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.     

Conflict Appraisals in a Multiethnic Sample of Children Exposed to Intimate Partner Violence

Childhood exposure to intimate partner violence (IPV) is a serious public health issue, affecting millions of children each year. IPV-exposed children are at risk for developing behavioral and emotional problems. The Cognitive-Contextual Framework posits that children’s post-conflict appraisals of threat and self-blame mediate these negative outcomes. However, conflict appraisals have primarily been studied in White, school-aged children. This study includes a large, multi-ethnic sample of children ages 5–12 (N = 158) who were interviewed regarding their experiences with family violence. The sample included White, Black, Latino/a, and biracial children. Self-blame was equivalent across groups. However, groups differed in threat appraisals, and Latino/a mothers and children reported discrepancies in the level of IPV-exposure. Directions for research and clinical implications are discussed.     

Symptom Patterns among Youth Exposed to Intimate Partner Violence

Children and adolescents exposed to intimate partner violence display a broad range of symptoms. We sought to differentiate symptom patterns and predictors of these patterns using a person-oriented approach. Previous cluster analysis research of exposed youth was extended to include youth PTSD symptoms and trauma history. Participants were 74 mothers who had received a police call for domestic violence, and who had a child between 2 and 17 years old. Cluster analysis was used to identify four symptom patterns among exposed youth: Typical, Asymptomatic, General Distress, and Acute PTSD. These patterns were replicated in separate cluster analyses with younger and older participants. Symptom patterns were differentiated by maternal distress, maternal aggression, and youth trauma history, but not by male partner aggression. Implications for assessment and treatment of youth exposed to intimate partner violence, and suggestions for further research, are discussed.     

Perceived Quality of Life and Health Complaints in Children Exposed to Intimate Partner Violence

Children 9 to 13 years old exposed to intimate partner violence (IPV) reported on their violence exposure, attachment to both parents, temperament (negative emotionality and emotion regulation), perceived quality of life, and health complaints. Half of the children perceived their quality of life as good and did not have recurrent health complaints. When controlling for socioeconomic status, health complaints were associated with higher IPV exposure and negative emotionality, whereas quality of life was associated with attachment security, higher capacity for emotion regulation, and lower negative emotionality. These results underscore the importance of increasing and supporting the capacity of children exposed to IPV to handle and express their emotions, as well as making school nurses and other primary care practitioners more attentive to IPV as a possible background factor in children’s health complaints.     

Infants Exposed to Intimate Partner Violence: Issues of Gender and Sex

A review of the literature finds that the development of infants exposed to intimate partner violence (IPV) may vary across sex as boys display more externalizing behavior, while girls show more internalizing behavior. Given this trend, gender- and sex-based analysis (GSBA) may play a critical role in understanding and improving the adjustment of these infants. Researchers are often encouraged to include gender and sex into their analysis, though they are rarely afforded appropriate direction in this process. The intention of this article is to provide guidance in GSBA for research on infant development in families affected by IPV. We present a discussion on GSBA, a review of the literature, explanations for differences in male and female infant development, a set of research priorities, and directions for future work. Findings suggest that a better understanding of the complexities in the adjustment of violence-exposed infants through GSBA may promote childhood development.     

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.     

Social Context and Violence Exposure as Predictors of Internalizing Symptoms in Mothers and Children Exposed to Intimate Partner Violence

Family and social environment may play a part in children’s post-violence adjustment. The goal of this paper is to examine which factors are related to internalizing symptoms in mothers and their children exposed to intimate partner violence. Participants were 208 mothers exposed to domestic violence. Mothers responded using the Conflict Tactics Scale, Beck Depression Inventory, and other standardized scales. They also reported on their children’s internalizing symptoms using the Child Behavior Checklist (CBCL). For the whole group, children’s CBCL scores were related to higher maternal depression and lower maternal self-esteem. Factors determining internalizing in children varied based upon the child’s race. This study illustrates the importance of factors, such as maternal depression, maternal self-esteem, violence exposure, and social support, in determining whether a child exposed to domestic violence develops internalizing symptoms, and that ecological factors may have different effects on children based on race.     

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.     

