Intimate Partner Violence Screening in a Women Veterans’ Health Clinic: Assessing Feasibility

Women presenting for care within a suburban Department of Veterans Affairs Hospital (VA) were screened for intimate partner violence (IPV). This study aimed to explore the feasibility of screening for IPV within a VA women’s health clinic, assess how well the screening measure captured women veterans’ experiences of IPV, and compare clinical correlates of IPV in women veterans who have and have not experienced IPV. Of 96 eligible women, 93 (97 %) answered a self-report question regarding experience of lifetime IPV and 72 (75 %) participated in a standardized screening. Among participants, 42 (47 %) reported experiencing past or current IPV, and of those, 11 (25 %) reported that they were currently experiencing IPV, and 31 (70 %) reported that they had experienced IPV in their past. Screening for IPV among women veterans in a women’s health clinic is feasible and identifies women who experience IPV, offering opportunities for referral and intervention.     

A Dyadic Analysis of Partner Violence and Adult Attachment

Studies of individual attachment features have linked insecure attachment to intimate partner violence (IPV), but these studies have neither taken into account couple-level factors nor evidence of high rates of dual-partner perpetration. The current study examined three forms of IPV as a function of both partners’ adult attachment characteristics in order to better understand the maintenance of relationship violence by using a dyadic statistical design. Heterosexual couples (n = 163) were recruited from the community. Results suggest that one’s own attachment avoidance and a partner’s attachment avoidance and anxiety was associated with perpetration of physical assault. Similarly, one’s own attachment avoidance and a partner’s attachment avoidance and anxiety was associated with perpetration of psychological aggression. Attachment anxiety influenced one’s own perpetration of sexual coercion and their partner’s perpetration. Thus, functional analysis of violence in terms of attachment and risk regulation may afford targeted interventions to certain types of couples.     

The Relationship of Reflective Functioning to Parent Child Interactions in a Sample of Fathers with Concurrent Intimate Partner Violence Perpetration and Substance Abuse Problems

This study is the first to examine reflective functioning (RF) and direct parent–child interactions of fathers with concurrent intimate partner violence (IPV) perpetration and substance abuse (SA) problems. Twenty-four fathers, with children between the age of one and seven, completed a structured interview to assess RF, self-report measures of hostile-aggressive parenting behaviors, IPV perpetration severity, SA severity, and a coded play session with their children. Results of three simultaneous multiple regressions revealed that RF in fathers was not associated significantly with observed parenting behaviors. However, fathers’ SA severity emerged as a significant predictor for child avoidant behavior and dyadic tension, and fathers’ IPV perpetration severity contributed unique variance to child avoidant behavior and dyadic constriction. These results suggest that fathers’ SA severity and IPV perpetration behaviors may be more salient factors in predicting their father-child interactions than paternal RF.     

Adulthood animal abuse among women court-referred to batterer intervention programs

The substantial increase in the enrollment of women in batterer intervention programs (BIPs) over the past 30 years has greatly outpaced research on women who perpetrate intimate partner violence (IPV). As a result, it is unknown whether existing programs, which were originally designed to treat male perpetrators, are effective at preventing recidivism among women. Recent research shows that men who perpetrate IPV may also aggress against nonintimate partners, children, and animals, and that the reach of their aggressive tendencies has implications for treatment. Conducting similar investigations on women who perpetrate IPV may help to inform treatment delivery in BIPs. This study examined the prevalence of adulthood animal abuse perpetration and its association with psychological and physical IPV perpetration in a sample of women arrested for domestic violence (N = 87). Seventeen percent (n = 15) of the women committed at least one act of animal abuse since the age of 18, in contrast to the 0.28% prevalence rate reported in the general population. The overrepresentation of animal abuse in this sample was consistent with that of men arrested for domestic violence. Furthermore, women who reported committing animal abuse as an adult showed moderately higher rates of psychological aggression and physical assault perpetration against their partners, relative to women who did not report animal abuse. Implications for future research are discussed.     

Gender Differences in the Connections Between Violence Experienced as a Child and Perpetration of Intimate Partner Violence in Young Adulthood

This paper uses longitudinal and nationally representative survey data to investigate the direct relationship between three forms of child maltreatment (neglect, physical abuse, and sexual abuse), and future intimate partner violence (IPV) perpetration in the USA. We further examine the indirect effect that child maltreatment has on future IPV perpetration through the presence of youth violence perpetration, and the roles of socioeconomic factors on committing youth violence and IPV. Analyses indicate that gender differences exist for the developmental relationship between child maltreatment and young adult IPV perpetration, and the effects of socioeconomic factors on youth violence and IPV perpetration. For males, the direct effects of being neglected/physically abused as a child on IPV perpetration are not significant. However, the indirect effects of being neglected/physically abused on IPV perpetration through the presence of youth violence perpetration are significant. For females, the direct effects of being neglected/physically abused on IPV perpetration are significant. The indirect effect of being neglected on IPV perpetration is significant, while the indirect effect of childhood physical abuse is not significant. Childhood sexual abuse is not significantly directly associated with IPV perpetration for females; however, for males, it is the strongest (i.e., largest effect size) direct predictor of IPV perpetration. The indirect effects of childhood sexual abuse on IPV perpetration are not significant for both females and males.

