the association between recent intimate partner violence (IPV) and a range of adverse health outcomes or health risk behaviours.
Design
Systematic review and meta-analysis.
Methods
Medline, EMBASE and PsycINFO were searched from the first record to November 2016. Recent IPV was defined as occurring up to and including the last 12 months; all health outcomes were eligible for inclusion. Results were combined using random-effects meta-analysis.
Results
35 separate cohort studies were retrieved. Eight studies showed evidence of a positive association between recent IPV and subsequent depressive symptoms, with a pooled OR from five estimates of 1.76 (95% CI 1.26 to 2.44, I²=37.5%, p=0.172). Five studies demonstrated a positive, statistically significant relationship between depressive symptoms and subsequent IPV; the pooled OR from two studies was 1.72 (95% CI 1.28 to 2.31, I²=0.0%, p=0.752). Recent IPV was also associated with increased symptoms of subsequent postpartum depression in five studies (OR=2.19, 95% CI 1.39 to 3.45, p=0.000), although there was substantial heterogeneity. There was some evidence of a bidirectional relationship between recent IPV and hard drug use and marijuana use, although studies were limited. There was no evidence of an association between recent IPV and alcohol use or sexually transmitted infections (STIs), although there were few studies and inconsistent measurement of alcohol and STIs.
Conclusions
Exposure to violence has significant impacts. Longitudinal studies are needed to understand the temporal relationship between recent IPV and different health issues, while considering the differential effects of recent versus past exposure to IPV. Improved measurement will enable an understanding of the immediate and longer term health needs of women exposed to IPV. Healthcare providers and IPV organisations should be aware of the bidirectional relationship between recent IPV and depressive symptoms.
PROSPERO registration number
CRD42016033372.
The purpose of this project was to assess the magnitude of the relationship between violence against women and cancer; to identify the exposures and cancers for which this relationship was particularly robust; to identify the effect of violence exposure on cancer screening. We conducted a meta-analysis of 36 studies to determine the relationship between violence against women and cancer outcomes, including screening, in 2017. Results from this review provide evidence of a significant, positive relationship between violence and cancer diagnoses, particularly for cervical cancer. Women who were victims of intimate partner violence and sexual abuse were more likely to be diagnosed with cancer compared with non-victims. Violence against women did not appear to be related to cancer screening practices and routine clinical service utilization; however, violence was associated with greater odds of abnormal pap test results. Victims of intimate partner violence and women who suffered physical abuse were more likely to have abnormal pap test results. In conclusion, use of screening tools for violence against women in clinical settings may improve the breadth and quality of research on violence against women and cancer. Investigators should consider how to creatively apply case-control and retrospective cohort designs to investigate the complex mechanisms and moderators of the relationship between violence against women and cancer.
Little research has assessed the impact of emotional intimate partner violence (IPV) and economic IPV on women’s mental health. Using cross-sectional data from the Stepping Stones and Creating Futures intervention trial baseline, in eThekwini Municipality, South Africa we assess three questions. First, whether emotional IPV and economic IPV make independent contributions to mental health outcomes; second what matters, severity, variety, or absolute experience? and third, are some items more important in driving mental health impacts than others? We assess associations between past 12-month emotional IPV, past 12-month economic IPV, and past week depressive symptoms and past four-week suicidal ideation. We describe the prevalence of each mental health outcome by individual items, including never/ever and frequency, and combined emotional IPV, and economic IPV, reporting depression scores and percentage of suicidal ideation and 95% confidence intervals (CI). Second, we created four-level categorical variables for combinations of emotional, economic, sexual and physical IPV, and present its frequency, and the mean/% and 95% CI for depression symptomatology and suicidal ideation. 680 women (aged 18–30) were enrolled. High levels of past year emotional IPV, economic IPV were reported. 45.3% reported clinically relevant symptoms of depression, and 30.0% past four-week suicidal ideation. All measures of emotional IPV and economic IPV showed a consistent positive correlation with CESD scores, and suicidal ideation. For all four-level categorical constructs the highest depression scores, and prevalence of suicidal ideation, were for combinations of emotional IPV or economic IPV with physical and/or sexual IPV. For depression in 17/18 combinations this was significantly different compared to women reporting no IPV. For suicidal ideation this was significant in 6/18 combinations all related to economic IPV. Emotional IPV and economic IPV have independent associations with women’s mental health, beyond physical IPV and sexual IPV, and also have distinct patterns between each other.
