Intimate Partner Violence Research Articles

The Scenario of Intimate Partner Violence (IPV) & Increased Women’s Empowerment in Bangladesh

Intimate Partner Violence (IPV) remains a significant issue in Bangladesh, despite the recent strides in women’s empowerment. This study investigates whether the empowerment of women plays a role in reducing IPV, while also examining the influence of a patriarchal social structure on this dynamic. Utilizing qualitative research methods, this analysis draws primarily on secondary data sources, including journal articles, prior studies, news reports, and editorials. Process tracing, a storytelling-based analytical tool, is employed to explore the patterns and relationships involved. The findings suggest that while women's empowerment serves as a mitigating factor in reducing IPV, the entrenched patriarchal nature of male dominance initially triggers resistance to both empowerment and IPV reduction efforts. Nonetheless, the study argues that this resistance can be overcome through concerted efforts, involving government and NGO initiatives that focus on effective law enforcement, supportive policies, and the creation of a safe and respectful environment for women. These collaborative approaches offer promising pathways for addressing IPV in Bangladesh.

How Do People Make Sense of Intimate Partner Violence (IPV) in the Context of Perpetrator PTSD Diagnostic Status and Gender Identity?

Background: Intimate partner violence (IPV) has profound effects on victim physical and mental health, considerable social and economic costs and is a significant public health concern. Research suggests that the way the public make sense of IPV may vary in different contexts, as certain contextual factors may be used to explain, excuse or legitimise IPV. PTSD diagnostic status and perpetrator gender may be such contextual factors, but little research exists in this area. Objectives: This study explored how the public make sense of IPV in the context of perpetrator diagnostic status (PTSD or no PTSD) and gender identity (female, male or nonbinary) by exploring IPV ratings and IPV discourses. Methods: Two hundred and sixty-five (265) community participants were recruited via snowball sampling and presented one of six versions of the same story containing an account of IPV. Stories were identical across conditions bar perpetrator diagnostic status and gender identity. Participants rated the degree to which they thought the behaviour in the story constituted IPV. Approximately half the participants also completed a story completion task, and stories were analysed for themes. Results: IPV ratings were weighted towards abuse and did not vary with diagnostic status or gender identity. Five themes were identified in participant stories: (i) characterise the behaviour; (ii) trajectory of IPV; (iii) show compassion towards victim of IPV; (iv) hold victim of IPV responsible; and (v) context influences decision-making. Limitations, implications and directions for future research are discussed.

Risk of death after type of intimate partner violence (IPV) involvement

Abstract Background Most studies have focused on women’s intimate partner violence (IPV) victimization but perpetration and bi-directional violence remain understudied. Methods Using linked criminal justice and population registers in Manitoba, Canada, we assessed the risk of death according to the role in IPV incidents (accused-only, victim-only, bidirectional, none). In this retrospective matched cohort study, we assembled a cohort of 212,068 adults who were followed from April 2004 to March 2023 to assess IPV incidents and subsequent death. Those involved in an IPV incident were 1:3 matched to persons with no history of IPV based on birth year, sex and marital status at the time of the incident. Results Men comprised 85% of accused-only, 21% of victim-only, and 50-51% in the other two groups. Overall, compared to those without IPV involvement, the adjusted Hazard Ratios for all-cause mortality were 1.38 [95% Confidence Intervals (CI): 1.28, 1.49] for accused-only, 1.39 (1.29, 1.50) for victim-only and 1.45 (1.19, 1.77) for bidirectional IPV. The associations were stronger among women, particularly that of bidirectional violence [1.24 (0.97, 1.60) among men and 1.92 (1.39, 2.66) among women]. Similar patterns were found for intentional mortality [0.96 (0.56, 1.64) among men and 2.43 (1.27, 4.65) among women]. Conclusions There are clear sex inequities in IPV involvement. Any type IPV involvement is associated with higher risk of death, particularly among women, who comprise most of the victims. Key messages • Any type IPV involvement is associated with higher risk of death, particularly among women, who comprise most of the victim. • Use of linked criminal justice data allows studying the consequences of IPV victimization, perpetration and bidirectional violence and monitor gender inequities over time.

The Associations Between Intimate Partner Violence and Mental Health Outcomes Among Sexual Minority Men: A Systematic Review and Meta-Analysis.

