Revised Conflict Tactics Scales Research Articles

SELF EFFFICACY PADA REMAJA PUTRI YANG MENGALAMI DATING VIOLENCE

Dating violence is a phenomenon of social and health problems that occur quite a lot in the community and bring negative effects that are not mild for adolescent growth and development. Many factors influence the occurrence of dating violence, one of which is adolescent self efficacy. This study aims to analyze the relationship between self efficacy and dating violence in young women in SMAN 7 Malang. This study uses a quantitative approach with a cross sectional study design. The population in this study were all female adolescents of class XI and XII in SMAN 7 Malang city who had fulfilled the inclusion criteria totaling 98 female students. The sample size was taken using the Slovin method, amounting to 49 female students. Measuring violence in courtship using The Revised Conflict Tactics Scales 2 measuring instrument and measuring self efficacy using the Self Efficacy Scale. Data was analyzed using Spearman Rank. The results of this study indicate the value of correlation coefficient of -0.937 with Sig. (2-tailed) = 0,000 <0.05. Therefore ρ <0.05, H0 is rejected, meaning that there is a relationship between self efficacy and dating violence in young women in SMAN 7 Kota Malang. Spearmen's correlation value - 0.937 shows a negative correlation which means that the higher the self-efficacy, the lower the dating violence experienced by young women, and vice versa the lower the self-efficacy the greater the tendency to experience violence in courtship. eywords: Self Efficacy. Dating Violence, Teenage Girl

Risk Factors for Severe Violence in Intimate Partner Stalking Situations: An Analysis of Police Records.

Stalkers can be violent, and empirical studies have sought to identify factors associated with violence perpetrated by the stalker. Most of these works view physical violence as a homogeneous construct and do not differentiate between moderate and severe violence. The present study aims to identify correlates of nonviolent, moderate, and severe physical violence within an archival sample of 369 domestically violent police incident reports, where stalking behavior was indicated. The incident reports utilized in this study occurred between 2013 and 2017, among intimate or ex-intimate partners. The present study explored 12 independent variables that have yielded mixed findings in previous stalking violence literature, as well as two previously untested factors of nonfatal strangulation and child contact. The police records were coded for severity of physical violence using the Revised Conflict Tactics Scale and analyzed using a logistic regression. The regression analysis revealed significant independent associations between the outcome variable of severe physical violence and child contact, history of domestic violence, separation, nonfatal strangulation, jealousy, previous injury, and victim belief of potential harm. These results may help produce pragmatic recommendations for law enforcement agencies and other relevant bodies who seek to identify victims at risk of severe violence, increasing the potential for early intervention and prevention of physical harm. The awareness of factors that are shown to be related to serious physical violence may assist first responders in recognizing which victims may be at risk of serious harm, as well as effectively allocating any appropriate resources to reduce and prevent harm.

The relationship between trial data in judicial sentences and self-reported aggression in men convicted of violence against women.

The Revised Conflict Tactics Scale (CTS-2) is widely used to assess intimate partner violence (IPV). Given the limitations preventing the collection of dyadic data, it is necessary to examine the relationship between the offender's own self-reporting and the facts established in trial proceedings. This study assesses the relationship between aggression data self-reported by participants via CTS-2 and the data contained in convictions for partner abuse. Two groups of men convicted of abuse against their female intimate partners or ex-partners (1,998 imprisoned offenders and 804 court-referred offenders), and 590 men from the community (general population) participated. The relationship was analyzed between the scores for self-reported CTS-2 items and violent behaviors described by proven facts. An ANCOVA with post-hoc comparisons (Bonferroni) was performed to assess the differences in CTS-2 scores between the three groups. In the two groups of convicted participants, a significant relationship was found between CTS-2 items and the proven facts. Meanwhile, significant differences were found between the three groups in three CTS-2 subscales. The CTS-2 self-reported perpetrated aggression data provided by the convicted participants are related to the factual basis for convictions, and such data are therefore usable in forensic and psychological intervention contexts.