Trial registration
NCT03022370. Registered 13 January 2017, retrospectively registered.
Purpose:
Intimate partner violence (IPV) has been recognised as a major obstacle to the achievement of gender equality and human development. Its adverse physical and mental health consequences have been reported to affect women of all ages and backgrounds. Although Indigenous women seem to experience higher rates of partner abuse than non-Indigenous women, mental health consequences of IPV among this population are not yet clearly established in the literature. This study systematically reviewed the global literature on mental health outcomes and risk factors for mental ill health among Indigenous women who experienced IPV.
Methods:
Primary quantitative and mixed methods studies that reported about mental health and IPV among Indigenous women (aged 14+) were included. 21 bibliographic databases were searched until January 2017. Quality of included studies was assessed through the Newcastle-Ottawa Scale. Findings are reported according to PRISMA-P 2015.
Results:
13 studies were identified. The majority of studies reported very high rates of IPV and high prevalence of mental disorders. The most frequently identified types of IPV were physical and/or sexual violence, verbal aggression, and emotional abuse. The strongest predictor of poor mental health was physical violence. The most commonly reported mental health outcomes were depression and posttraumatic stress disorder.
Conclusions:
Despite the small number of studies identified, the available evidence suggests that experiences of IPV and mental disorders among Indigenous women are linked and exacerbated by poverty, discrimination, and substance abuse. More research is needed to better understand distributions and presentations of IPV-related mental illness in this population.
This article reviews the assumptions underlying sex offender legislation and discusses the incidence, prevalence, and causes of sex offending. The current sex offender legislation assumes that sex offenders are a homogeneous group who exhibit similar offending patterns irrespective of their type. It shows the importance of assessing the degree to which these assumptions comport to empirical information available about sex offenders and sex crimes. The trends in sex offending and victimization are summarized. Recidivism information is reviewed here in terms of general reoffending, sex offenders' general reoffending rates as compared to those for non-sexual offenders, and comparisons of general and sexual reoffending across several sex offender types. Several factors that contribute to criminal offenders' behavior, including those of a sociological, psychological, and biological nature are discussed. Finally, this article mentions that sex offending is a reprehensible behavior with long-lasting consequences for victims and needs to be managed, controlled, and prevented.
Depression and suicide are responsible for a substantial burden of disease globally. Evidence suggests that intimate partner violence (IPV) experience is associated with increased risk of depression, but also that people with mental disorders are at increased risk of violence. We aimed to investigate the extent to which IPV experience is associated with incident depression and suicide attempts, and vice versa, in both women and men.
We conducted a systematic review and meta-analysis of longitudinal studies published before February 1, 2013. More than 22,000 records from 20 databases were searched for studies examining physical and/or sexual intimate partner or dating violence and symptoms of depression, diagnosed major depressive disorder, dysthymia, mild depression, or suicide attempts. Random effects meta-analyses were used to generate pooled odds ratios (ORs). Sixteen studies with 36,163 participants met our inclusion criteria. All studies included female participants; four studies also included male participants. Few controlled for key potential confounders other than demographics. All but one depression study measured only depressive symptoms. For women, there was clear evidence of an association between IPV and incident depressive symptoms, with 12 of 13 studies showing a positive direction of association and 11 reaching statistical significance; pooled OR from six studies = 1.97 (95% CI 1.56-2.48, I (2) = 50.4%, p heterogeneity = 0.073). There was also evidence of an association in the reverse direction between depressive symptoms and incident IPV (pooled OR from four studies = 1.93, 95% CI 1.51-2.48, I (2) = 0%, p = 0.481). IPV was also associated with incident suicide attempts. For men, evidence suggested that IPV was associated with incident depressive symptoms, but there was no clear evidence of an association between IPV and suicide attempts or depression and incident IPV.
In women, IPV was associated with incident depressive symptoms, and depressive symptoms with incident IPV. IPV was associated with incident suicide attempts. In men, few studies were conducted, but evidence suggested IPV was associated with incident depressive symptoms. There was no clear evidence of association with suicide attempts. Please see later in the article for the Editors' Summary.
