Interpersonal Violence Intervention Research Articles

Trauma Theory and Abuse, Neglect and Violence Across the Life Course.

A literature review of recent prevalence and prospective studies on interpersonal violence (IPV) identifies a link among child abuse, intimate partner violence, and elder abuse that had not emerged from life-stage-specific studies on abuse, neglect, and violence against older persons. In line with a developmental understanding of IPV from a life course perspective, early life trauma is emerging as an explanatory theory of IPV across the life course. This paradigm shift in the field of elder abuse challenges more traditional explanations of IPV in old age, such as ageism, but opens up new opportunities for interventions leading to prevention and treatment of abuse, neglect, and violence against older adults. Prevalence studies that include older subjects and questions about violence experienced as children and younger adults consistently identify child abuse as a risk factor for IPV experienced in old age. Similarly, prospective studies on IPV that follow subjects from childhood to old age identify lifetime patterns of abuse. Qualitative studies of IPV in old age that include retrospective data suggest a link as well. IPV perpetrated against children and adults of all ages by persons in positions of trust can lead to trauma that has adverse lifelong behavioral and relational implications. This provides a link between trauma theory and violence against older people. Until recently, abuse, neglect, and violence were conceptualized differently based on the life stage of the victim. While historically the definitions for partner and non-partner violence diverged based on the life stage of victims, more recently this has begun to converge. Understanding violence from a life course and trauma-informed perspective better identifies risk factors and interventions for IPV against older adults. Intersectionality of age and gender variables demonstrate differences and similarities among populations studied.

A Qualitative Examination of Mothers’ Experiences in an Interpersonal Violence Intervention Initiative

A Qualitative Examination of Mothers’ Experiences in an Interpersonal Violence Intervention Initiative

Prevention interventions for interpersonal violence occurring under the influence of alcohol: A mixed method systematic review.

To (a) explore risk indicators related to interpersonal violence occurring under the influence of alcohol and to (b) search for interventions addressed towards violence perpetrators to prevent violence occurring under the influence of alcohol. Mixed method systematic review. This study has been registered in the International Prospective Register of Systematic Reviews with register number CRD42021217848. A systematic search was conducted on PubMed, CINAHL, PsycINFO and Scopus in October 2021. Two researchers independently examined 1076 papers following the inclusion criteria. After three rounds of selection (title, abstract and full text), the quality and bias assessments were conducted independently by two reviewers. The data were analysed with inductive and deductive content analyses. Of the 1076 papers retrieved, 16 papers were eligible for inclusion, addressing 13 different interventions. Interventions were divided into three types (individual-, group- and family-level) and were constructed on several background frameworks, with cognitive behavioural therapy being the most common framework. Family-level interventions seemed to yield the most effective results. Violence occurring under the influence of alcohol was mostly researched as men being the perpetrators and women being the victims of violence. Several indicators that increased the risk of violence victimization or perpetration, such as trait jealousy and disparity in education, were identified. Interventions emerging from the systematic review were heterogenous, and the outcomes of the interventions were versatile. The disparity between interventions and outcome measures made it challenging to reliably compare the effectiveness between interventions. Using standardized outcome measure instruments and unifying research on interventions are needed to reliably assess the effectiveness of different interventions.

A national implementation of a community-based intervention for mothers experiencing violence in relationships.

Interpersonal violence is a significant concern for families; thus interventions to support vulnerable mothers and children experiencing violence are essential. The purpose of this study was to present preliminary evaluation results from the national dissemination of an interpersonal violence intervention for mothers delivered in community-based programs across Canada. In 18 communities, 184 mothers participated in the intervention. Mothers reported on measures related to the self, relationships, parenting, and knowledge of community services, both before and after the intervention. Mothers comprised a high-risk, vulnerable population. Results indicated feasibility and acceptability, based on a high proportion of intervention completers and high levels of satisfaction. Women reported improvements in self-esteem, self-efficacy, relationship capacity, parenting stress, knowledge of community services, and understanding of relevant concepts compared to before the intervention (with small to medium effects). Additional analyses supported some of these findings as particularly robust. We discuss the importance of community-based projects in reaching diverse families, sustaining engagement with high levels of satisfaction, and supporting mothers in making changes relating to themselves, their relationships, and their parenting. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Trauma-informed and relational approaches to service provision: building community-based project capacity to respond to interpersonal violence through a national initiative