Impacts of early marriage and adolescent pregnancy on mental and somatic health: the role of partner violence

Researchers agree that early marriage (EM) and adolescent pregnancy (AP) can form severe risks for women’s somatic, mental, and reproductive health, as well as on educational and social status. Yet, less is known about factors that may moderate or mediate these associations. This study examined, first, retrospectively the impacts of EM and AP on self-reported mental and somatic health among multicultural group of women living in Eastern Anatolia, Turkey. Second task was to analyze whether and how the partner violence would mediate and/or moderate between EM and AP and mental health problems. The participants were 1569 women (16–72 years of age), who reported their age of being married, first pregnancy, and demographic characteristics. They described their mental health status through General Health Questionnaire (GHQ-28: depressive, anxiety, social dysfunction, and somatization symptoms) and symptoms of posttraumatic stress disorder (PTSD; DSM-5). Women’s reports of somatic illnesses were classified according to WHO-ICD-10. The revised conflict tactics scale, short form was used as a proxy to partner violence. Women who gave birth at 13–19 years of age reported more anxiety and somatization symptoms than later delivered, and those married younger than 25 showed a higher level of depressive symptoms than later married. Both AP and EM formed a heightened risk for somatic illnesses. The partner violence functioned as a moderator; AP was associated with especially high levels of depressive and anxiety symptoms among women exposed to sexual coercion in their marriage. Non-significant mediation analysis indicates that partner violence did not explain the severe impacts of the AP and EM on women’s mental health. Yet, the AP and EM were associated with heightened level of partner violence. Adolescent pregnancy forms a comprehensive mental health risk, and both AP and EM were risks for somatic illnesses, such as cardiovascular problems. The mental health risk of AP further intensified if women experienced sexual coercion in their partnership. Our fundamental work is to abolish these patriarchal phenomena.

Intimate Partner Violence: A Multinational Test of Cultural Spillover Theory.

Cultural spillover theory asserts that the prevalence of socially legitimate violence to attain ends for which there is widespread social approval is part of the explanation for the prevalence of illegitimate violence. This study was a test of the cultural spillover theory as it applies to intimate partner violence (IPV). Based on data from the International Dating Violence Study (IDVS) in 32 countries, we tested the proposition that agreement with socially approved forms of violence "spills over" into violence against an intimate partner. Two versions of an index to measure legitimate violence were constructed: (a) An individual-level legitimate violence index based on the beliefs and behavior of 14,252 university students in 32 nations in the IDVS and (b) a nation-level legitimate violence index consisting of the mean of the student scores on the legitimate violence index for each of the 32 nations in the IDVS. We used the revised Conflict Tactics Scales to obtain the data on physical violence and injuries inflicted by the students in the IDVS. Analysis of covariance (ANCOVA) was used to test the hypothesized relation of the individual student legitimate violence index to IPV. Socioeconomic status, limited disclosure scale, respondent's age, and length of the relationships were included as covariates. Multiple regression analyses were conducted to further investigate the associations between legitimate violence index obtained from the aggregated student data and the nation-level IPV, controlling for the gross domestic product (GDP) index and limited disclosure scale. Both individual- and nation-level analyses consistently supported cultural spillover theory's explanation of IPV. The association between legitimate violence and IPV at both levels of analysis was stronger for women than men, which is consistent with some previous studies. The results suggest that reducing legitimate violence can make an important contribution to reducing IPV.

Controlling Behavior and Lifetime Physical, Sexual, and Emotional Violence in sub-Saharan Africa.