Thematic analysis is a poorly demarcated, rarely acknowledged, yet widely used qualitative analytic method within psychology. In this paper, we argue that it offers an accessible and theoretically flexible approach to analysing qualitative data. We outline what thematic analysis is, locating it in relation to other qualitative analytic methods that search for themes or patterns, and in relation to different epistemological and ontological positions. We then provide clear guidelines to those wanting to start thematic analysis, or conduct it in a more deliberate and rigorous way, and consider potential pitfalls in conducting thematic analysis. Finally, we outline the disadvantages and advantages of thematic analysis. We conclude by advocating thematic analysis as a useful and flexible method for qualitative research in and beyond psychology.
To be trauma-informed is to understand the involvement and impact of violence and victimization in the lives of most consumers of mental health, substance abuse, and other services. It is also to apply that
understanding in providing services and designing service systems to accommodate the requirements and vulnerabilities of trauma survivors and to facilitate their participation in treatment. This lesson will explain the difference between trauma-informed care and trauma-specific interventions, briefly review trauma history prevalences among consumers of mental health services, describe the development of a trauma-informed perspective in mental health, and discuss how standard clinical practices may inadvertently retraumatize those with trauma histories. This lesson will also outline the central features of a trauma-informed organization/department and the 5 principles of trauma-informed practice. Given the prevalence of traumatic experiences, especially those during development, and their long-standing effects on patients’ lives, the trauma-informed perspective offers a compelling and humane organizing principle for conceptualizing and addressing many of the problems and challenges facing those seeking mental health and other services.
The problem of subjectivity within psychological research has long been recognized. The practices of scientific psychology, however, continue to assume that objectivity is desirable, even if not completely possible, and that subjectivity is a source of bias that must be minimized or eliminated. Such a dispassionate stance has offered and continues to offer a range of benefits, not least a tight focus on participants' relevant responses. Nonetheless, in this article, we question the wisdom of always or automatically working to minimize participant and researcher subjectivity, and we invite psychological researchers to consider the benefits of a more, what we term, reflexive scientific attitude. We turn in particular to recent theoretical and methodological innovations within qualitative research in order to help us progress toward a more reflexive psychological science where subjectivity is re-viewed as a resource that can be tapped in order to contextualize and enrich the psychological research process and its products. (PsycINFO Database Record (c) 2012 APA, all rights reserved).
In 1996, the World Health Assembly declared violence a major public health issue. To follow up on this resolution, on Oct 3 this year, WHO released the first World Report on Violence and Health. The report analyses different types of violence including child abuse and neglect, youth violence, intimate partner violence, sexual violence, elder abuse, self-directed violence, and collective violence. For all these types of violence, the report explores the magnitude of the health and social effects, the risk and protective factors, and the types of prevention efforts that have been initiated. The launch of the report will be followed by a 1-year Global Campaign on Violence Prevention, focusing on implementation of the recommendations. This article summarises some of the main points of the world report.
Violence against women is a serious human rights abuse and public health issue. Despite growing evidence of the size of the problem, current evidence comes largely from industrialised settings, and methodological differences limit the extent to which comparisons can be made between studies. We aimed to estimate the extent of physical and sexual intimate partner violence against women in 15 sites in ten countries: Bangladesh, Brazil, Ethiopia, Japan, Namibia, Peru, Samoa, Serbia and Montenegro, Thailand, and the United Republic of Tanzania.
Standardised population-based household surveys were done between 2000 and 2003. Women aged 15-49 years were interviewed and those who had ever had a male partner were asked in private about their experiences of physically and sexually violent and emotionally abusive acts.
24,097 women completed interviews, with around 1500 interviews per site. The reported lifetime prevalence of physical or sexual partner violence, or both, varied from 15% to 71%, with two sites having a prevalence of less than 25%, seven between 25% and 50%, and six between 50% and 75%. Between 4% and 54% of respondents reported physical or sexual partner violence, or both, in the past year. Men who were more controlling were more likely to be violent against their partners. In all but one setting women were at far greater risk of physical or sexual violence by a partner than from violence by other people.
The findings confirm that physical and sexual partner violence against women is widespread. The variation in prevalence within and between settings highlights that this violence in not inevitable, and must be addressed.
Qualitative research explores complex phenomena encountered by clinicians, health care providers, policy makers and consumers. Although partial checklists are available, no consolidated reporting framework exists for any type of qualitative design.