Sexual minority men (SMM) experience intimate partner violence (IPV) at a substantially high rate and also bear high burdens of adverse mental health outcomes. This systematic review and meta-analysis aimed to consolidate existing evidence on the associations between experiencing IPV and adverse mental health outcomes (depressive symptoms, anxiety, stress, etc.) among SMM. Following the Preferred Reporting Items For Systematic Reviews and Meta-Analyses guideline, we identified 22 published studies encompassing data from 18,454 individuals, all of which were cross-sectional in design and half of which were conducted in the U.S. We found that experiencing IPV was associated with an increased risk of depressive symptoms and anxiety with a pooled Adjusted Odds Ratios (AORs) of 1.71 (95% CI [1.43, 2.05]) and 1.89 (95% CI [1.46, 2.43]), respective. Studies also found that IPV was positively associated with suicide-related risk (AOR = 2.71, 95% CI [2.21, 3.32] and perceived loneliness. Studies varied in their IPV measures and recall periods and used diverse mental health measurement tools like PHQ-9/GAD-7, Perceived Stress Scale, and the Suicide Behaviors Questionnaire-Revised. This systematic review and meta-analysis revealed an urgent need to examine the effects of IPV on SMM's mental well-being in low- and middle-income countries using standardized IPV measurement tools. Future research should employ a longitudinal design to track the long-term effects of IPV on the mental well-being of SMM and explore potential interventions for mitigating these impacts over time. These insights are crucial for enhancing IPV screening within healthcare settings and identifying key intervention targets aimed at improving the mental health of SMM.

Unintended pregnancies in the context of intimate partner violence: Findings from the ELSA-Study

Abstract Intimate partner violence against women (IPV) is a widespread problem with serious consequences for victims and for society. Women affected by IPV have an empirically proven particular risk of unintended pregnancies. ELSA “Experiences and Living Conditions of Unintended Pregnant Women - Counselling and Care Services” is the first study in Germany to analyse the connections between the situations of women and unintended pregnancies. Using an online questionnaire, women from 1) a random representative sample of residents with a child under 6 years of age and 2) a sample of 662 women from abortion facilities or counselling centres were surveyed in 2021. The data (n = 5,101) were analysed in order to compare the life situation and needs of victimized versus non-victimized women. 333 women (6.5% of the total sample; 95% CI [6.2, 7.6]) reported IPV. Victimized women had a 5.6 times higher risk for an unintended pregnancy (95% CI [4.2, 7.5]) and 3.2 times higher risk for an abortion (95% CI [2.0, 5.0]). The pregnancy was sig. more frequently the result of forced sex (CV= .210***). Victims with unintended pregnancies had a sig. poorer mental health before (t(510) = 7.081***), during (t(510) = 5.501***) and after birth (t(456) = 5.234***) as well as before (t(503) = 4.905***), during (t(224) = 3.408) and after (t(503) = 3.352***) abortion. They were sig. more likely to report feelings of guilt and shame (CV = .182***), self-blame (CV = .149***) and anxiety (CV = .190***) after the pregnancy was determined and they received sig. more unsolicited information from the medical staff (CV = .254**). The result shows that victimized women are in an increased risk situation in the context of unintended pregnancies. Health care professionals can play a special role in prevention and intervention. Nationwide awareness-raising training, protocols and commitment are required. Key messages • The study confirms international findings on IPV and unintended pregnancies for Germany. • There is a need for a sensitive approach within the health system to enhance prevention.

A university-based counseling program for perpetrators of family violence in Greece: initial evidence

