Depressive symptoms among working women in rural North Carolina: a comparison of women in poultry processing and other low-wage jobs

We report on the prevalence of self-reported depressive symptoms and associated factors among women employed in a poultry processing plant and a community comparison group of other employed women in northeastern North Carolina in the southern United States. The rural area is poor and sparsely populated with an African American majority. The largest employer of women in the area is a poultry processing plant. The goals of the analyses were 1) to evaluate whether women employed in poultry processing had a higher prevalence of depressive symptoms than other working women from the same geographic area, and 2) to evaluate factors which might be associated with depression among all of these working women, including specific characteristics of their work environment. Recruitment of participants (n=590) and data collection were by community-based staff who were also African American women. Depressive symptoms were measured using the Center for Epidemiologic Studies Depression Scale (CES-D). Work organization factors were measured with the Job Content Questionnaire (JCQ). Log-binomial regression was used to calculate crude and adjusted prevalence ratios. The prevalence of depressive symptoms, based on a CES-D measure of sixteen or more, was 47.8% among the poultry workers and 19.7% among the other working women (prevalence ratio=2.3). After adjusting for socioeconomic variables, health-related quality of life and coping style, the prevalence of depressive symptoms remained 80% higher among the poultry workers. The prevalence of symptoms was also higher among those who perceived low social support at work, hazardous work conditions, job insecurity, and high levels of isometric load. These factors were all more common among the women employed in the poultry plant. The concentration of this low-wage industry in economically depressed rural areas illuminates how class exploitation and racial discrimination may influence disparities in health among working women.     

The Relationships Between Childhood Sexual Abuse,Social Anxiety,and Symptoms of Posttraumatic Stress Disorder in Women

The relationships between childhood sexual abuse, social anxiety, and symptoms of posttraumatic stress disorder were examined in a sample of 313 undergraduate women. Thirty-one percent of the women reported some form of sexual abuse in childhood. Women with a history of sexual abuse reported more symptoms of anxiety, distress in social situations, and posttraumatic stress disorder than other women. Women who experienced attempted or actual intercourse reported more avoidance than women with no history of abuse and women with exposure only, and more PTSD symptoms than all other groups of women. Women who experienced fondling reported more PTSD symptoms than women with no history of abuse. Pressure, age of onset of abuse, abuse by a family friend, and abuse by other perpetrators were all significant abuse characteristics in predicting adult social anxiety. Implications of these results for research and interventions are discussed.     

Intimate partner violence and long-term psychosocial functioning in a national sample of American women

Using a nationally representative sample of American married or cohabiting women, this prospective study examined women who reported or denied intimate partner violence (IPV) at wave 1 and compared them on a range of psychosocial outcomes at a 5-year follow-up. This study also examined the rate of divorce or separation during the 5-year interval among women who reported IPV at wave 1 and explored whether certain predictors were related to ending an abusive relationship with an intimate partner during the period. Women with IPV at wave 1, compared to women without IPV, were significantly more likely to experience a greater degree of depressive symptoms and functional impairment and less self-esteem and life satisfaction at the 5-year follow-up. Also, nearly half of the women in an abusive relationship left the relationship within the period. Leaving the abusive relationship was associated with lower individual income and more social support at wave 1.     

Correlates of depressive symptoms among battered women

It is important to examine the concomitants of depressive symptoms reported by battered women because of the high frequency and potentially vulnerability-enhancing effects of these symptoms within battering relationships. In the present study, 10 environmental and behavioral skills correlates of depressive symptoms were examined in 136 battered women. The results of the Simultaneous Multiple Regression suggested that 46% of the variance in depression scores could be accounted for by scores on measures of these 10 variables. Four variables were found to be uniquely and significantly associated with depressive symptoms: self-reinforcement, realistic assessment, number of losses, and a history of depression. These results suggest that battered women who realistically assess their battering relationship and who report poor self-reinforcement skills, losses, and histories of depression may be at particular risk for depression.     