To develop a checklist for explicit and comprehensive reporting of qualitative studies (in depth interviews and focus groups).
We performed a comprehensive search in Cochrane and Campbell Protocols, Medline, CINAHL, systematic reviews of qualitative studies, author or reviewer guidelines of major medical journals and reference lists of relevant publications for existing checklists used to assess qualitative studies. Seventy-six items from 22 checklists were compiled into a comprehensive list. All items were grouped into three domains: (i) research team and reflexivity, (ii) study design and (iii) data analysis and reporting. Duplicate items and those that were ambiguous, too broadly defined and impractical to assess were removed.
Items most frequently included in the checklists related to sampling method, setting for data collection, method of data collection, respondent validation of findings, method of recording data, description of the derivation of themes and inclusion of supporting quotations. We grouped all items into three domains: (i) research team and reflexivity, (ii) study design and (iii) data analysis and reporting.
The criteria included in COREQ, a 32-item checklist, can help researchers to report important aspects of the research team, study methods, context of the study, findings, analysis and interpretations.
The invisible nature of economic abuse contributes to its pervasiveness. Through interviews with 14 women survivors in Canada, this study identifies the ways in which economic abuse is (in)visible to survivors. There were three major themes: "Constructing and maintaining the fairy-tale" describes how gender roles and ideas of love concealed abuse. "The normalization of financial problems in heterosexual relationships" examines how disagreements about money were normalized in ways that masked abuse. "Recognizing economic abuse" describes how breaking away from expectations was critical to recognition. These findings can aid in improving support to help survivors identify, avoid, and escape economic abuse.
This chapter presents the essentials of conceptualising, designing and doing reflexive Thematic Analysis (TA), in counselling and psychotherapy. The authors contextualise TA as a family of methods, with some quite radically different approaches, ranging theoretically from ‘scientifically descriptive’ to ‘artfully interpretative’. After outlining key design and conceptual considerations for TA research, they describe the practice of reflexive TA, detailing a six-phase approach, illustrated with reference to our example study of living with alopecia. Throughout, the authors discuss the value of researcher subjectivity and practicing reflexivity, and encourage readers to strive to be a thoughtful, engaged, knowing researcher for quality reflexive TA.
Approximately 50% of both men and women will experience emotional intimate partner violence (IPV) in their lifetime—a form of violence highly associated with other forms of IPV—making it important to develop further understanding of for assessment and treatment purposes. The bio-psycho-social model was used to guide the study. Utilizing data from 181 studies, yielding 348 effect sizes, we conducted a meta-analysis examining mental and physical health correlates with emotional IPV perpetration and victimization. We also examined if mental and physical health correlates were significantly stronger for emotional IPV perpetration or victimization, as well as if correlates were stronger for men or women. Suicidal ideation, post-traumatic stress, anxiety, depressive symptoms, borderline personality disorder (PD), psychological distress, physical pain, trauma, anger, shame, poor physical health, antisocial PD, and somatic symptoms were significantly associated with emotional IPV victimization. Borderline PD, narcissism, emotional dysregulation, anger, post-traumatic stress, antisocial PD, psychopathy, depressive symptoms, anxiety symptoms, and trauma were significantly associated with emotional IPV perpetration. Anger, emotional dysregulation, and psychopathology were stronger correlates for emotional IPV perpetration compared to victimization, and post-traumatic stress disorder (PTSD) and psychological distress were stronger correlates for victimization. PTSD and suicidal ideation were stronger correlates of IPV victimization for women than men, and anger was a significantly stronger correlate of IPV perpetration for women than men. This study highlights the importance of a holistic approach when working with victims and perpetrators of IPV, focusing on the importance of taking all aspects of the bio-psycho-social model into account.