Intimate Partner Violence in Turkey: The Turkish Intimate Partner Violence Attitude Scale-Revised

This study documents psychometrics of the Turkish version of Intimate Partner Violence Attitude Scale-Revised (IPVAS-R; Fincham et al. in Psychological Assessment, 20, 260–269, 2008). Dating college students (n=280) from four universities completed Turkish versions of the IPVAS-R, Multidimensional Measure of Emotional Abuse, Physical Assault of Conflict Tactics Scale - Revised, and Ambivalent Sexism Inventory. Confirmatory factor analysis supported the three factor structure of the IPVAS-R, albeit with an item change from the Abuse to the Control factor, due to the cultural nuances. This factor structure was cross validated with a second independent sample of 205 dating college students. Convergent validity and satisfactory internal consistency were also reported. The IPVAS-R was found to be a psychometrically sound measure to gauge attitudes toward psychological and physical dating aggression among college students outside of North America.     

Intimate Partner Violence Among Adolescent and Young Adult Mothers

The associations between intimate partner violence (IPV) and mental health among adolescent and young adult mothers were compared. The sample was drawn from the Fragile Families and Child Wellbeing Study and participants were 672 mothers between the ages of 14 and 21. IPV was significantly positively associated with both depression and anxiety among young adult mothers. However, these associations were not found among adolescent mothers. In addition, IPV and marital status were significantly related among young adult mothers, but not adolescent mothers. Results suggest that IPV may have different consequences during different parts of the life course, or that mental health symptoms may be reported only later in life.

Severity of Psychological Maltreatment and Accumulative Risk for Psychopathology in Children of Mothers Exposed to Intimate Partner Violence

Psychological maltreatment (PM) is an extremely heterogeneous phenomenon that includes several subtypes. The aim of this work is to explore whether the accumulation of different subtypes of PM has a greater impact on the child’s psychopathology and functional impairment. One hundred and sixty-eight children and adolescents aged between 4 and 17 whose mothers had been exposed to intimate partner violence (IPV) participated. Psychopathology was assessed through a rating scale and a diagnostic interview. Polynomial contrasts by means of Generalized Estimated Equations explored linear and quadratic trends. The greater the number of PM subtypes suffered by children, the greater the adverse effects in psychopathology and functioning. When a child suffers four PM subtypes, the number of DSM disorders is, on average, twice as high compared with children who are suffering only one PM subtype. Linear trends were mainly found in internalizing problems. The importance of accurately assessing characteristics and severity of PM, and design efficient programs of prevention and treatment, is highlighted.     

Perspectives on Regional Differences and Intimate Partner Violence in Canada: A Qualitative Examination

Few studies have examined the impact of intimate partner violence (IPV) within rural and northern communities. The current study addressed gaps within the literature by gathering perspectives from community service providers and academic researchers in order to increase understanding about the unique needs of IPV survivors within geographically diverse regions. Interviews were conducted with ten participants from Saskatchewan, Manitoba, Alberta, and Northwest Territories. Interviews focused on the unique needs of IPV survivors within each region, gaps that exist in meeting those needs, as well as questions pertaining to a larger research study entitled, Rural and Northern Community Response to Intimate Partner Violence. Results revealed several core themes relating to the unique challenges faced by IPV survivors within each region, as well as barriers to accessing services within rural and remote communities. Results also highlighted important considerations for future researchers, such as challenges that can arise when conducting research within geographically remote locations. Findings may help inform future development and implementation of services for IPV survivors residing in geographically diverse locations across Canada.     

Asking Routinely About Intimate Partner Violence in a Child and Adolescent Psychiatric Clinic: A Qualitative Study

Among children visiting child and adolescent psychiatric clinics (CAP), the prevalence of exposure to intimate partner violence (IPV) is reported to be approximately 25 %. The extent to which CAP clinicians are aware of this violence, however, is unclear. Some researchers recommend asking about IPV at intake, both to raise disclosure rates and to ensure adequate treatment. Many clinicians are reluctant to do so as a matter of routine when there is no indication of occurrence of IPV in the family. When we interviewed 14 clinicians about their experiences using a standard questionnaire about IPV, three themes emerged: (a) constraint (the questions hinder the development of good relationships with patients), (b) uncertainty (upon reflection, screening is acknowledged as important, but somewhat deficient), and (c) utility (the questionnaire provides a useful framework). Our findings indicate that clinicians’ negative feelings and ambivalence make the implementation of routinely asking about IPV a long process.     

