Physical Health in Preschool Children Exposed to Intimate Partner Violence

Exposure to violence and traumatic events during childhood has long been associated with poor physical and psychological health during adulthood. Very few studies, however, have taken steps to understand the immediate relationship between exposure to intimate partner violence (IPV) and physical health problems in young children. In this study, we examined the mother-reported physical health problems of 102 preschool-age children who have been exposed to IPV. We found that children exhibiting more traumatic stress symptoms displayed fewer total health problems; however, gastrointestinal problems and asthma were related to poor psychological adjustment. We also found that preschool-age girls were more likely to display health problems than boys. Future studies of the physical health consequences of exposure to IPV in young children would benefit from examinations of specific changes in physiological processes to draw conclusions about the effects of violence on immune system functioning and physical health.     

Identifying Predictors for Children Witnessing Intimate Partner Violence

Research has shown that intimate partner violence (IPV) prevalence and severity is higher and IPV duration is longer among couples that have children. Women frequently report that their children are the reason why they stay, leave, or return to an IPV relationship. Our study used results from a two-wave telephone survey to determine what IPV-associated factors were significant predictors of respondents’ children witnessing IPV, as well as estimating prevalence of children’s exposure to violence. We found that an increase in respondents’ age was significantly associated with increased odds of a child being exposed to violence. We also found that children witnessing violence were almost twice as likely to have mothers who reported leaving abusers. We hypothesize that increasing age corresponds to improved confidence in help-seeking behaviors. Our findings represent an important first step for future research on understanding how children influence IPV victims’ decision-making in seeking out service providers for help.     

No More! Women Reporting Intimate Partner Violence in Mexico

An analysis of the National Survey of Violence Against Women (2006) in Mexico was performed to estimate the prevalence and the associated factors of women suffering intimate partner violence (IPV) that report their aggressor by severity of violence. Women aged 15 years or older who reported IPV were analyzed by using logistic regression models. Prevalence of IPV was 33.33 %, 64.11 % of them were classified as non-severe violence (NSV) and 35.89 % as severe violence (SV). Women with SV reported the aggressor more often (24.69 % vs. 6.08 % of NSV). Variables associated with reporting the aggressor for both NSV and SV were having children living in the household, higher socioeconomic status, frequent alcohol consumption by the partner, and health personnel informing women that they were experiencing IPV. We can conclude that a low percentage of women reported IPV. Greater efforts should be made to empower women so they can effectively execute their right to live a life free of violence.     

Emotion Dysregulation,Gender, and Intimate Partner Violence Perpetration: An Exploratory Study in College Students

Intimate partner violence (IPV) is a prevalent problem, as it is bidirectional and perpetrated by both men and women. Emotion dysregulation may influence IPV perpetration among men and women. This cross-sectional survey study of 598 college students investigated the associations between two important factors related to IPV perpetration: gender and emotion dysregulation. Findings illustrated an association between emotion dysregulation and IPV perpetration. The bivariate association between physical violence and one facet of emotion dysregulation differed by gender, such that lack of emotional awareness was associated with violence perpetrated by women, but not men; however, this was not supported in multivariate analyses. These preliminary findings suggest that future work should examine how different emotion regulation deficits may increase IPV by gender.     

Traumatic Events and Maternal Education as Predictors of Verbal Ability for Preschool Children Exposed to Intimate Partner Violence (IPV)

Despite research on the effects of intimate partner violence (IPV) on children, little is known about its impact on cognitive development. In this study, 87 preschool-aged children and their mothers exposed to IPV within the last two years participated in interviews to ascertain verbal ability, history of violence, and exposure to trauma. When compared to a national sample of 1,700 same-age children not evaluated for exposure to traumatic events, children exposed to IPV scored significantly lower on verbal ability, as assessed with standardized measures. In order to understand variation in verbal ability, multiple regression models were tested. Both prior exposure to traumatic events and the level of mother’s education were significant predictors of verbal ability. However, level of education mediated the relationship between traumatic events and the child’s verbal ability.     