Abstract Penal mediation is defined in Greek Law 3500/2006 and aims at repairing the harm caused to the victim of family violence and rebuild family relationships. Mediation process starts upon victims’ unreserved consent and perpetrators’ willingness to stop further acts of violence, attend a counseling program and restore any harm/damage caused to the victim. Then the prosecutor ceases the case for 3 years and refers the perpetrator to counseling. If any of the previous conditions are violated during this period the criminal procedure continues at the stage before mediation. A university lab in Crete, Greece (LaHeRS, HMU) offers one of the few in Greece perpetrators’ behavior change programs in collaboration with the Prosecutor’s Office. LaHeRS counseling program consists of a minimum of 24 sessions per offender based on an individual or group approach. Emphasis is placed on perceptions of power and control, anger management, trauma management, emotional expression, and social/communication skills. Each perpetrator is offered 2 sessions (intake/violence documentation and assessment of individual/couples’ needs), 2-3 sessions for psychiatric and risk assessment, 12-15 individual or group counseling sessions (combined with couples’ sessions, as necessary), 2-4 individual social support sessions. Sessions are conducted by trained psychologists and social workers. The current presentation reports on the Intimate partner violence (IPV) cases referred between February 2022 and December 2023. A total of 70 IPV cases attended the program (male n = 65; mean age 43.4; Greek n = 56; urban residence n = 49; children average=1.92). Physical violence was reported in 54 cases and verbal aggression in 43 cases. Four perpetrators had mental health problems and 6 were identified with some form of drug and alcohol misuse. Lack of communication and emotional skills, lack of parent emotional support, gender roles stereotypes and patriarchal attitudes were common among perpetrators. Key messages • It is important for perpetrators’ programs to address the underlying causes of criminal behavior to promote positive changes in perpetrators’ lives. • Effective penal mediation programs require collaboration and partnership between justice agencies, academia and community organizations.

Intimate Partner Violence: Access to Protection Beyond the Pandemic

Civil protection orders are the most common legal remedy victims pursue in response to intimate partner violence (“IPV”). They are more empowering for victims than the criminal legal system because victims themselves, instead of prosecutors, drive the process, and they offer more flexible and tailored relief. This Article argues that victims should be able to choose how they file petitions and participate in civil protection order hearings, and that judges should be required to honor those preferences absent good cause. This conclusion is driven by two new, original sets of empirical data collected from IPV survivors who have sought civil protection orders and legal services providers who assist victims with navigating the process. The data from legal services providers provide a picture of court protective order procedures in jurisdictions across the country from before, during, and in the late stages of the COVID-19 pandemic, once public health restrictions were generally lifted. This complements the rich data about the lived experiences of survivors who sought a protection order against their abuser during the pandemic in one of New York City’s five family courts. 85% of participants in this study are women of color, whose lived experiences are especially important to understand because they comprise a population that is disproportionately impacted by IPV. The data indicate that IPV victims have diverse preferences with respect to method of participation in hearings, based on their varying needs, concerns, priorities, and circumstances. The current landscape of procedures across the country largely fails to account for this diversity by mandating a particular participation method or by allowing individual judges to do so in accordance with their own preferences. Based on the research results, this Article argues for codifying “accessible process pluralism” in state protective order statutes. This statutory framework would give petitioners the opportunity to indicate their hearing participation preference on the petition itself and require judges to follow these choices absent good cause, among other accessibility-focused provisions. By harnessing the innovations and lessons from the pandemic, this proposal promotes survivor empowerment and access to justice for both petitioners and respondents.

Interrogating the environmental and social correlates of health risk behaviours in West Africa

Abstract Background Despite the high incidences of health risk behaviors (HRBs) in sub-Saharan Africa, studies on the contextual determinants of HRBs across countries are generally lacking, concentrated on isolated countries and often focus solely on specific health behaviors. Thus, this study investigated the environmental and social correlates of HRBs in West Africa. Methods Data was from post-2015 Demographic and Health Surveys in three West African countries of Benin, Mali and Nigeria. A composite outcome variable of health risk behaviors (HRBs) was derived from variables of tobacco smoking, intimate partner violence, overweight/obesity and risky sexual behaviors. The contextual variables were normalized difference vegetation index, precipitation, maximum and minimum temperatures, region of residence and population Density. Data analysis involved descriptive statistics, chi square test, geographical mapping, and multilevel logistic regression. Results The engagement in HRBs varied from 42.65% in Nigeria to 42.88% in Benin and 51.06% in Mali as there are spatial variations in the engagement in HRBs within different regions of these countries. There also existed significant variations in HRBs regarding age, education, employment status, wealth index, household size, place of residence, and region of residence in the three countries. In the contextual models of environmental and social factors, population density significantly increased odds of HRBs in the three countries, maximum temperature significantly increased odds of HRBs in Benin and Mali, while precipitation significantly increased odds of HRBs in Nigeria and Mali. Other factors which significantly increased odds of HRBs across the three countries were increase in age, wealth index, households with 9+ persons, and regions of residence. Conclusions These findings suggest that among other things, changes in lifestyles regarding the different HRBs should be emphasized in specific contextual situations Key messages • There are variations in engagement in health risk behaviours across the countries. • Cliamte variables influence engagement in health risk behaviours.