Intimate partner violence (IPV), commonly accompanied by controlling behavior, is a serious public health concern in sub-Saharan Africa. Data from women (n = 37,115) aged 15 to 49 years who completed the Demographic Health Survey's (DHS) domestic violence module in eight countries in sub-Saharan Africa (Cameroon, Democratic Republic of the Congo [DRC], Côte d'Ivoire, Namibia, Rwanda, Sierra Leone, Togo, and Zambia) between 2011 and 2015 were obtained. DHS questions assessed lifetime physical, emotional, and sexual violence (ever vs. never). Controlling behavior was measured by a revised Conflict Tactics Scale. Multivariate logistic regression examined the association between controlling behavior and IPV adjusting for all covariates, including age, education, marital status, wealth, urban/rural setting, and occupation. An interaction term was included to evaluate the consistency of effect estimates across countries. In all, 45.60% of women reported experiencing one or more forms of IPV (physical, sexual, or emotional violence) in their lifetime, ranging from 31.16% in Côte d'Ivoire to 57.37% in Cameroon. Women who reported controlling behavior by a spouse/partner were more likely to have experienced lifetime physical (adjusted odds ratio [AOR] = 3.57, 95% confidence interval [CI] = [3.31, 3.85], sexual (AOR = 3.98, CI = [3.47, 4.57]) or emotional (AOR = 3.52, CI = [3.22, 3.85]) violence than women who did not report controlling behavior. Women who reported controlling behavior were also more likely to have experienced one (AOR = 2.57, CI = [2.36, 2.81]) or two/three types (AOR = 5.34, CI = [4.80, 5.94]) of violence. AORs did not significantly differ across countries. Further research is needed to evaluate whether policies, programs, and education aimed at preventing or modifying controlling behavior may reduce IPV.

Sibling Conflict and Parental Discipline: The Mediating Role of Family Communication in Portuguese Adolescents

According to family systems theory, all family subsystems influence each other and are interdependent. This study examines the links among different parental discipline dimensions, family communication, and sibling conflict resolution. We administered the Dimensions of Discipline Inventory, The Family Communication Scale, and the Revised Conflict Tactics Scales—Sibling Version to a sample of 320 Portuguese adolescents. The results show that punitive discipline by mothers and fathers were associated with lower levels of family communication but with higher levels of psychological aggression toward siblings. Family communication played a different role for mother and fathers in the link between parents’ psychological aggression and corporal punishment and negotiation with siblings. These findings have implications for clinical interventions that may reduce sibling conflict.

CONSUMPTION OF ALCOHOL AND TOBACCO BY WOMEN AND THE OCCURRENCE OF VIOLENCE BY INTIMATE PARTNER

ABSTRACT Objective: to analyze the consumption of alcohol and tobacco by women and the occurrence of intimate partner violence against women. Method: a cross-sectional and analytical study with 369 women in the age group of 20 to 59 years, attended in Basic Health Units of five municipalities of Piaui, Brazil. The instruments used in data collection were Alcohol Use Disorders Identification Test, Non-Student Drugs Use Questionnaire and Revised Conflict Tactics Scales. Data were analyzed according to descriptive statistics and bivariate analysis with Pearson's chi-square test and logistic regression. Results: the overall prevalence of intimate partner violence against women was 64.0%, 61.5% of whom were victims of psychological aggression, 33.6% of physical abuse and 17.1% of sexual coercion. In addition, 50.1% and 17.9% of the women reported alcohol and tobacco consumption, respectively, which were statistically associated with the occurrence of intimate partner violence. Alcohol consumption increased by 2.15 times the chance of intimate partner raping (p=0.001, 95% CI=1.37-3.38), while smoking increased this chance by 2.04 times (p=0.038, 95% CI=1.04-4.00). Conclusion: high prevalence of alcohol and tobacco use by women and intimate partner violence were identified. In addition, it was found that the consumption of these substances by women is a risk factor associated with the occurrence of intimate partner violence in the female universe.

Socioeconomic Factors and Intimate Partner Violence: A Household Survey

Abstract This study aimed to describe the prevalence of intimate partner violence in a community sample, as well as identify associations between these behaviors and socioeconomic factors. Given the predominance of these studies in high-income countries, more investigations are needed in low- and middle-income countries. The prevalence of types of intimate partner violence was investigated in a probabilistic sample of 532 women between 18 and 60 years. A sociodemographic questionnaire and The Revised Conflict Tactics Scales (CTS2) were used. Considering recent episodes, the rates of women victimized by their partners were: 48.31%, 10.81% and 7.79%, for psychological, physical and sexual violence, respectively. The rates of these modalities of violence perpetrated by the women were 51.89%, 13.73% and 4.47%, respectively. Logistic regressions indicated that higher educational and socioeconomic levels are associated with a lower likelihood of women being victims or perpetrators of violence. According to the literature, these factors represent nonlinear influences on violence between partners, however, are important for developing intervention strategies for this problem.