IPV Survivors’ Perceptions of How a Flexible Funding Housing Intervention Impacted Their Children

An estimated 15.5 million American children are exposed to intimate partner violence (IPV) every year. Such exposure negatively impacts children’s health, development and academic performance and may also be accompanied by housing instability or homelessness. Children growing up with periods of homelessness or housing instability are at risk for many of the same detrimental outcomes as children exposed to IPV. To date there are few studies examining the interrelationships among IPV, housing instability and the impact of housing interventions on children’s well-being. The current qualitative, longitudinal study examined mothers’ perceptions of how receipt of flexible funding designed to increase their housing stability may have also impacted their children’s safety, stress, mood and behavior. Forty-two mothers in the Washington, D.C. metro area were interviewed three times over a six-month period about their own safety and housing stability, as well as their children’s. Ninety-five percent of the mothers and their children were housed at the six-month interview. Mothers described improvements in children’s stability and safety, decreases in children’s stress levels, and improvements to their mood and behavior. They also discussed the symbiotic relationship between their own stress and well-being, and their children’s. The provision of flexible funding to assist domestic violence survivors with their housing also collaterally impacted their children’s safety, stress, mood and behavior.     

Exposure to Maternal- and Paternal-Perpetrated Intimate Partner Violence, Emotion Regulation, and Child Outcomes

The current study examined the relationship of maternal- and paternal-perpetrated intimate partner violence (IPV) to children’s internalizing and externalizing symptomatology. Mother-child dyads (N?=?53; child ages 8–11) reported maternal- and paternal-perpetrated IPV exposure and measures of child symptomatology. Results demonstrated that: (a) maternal- and paternal-perpetrated IPV have similar but not identical relations with child outcomes, (b) mothers’ and children’s reports of paternal-perpetrated IPV were positively related, (c) mother and child report of maternal- and paternal-perpetrated IPV related to child emotional and behavior problems, and (d) emotion dysregulation mediated the link between IPV exposure and child outcomes. Notably, findings differed by reporters. Results support emotion dysregulation as one mechanism through which IPV exposure may lead to child behavior problems, with implications for clinical intervention.     

“I Didn’t Want To Put Them Through That”: The Influence Of Children on Victim Decision-making in Intimate Partner Violence Cases

For mothers, intimate partner violence (IPV) presents a concern not only for their own well-being but also for that of their children who are exposed to the violence and its aftermath. In focus groups with adult women (N = 39) across three jurisdictions who had experienced legal system intervention for IPV victimization, mothers raised unsolicited concerns about the negative effects of IPV exposure on their children. These comments were not prompted by the facilitator but were raised by women in all seven of the focus groups during discussions about motivations and barriers to participation in prosecution of their abusive partners. The overall message was that victims with children felt very conflicted. Children both facilitate and inhibit leaving the abusive relationship. Mothers wanted to spare their children from harmful effects of violence but also wanted to keep their families together and protect their children from potential agitation and instability caused by legal system involvement. Participants described how fears and threats of involvement from child protective services inhibited help-seeking while simultaneously voicing a desire for services that would help their children. More research is needed to help service providers understand the quagmire mothers who are victims of IPV encounter regarding their children’s wellbeing.     

Intimate Partner Violence and Parenting: Examining the Roles of Parenting Stress,Timing, and Maternal Abuse History