Students’ attitudes towards and willingness to intervene in partner violence against women in Sweden

Abstract Intimate partner violence against women (IPVAW) is a global public health problem, shown to be related to gender equality and to attitudes towards IPVAW. In Sweden, however, the reported prevalence of IPVAW is high, despite high levels of gender equality and a clear condemnation of such violence on the societal level. This phenomenon has been referred to as The Nordic paradox. One potential explanation for this paradox is that gender equality measures at the public level are not necessarily comparable to gender equality at a private level. One way to find out more about this is to investigate attitudes towards IPVAW at an individual level, which has so far been done to a limited extent in a Swedish context. In the current study, the aim was to investigate different aspects of attitudes to IPVAW (perceived acceptability, perceived severity, victim-blaming and ambivalent sexism) among university students in Sweden, and whether those attitudes were related to studentś willingness to intervene in cases of IPVAW. Any gender differences related to IPVAW attitudes and willingness to intervene were also examined. The respondents (n = 656, ≥18 years old) were recruited from three different universities and represented different scientific fields (e.g. social, behavioral, and technical sciences). Most of the respondents were undergraduate students and the majority were women (81%). The results showed that the students had rather non-accepting attitudes towards IPVAW overall, but viewed victims as to some extent responsible of the violence they are subjected to. There were no gender differences regarding willingness to intervene in cases of IPVAW, and attitudes to IPVAW were related to willingness to intervene. There were both similarities and differences between male and female students, in terms of how attitudes were linked to willingness to intervene. The presentation will discuss the results and their implications for future research, policy and practice. Key messages • Increased knowledge on attitudes towards IPVAW in Sweden may shed light on the Nordic paradox. • While non-accepting attitudes were found overall, gender differences and tendencies towards victim-blaming were identified.

Social networks and gender inequitable attitudes among men and women in rural Nepal

ABSTRACT Gender-inequitable attitudes are known factors associated with women’s experience of intimate partner violence (IPV). The current study aims to identify social network factors associated with gender-inequitable attitudes among men and women in Nepal. Data came from the baseline assessment for evaluating Change Starts at Home- an IPV prevention intervention in rural Nepal (N = 1994). Linear regression models adjusted for participant demographics provided the associations between participants’ gender-inequitable attitude scores (GIAS) and their social network characteristics. Results show that women who nominated their parents (beta = −1.29) or neighbours (beta = −1.18) had better GIAS while those nominating their brother-in-law/sister-in-law (beta = 0.36) had worse GIAS. Men with higher degree (beta = −0.27) and those who nominated their spouse (beta = −0.75) had better GIAS. Women’s GIAS was strongly associated with their alters’ when the alter was within their household, had a closer relationship, or the alter was male. Men’s GIAS was strongly associated with their alters’ attitudes when the alter was not from the same household or if they had a weak tie. Findings indicate that IPV prevention programmes must consider men’s and women’s network characteristics separately. For example, interventions for women should focus on relationships within their households, while interventions for men should focus on relationships outside their households.

Prevalence of Adverse Childhood Experiences Among Adolescents.

Adverse childhood experiences (ACEs) are preventable, potentially traumatic events with lifelong negative impacts. Population-level data on ACEs among adolescents have historically relied on parent reports and excluded abuse-related ACEs. We present the self-reported prevalence of ACEs among a large population-based sample of US high school students. Using cross-sectional, state-representative data from 16 states that included core ACE questions on their 2021 Youth Risk Behavior Survey, we estimate the prevalence of 8 individual (lifetime emotional, physical, or sexual abuse, physical neglect, witnessed intimate partner violence, household substance use, household poor mental health, incarcerated parent or guardian) and cumulative ACEs (0, 1, 2-3, ≥4) among a large population-based sample of adolescents, overall and by demographic characteristics (sex, race and ethnicity, age, sexual orientation). Emotional abuse (65.8%), household poor mental health (36.1%), and physical abuse (32.5%) had the highest prevalence. ACEs were very common, with 80.5% of adolescents experiencing at least 1 ACE and 22.4% experiencing ≥4 ACEs. Experiencing ≥4 ACEs was highest among adolescents who were female (27.7%), non-Hispanic multiracial (33.7%), non-Hispanic American Indian or Alaska Native (27.1%), gay or lesbian (36.5%), bisexual (42.1%), or who described their sexual identity some other way or were not sure of their sexual identity (questioning) (36.5%). Self-reported ACE estimates among adolescents exceed previously published parent-reported estimates. ACEs are not equally distributed, with important differences in individual and cumulative ACEs by demographic characteristics. Collecting ACE data directly from adolescents at the state level provides actionable data for prevention and mitigation.