The Mediating Role of Coping Style: Associations Between Intimate Partner Violence and Suicide Risks Among Chinese Wives of Men Who Have Sex With Men.

The wives of men who have sex with men, known as "Tongqi" in China, have increasingly attracted public attention due to their potential risks of suicide and sexually transmitted infections and HIV. However, few studies have explored the association between intimate partner violence (IPV) and suicide risk or the mediating effect of coping style on these associations among Tongqi in China. To describe these relationships, a cross-sectional online survey was conducted in China from February 2016 to February 2017. A questionnaire, which consisted of the Revised Conflict Tactics Scales, the Simplified Coping Style Questionnaire, the Beck Scale for Suicidal Ideation, and reports of suicide attempts, was completed by 178 Chinese Tongqi. Bootstrap tests were performed to determine the mediating role of coping styles on the association between IPV and suicide risks. The median IPV score was 14 (range: 0-50), with the domain of negotiation ranking highest. The average coping style score was .37±.73; 61.2% of Tongqi have had suicidal ideation, and 11.8% had attempted suicide. IPV was significantly correlated with suicidal ideation (rs = .19, p < .01) and suicide attempts (rs = .29, p < .001). Participants with a negative coping style had higher suicidal ideation (rs = -.39, p < .01) and suicide attempts (rs = -.22, p < .01). Coping style had a full mediating effect on the association between IPV and suicidal ideation and a partial mediating effect on suicide attempts. Chinese Tongqi experienced high level of IPV and suicide risks. IPV contributed to the suicide risks of Chinese Tongqi, but these associations were mediated by coping style. Therefore, interventions to improve mental health and prevent suicide risks of Chinese Tongqi should focus on helping them develop a positive coping style to achieve the goal of Healthy China in 2030.

The Revised Conflict Tactics Scales (CTS2): A review of the properties, reliability, and validity of the CTS2 as a measure of partner abuse in community and clinical samples

Abstract The purpose of this review is to explore the Revised Conflict Tactics Scales (CTS2), focusing on its research uses for assessing Intimate Partner Violence (IPV). An overview of the CTS2 is presented, including the area that it assesses, the purpose of the tool, and its content. The tool's attempts to measure the purported construct are evaluated, drawing upon principles of reliability, validity and appropriate norms. The CTS2 has been found to be a reliable and valid instrument to measure IPV across different populations and across different cultures. However, there are some concerns regarding the internal consistency of the sexual coercion scale among female samples, and explorations of the factor structure of the CTS2 have yielded inconsistent models. While some statistical properties of the scale have been established for different populations, more research is needed to ascertain the validity and reliability of the CTS2 in varied clinical and forensic settings. The strengths and limitations of the CTS2 considered in the review have important implications for interpreting findings of studies investigating IPV using only this tool.

Distinguishing Subtypes of Mutual Violence in the Context of Self-defense: Classifying Types of Partner Violent Couples using a Modified Conflict Tactics Scale.

The Revised Conflict Tactics Scale 2 (CTS2; Straus, Hamby, Boney-McCoy, & Sugarman, 1996) is the most widely used measure for assessing the frequency of intimate partner violence (IPV). However, it has been criticized for not capturing the context in which IPV takes place. This study examined follow-up items to each CTS2 physical assault item asking to clarify how often the act was perpetrated in self-defense. A community sample of couples (N = 180) recruited for men's recent violence toward women completed the project-modified Conflict Tactics Scale with Self-Defense (CTS2SD). The majority (69.5%) reported that the physical aggression in the past year was bilateral. On the follow-up items, 27% of men's violent acts and over 22% of women's violent acts were reportedly committed in self-defense. Men's and women's CTS2 physical assault perpetration scores, along with the percentage that were committed in self-defense, were entered into two-step cluster analyses. Cluster analyses revealed three subgroups of bilateral violence: Male Self-defense, Female Self-defense, and Mutual Violence. The Mutual Violent cluster reported the most frequent physical assault, injury, men's controlling behavior and men's arrest for domestic violence. Findings suggest that Straus' (2012) tripartite conceptualization of Man-only, Woman-only, and Both-violent couples is overly simplistic and fails to capture different types of bilateral aggression.