Maternal intimate partner violence (IPV) exposure has been linked to negative parenting outcomes. Studies suggest that parenting stress is an intermediary between IPV exposure and parenting, though past work has relied on small, clinically- referred samples. Moreover, it is unclear if parenting is differentially affected by a mother’s recent versus past history of IPV exposure, or whether a mother’s childhood abuse history moderates the associations of IPV with parenting stress and parenting behaviors. The current study examines whether recent IPV, versus past IPV, has stronger associations with parenting stress and parenting behaviors and tests whether maternal abuse history moderates these associations. Using structural equation modeling, we tested relations between IPV (frequency and recency), parenting stress, and parenting behaviors cross-sectionally and longitudinally in a large community sample of IPV-exposed low-income Hispanic and African American mothers of children aged 0–14 years (N?=?1159). We found that mothers who reported IPV exposure in the past year reported higher negative and lower positive parenting behaviors than mothers who reported less recent exposure. Further, we found that the frequency and timing of IPV exposure affected parenting indirectly through increased parenting stress. However, a childhood history of abuse did not appear to sensitize women to these effects. These findings suggest that psychological interventions aimed at reducing the subjective experience of parenting stress, as well as increased access to resources that reduce objective childcare burden, are important for promoting resilience among families exposed to violence.

     

Mental health correlates of intimate partner violence in marital relationships in a nationally representative sample of males and females

It is important to understand the epidemiology of intimate partner violence (IPV) experienced by both males and females. Data were drawn from the U.S. National Comorbidity Survey Replication. The relationships between physical IPV and child abuse, mental disorders, and suicidal ideation and attempts among males and females were examined. The results indicate that child sexual abuse was associated with IPV among males, whereas child physical and sexual abuse was associated with IPV among females. IPV was associated with poor mental health outcomes for males and females, although sex differences are noted. The sex differences indicate that females experience a wider range of poor mental health outcomes compared to males. Knowledge about correlates of IPV can be useful in identifying individuals exposed to violence. Further research is required to identify effective methods to reduce exposure to IPV and to adequately address the specific needs of male and female victims of IPV.     

Emotion Regulation Mediates the Relationship between a History of Child Abuse and Current PTSD/Depression Severity in Adolescent Females

Although experiencing child abuse (i.e., physical abuse, sexual abuse, exposure to violence) is associated with a variety of mental health difficulties, simple exposure to abuse does not produce symptoms in every individual. The current study explored emotion regulation as a mediator in the relationship between a history of child abuse and symptoms of posttraumatic stress and depression. Adolescent females (ages 11–17 years) were asked to retrospectively report on their exposure to child abuse, current symptoms of PTSD/depression, and emotion regulation abilities. Caregiver report of adolescent emotional difficulties was also obtained. Analyses revealed that child abuse-exposed females, when compared to females without a trauma history, had worse emotion regulation abilities and increased mental health difficulties. Moreover, emotion regulation significantly mediated the relationship between child abuse and all assessed mental health symptoms. These findings extend previous work from adult samples, underscoring the importance of assessing emotion regulation abilities in abuse-exposed youth.     

The Relation Between Intimate Partner Violence, Parenting Stress, and Child Behavior Problems

Parenting characteristics can have a significant influence on how children are affected by family violence. The purpose of this study was to explore the role women’s parenting stress plays in the relationship between exposure to physical and psychological intimate partner violence (IPV) and children’s externalizing and internalizing behavior problems. Data for this study were taken from three waves of the Illinois Families Study. The final sample included 1,653 children from 805 families. Structural equation modeling analyses were conducted across two developmental stages in order to better understand the unique relationships based on child development. For children ages 6–12 years, parenting stress mediated the relationship between exposure to psychological IPV and internalizing behaviors. No direct or indirect pathways between exposure to IPV and children’s behavior problems were found among adolescents ages 13–17. Implications for social service interventions with children and families exposed to violence are included.     

Factors Contributing to Intimate Partner Violence among Men in Kerala,India

Kerala is one of the most progressive states in India in terms of women’s opportunities for higher education and employment. Despite these advancements in gender equality, intimate partner violence (IPV) against women remains high, with some studies finding increased rates of IPV in Kerala relative to other states. This study examines contributing factors to male-to-female IPV in Kerala. One hundred and thirty-four men were surveyed on perceived marital power, early exposure to violence, drinking habits, depression, and marital satisfaction in relation to current IPV. Forty percent of participants reported incidents of IPV in the past year. Batterers scored significantly higher on childhood abuse, drinking, depression, and marital dissatisfaction. These four predictor variables were all significantly correlated with male-to-female IPV, but perceived marital power was only partially correlated with IPV. Abuse in childhood emerged as the strongest predictor of current IPV. Implications and suggestions for further research are discussed.     