Parenting and Safety Program for System-Involved Female Survivors of Intimate Partner Violence: A Qualitative Follow-up Study

This article reports findings from a qualitative follow-up investigation of a mandated parenting and safety program for system-involved female IPV survivors. Participants were contacted 12 months or more after program completion and invited to participate in individual interviews. The interviews focused on the longer-term life changes survivors attributed to the program. Data were collected from 38 survivors. Qualitative analysis determined 4 key themes: relationship changes (e.g., most women were no longer with abusive partners), parenting changes (e.g., improved communication and discipline strategies), personal life changes (e.g., improved help-seeking and self-esteem), and new or ongoing challenges (e.g., financial stress). Overall, findings suggest that tailored, mandated programming — when positive and empowering — may lead to some longer-term beneficial outcomes.     

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.

     

Interventions for Intimate Partner Violence: A Historical Review

Intimate partner violence (IPV), also known as domestic abuse or relationship violence, has generated a large research literature for the last half-century, particularly in the areas of criminal justice, psychology, and the social sciences. Interventions for victims and perpetrators of IPV have largely been sequestered to separately evolving efforts of law enforcement and the psychotherapeutic community (Chang et al. Women’s Health Issues, 15(1), 21–30, 2005; Dalton Journal of Aggression, Maltreatment & Trauma, 15(1), 59–75, 2007; Dobash and Dobash 2000; Feder et al. 2008; Gerbert et al. Journal of Family Practice, 49(10), 889–895, 2000; Wathen and MacMillan. Journal of the American Medical Association, 289(5), 589–600, 2003). This article presents a brief overview of the historical evolution and development of these discrete perspectives and identifies and assesses current collaborative interventions rooted in these historical precedents. In conclusion, the authors provide a summative discussion of the most current findings of research into IPV interventions, with a particular focus on the changing roles of race and gender in both the criminal prosecution of IPV and services provided to IPV perpetrators and victims.     

Intimate Partner Violence Exposure and Childhood Psychopathology: Associations with Discriminating Fearful and Angry Faces in Young Children

Journal of Family Violence - Childhood exposure to traumatic violence may shape how children respond to threatening faces and increase risk for psychopathology. Maltreated children may exhibit...     

Effects of Partner Violence and Physical Child Abuse on Child Behavior: A Study of Abused and Comparison Children

This study tests a model of the effects on child behavioral outcome of the child's exposure to partner violence and child abuse, in children who have experienced the two forms of victimization either separately or together. Recognizing that family contextual factors play an important role in influencing child outcome, an ecological model is proposed that designates family stress as the principal exogenous factor, with effects on child outcome mediated through caretaker distress, partner violence, and child abuse. The sample consists of 100 confirmed cases of physically abused New York City schoolchildren, ages 9 to 12 years, and their families, and 100 nonmaltreated classmates, matched for gender, age, and, as closely as possible, for race, ethnicity, and socioeconomic status, and their families. Child behavioral outcome is assessed by classmates for antisocial, prosocial, and withdrawn behavior and by parents and teachers for externalizing and internalizing problem behavior. Results are generally consistent with the hypothesis that partner violence and caretaker distress, both associated with family stress, increase the risk for child abuse and thereby raise the child's risk for poor outcome. Implications of differences among raters for the model's applicability, and implications of the results for clinical intervention, are discussed.     

Current Controversies within Intimate Partner Violence: Overlooking Bidirectional Violence

There is a wealth of research that details the bidirectional nature of the majority of intimate partner violence (IPV; Langhinrichsen-Rohling et al. Partner Abuse, 3(2), 199–230, 2012). However, there is a tendency for interventions to treat perpetrators and victims unilaterally from a gendered standpoint. The current paper discusses the evidence to date that illustrates the extent of the problem, including frequency within several samples and the severity of outcomes. It further argues that the only way to develop effective interventions is to acknowledge that many perpetrators may also be victims, and the need to understand the context in which the violence occurs.