The experiences in the family of origin and the early maladaptive schemas as predictors of marital violence in men and women

A violência conjugal é uma problemática mundial que abrange diferentes classes econômicas, raças e etnias. Partindo-se do pressuposto de que a dinâmica conjugal violenta é um fenômeno complexo e interacional, o presente estudo se propõe a identificar variáveis preditoras do fenômeno, utilizando a perspectiva da Teoria dos Esquemas de Jeffrey Young. Sendo assim, foi investigado o poder das experiências na família de origem e dos Esquemas Iniciais Desadaptativos como preditores da violência física cometida e sofrida na relação conjugal conforme o sexo. A amostra foi constituída por 181 homens e 181 mulheres e os instrumentos utilizados para a coleta de dados foram: Young Schema Questionnaire (YSQ-S3), e Revised Conflict Tactics Scale (CTS2). A análise dos resultados foi realizada através de análise de regressão múltipla com método stepwise. Os resultados indicaram que o esquema de defectividade/vergonha das mulheres e dos homens e o esquema de desconfiança/abuso dos homens são variáveis preditoras da violência física cometida contra o cônjuge. O maior ajustamento materno foi considerado a variável protetiva de comportamentos violentos cometidos pelas mulheres. Em relação à vitimização da violência, os esquemas de desconfiança/abuso das mulheres e dos homens, assim como o esquema de defectividade/vergonha dos homens foram identificados como preditores de violência física sofrida nos relacionamentos íntimos. A maior funcionalidade do estilo de decisão materno foi identificada como protetor de vitimização de violência para as mulheres. Os achados ampliam a discussão sobre as variáveis que podem explicar o fenômeno da violência conjugal, consolidando a importância da avaliação dos Esquemas Iniciais Desadaptativos em situação de violência conjugal.

Socio-Demographic Predictors of Intimate Partner Violence in a Population Sample of Iranian Women

Background: Domestic violence is a global problem in the world and it is a common cause of psychiatric disorders in women of the reproductive age. This study was aimed at determining the socio-demographic predictors of intimate partner violence. Methods: This was a cross-sectional study conducted on 558 married women in Tabriz, Iran. Participants were selected through the cluster sampling. Data were collected using a socio-demographic characteristics questionnaire and the revised conflict tactics scale (CTS2). CTS2 consists of 39 pairs of statements and five sub-scales including negotiation, psychological, physical, sexual, and injuries sub-scales. It has eight response categories (0 to 7) for each items. Selecting options one to six for any item of each subscale was considered as presence, and selecting options zero or seven was considered as absence of that type of IPA. The multivariate logistic regression model was employed to determine the predictors of domestic violence dimensions. A P value < 0.05 was considered significant. Results: The highest prevalence of male domestic violence against women and female domestic violence against men was in the negotiation dimension, respectively 97% and 98.2%. The lowest prevalence of the male domestic violence against women was in the injury dimension (22.6%) and female domestic violence against men was in the sexual coercion dimension (32.8%). Age, husbands’ smoking, family income adequacy, consensual marriage, and husband’s first marriage were the predictive variables of domestic violence against both men and women. Woman’s job and woman’s job satisfaction were only the predictive variables of male domestic violence against women. Household members and spouse’s substance and alcohol abuse were only the predictive variables of female domestic violence against men. Conclusions: Considering the high prevalence of domestic violence and its relationship with certain socio-demographic factors in the present study, it is crucial to propose culturally-appropriate strategies for decreasing domestic violence to provide matrimonial stability and family solidarity.

Does Childhood Psychological Abuse Contribute to Intimate Partner Violence Victimization? An Investigation Using the Childhood Experience of Care and Abuse Interview.

Although psychological abuse is recognized as a particularly insidious form of child abuse, research on the impact of this type of abuse related to intimate partner violence (IPV) is scant. This study examined the contribution of childhood psychological abuse to IPV in female victims and non-victims. Furthermore, it investigated the role of cumulative abuse in predicting IPV. The study included 38 women victims of IPV and 40 non-IPV women. All participants were investigated using the Childhood Experience of Care and Abuse Interview (CECA); the Revised Conflict Tactics Scale (CTS2) and the IPV History Interview were used to assess IPV in the last year and lifetime, respectively. Results indicated that psychological abuse was a stronger predictor of IPV than other maltreatment types. Furthermore, dose-response effects of cumulative abuse on IPV are well evidenced. Future research should continue examining impacts of psychological abuse on IPV so as to further inform clinical practice and intervention planning.