Single Types of Family Violence Victimization and Externalizing Behaviors Among Children and Adolescents

Prior research has provided substantial evidence that child maltreatment and exposure to physical intimate partner violence (IPV) are associated with increased externalizing behavior problems among children and adolescents. However, little is known about the effects of exposure to psychological IPV and exposure to the physical abuse of a sibling. Using a total sample (N = 2,572) and subsample (n = 441) of children ages 3–18 years old, the purpose of this study was to assess whether cumulative types of family violence lead to higher mean externalizing behavior scores and to examine the effects of single types of indirect and direct family violence on children’s mean externalizing behavior scores. Results confirmed that children who experienced any type of family violence victimization had higher mean externalizing behavior scores compared to children with no history of family violence; however, few differences in externalizing behavior scores were found as the number of family violence types increased. Children who experienced indirect types of family violence (e.g., exposure to the physical abuse of a sibling) had higher externalizing behavior scores than children who experienced direct maltreatment (e.g., child physical abuse). Findings from this study suggest that researchers and service providers should adopt a broader conceptualization of family violence victimization and increase the amount of services provided to children who are indirectly victimized.     

Autobiographical Memory Impairment in Female Victims of Intimate Partner Violence

Although the health consequences of intimate partner violence (IPV) have been amply described, as of yet, no study has focused on autobiographical memory (AM), despite the fact that AM dysfunction has been shown to have an impact on everyday life. We assessed AM using a cue-word task in 25 female victims of IPV and 22 control women who had never been exposed to a traumatic event. The IPV group also completed measures of psychotraumatic symptoms. AM was impaired in the IPV victims. When the effect of cue-word valence was analyzed, decreased AM specificity was observed with negative cue-words. This exploratory study demonstrates AM dysfunction among female victims of IPV for the first time. The pattern is consistent with the AM impairment observed in victims of traumatic events.     

Intimate Partner Violence Perpetration from Adolescence to Young Adulthood: Trajectories and the Role of Familial Factors

Prior empirical research on intimate partner violence (IPV) in adolescence and young adulthood often focuses on exposure to violence in the family-of-origin using retrospective and cross-sectional data. Yet individuals’ families matter beyond simply the presence or absence of abuse, and these effects may vary across time. To address these issues, the present study employed five waves of longitudinal data from the Toledo Adolescent Relationships Study (TARS) to investigate the trajectory of IPV from adolescence to young adulthood (N = 950 respondents, 4,750 person-periods) with a specific focus on how familial factors continue to matter across the life course. Results indicated that family-of-origin violence and parent-child relationship quality were independent predictors of IPV. The effect of parent-child relationship quality on IPV also became greater as individuals aged. These results have implications for policies targeted at reducing IPV.     

An Evaluation of a Parent Group for Survivors of Intimate Partner Violence

Researchers continue to demonstrate the significant physical and mental health consequences to women who experience intimate partner violence (IPV) and children exposed to IPV. However, more research is needed to examine group interventions that support mothers, their children, and the parent-child relationship in the aftermath of IPV. We analyzed data provided by women who participated in a 12-week parent group. The objectives of the parent group were for mothers to better understand their children’s developmental experience of IPV and to break the secret of domestic violence in their family. The sample included 15 women who completed the group and the baseline, midpoint, and endpoint surveys. Eleven of these women also completed a semi-structured interview three months following the group. Survey items and interview topics focused on group process and outcomes. Women reported the group helped them feel less alone in their experience of IPV and they valued having a space to learn and discuss new concepts that related to their experiences and their children’s experiences of IPV. They reported more confidence in identifying their child’s feelings and being a safe person to whom their children could express their anger. Women also reported they developed greater coping and communication tools, and a strengthened mother-child bond, through group participation. Group interventions are an important format for learning and sharing for some mothers who have experienced IPV, though more evaluation is needed on what components of these group interventions are the most supportive of mothers’ healing and growth.