Psychological Abuse and Depressive Symptoms in Dating Women: Do Different Types of Abuse Have Differential Effects?

The purpose of the current study was to examine potential differential effects of two forms of psychological abuse, emotional/verbal and dominance/isolation, on women's depressive symptoms. It was expected that emotional/verbal abuse would have a direct impact on both concurrent and prospective depressive symptoms among dating women. In contrast, it was expected that the depressogenic effect of dominance/isolation abuse would be moderated by level of perceived interpersonal control. Women who perceived themselves to have high levels of interpersonal control were hypothesized to be less negatively affected by partner dominance/isolation behaviors than their low control counterparts. Although the effects of both types of abuse on concurrent depressive symptoms were relatively weak, more robust longitudinal effects were found. Emotional/ verbal abuse at Time 1 did not predict Time 2 depressive symptoms after controlling for depressive symptoms at Time 1. In contrast, dominance/isolation abuse at Time 1 significantly predicted increases in depressive symptoms over time, and this effect was moderated by level of perceived interpersonal control in the expected direction. Implications for future research and clinical intervention/prevention efforts are discussed.     

Depressive symptoms among female college students experiencing gender-based violence in Awassa, Ethiopia

Little epidemiologic research has focused on the mental health effects of gender-based violence among sub-Saharan African women. The objective of this study was to assess risk of depression and depressive symptoms among 1,102 female undergraduate students who were victims of gender-based violence. Students who reported experience of any gender-based violence were nearly twice as likely to be classified as having moderate depression during the academic year (OR = 1.98, 95% CI = 1.39-2.82) as compared with nonabused students. Compared with nonabused students, those who had experienced both physical and sexual abuse were 4 times more likely to report either moderately severe (OR = 4.32, 95% CI = 2.00-9.31) or severe depressive symptoms (OR = 4.19, 95% CI = 1.01-17.43). Our findings, consistent with previous studies, support the thesis that women's mental health status is adversely affected by exposure to gender-based violence.     

Current psychopathology in previously assaulted older adults

Older adult women age 55+ years (N = 549) were interviewed as part of a population-based epidemiological research study of lifetime experiences with physical and sexual assault and current mental health problems. Although overall rates of psychopathology were low, producing very small cells for comparison, women who reported experiencing physical assault an average of 28 years previously were more likely to present with past year substance abuse, depression, and avoidance and reexperiencing symptoms of posttraumatic stress disorder (PTSD) than those with no previous physical or sexual assault. Women who reported experiencing sexual assault an average of 50 years previously were more likely to present with autonomic arousal and avoidance symptoms of PTSD than those with no prior sexual assault. The aforementioned findings should be considered with caution, however, as sample cell sizes were minimal for all but the PTSD symptom subtypes. Mental health service implications for older adults are discussed.     

Criminal Justice Contact,Stressors, and Depressive Symptoms Among Black Adults in the United States

Criminal justice contact—defined as lifetime arrest, parole, or incarceration is associated with higher odds of experiencing depressive symptoms. Findings from this study suggest that there is a mechanism that links family, neighborhood, and financial stressors among Black adults with criminal justice contact to depressive symptoms. Using the National Survey of American Life (NSAL), modified poisson regression analyses were used to determine the association between criminal justice contact, stressors, and depressive symptoms among a national sample of Black adults (n = 3570). In the full model, the odds of experiencing depressive symptoms for Black adults who had criminal justice contact was reduced (PR: 1.14 to PR: 1.07). Black adults who reported experiencing family stressors (PR: 1.10, 95% CI: 1.06, 1.16), neighborhood stressors (PR: 1.09, 95% CI: 1.04, 1.13), and financial stressors (PR: 1.13, 95% CI: 1.06, 1.19) were statistically significant and higher than those who reported not experiencing any of these stressors. Stressors partially mediates the relationship between criminal justice contact and depressive symptoms (OR: 1.05, Bias-corrected 95% CI: 1.04, 1.07); causing the effect of criminal justice contact to reduce to 1.06, leaving a significant indirect effect of 1.05. The total effect is 1.93 times larger than the direct effect, and 48.3% of the total effect is due to stressors. These findings emphasize the need to further explore the family, neighborhood, and financial stressors for Black adults with criminal justice contact in order to further our understanding of their depressive symptoms.     