BackgroundCommunity services that engage and service marginalized families can act as an important entry point for mothers and children experiencing interpersonal violence. The purpose of this study was to use an initiative that included training, implementation, and evaluation of an interpersonal violence intervention to understand changes in the capacity of service providers in community-based organizations to use trauma-informed and relational approaches to support mothers and children experiencing violence in relationships.MethodsParticipants (N = 27) were service providers from 14 community-based organizations across Canada, who had been trained to implement an interpersonal violence intervention with mothers in their communities. Using a phenomenological approach, participants engaged in an open-ended interview in which they were encouraged to reflect on their experiences in the intervention initiative, with prompts relating to the ways in which their work and their organization may have changed as a result of their participation.ResultsFindings indicated that participants were able to identify changes in four key areas related to trauma-informed practice: awareness (e.g., attitudes toward interpersonal violence), competency (e.g., application of trauma-informed knowledge), collaboration (e.g., working with other organizations to provide services to children and families), and safety (e.g., organizational policies to ensure safe, welcoming spaces). Further, participants identified these areas of change at the level of themselves as facilitators of the interpersonal violence intervention, their organizations, and their communities.ConclusionsResults indicate that, through training, implementation, and evaluation of an interpersonal violence intervention, service providers in community-based projects were able to extend trauma-informed and relational principles not only to the intervention itself, but also to their own work, as well as that of their organizations and communities. With some additional support, leveraging the existing capacities within community-based projects may be an effective means to support mothers and children experiencing interpersonal violence and other challenges.

Developing and testing a readiness tool for interpersonal violence prevention partnerships with community-based projects.

Community-based projects that serve vulnerable families have the opportunity to identify and respond to interpersonal violence (IPV). We developed a readiness assessment tool to support selection of projects to participate in an initiative that involved implementing a community-based IPV intervention for mothers. The overarching aim of the current study was to describe the development of this tool and examine the reliability of coding, validity, and utility of the tool. After developing and refining the tool, 41 community-based projects completed the tool. Responses were coded and scored; scores were used to select projects for the initiative. Preliminary validation for the tool included (a) expert opinion, (b) uptake/implementation of the intervention, and (c) feedback and responses from service providers in terms of the usefulness and importance of the tool. This tool can be used by both researchers and service providers to assess community project readiness and capacity to provide trauma-informed services for vulnerable families.

Characteristics of interpersonal violence in adult victims at the Adult Emergency Trauma Centre (AETC) of Queen Elizabeth Central Hospital.

Globally, the burden of interpersonal violence and its significant impact on mortality, morbidity and disability makes it a major public health problem which necessitates intervention. This article examines characteristics of victims of interpersonal violence and violent events in Malawi. The focus is on a population that has been traditionally neglected in literature. Queen Elizabeth Central Hospital (QECH) maintains a trauma registry with data that is prospectively collected. Patients offered trauma care after interpersonal violence from May 2013 to May 2015 were evaluated. There were 1431 patients with violent events recorded at the Adult Emergency Trauma Centre (AETC) with a male predominance of 79.5%. The dominant age group was young adults between 25-29 years old (22%). Most attacks occurred during cold and dry season (46.9%) and most common location was on the road (37.2%). Alcohol use by victims was recorded in 10.5% of cases. Soft tissue injuries were the most common injuries sustained (74.1%). Most patients were treated as outpatients (80.9%). There were two deaths. At multivariate analysis, women had a lower risk of interpersonal violence as compared to men, (OR 0.82 [0.69-0.98]). Victims' use of alcohol was associated with increased risk of assault (OR 1.63 [1.27-2.10]). As compared to other places, odds of being assaulted were higher at home (OR 1.62 [1.27-2.06]) but lower at work (OR 0.68 [0.52-0.89) and on the road (OR 0.82 [0.65-1.03]). Odds of being assaulted were higher in the cold and dry season as compared to hot and dry season, (OR 1.26 [1.08-1.47]). Young males were most involved in interpersonal violence. Location of injury and seasonal variation were significant factors associated with interpersonal violence and most commonly sustained injuries were soft tissue injuries. These findings will help in identifying targeted interventions for interpersonal violence in Malawi and other low-and-middle-income countries (LMICs).