     

Associations between intimate partner violence and emotional distress among pregnant women in Durban, South Africa

Intimate partner violence (IPV) during pregnancy has been associated with multiple negative health outcomes including emotional distress during pregnancy. However, little is known about IPV during pregnancy and its association with emotional distress among South African women. The objectives of this study were to determine the prevalence of both emotional distress and IPV during pregnancy, to identify whether different exposures of violence were associated with emotional distress and to assess whether social support attenuated the relationship between IPV and emotional distress. Pregnant women enrolled in the South Africa HIV Antenatal and Posttest Support Study (SAHAPS) who completed the baseline survey were included in this cross sectional analysis. We used logistic regression models to explore bivariate and multivariate relationships between the proposed covariates and emotional distress. Nearly a quarter of women experienced some type of IPV during the current pregnancy, with psychological violence being the most prevalent. The odds of emotional distress was 1.41 times (95% CI: [1.26, 1.57]) higher for each additional episode of psychological violence and 2.01 times (95% CI: [1.16, 3.77]) higher for each additional episode of sexual violence during pregnancy, adjusting for other covariates. Physical violence was only marginally associated with increased odds of emotional distress. Finally, social support was marginally significant as a main effect but did not attenuate the relationship between IPV and emotional distress. The high prevalence of IPV among South African women and its association with emotional distress during pregnancy suggest that interventions that reduce violence during or prior to pregnancy are needed.     

Gender Role and Gender as Predictors of Behavior Problems in Children Exposed to Intimate Partner Violence

Children exposed to intimate partner violence (IPV) are likely to develop behavior problems, but findings are mixed regarding whether girls and boys are differentially affected. Bem (Journal of Personality and Social Psychology, 31, 634–643, 1975) argued that gender role is an important predictor of mental health, and this relationship may differ for males and females due to societal gender norms. Given the gendered nature of IPV, we examined whether gender role interacted with gender to predict behavior problems in IPV-exposed children (n = 176). Among four-year-old children, gender-typed gender roles were a risk factor for girls but not boys, and androgynous gender roles were protective for both boys and girls on average. However, post hoc analyses indicated the amount of IPV exposure mattered; androgynous girls exposed to chronic IPV had more behavior problems. Results illustrate the importance of societal and family gender norms in determining children’s risk for behavior problems following exposure to IPV.     

Economic Burden of Child Exposure to Intimate Partner Violence in the United States

Because the effects of children’s exposure to intimate partner violence (IPV) carry long lasting consequences for the affected children, IPV exposure may impose a significant economic burden to localities, states, and society at large, made explicit over the victim’s lifetime and over a wide range of behaviors and outcomes, including use of social services, health and healthcare utilization, educational outcomes, workforce productivity, and criminal behavior. While much research has been conducted on the effect of IPV exposure on multiple short- and long-term outcomes, no research to date has examined the economic burden associated with IPV exposure. Using an incidence-based approach, we estimated the aggregate discounted costs associated with healthcare spending, criminal behavior, and labor market productivity accrued by a 20-year-old victim in 2016 projected to the age of 65, applying a 3% discount rate. The average lifetime costs derived from childhood IPV exposure are estimated to be over $50,000 per victim (2016 U.S. dollars) due to increased healthcare costs ($11,000), increased crime costs ($14,000), and productivity losses ($26,000). Over an annual birth cohort of young adults, these costs amount to over $55 billion nationwide. IPV exposure imposes a substantial economic burden to society at large in the form of increased healthcare costs, increased crime costs, and reduced productivity. This study offers an explicit quantification of substantial lifetime costs, which should encourage policy makers to redouble efforts to reduce the incidence of IPV and successfully ameliorate its effects on IPV-exposed children.