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.     

A comparison of sexual coercion experiences reported by men and women in prison

Comparisons were made between self-reports from 382 men and 51 women who had experienced sexual coercion while incarcerated. Victim data were obtained from a sample of 1,788 male inmates and 263 female inmates who responded to an anonymous written survey distributed in 10 midwestern prisons. Men reported that their perpetrators in worst-case incidents were inmates (72%), staff (8%), or inmates and staff collaborating (12%). Women reported that their perpetrators were inmates (47%) and staff (41%). Greater percentages of men (70%) than women (29%) reported that their incident resulted in oral, vaginal, or anal sex. More men (54%) than women (28%) reported an incident that was classified as rape. Men and women were similar in feeling depression; however, more men (37%) than women (11%) reported suicidal thoughts and suicide attempts (19% for men, 4% for women). Implications of results for prevention of sexual coercion in prison are discussed.     

Risk for Partner Victimization and Marital Dissatisfaction Among Chronically Depressed Patients

The link between marital dysfunction and depressive symptoms has been well established, but the link between partner violence and depressive symptoms is less clear. Further, little is known about partner violence and marital satisfaction in chronically depressed patients. In this multi-site treatment sample of chronically depressed patients (N = 316), approximately 17% of men and 12% of women reported experiencing physical victimization from their partner in the past year. However, physical victimization was not associated with the severity of depression for men or women. Cross-sectional path analyses indicated that depressive symptoms predicted marital dissatisfaction, which in turn, predicted psychological victimization. Further, psychological victimization predicted physical victimization. With chronically depressed individuals, interventions that address both depression and marital dissatisfaction may prevent psychological and physical victimization.     

Women in IPV Treatment for Abusers and Women in IPV Survivor Groups: Different or Two Sides of the Same Coin?

The Calgary Counselling Centre offers therapy groups for both women whose partners abuse them, “You’re Not Alone” (YNA) and women who abuse partners, “Responsible Choices for Women” (RCW). The study examines 262 group members (157 RCW & 105 YNA), comparing their demographics and scores on measures of physical and non-physical partner abuse, and mental health symptoms. At pretest, women in YNA reported significantly more problematic depression, anxiety, general distress and trauma symptoms than women in the RCW program. Nevertheless, the factorial repeated measures analysis of variance on pretest/posttest data from 177 women found statistically significant improvements on all four outcomes measures for women in both groups, although women in the YNA survivor groups made the most improvements on depression, stress and general distress. Clinical implications are described.     

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.     

Depressive symptomatology,self-esteem,and self-blame in battered women

Thirty three currently battered women who sought counseling/support services from a Nassau County, New York community agency that provides services to victims of domestic violence participated. Eighty-nine percent of the women experienced severe acts of physical abuse and 31% of the women required surgery or suffered concussions as a result of their injuries. Fifty-two percent of the women scored above 20 on the Beck Depression Inventory. As the number, form, and consequences of physically aggressive acts increased and/or worsened, the women's depressive symptoms increased and self-esteem decreased. However, only 12% of the women in this sample blamed themselves for causing their partner's violence. Further, neither self-blame nor partner blame was associated with length of abuse or the frequency and severity of physical aggression. However, self-blame was marginally associated with depressive symptomatology.     