Intimate partner violence (IPV) affects millions of individuals across all demographics and ethnicities. Research has revealed a direct link between experiencing IPV and having adverse physical, mental, and financial outcomes which can create difficulties for survivors. Survivors experiencing these adverse outcomes are likely to seek out support to address these issues, increasing the likelihood that they will encounter mental health professionals (MHPs). MHPs can play a significant role in assessing and addressing IPV since they are often critical access points for those experiencing violence and are likely to counsel victims. Accurate identification of current or past IPV victimization is crucial to avoiding the potential of misdiagnosis of survivors. In addition, by applying and emphasizing an understanding of the connection between individual and structural explorations of gender, race, class, and other socially constructed identities, mental health professionals can utilize the skills necessary to challenge inequalities, which in turn can encourage survivors to create strategies that make sense to themselves and their communities. This study explores what is known about how MHPs are prepared to work with IPV. Peer-reviewed journals that were published between 2005 and 2019 were reviewed systematically to develop a better understanding of the existing literature. We sought to answer the question, “What is known about how MHPs are prepared to work with IPV?” This review identified 20 articles regarding training experiences of MHPs and how these experiences shaped their responses to and practice with those experiencing IPV.
Intimate partner violence (IPV) is a global public health problem that
has been shown to lead to serious mental health consequences. Due to its frequent co-occurrence with psychiatric disorders, it is important to assess for IPV in mental health settings to improve treatment planning and referral. However, lack of training in how to identify and respond to IPV has been identified as a barrier for the assessment of IPV. The present study seeks to better understand this IPV-related training gap by assessing global mental health professionals’ experiences of IPV-related training and factors that contribute to their likelihood of receiving training. Participants were French-, Spanish-, and Japanese-speaking psychologists and psychiatrists (N = 321) from 24 nations differing on variables related to IPV, including IPV prevalence, IPV-related norms, and IPV-related laws. Participants responded to an online survey asking them to describe their experiences of IPV-related training (i.e., components and hours of training) and were asked to rate the frequency with which they encountered IPV in clinical practice and their level of knowledge and experience related to relationship problems; 53.1% of participants indicated that they had received IPV-related training. Clinicians from countries with relatively better implemented laws addressing IPV and those who encountered IPV more often in their regular practice were more likely to have received training. Participants who had received
IPV-related training, relative to those without training, were more likely to report greater knowledge and experience related to relationship problems. Findings suggest that clinicians’ awareness of IPV and the institutional context in which they practice are related to training. Training, in turn, is associated with subjective appraisals of knowledge and experience related to relationship problems. Increasing institutional efforts to address IPV (e.g., implementing IPV legislation) may contribute to improved practices with regard to IPV in mental health settings.
Since initially writing on thematic analysis in 2006, the popularity of the method we outlined has exploded, the variety of TA approaches have expanded, and, not least, our thinking has developed and shifted. In this reflexive commentary, we look back at some of the unspoken assumptions that informed how we wrote our 2006 paper. We connect some of these un-identified assumptions, and developments in the method over the years, with some conceptual mismatches and confusions we see in published TA studies. In order to facilitate better TA practice, we reflect on how our thinking has evolved – and in some cases sedimented – since the publication of our 2006 paper, and clarify and revise some of the ways we phrased or conceptualised TA, and the elements of, and processes around, a method we now prefer to call reflexive TA.
Background:
Internationally, intimate partner violence (IPV) cohorts have demonstrated associations with depression and anxiety. However, this association has not yet been described in a UK population, nor has the association with serious mental illness (SMI).AimsTo explore the relationship between IPV exposure and mental illness in a UK population.
Method:
We designed a retrospective cohort study whereby we matched 18 547 women exposed to IPV to 74 188 unexposed women. Outcomes of interest (anxiety, depression and SMI) were identified through clinical codes.
Results:
At baseline, 9174 (49.5%) women in the exposed group had some form of mental illness compared with 17 768 (24.0%) in the unexposed group, described as an adjusted odds ratio of 2.62 (95% CI 2.52-2.72). Excluding those with mental illness at baseline, 1254 exposed women (incidence rate 46.62 per 1000 person-years) went on to present with any type of mental illness compared with 3119 unexposed women (incidence rate 14.93 per 1000 person-years), with an aIRR of 2.77 (95% CI 2.58-2.97). Anxiety (aIRR 1.99, 95% CI 1.80-2.20), depression (aIRR 3.05, 95% CI 2.81-3.31) and SMI (aIRR 3.08, 95% CI 2.19-4.32) were all associated with exposure to IPV.
Conclusions:
IPV remains a significant public health issue in the UK. We have demonstrated the significant recorded mental health burden associated with IPV in primary care, at both baseline and following exposure. Clinicians must be aware of this association to reduce mental illness diagnostic delay and improve management of psychological outcomes in this group of patients.Declaration of interestNone.
