Systematic review of mental health disorders and intimate partner violence victimisation among military populations

Katherine Sparrow,Jamie Kwan,Louise Howard,Nicola Fear,Deirdre MacManus

doi:10.1007/s00127-017-1423-8

Abstract

PurposeThere is growing awareness of the problem of intimate partner violence (IPV) among military populations. IPV victimisation has been shown to be associated with mental disorder. A better understanding of the link between IPV and mental disorder is needed to inform service development to meet the needs of military families. We aimed to systematically review the literature on the association between IPV victimisation and mental health disorders among military personnel.MethodsSearches of four electronic databases (Embase, Medline, PsycINFO, and Web of Science) were supplemented by reference list screening. Heterogeneity among studies precluded a meta-analysis.ResultsThirteen studies were included. There was stronger evidence for an association between IPV and depression/alcohol problems than between IPV and PTSD. An association between IPV and mental health problems was more frequently found among veterans compared to active duty personnel. However, the link between IPV and alcohol misuse was more consistently found among active duty samples. Finally, among active duty personnel psychological IPV was more consistently associated with depression/alcohol problems than physical/sexual IPV. The review highlighted the lack of research on male IPV victimisation in the military.ConclusionsThere is evidence that the burden of mental health need may be significant among military personnel who are victims of IPV. The influence of attitudes towards gender in the military on research in this area is discussed. Further research is needed to inform development of services and policy to reduce IPV victimisation and the mental health consequences among military personnel.

Highlights

Intimate partner violence (IPV) is a serious, preventable public health problem that occurs in all settings and among all religious, cultural, and socioeconomic groups [1]
The link between intimate partner violence (IPV) and alcohol misuse was more consistently found among active duty samples
There is evidence that the burden of mental health need may be significant among military personnel who are victims of IPV

Summary

Introduction

Intimate partner violence (IPV) is a serious, preventable public health problem that occurs in all settings and among all religious, cultural, and socioeconomic groups [1]. Transitioning out of the military is associated with a range of additional psychosocial stressors [30,31,32,33,34,35] and veterans have been shown to report high levels of some mental health problems [36,37,38,39,40,41] It should, not be assumed that the correlates of IPV are consistent across civilian and military couples [42, 43] and they may even differ between military couples with an active serving partner and those with a partner who is a veteran [5, 41]

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