Social Support Related to Women Who Have Remained with Their Partners After the Physical Violence has Ceased

Using a U.S. nationally representative sample (N?=?5,692; U.S. National Comorbidity Survey- Replication Part II [NCS-R]; Alegria et al. 2007), this research explored social support as a possible protective factor for abused women. Women who were physically abused by their partners, but not during the past year reported more positive social support from friends than women who continued to experience physical violence or women who had not experienced partner violence. Women who had experienced recent physical violence reported more negative social support than women who had not experienced partner violence. These findings suggest that positive social support might be a protective mechanism for women in abusive relationships.     

Family Psychopathology and Perceived Stress of Both Domestic Violence and Negative Life Events as Predictors of Women’s Mental Health Symptoms

Using a diathesis–stress model, this study examined the development of depressive and anxiety symptoms in women who experience stressors of domestic violence (DV) and/or negative life events (NLEs) over the course of three years. Family history of affective mental health problems represented the diathesis. Using a person-oriented approach, 182 women were grouped into 6 risk profiles based on varying levels of DV and NLEs. Results showed that family history of psychopathology increased vulnerability to mental health disorders; however, the best predictor of symptoms was the presence of either stressor at any time. A quadratic relationship between the risk pattern and mental health symptoms indicated that fluctuations in depression were related to the pattern of stress experienced. Results support the diathesis–stress model for occurrence of depressive but not anxiety symptoms in women with DV and/or NLEs.     

Serendipitous Intervention: Qualitative Findings from the Study of Dynamic Patterns of Husband-to-Wife Abuse

This mixed methods study observed day-to-day dynamics of husband-to-wife abuse. Daily reporting and weekly interaction with a research associate appeared to offer great benefit. A sample of 20 women age 20–62, were enrolled. Participants at high risk for abuse were excluded. Women who met the inclusion criteria completed a baseline questionnaire. Participants were instructed to complete a daily telephone assessment for 60 days to track the prior day’s abuse severity and potential violence predictors. Participants also completed a qualitative end-of-study interview. Women reported an increased awareness of community resources, heightened self-esteem and coping empowerment. Seven women (35 %) left their abusive relationships. Women who left were more educated but had lower socio-economic status (SES). Participants in common-law marriages were also more likely to leave. The unforeseen consequences of daily reporting coupled with regular contact with an engaged listener were positively associated with a woman’s readiness for change.     

Group Treatment for Spouse Abuse: Are Women with PTSD Appropriate Participants?

Eighty four abused women seeking therapy with their husbands were accepted into a group treatment program for spouse abuse. In the current study, we evaluated the treatment outcome of those women (n = 27) diagnosed with Posttraumatic Stress Disorder (PTSD). PTSD diagnosis, itself, did not differentiate those women who dropped out of treatment. Results indicated, however, that across all women, avoidance symptomatology significantly differentiated treatment completers from dropouts. Although women with PTSD began treatment in worse condition (lower marital satisfaction, higher depressive symptomatology, greater fear of spouse), post-assessment revealed they achieved positive treatment gains parallel to those of women without PTSD. Women with PTSD improved on each outcome variable measured, including a reduction in fear of spouse. Women with PTSD also did not differentially drop out of either treatment condition (men's/women's versus conjoint groups) which lends support to the appropriateness of conjoint treatment for spouse abuse.     

Long-Term Effects of Witnessing Marital Violence for Women: The Contribution of Childhood Physical and Sexual Abuse

A sample of 313 college women completed a questionnaire about experiences with violence in childhood and adulthood and adult adjustment and relationship functioning. Nine percent of the women reported having witnessed some type of physical conflict between their parents. Witnessing marital violence was associated with other family mental health risks, childhood physical and sexual abuse, and adult physical assaults by strangers. Women who witnessed marital violence reported more symptoms of posttraumatic stress disorder than other women, after family background and abuse variables were accounted for. Significant interactions between witnessing marital violence and childhood physical abuse were observed for measures of social avoidance and predictability in partner relationships, indicating that the effects of witnessing marital violence depended on the presence of childhood abuse. Implications of these results for research and interventions are discussed.