Intimate partner violence (IPV) is a health epidemic. Health care professionals have a unique and critical role to play. It is expected that health care providers have the ability to engage in an informed response to IPV, which is crucial to the safety of the woman, improving health outcomes, and preventing further violence. Screening procedures for IPV, along with the awareness of abuse indicators, have the potential to significantly identify women who have been exposed to IPV. Identification of IPV will enable the health care provider to offer support, build trust, validate concerns, and offer community resources.
Background
The magnitude of intimate partner violence (IPV) in young women is a source of increasing concern. The prevalence of IPV has not been analysed in Europe as a whole. The objective was to assess the prevalence and main characteristics of experiencing physical and/or sexual and psychological-only IPV among young women in the European Union and to identify individual and contextual associated risk factors.
Methods
We analysed a cross-sectional subsample of 5976 ever-partnered women aged 18–29 years from the European Union Agency for Fundamental Rights Violence Against Women Survey, 2012. The main outcomes were current physical and/or sexual IPV and lifetime psychological-only IPV. Risk factors were assessed by the prevalence ratio (PR) from multilevel Poisson regression models.
Results
Current prevalence of physical and/or sexual IPV was 6.1%, lifetime prevalence of psychological-only IPV was 28.7%. Having suffered physical and/or sexual abuse by an adult before age 15 was the strongest risk factor for IPV (PR: 2.9 for physical and/or sexual IPV, PR: 1.5 for psychological-only IPV). Other individual risk factors were: perceived major difficulties in living within their household income (PR: 2.6), having children (PR: 1.8) and age 18–24 years (PR: 1.5) for physical/sexual IPV and immigration background for psychological-only IPV (PR: 1.4). Living in countries with a higher prevalence of binge drinking or early school dropout was positively associated with IPV.
Conclusions
Findings show that the fight against violence in young women should consider individual characteristics, childhood experiences of abuse and also structural interventions including reduction of alcohol consumption and improvement in the education-related indicators.
This study intends to characterize the current situation in Portugal regarding intimate partner violence (IPV) disclosure by the victims and its detection and report by the National Health Service (NHS) professionals, in order to promote the health and protection of the former. We interviewed 101 adult victims of IPV who sought care in the NHS. The results reveal that a relevant number of victims did not disclose the abuse to NHS physicians (18.8 %). According to the victims, in 57.9 % of the cases, physicians did not suspect IPV. In cases where there actually was suspicion (based on specific evidence and markers) or where there was no concealment of such type of violence, 52.3 % of the physicians did not inform the victims about the risks this situation posed to them, 89.8 % did not mention their obligation to denounce the case (as it is foreseen by the Portuguese law), and the number of injuries they described was lower than the one described in the forensic medical reports.
Viktimologinis tyrimas: Moterų su Negalia Smurto Patirtys
- S Aginskaitė
- R Uscila
Aginskaitė, S., and R. Uscila. 2023. "Viktimologinis tyrimas: Moterų su Negalia Smurto Patirtys." Accessed June 20,
2022. https://www.lnf.lt/wp-content/uploads/2022/03/Viktimologinio-tyrimo-ataskaita-LNF.pdf.
National Intimate Partner and Sexual Violence Survey: 2010 Summary Report
- M C Black
- K C Basile
- M J Breiding
- S G Smith
- M L Walters
- M T Merrick
- J Chen
- M R Stevens
Black, M. C., K. C. Basile, M. J. Breiding, S. G. Smith, M. L. Walters, M. T. Merrick, J. Chen, and M. R. Stevens. 2011.
"National Intimate Partner and Sexual Violence Survey: 2010 Summary Report." National Center for Injury
Prevention and Control Centers for Disease Control and Prevention. https://doi.org/10.1093/oxfordhb/
9780199844654.013.0003.
Supporting Research in Counselling and Psychotherapy
- V Braun
- V Clarke
- N Hayfield
- L Davey
- E Jenkinson
Braun, V., V. Clarke, N. Hayfield, L. Davey, and E. Jenkinson. 2022. "Doing Reflexive Thematic Analysis." Supporting
Research in Counselling and Psychotherapy. https://doi.org/10.1007/978-3-031-13942-0_2.