Mentoring Multi-College Bystander Efficacy Evaluation \u2013 an Approach to Growing the Next Generation of Gender-Based Interpersonal Violence Intervention and Prevention (VIP) Researchers

The Centers for Disease Control and Prevention provided funding (U01 CE002668) to evaluate bystander program efficacy to reduce gender-based violence on college campuses (Aim 1) and to create a mentoring network (Aim 2) for young campus-based researchers interested in violence intervention or prevention (VIP). While an evaluation of this mentoring program is ongoing, our purpose here was to document the strategies used to create, implement, and begin evaluation of this national multi-college mentoring network. As each public college was recruited into this evaluation named multi-college Bystander Efficacy Evaluation (mcBEE), each college was invited to nominate a researcher interested in receiving mentorship as a mcBEE fellow. Senior faculty with active VIP research careers were recruited as mentors. Mentorship occurred through annual meetings over time (2015–2019), weekly to bimonthly calls or video conferencing with 2–3 other fellows, and a mentor forming a group with 3–4 mentees, termed a hive. The initial focus of hive meetings was 1) creating and maintaining an active daily writing practice and 2) developing productivity plans, to include research, personal, and professional goals. Manuscript and grant writing feedback was provided throughout the network electronically or ‘live’ workshops. Annual surveys were implemented to investigate program efficacy. Our mcBEE team was able to successfully assemble a national network of VIP fellows and provide small group and individualized mentoring. Our ultimate goal was that of supporting our fellows’ own trajectories in gender-based VIP research, teaching, administration, or service. Evaluation of our fellow and mentor cohort is ongoing (2015–2019).

Youth and Young Adult Victims of Interpersonal Violence at LA County + USC Medical Center: A Review of Epidemiology and Recidivism

Youth and young adult interpersonal violence (IPV) is a unique clinical challenge which merits study. This study defined the demographics and clinical outcomes of youth and young adult victims of IPV presenting to our hospital while examining violent injury recidivism. We reviewed patients aged 10 to 30 years admitted to our trauma bay as a victim of gunshot wound (GSW), stabbing wound, or blunt assault from 1998 to 2015 (n = 12,549). Logistic regression analysis was conducted to compare patient mortality across demographic characteristics, and Cox proportional hazards regression was used to determine risk factors for recidivism. Male (92%) and Hispanic patients (75%) constituted the majority of admissions. We observed differences in the mortality rate by gender (9% in males vs 5% in females, P < 0.001), race/ethnicity (5% non-Hispanic white vs 9% Hispanic, P = 0.001), insurance status (3% insured vs 10% uninsured, P < 0.001), and mechanism of injury (13% GSW, 2% stabbing wound, and 0.3% blunt assault, P < 0.001). Male gender, younger age, GSW, and amphetamine placed patients at higher risk for IPV recidivism (P < 0.05). This study demonstrates the need to better understand how demographics and economics are associated with youth and young adult IPV. In addition, future IPV prevention and intervention initiatives can be tailored to suit the unique needs of our population.

Attitudes Toward Violence and Gender as Predictors of Interpersonal Violence Interventions.