The impact of intimate partner violence on adverse birth outcomes in 20 sub-Saharan African countries: propensity score matching analysis

BackgroundIntimate partner violence (IPV) is a significant public health problem, with serious consequences on women's physical, mental, sexual, and reproductive health, as well as birth outcomes. Women who encounter IPV are more likely to experience adverse birth outcomes such as low birth weight, premature delivery, and stillbirth. Although numerous studies are exploring the association between IPV and adverse birth outcomes, they merely used classical models and could not control for potential confounders. The purpose of this study was to ascertain whether there was a causation between IPV and adverse birth outcomes in sub-Saharan Africa (SSA) using a quasi-experimental statistical technique [i.e., propensity score matching (PSM) analysis].MethodThis study used the most recent (2015–22) Demographic and Health Survey (DHS) data from 20 SSA countries. A total weighted sample of 13,727 women was included in this study. IPV (i.e., sexual, physical, emotional, and at least one form of IPV) was the exposure/treatment variable and adverse birth outcomes (preterm delivery, low birth weight, stillbirth, and macrosomia) were the outcome variables of this study. PSM was employed to estimate the impact of IPV on adverse birth outcomes.ResultsThe average treatment effects (ATE) of sexual, physical, emotional, and at least one form of IPV were 0.031, 0.046, 0.084, and 0.025, respectively. Sexual, physical, emotional, and at least one form of IPV increased adverse birth outcomes by 3.1%, 4.6%, 8.4%, and 2.5%, respectively. Findings from the average treatment effect on treated (ATT) showed that women who experienced sexual, physical, emotional, and at least one form of IPV had an increased risk of adverse birth outcomes by 3.6%, 3.7%, 3.3%, and 3.0%, respectively, among treated groups.ConclusionThis study demonstrates a causal relationship between IPV and adverse birth outcomes in SSA countries, indicating a need for programs and effective interventions to mitigate the impact of IPV during pregnancy to reduce related adverse pregnancy outcomes. Furthermore, we suggest further research that investigates the causal effect of IPV on adverse birth outcomes by incorporating additional proximal variables not observed in this study.

Prevalence of postpartum post-traumatic stress disorder and associated factors among postnatal mothers in West Arsi zone, South West Ethiopia, 2024: a community-based cross-sectional study

BackgroundUp to one-third of women globally experience giving birth as traumatic, which can lead to postpartum post-traumatic stress disorder. Postpartum post-traumatic stress disorders have significant health consequences for the mother, child, and other family members. Although it has tragic health impacts, little is known about this problem in the study area.ObjectivesThe study aimed to assess the prevalence of postpartum posttraumatic stress disorder and associated factors among postnatal mothers.MethodsA community-based cross-sectional study was employed among 635 mothers in the first year after childbirth by using simple random sampling techniques from March 20 to April 20, 2024 in West Arsi zone, Ethiopia. Face-to-face interviewers administered structured questionnaires that were used to collect the data. The collected data were cleaned, coded, and entered into Epidata and exported to Statistical Package for Social Sciences for further analysis. Both bivariate and multivariable analyses were done by using binary logistic regression.ResultOut of 635, 624 postnatal mothers participated in the study, for a response rate of 98.27%. The prevalence of postpartum post-traumatic stress disorder was 21.60% (95% CI: 18.40%, 24.87%). Primiparous mothers (AOR = 2.26, 95% CI: 1.38, 3.70), have no antenatal care follow-up (AOR = 2.48, 95% CI: 1.47, 4.20), cesarean section delivery (AOR = 2.86, 95% CI: 1.50, 5.61), instrumental delivery (AOR = 3.06, 95% CI: 1.75, 5.34), maternal morbidity (AOR = 2.94, 95% CI: 1.71, 5.05), and postpartum intimate partner violence (AOR = 7.43, 95% CI: 4.53, 12.20) were the identified factors.Conclusion and recommendationAs identified, one out of five mothers had postpartum posttraumatic stress disorder. Thus, healthcare providers should focus on identified factors like cesarean section and instrumental deliveries while counseling, as this enhances the mothers’ psychological readiness. In addition, the West Arsi Zonal Health Office should develop effective strategies to alleviate the problem by focusing on the identified factors.