Alcohol Outlet Density and Young Women’s Perpetration of Violence Toward Male Intimate Partners

This paper examines the relationships between alcohol outlet density, alcohol use, and perpetration of intimate partner violence (IPV) among young adult women in the US. Data were from Wave III of the National Longitudinal Study of Adolescent Health (Add Health; N?=?4,430 in present analyses). Multinomial logistic regression was used to examine occurrence of past year IPV perpetration toward a male partner based on tract-level on-premise and off-premise alcohol outlet density, controlling for individuals’ demographic, alcohol use, and childhood abuse characteristics and neighborhood socio-demographic factors. Higher off-premise alcohol outlet density was found to be associated with young women’s perpetration of physical only IPV, controlling for individual-level and ecological factors. Alcohol use had an independent association with IPV perpetration but was not a mediator of the outlet density-IPV relationship. Findings suggest that considering alcohol-related environmental factors may help efforts aimed at preventing young women’s use of physical violence toward partners.     

Relationship of Substance Use/Abuse with Psychological and Physical Intimate Partner Violence: Variations Across Living Situations

This study addresses whether the relationship between illicit drug use/abuse measures and intimate partner violence (IPV) varies across socioeconomic status, racial status, and environmental indictors of a drug supportive culture. Data from 19,131 respondents who were living with intimate partners and had not been treated for a substance abuse problem in the last year and participated in the National Household Survey on Drug Abuse were analyzed. Marijuana use/abuse was a stronger predictor of IPV and psychological abuse for minorities, but was not a significant predictor of Caucasians’ IPV. Marijuana use/abuse also was a stronger predictor of IPV for those having a low socioeconomic status, but indicators of a drug supportive culture did not moderate the relationship. Minorities’ marijuana use/abuse increased their yelling and insulting behavior toward each other, and this psychological abuse mediated the effect of marijuana use/abuse on IPV. By contrast, stimulant use, sedative use, and alcohol abuse or dependence had independent direct effects on IPV after controlling for psychological abuse. Implications for research and policy are discussed.     

Posttraumatic Stress Disorder Symptoms,Traumatic Reminders,and Partner Aggressive Tendencies Among Veterans

This study examined whether laboratory exposure to traumatic reminders potentiated the relationship between veterans’ posttraumatic stress disorder (PTSD) symptoms and intimate partner aggression (IPA) articulations elicited during an anger-induction task. The sample included 82 male Operation Iraqi Freedom/Operation Enduring Freedom veterans. The Articulated Thoughts in Simulated Situations (ATSS) procedure was used to assess physical IPA articulations (i.e., expressions of physically aggressive intentions toward the partner) and verbal IPA articulations (i.e., statements intended to insult or demean the partner) made during “relationship anger” provoking scenarios. Participants were administered versions of the ATSS both with and without trauma cue presentation. Results indicated that trauma cue exposure potentiated the relationship between veterans’ PTSD symptoms and physical IPA articulations, but did not strengthen the significant relationship between PTSD symptoms and verbal IPA articulations. Findings contribute to the literature on veterans’ PTSD symptoms and IPA perpetration by highlighting the influence of traumatic reminders.     

Predictors of Women’s Same-Sex Partner Violence Perpetration

The present study examined family of origin, individual characteristics, and intimate relationship variables as predictors of women’s reports (N?=?209; M?=?29.5 years) of physical aggression toward their current or most recent same-sex partner in the past year. Participants completed measures that assessed a series of family of origin, individual, and intimate relationship variables. Results of a least-squares regression revealed that identifying as heterosexual (as opposed to lesbian), higher levels of relationship fusion, more experiences of psychological aggression victimization, and having more prior physically aggressive relationships were associated with more frequent perpetration of partner violence. Results of exploratory models testing whether internalized homophobia or dominance/accommodation were indirectly related to physical aggression perpetration revealed that fusion (i.e., enmeshment with one’s partner) mediated the relationship between internalized homophobia and perpetration of partner violence. Similarly, fusion mediated the association between dominance/accommodation and the perpetration of partner violence. Findings underscore the importance that individual and relationship characteristics have in predicting partner violence perpetration in women’s same-sex relationships.     