The purpose of the research was to determine whether attitudes toward violence (ATV) and participant sex would influence notions about interpersonal violence (IPV) intervention by university students. It was anticipated those who held stronger cultural and reactive violence attitudes and males would be less in favor of intervention, but it was not certain whether gender or attitudes would be the stronger predictor for intervention approaches. An IPV intervention scale was developed to measure preferred approaches for intervention, which resulted in four approaches (affirmative intervention, no intervention, police intervention, and intervention threshold). A total of 420 university student volunteers completed the IPV intervention questionnaire followed by an ATV scale on an electronic data collection site. Results indicated ATV subtypes were stronger predictors of affirmative intervention than gender, but when considering cultural acceptability of violence, gender was the single predictor for a threshold of intervention. The findings have relevance for university and community intervention programs and public policy makers when attempting to alter the acceptability of violence to promote effective interventions.

Intimate Partner Violence and Risk of Psychiatric Symptoms: the Moderating Role of Attachment

Numerous studies have examined attachment in intimate partner violence (IPV) perpetration, but less is known about adult attachment insecurity relative to victimization. This study’s objective was to evaluate attachment insecurity as a moderator of the association between IPV victimization and risk of psychiatric symptoms. Data come from a subsample (n = 215) of female healthcare workers in a longitudinal study of violence and health. Structural equation modeling was conducted to evaluate the association between IPV victimization and posttraumatic stress and depressive symptoms and to examine IPV exposure and psychiatric outcomes by levels of attachment insecurity. Findings suggest that anxious attachment confers vulnerability to depression following conflict and highlight the importance of attachment security in the context of interventions for interpersonal violence.

Anger, aggression, and interventions for interpersonal violence

Contents: Preface. T.A. Cavell, K.T. Malcolm, The Anger-Aggression Relation. Part I: Anger, Aggression, and General Models of Intervention. R.W. Novaco, Anger Dysregulation. R. DiGiuseppe, C. Cannella, J. Kelter, Effective Anger Treatments Require a Functional Analysis of the Anger Response. H. Kassinove, Finding a Useful Model for the Treatment of Anger and Aggression. Part II: Natural and Therapeutic Functions of Anger and Its Expression. E.A. Harmon-Jones, C. Harmon-Jones, Anger: Causes and Components. B.O. Olatunji, J.M. Lohr, B.J. Bushman, The Pseudo-Psychology of Venting in Interventions for Anger and Related Conditions: Implications for Mental Health Practice. S. Paivio, M. Carriere, Contributions of Emotion Focused Therapy to the Understanding and Treatment of Anger and Aggression. L.S. Greenberg, J. Bischkopf, Anger in Psychotherapy: To Express or Not to Express? That Is the Question. Part III: The Anger-Aggression Relation in Violent Children and Adolescents. J. Snyder, L. Schrepferman, M. Brooker, M. Stoolmiller, The Roles of Anger, Conflict With Parents and Peers, and Social Reinforcement in the Early Development of Physical Aggression. K.L. Bierman, Anger and Aggression: A Developmental Perspective. C. Borduin, Multisystemic Treatment of Violent Youth and Their Families. J. Hubbard, M.D. McAuliffe, R.M. Rubin, M.T. Morrow, The Anger-Aggression Relation in Violent Children and Adolescents. Part IV: The Anger-Aggression Relation in Violent Families. O. Mammen, P.A. Pilkonis, D.J. Kolko, A. Groff, Anger and Anger Attacks as Precipitants of Aggression: What We Can Learn From Child Physical Abuse. A. Holtzworth-Munroe, K. Clements, The Association Between Anger and Male Perpetration of Intimate Partner Violence. S.T. Azar, K. Makin-Byrd, When Family Values Clash With Therapists' Goals and Methods of Treatment Delivery. D. Wolfe, Understanding Anger: Key Concepts From the Field of Domestic Violence and Child Abuse.