Adolescent–Parent Communication Among Youth Who Have and Have Not Experienced Dating Violence

The current study examines the impact of adolescent–parent communication, which can play a significant role in alleviating risk behaviors, especially adolescent dating violence (ADV). Adolescents (N = 55; 28 males and 27 females), majority of whom were Latinos, were recruited from social service agencies serving youth and families. Adolescents completed a paper survey on the Parent–Adolescent Communication (comprised of open and problematic subscales) and Revised Conflict Tactics scales. T-tests and ANOVAs were conducted revealing that youth with ADV experience reported lower overall communication levels with their parents and increased problematic communication, especially with their mothers than adolescents with no ADV experience. No significant difference emerged by age or gender but Latino youth who experience ADV had lower levels of problematic communication with both parents. Teens, whose mothers were receiving domestic violence-related services, versus who were not receiving services, reported more overall communication with their mothers. Implications for educators, practitioners, and research are provided.

Domestic and intimate partner violence among pregnant women in a low resource setting in South Africa: a facility-based, mixed methods study

BackgroundRates of violence against women are reported to be highest in Africa compared to other continents. We aimed to determine associations between mental illness, demographic, psychosocial and economic factors with experience of intimate partner violence (IPV) among pregnant women in a low resource setting in Cape Town and to explore the contextual elements pertaining to domestic violence.MethodsWe recruited adult women attending antenatal services at a primary-level maternity facility. Demographic, socioeconomic and psychosocial data were collected by questionnaire. The Expanded Mini- International Neuropsychiatric Interview (MINI) Version 5.0.0 was used to assess mental health status and the Revised Conflict Tactic Scale (CTS2) used to assess IPV in the six months prior to the study. Non-parametric tests, Wilcoxon sum of rank test, Fisher Exact and two sample T test and multicollinearity tests were performed. Descriptive, bivariate and logistic regression analyses were conducted to identify associations between the outcome of interest and key predictors. A probability value of p ≤ 0.05 was selected. From counselling case notes, a thematic content analysis was conducted to describe contextual factors pertaining to forms of domestic violence (DV).ResultsThe prevalence of IPV was 15% of a sample of 376 women. Women who were food insecure, unemployed, in stable but unmarried relationships, had experienced any form of past abuse and were not pleased about the current pregnancy were more likely to experience IPV. MINI-defined mental health problems and a history of mental illness were significantly associated with IPV. Qualitative analysis of 95 counselling case notes revealed that DV within the household was not limited to intimate partners and, DV in this context was often perceived as ‘normal’ behaviour by the participants.ConclusionsThis study contributes towards a greater understanding of the risk profile for IPV amongst pregnant women in low-income settings. Adversity, including food insecurity and mental ill-health are closely associated with IPV during the antenatal period. Advocates against violence against pregnant women are advised to consider that violence in the home may be perpetrated by non-intimate partners and may by enabled by a pervasive belief in the acceptability of the violence.

Partner violence among drug-abusing women receiving behavioral couples therapy versus individually-based therapy

