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African American Women’s Readiness to Change Abusive Relationships
Authors:Melanie J Bliss  Emma Ogley-Oliver  Emily Jackson  Sharon Harp  Nadine J Kaslow
Institution:(1) Emory University, Atlanta, GA, USA;(2) Georgia State University, Atlanta, GA, USA;(3) University of Georgia, Athens, GA, USA;(4) Smith College School for Social Work, Northampton, MA, USA;(5) Department of Psychiatry and Behavioral Sciences, Grady Health System, Emory University School of Medicine, 80 Jesse Hill Jr. Drive NE, Atlanta, GA 30303, USA
Abstract:This study explores 178 low-income, abused African American women’s readiness to change abusive relationships and achieve safety. We explore stages of change using Prochaska and DiClemente’s transtheoretical model (TM; Precontemplation, Contemplation, Action, Preparation, and Maintenance). Results reveal that: for abused women, the stages fall along a continuum (versus discreet and linear stages); abused women are primarily in the Contemplation stage; and multiple factors (perception of current abuse, number of children in her home, symptoms of general anxiety and posttraumatic stress disorder PTSD], substance use, spiritual well-being, self-esteem, and social support) affect women’s total readiness to change intimate partner violence (IPV). Current IPV, anxiety, PTSD, substance abuse, and spirituality were positively correlated with readiness to change, and children in the home and self-esteem were negatively correlated with readiness to change. Multiple regression analysis revealed that PTSD and spiritual well-being are positive predictors of readiness to change. Findings contribute to the growing body of literature supporting the TM as applied to IPV. Results are discussed in terms of applicability to interventionists, policy makers, and community leaders as they consider the plight of abused women and their efforts towards violence-free relationships.
Keywords:IPV  Abuse  Stages of change  Women  African–  American
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