Men’s Avoidance Coping and Female Partner’s Drinking Behavior: A High-Risk Context for Partner Violence?

The current study explored whether men's avoidance coping in response to the drinking behavior of their female partner with an alcohol use disorder (AUD) would be associated with higher levels of men's perpetration of intimate partner violence (IPV). Women with an AUD (n = 109) and their male partners in a U.S. urban area were assessed on men's perpetration of minor and severe violence using the Conflict Tactics Scale, men's avoidance coping using the Spouse Behavior Questionnaire, and men's and women's drinking behavior using the Time Line Follow Back Interview. Using multiple regression analysis, results showed that men's use of avoidance coping significantly predicted male IPV perpetration over and above the women's perpetration of violence toward him, while women's alcohol use did not significantly predict male-to-female IPV perpetration. Implications for teaching emotion-regulation strategies to male partners of women with an AUD to cope with partner drinking are discussed.     

Intimate partner violence perpetration by court-ordered men: distinctions among subtypes of physical violence, sexual violence, psychological abuse, and stalking

This study continues previous work documenting the structure of violence perpetrated by males against their female intimate partners. It assesses the construct validity of a measurement model depicting associations among eight subtypes of perpetration: moderate physical violence, severe physical violence, forced or coerced sexual violence, sexual violence where consent was not possible, emotional/verbal psychological abuse, dominance/isolation psychological abuse, interactional contacts/surveillance related stalking, and stalking involving mediated contacts. Data were obtained from a sample of 340 men arrested for physical assault of a female spouse or partner, and court ordered into batterer intervention programs. Men were surveyed before starting the intervention. Confirmatory factor analyses (CFA) supported the validity of model as evidenced by good model to data fit and satisfaction of requirements for fit statistics. In addition, the eight factor solution was characterized by a slightly better model to data fit than a four factor higher order solution described in the author's previous work. Latent variable correlations across the broader categories of intimate partner violence (IPV) revealed that the violence subtypes were mostly moderately positively correlated and ranged from .381 (emotional/verbal psychological abuse with interactional contacts/surveillance related stalking) to .795 (dominance/isolation psychological with abuse with forced sex). Future studies should determine whether there are distinct risk factors and health outcomes associated with each of the eight IPV perpetration subtypes and identify possible patterns of co-occurrence.     

Psychopathology in women arrested for domestic violence

This study examined the prevalence of psychopathology among women arrested for violence and whether the experience of intimate partner violence (IPV) was associated with Axis I psychopathology. Women who were arrested for domestic violence perpetration and court referred to violence intervention programs (N= 103) completed measures of IPV victimization, perpetration, and psychopathology. Results revealed high rates of posttraumatic stress disorder (PTSD), depression, generalized anxiety disorder (GAD), panic disorder, substance use disorders, borderline personality disorder, and antisocial personality disorder. Violence victimization was significantly associated with symptoms of psychopathology. Logistic regression analyses showed that sexual and psychological abuse by partners were associated with the presence of PTSD, depression, and GAD diagnoses. Results highlight the potential importance of the role of violence victimization in psychopathology. Results suggest that Axis I and Axis II psychopathology should routinely be assessed as part of violence intervention programs for women and that intervention programs could be improved by offering adjunct or integrated mental health treatment.     

Dysfunctional Parenting and Intimate Partner Violence Perpetration and Victimization among College Women: the Mediating Role of Schemas

Early Maladaptive Schemas (EMS) are negative cognitions about self and relationships that develop early in life, distort our perceptions of life experiences and are sustained via confirmatory information processing (Young et al. 2003). Although empirical evidence supports the relationship between EMS and psychopathology, there is a relative paucity of research regarding the relationship between EMS and intimate partner violence (IPV). The goal of the present study was to elucidate the complex relations between recollections of dysfunctional parenting, EMS, and IPV victimization and perpetration in adulthood. A sample of 305 women college students completed measures of perceptions of parental bonding, EMS, and relationship conflict behaviors. Results revealed that the EMS of subjugation and self-sacrifice accounted for 13.9% of the variance in IPV victimization; however, the EMS of subjugation was the only significant predictor of IPV victimization and mediated the relationship between recollections of dysfunctional parenting and IPV victimization. Additionally, although the EMS of entitlement, insufficient self-control, mistrust/abuse, abandonment, and social isolation accounted for 11.3% of the variance in IPV perpetration, only the EMS of insufficient self-control and mistrust/abuse were significant predictors of IPV perpetration and mediated the relationship between recollections of dysfunctional parenting and IPV perpetration. Results suggest that these cognitive schemas may be the mechanism through which dysfunctional parenting renders one vulnerable to violence in relationships.     