Post-Traumatic Growth Promoting and Inhibiting Factors Among Intimate Partner Violence Survivors: A Systematic Review.

Intimate partner violence (IPV) is a traumatic experience that is universally present across the globe. Undeniably, there are expected adverse outcomes. However, it is also conceivable that IPV survivors might see, feel, and experience a hopeful, positive future after their IPV experience. Notably experienced by IPV survivors is post-traumatic growth (PTG). PTG is a type of positive psychological change that occurs following the struggle with a traumatic experience. The changes are then reflected across five domains. As more studies on PTG among IPV survivors continue to rise, there must be a better understanding of the process. Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses protocol, this systematic review consolidated findings from existing literature guided by the research questions: (a) What areas of PTG do IPV survivors most experience positive psychological growth? (b) What factors are associated with PTG among IPV survivors? A total of 22 studies met the criteria and were included. Spiritual growth and new possibilities domains were experienced the most by adult IPV survivors. Contributing and inhibiting factors toward PTG were identified and categorized as interpersonal, contextual, or intrapersonal. Targeted interventions aiding the process toward PTG for IPV survivors were also identified, including commonly maladaptive coping strategies. This systematic review contributes to the literature by increasing knowledge that can be used for more effective support, interventions, and policies that promote PTG for adult IPV survivors.

Co-occurrence of Intimate Partner Violence and Suicide Mortality Among Adolescents and Young Adults in the United States

PurposeSuicide is the second leading cause of death among people ages 10–24 in the United States (US). Intimate partner violence (IPV) is also prevalent, and studies suggest that IPV is associated with youth suicide risk. However, limited research has investigated such associations. We conducted an in-depth analysis of youth suicides that were preceded by or coincided with IPV (i.e., IPV-related) to characterize how decedents were involved in IPV, IPV types experienced, and prior legal systems involvement. MethodsUsing US National Violent Death Reporting System (2014–2018) data for suicide decedents aged 7–24 (n = 15,430 deaths), we manually reviewed case narratives for IPV-related suicides (n = 882) and coded details concerning IPV circumstances. We conducted bivariate analyses to compare IPV-related suicides to other (non-IPV) youth suicides and examined differences in antecedent circumstances between IPV perpetrators (n = 651) and victims (n = 81) using multivariable logistic regression. ResultsAmong IPV-related suicides, most decedents were male and were described as IPV perpetrators. Physical IPV was most frequently reported. Compared to decedents with a history of IPV perpetration, decedents with a history of IPV victimization were more often female and younger. Narratives of IPV victim decedents had higher odds of reporting physical IPV; narratives of IPV perpetrator decedents had higher odds of reporting psychological IPV. DiscussionFuture research should explore the relationship between IPV perpetration and suicide and potential impacts on surviving partners. Research and practice should seek to develop effective assessments and interventions for young people that address IPV and suicide risk simultaneously.

Does drought increase intimate partner violence? Evidence from India

India has a high prevalence of intimate partner violence (IPV) against women. IPV has been observed to increase during natural disasters. Many studies have attempted to unravel the effect of drought on IPV; however, the evidence remains mixed. There is a gap in such studies in the Indian context, and this study seeks to fill this gap. We used data from the National Family Health Survey-4 (NFHS-4) (2015 – 2016) and NFHS-5 (2019 – 2021) to examine the effect of drought caused by the failure of the northeastern monsoon (NEM) in 2016 – 2018. Our analysis included data from 19 states and Union Territories of India (N = 34,590) in a difference-in-differences setup to evaluate the effect of the NEM drought on IPV. Exposure to the NEM drought was positively associated with physical violence (PV) and emotional violence, with results significant at the 95% and 99% confidence levels, respectively. A subsample analysis of rural and urban populations revealed that drought is significantly associated with an increase in sexual violence in urban areas, whereas it correlates with PV in rural areas. Additionally, exposure to drought is linked to a considerable rise in the controlling behavior of partners, for example, “He (is/was) jealous or angry if you (talk/talked) to other men,” “he (does/did) not permit you to meet your female friends).” These findings call for a two-fold policy action: providing support in the form of wage employment programs, subsidies, and other financial assistance during drought periods to help households cope with financial stress and implementing awareness programs aimed at changing partners’ mindsets, thereby reducing controlling behaviors in marriages.