It's her Own Fault': History of Violence against Women in 20th Century Lithuania
- S Černevičiūtė
- M Kareniauskaitė
Černevičiūtė, S., and M. Kareniauskaitė. 2021." 'It's her Own Fault': History of Violence against Women in 20th Century
Lithuania" Kaunas: Vytautas Magnus University. Accessed September 26, 2023. https://www.vdu.lt/lt/books/patikalta-smurto-pries-moteris-istorija-xx-a-lietuvoje/.
Getting Out from Intimate Partner Violence: Dynamics and Processes. A Qualitative Analysis of Female and Male Victims 'Narratives'
- A Dziewa
- F Glowacz
Dziewa, A., and F. Glowacz. 2022. "Getting Out from Intimate Partner Violence: Dynamics and Processes. A Qualitative
Analysis of Female and Male Victims 'Narratives'." Journal of Family Violence 37:643-56. https://doi.org/10.1007/
s10896-020-00245-2/Published.
- M M Hennink
- I Hutter
- A Bailey
Hennink, M. M., I. Hutter, and A. Bailey. 2020. Qualitative Research Methods. Accessed April 14, 2023. https://books.
google.pt/books?hl=lt&lr=&id=_InCDwAAQBAJ&oi=fnd&pg=PP1&dq=qualitative+research+methods&ots=
3ufKmUn1ku&sig=PVDgfSCEcTWVRMAmNZrPRtVz-vw&redir_esc=y#v=onepage&q=qualitative%20research%
20methods&f=false.
Intimate Partner Violence: What Health Care Providers should Know
- A Mckibbin
- K Gill-Hopple
McKibbin, A., and K. Gill-Hopple. 2018. "Intimate Partner Violence: What Health Care Providers should Know." The
Nursing Clinics of North America 53 (2): 177-88. Accessed June 28, 2023. https://doi.org/10.1016/j.cnur.2018.01.007.
Gender Matters: A Manual on Addressing Gender-based Violence Affecting Young People
- A.-R Pandea
- D Grzemny
- E Keen
- C Of Europe
- Pandea A.-R
Pandea, A.-R., D. Grzemny, E. Keen, and C. Of Europe. 2019. Gender Matters: A Manual on Addressing Gender-based
Violence Affecting Young People. Second ed. Accessed September 26, 2023. https://rm.coe.int/gender-matters-a-man
ual-on-addressing-gender-based-violence-affecting-/16809e1c34.
“In-Depth Study on All Forms of Violence against Women: Report of the Secretary-General,” 2006
- U N Secretary-General
- Secretary-General U. N.
Secretary-General, U. N. 2023. "In-Depth Study on All Forms of Violence against Women: Report of the Secretary-General," 2006." Accessed: Oct 11. https://www.un.org/womenwatch/daw/vaw/v-sg-study.htm.
Global, Regional and National Prevalence Estimates for Intimate Partner Violence against Women and Regional Prevalence Estimates for Non-Partner Sexual Violence Against Women
- S J White
- J Sin
- A Sweeney
- T Salisbury
- C Wahlich
- C M Guevara
- S Gillard
White, S. J., J. Sin, A. Sweeney, T. Salisbury, C. Wahlich, C. M. Montesinos Guevara, S. Gillard, et al. 2023. "Global
Prevalence and Mental Health Outcomes of Intimate Partner Violence among Women: A Systematic Review and
Meta-Analysis." Trauma, Violence & Abuse 25 (1): 494-511. Feb. https://doi.org/10.1177/15248380231155529.
WHO. 2021. "Violence against Women: Prevalence Estimates, 2018. Global, Regional and National Prevalence Estimates
for Intimate Partner Violence against Women and Regional Prevalence Estimates for Non-Partner Sexual Violence
Against Women." World Report on Violence and Health, March. Accessed January 3, 2024. https://www.who.int/
publications/i/item/9789240026681.
WHO and World Health Assembly. 1996. "Prevention of Violence: Public Health Priority." Accessed September 26,
2023. https://apps.who.int/iris/handle/10665/179463.
’It’s her Own Fault’: History of Violence against Women in 20th Century Lithuania” Kaunas: Vytautas Magnus University
- S Černevičiūtė
- M Kareniauskaitė
Law on Protection from Domestic Violence
- Lithuania Republic Of