IntroductionStudies have found reductions in female-to-male (F-to-M) and male-to-female (M-to-F) intimate partner violence (IPV) following alcohol-related treatment. Despite high prevalence of IPV among drug-abusing women, there are no controlled studies examining IPV following drug-related treatment for women. This is a secondary analysis of a randomized clinical trial comparing behavioral couples therapy plus individually-based treatment (BCT + IBT) versus individually-based treatment (IBT) for drug-abusing women and their male partners (N = 61; see O'Farrell, Schumm, Murphy, & Muchowski, 2017). We hypothesized that both treatments would have reductions in F-to-M and M-to-F IPV, but reductions would be greater in BCT + IBT. Material and methodsWomen were mostly White, and all exhibited drug use disorders (74% opioid use disorder). Forty-five percent had a male partner with a current substance problem. The Revised Conflict Tactics Scales (CTS2) were administered at baseline and 12-months after treatment (85% follow-up rate). ResultsPsychological aggression frequency and F-to-M physical assault declined in both treatments. M-to-F physical assault, M-to-F sexual coercion, and female and male injury declined in IBT. However, these outcomes did not change in BCT + IBT. Thus, results showed that IBT, but not BCT + IBT, reduced M-to-F physical assault and M-to-F sexual coercion. Contrary to our hypothesis, IBT was lower than BCT + IBT on F-to-M and M-to-F physical assault, M-to-F sexual coercion, and female injury. M-to-F physical assault frequency was lower at follow-up if the male partner had versus did not have a current substance problem. ConclusionsBCT + IBT and IBT are viable interventions for reducing both partners' psychological aggression and F-to-M physical assault frequency among drug-abusing women and their male partners. IBT is promising for reducing M-to-F physical assault and female physical injury. There appears to be greater risk of M-to-F physical assault when the female but not male partner is substance-abusing.

Accuracy and Acceptability of a Screening Tool for Identifying Intimate Partner Violence Perpetration among Women Veterans: A Pre-Implementation Evaluation.

Veterans are at heightened risk for perpetrating intimate partner violence (IPV), yet there is limited evidence to inform practice and policy for the detection of IPV perpetration. The present study evaluated the accuracy and acceptability of a potential IPV perpetration screening tool for use with women veterans. A national sample of women veterans completed a 2016 web-based survey that included a modified 5-item Extended-Hurt/Insult/Threaten/Scream (Modified E-HITS) and the Revised Conflict Tactics Scales (CTS-2). Items also assessed women's perceptions of the acceptability and appropriateness of the modified E-HITS questions for use in healthcare settings. Accuracy statistics, including sensitivity and specificity, were calculated using the CTS-2 as the reference standard. Primary measures included the Modified E-HITS (index test), CTS-2 (reference standard), and items assessing acceptability. This study included 187 women, of whom 31 women veterans (16.6%) reported past-6-month IPV perpetration on the CTS-2. The Modified E-HITS demonstrated good overall accuracy (area under the curve, 0.86; 95% confidence interval, 0.78-0.94). In addition, the majority of women perceived the questions to be acceptable and appropriate. Findings demonstrate that the Modified E-HITS is promising as a low-burden tool for detecting of IPV perpetration among women veterans. This tool may help the Veterans Health Administration and other health care providers detect IPV perpetration and offer appropriate referrals for comprehensive assessment and services.

Social support and the intimate partner violence victimization among adults from six European countries.

Social support may buffer the negative effects of violence on physical and mental health. Family medicine providers play an essential role in identifying the available social support and intervening in intimate partner violence (IPV). This study aimed at assessing the association between social support and the IPV victimization among adults from six European countries. This is a cross-sectional multi-centre study that included individuals from Athens (Greece), Budapest (Hungary), London (UK), Östersund (Sweden), Porto (Portugal) and Stuttgart (Germany). Data collection was carried out between September 2010 and May 2011. The sample consisted of 3496 adults aged 18-64 years randomly selected from the general population in each city. The revised Conflict Tactics Scales was used to assess IPV victimization. Social support was assessed with the Multidimensional Scale of Perceived Social Support. Participants reporting physical assault victimization experienced lower social support (mean ± SD) than their counterparts, 66.1 ± 13.96 versus 71.7 ± 12.90, P < 0.001, for women; and 67.1 ± 13.69 versus 69.5 ± 13.52, P = 0.002 for men. Similar results were found regarding sexual coercion victimization, 69.1 ± 14.03 versus 71.3 ± 12.97, P = 0.005 for women and 68.0 ± 13.29 versus 69.3 ± 13.62, P = 0.021 for men. This study revealed lower levels of social support among participants reporting lifetime and past year victimization, independent of demographic, social and health-related factors. Results showed a statistically significant association between low social support and IPV victimization. Although the specific mechanisms linking social support with experiences of violence need further investigation, it seems that both informal and formal networks may be associated with lower levels of abusive situations.