The Long-Term Consequences of Family Violence Victimization: An Umbrella Review of Longitudinal Meta-Analyses on Child Maltreatment and Intimate Partner Violence

The Long-Term Consequences of Family Violence Victimization: An Umbrella Review of Longitudinal Meta-Analyses on Child Maltreatment and Intimate Partner Violence

Lessons to learn from pilot studies in clinical trials: The example of a trauma‐focused treatment for female survivors of intimate partner violence

AbstractBackgroundResearch on pilot studies is scarce, despite their importance for the development of effective clinical trials. There is a lack of work addressing the process, limitations and strategies derived from these studies. This gap is even more evident in research studying targeted populations, such as victims of intimate partner violence (IPV), who present specific difficulties, such as high dropout rates, or require the application of challenging treatments, such as trauma‐focussed exposure therapy.AimThis paper describes a pilot study (PS) implemented as a preliminary step in the development of a clinical trial (CT), in which a trauma‐focussed treatment for survivors of IPV with post‐traumatic symptomatology was applied. The problems identified in the PS and the solutions that were implemented in the CT are described. Additionally, comparisons between the PS and CT with respect to participant adherence to treatment and satisfaction, as perceived by the participants and the therapist, are analysed.ResultsResults indicate that satisfaction with the treatment was high in both studies; dropouts showed a significant decrease in the CT (25% in CT vs. 75% in the PS; p = .028), while group cohesion increased.ConclusionsIt is concluded that conducting pilot studies allows adapting treatments to the study population, which seems to increase the quality of clinical trials, subsequently improving the evidence of psychological interventions.

Development and Initial Validation of a Scale to Measure Social Abuse in Intimate Partner Relationships.

Social abuse represents a distinct form of intimate partner violence characterized by intentional violations of a victim's social rights and inherent need to belong. This is achieved by tactics such as severing, interfering with, and surveilling the victim's social connections as well as limiting their social participation. Such abuse often results in victims experiencing social isolation, potentially causing adverse mental health outcomes and failure to seek help. This study aimed to develop and validate the Social Abuse Scale (SAS) to measure social abuse in intimate partner relationships. After generating the preliminary items, content validity testing was performed. Ten international experts reviewed the items and assessed their relevance. Additionally, 17 interview participants assessed the items for clarity and ease of response. Thereafter, the SAS was administered to 251 individuals, either currently in or who had an intimate relationship in the previous year. The final SAS comprised 30 items unified under a single-factor structure, which accounted for approximately 69.77% of the total variance. Confirmatory factor analysis confirmed the model's satisfactory fit. The instrument showed excellent internal consistency, as evidenced by Cronbach's alpha and a McDonald's omega value of .986. The SAS can be employed to investigate the prevalence of social abuse, its underlying mechanisms, and its impacts, and it can also assist in further development and evaluation of programs aimed at its prevention.

Elucidating Heterogeneity of Intimate Partner Violence Among Women: Latent Class Analysis of Daily IPV, PTSD, and Substance Use Collected via Experience Sampling Methodologies.

The co-occurrence of physical, psychological, and sexual intimate partner violence (IPV) is associated with heightened risk for deleterious mental and physical health outcomes, including PTSD symptoms and substance use. However, few studies have investigated the heterogeneity of experiences with respect to this co-occurrence among women who experience IPV as it unfolds naturally in women's daily lives. In this study, we developed a novel approach to classify and visualize daily patterns of IPV experiences, PTSD-related distress, and substance use among women who experience IPV. Women (N = 244, Mage = 37.1 years) who reported experiencing IPV and using substances were recruited from the community. Micro-longitudinal data were collected four times per day for 14 days using automated telephone-based data collection. Analyses included latent class analysis (LCA) and multilevel analysis (interval-, day-, and person-level), complimented by novel data visualization tool (EventFlow). We identified three classes that significantly differed in the prevalence of and patterns among IPV types, PTSD, and substance use. Based on examination of LCA results and visualization of the latent classes in EventFlow. Different patterns of associations among IPV types, PTSD symptoms, and substance use were identified within classes at the interval-, day-, and person-level. Results from this study provide greater insight into the heterogeneity of women's lived experiences than do studies solely relying on cross-sectional survey data. Findings with this type of data collection can inform the development of interventions to increase the precision in clinical practice, identify new avenues for future research, and have important policy implications.