Developmental Antecedents of Interpartner Violence in a New Zealand Birth Cohort

This paper examines the developmental antecedents of interpartner violence (IPV) victimization and perpetration in a New Zealand birth cohort (n = 828). The study found: (a) IPV occurred in 70% of relationships, with conflict ranging from minor psychological abuse to severe assault; (b) men and women reported similar experiences of victimization and perpetration of IPV; (c) exposure to abuse in childhood, family dysfunction and adversity, childhood and adolescent conduct problems, and alcohol abuse/dependence were significant predictors of IPV victimization and perpetration at age 25; and (d) the antecedents of IPV were largely the same for males and females, although the specific effects of these risk factors differed according to gender. Conduct disorder was more strongly predictive of IPV for females, whereas family adversity was more strongly predictive of IPV victimisation for males.     

Distress Tolerance and Intimate Partner Violence among Men in Substance Use Treatment

Intimate partner violence (IPV) is overrepresented among men in substance use treatment. Individuals who relapse following substance use treatment report greater IPV perpetration relative to individuals who remain remitted. In addition, distress tolerance has been shown to be an important treatment target in substance use treatment, with distress tolerance predicting relapse following treatment. However, we are unaware of any research that has examined the relationship between distress tolerance and IPV among men in substance use treatment, which may hold important treatment implications. The current study therefore examined this relationship in a sample of men in substance use treatment (N = 138). Results demonstrated that distress tolerance was negatively associated with physical and psychological IPV perpetration. After controlling for age and substance use and problems, distress tolerance remained associated with psychological, but not physical, IPV perpetration. These findings suggest that distress tolerance may be an important component of treatments for IPV, particularly for psychological aggression. Substance use treatment programs that target distress tolerance may concurrently reduce the risk for relapse to substance use and IPV perpetration.     

Conducting Veteran Dependency and Indemnity Compensation Exams: Establishing a Nexus Between Mental Health and Death

Forms of financial compensation have been paid to the beneficiaries of deceased service members since the Revolutionary War. In its current version, Dependency and Indemnity Compensation (DIC) is a tax-free monetary benefit paid to eligible survivors of veterans whose death resulted from a service-related disability. Mental health professionals are called upon to provide medico-legal opinions in DIC claims involving questions of whether a veteran’s service-connected mental illness contributed substantially to their death. The U.S. Department of Veterans Affairs (VA) does not currently employ training programs, competency standards, or best practice recommendations for these specialized evaluations. This article seeks to fill this gap and provide a resource for mental health professionals providing medical opinions in DIC claims.     

Economic Abuse Experiences and Depressive Symptoms among Victims of Intimate Partner Violence

There are significant, detrimental effects of physical, sexual, and psychological intimate partner violence (IPV) on victims’ mental health and well-being. However, little is known about the impact of economic abuse. To address this gap, the purpose of this study was to examine the association between economic abuse and depression and to explore whether the association between economic abuse and depression could be accounted for by other forms of IPV victimization (physical, sexual, and psychological abuse). Data from 457 female victims of IPV, recruited from 14 domestic violence programs across 10 states and Puerto Rico, were examined to explore the association between economic abuse and depressive symptoms. A series of hierarchical regressions were used to examine whether the addition of economic abuse improved the association between depression over and above participants’ sociodemographic characteristics and experiences of psychological, physical, and sexual IPV. The majority (93%) of participants reported experiencing economic abuse from their intimate partner. The findings from a series of multiple regression analyses revealed that economic abuse was uniquely associated with depression after accounting for other forms of IPV victimization and the sociodemographic characteristics of the participants. Implications include the need for screening, intervention, and prevention of economic abuse among IPV victims and continued research regarding economic abuse experiences.     

Anxiety disorders and intimate partner violence: can the association be explained by coexisting conditions or borderline personality traits?

Intimate partner violence (IPV) is a serious, preventable public health problem. IPV perpetration is strongly associated with Anxiety disorders at the population level. We investigated whether the association could be explained by coexisting psychiatric conditions or Borderline personality traits, using a combined data-set of two National Household Surveys (n = 15,973). Results showed women were more likely to report perpetrating IPV than men. Anxiety disorders were associated with IPV. When coexisting psychiatric conditions together with a categorical diagnosis of Borderline Personality Disorder (BPD) were investigated as explanatory variables, 19.2% of the association between Anxiety disorders and IPV was explained. Using individual Borderline traits in place of a categorical diagnosis of BPD, 58.3% of the association was explained. In conclusion, the association between Anxiety disorders and IPV was partly, but not fully, explained by coexisting psychiatric conditions and individual Borderline traits. Perpetrators of IPV should be screened for Anxiety disorders and among those with Anxiety disorders, Borderline traits are important.