Examining the Impact of Posttraumatic Stress Disorder Related to Intimate Partner Violence on Antenatal,Intrapartum and Postpartum Women: A Scoping Review

We undertook a comprehensive scoping review of published academic articles to examine the extent, range and nature of research related to the effects of posttraumatic stress disorder (PTSD) among childbearing women who have experienced intimate partner violence (IPV). Fifty-five sources were identified from the electronic databases and two additional sources were identified after searching reference lists. Among the 57 articles, five met the inclusion criteria of childbearing women who have experienced IPV and PTSD. Numerical analysis revealed considerable heterogeneity among articles, with various aims, methodological approaches, patient populations and outcomes of interest. Inductive thematic content analysis revealed three themes: (1) context; (2) outcomes; and (3) changes in practice. The findings from this first attempt at summarizing literature via a scoping review demonstrate the need for additional research related to: identification of, treatment interventions for, and understanding the mechanisms of impact for IPV related PTSD among childbearing women.     

Intimate partner violence, depression, and posttraumatic stress disorder as additional predictors of low birth weight infants among low-income mothers

Estimates of intimate partner violence (IPV) during pregnancy vary by population being studied, measures, and other methodological limitations, hindering the ability to gauge the relationship between IPV and negative birth outcomes. The authors report aggregated data from a subsample (n = 148) of the first three waves of the Women's Employment Study. The authors compared groups of women who did and did not give birth to low birth weight infants on demographic, material deprivation, risk behavior, mental health, and IPV factors. The prevalence of domestic violence was more than twice as high for women with low birth weight infants as those women who had a normal weight infant. When considering additional risk factors, including food insufficiency, substance dependence, and depression and/or posttraumatic stress disorder, IPV remained a significant indicator, but it was most strongly associated with low birth weight among women also experiencing depression and/or posttraumatic stress disorder.     

Intimate Partner Violence against Women in Turkey: A Synthesis of the Literature

Violence against women is a serious abuse of human rights and an important public health problem that concerns all sectors of society worldwide. The objective of this study was to critically review and synthesize original research published between 2000 and 2010 focused on examining intimate partner violence (IPV) against women in Turkey. Several research databases were searched for journal articles published in English or Turkish and a total of 21 studies were identified for inclusion and further analysis. The present literature review revealed the ratio of IPV in Turkey reported by different studies ranged from 13 to 78 %. Results of this review emphasize that violence against women is an important issue in Turkey. Gathering data on the prevalence of IPV can serve to raise awareness on violence and provide baseline information for developing more effective preventive policies and programs.     

Risk for Revictimization of Intimate Partner Violence by Multiple Partners: a Systematic Review

Are victims of intimate partner violence (IPV) by multiple partners (MP) different from victims of IPV by one partner? Are there different victim-related risk factors for IPV by MP? This systematic literature review identified seven empirical studies that related to these issues. The review findings indicated that (1) empirical research on IPV by MP appears to be scarce, with only limited recent development; (2) there were significant differences between women who had been subjected to IPV in a single relationship and women with IPV by MP; (3) IPV by MP was significantly associated with childhood domestic trauma, drug abuse, IPV characteristics, and attachment style; (4) regarding PTSD and personality disorders, the results were mixed and inconclusive; and (5) depression did not appear as a salient risk factor for IPV by MP. Interpretations must be made cautiously because of the wide diversity in measurement approaches. It is important that service personnel and researchers attend with increased awareness to women with IPV by MP.     

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.     

Older women and intimate partner violence: effective interventions

Women above the age of 60 who have experienced intimate partner violence (IPV) have specific needs compared with younger victims. More research is emerging that assists counselors and other helping professionals with identification of these needs and aids to promote the mental health and well-being of this population. Professionals must consider the generational values held by older IPV victims and understand how values may impact decision making. Integrating safety planning and risk assessment into the counseling process is vital. Older IPV victims may seek counseling for posttraumatic stress or depressive symptoms as a result of the abuse. Others may participate in counseling for issues unrelated to IPV. Therefore, a thorough assessment process should include questions related to relationship dynamics so that the counselor has a complete understanding of all factors impacting the client's functioning. Helping professionals must also have an understanding of available community resources, as well as barriers that these clients face as they take steps toward recovery from trauma. This research uses qualitative analysis of case studies to assist helping professionals in understanding the most effective interventions when working with this population.We found that a contextual approach focusing on the restoration of self-confidence is a constructive means of initiating recovery from trauma.     

The Toxicology of Methadone‐Related Death in Infants Under 1 Year: Three Case Series and Review of the Literature

Methadone‐related fatalities occur rarely in infants under 1 year, with five confirmed cases in the literature. The interpretation of pediatric postmortem toxicology relies on adult data; however, infants have crucial physiological differences that may impact interpretation of results. Retrospective case review included scene investigation, interviews, autopsy, and NIH/CDC Sudden Unexplained Infant Death Investigation Reporting Form. Methadone levels were confirmed by liquid chromatography/tandem mass spectrometry (LC‐MS/MS). The fatal blood methadone levels in this case series ranged from 69 to 700 ng/mL. This review of the literature adds toxicological findings of three methadone‐related infant fatalities and reviews the current literature on methadone‐related death in infants under 1 year. With opioid use on the rise in today's society, forensic experts should have a high index of suspicion for the possibility of intentional or unintentional poisoning in infants.     

Gender Arguments and Paradigmatic Challenges within Intimate Partner Violence Research: A Call for a more Inclusive Paradigm of Understanding Regarding Physical Partner Violence Perpetration

This paper suggests that the epistemology surrounding intimate partner violence (IPV) is flawed due to two areas in particular: 1) an overreliance on quantitative methodologies that lack the detailed and contextual information required for complex understandings of IPV and 2) the minimization of alternative theoretical perspectives on the meaning of gender. Although an ecological perspective to understanding IPV has been advocated by the World Health Organization as a useful theoretical framework from which to understand IPV (Krug et al. 2002), few empirical studies have tested this complex perspective. We suggest that broader research approaches may prove useful in shedding light on non-conventional IPV experiences, potentially broadening our understanding of this complex phenomenon.     

Intimate Partner Violence and Child Adjustment: Moderation by Father Contact?

Little is currently known about father-child contact in families with histories of intimate partner violence (IPV), despite important implications of father contact for these families. The current study of 219 ethnically diverse children aged 6 to 12-years-old and their abused mothers examined relations between father contact, IPV, and children’s internalizing and externalizing problems. Approximately 30 % of the children had no current in-person contact with their father, while another 15 % saw their father every day of the past year. Child internalizing and externalizing problems were positively correlated with frequency of IPV, but unrelated to father contact. Controlling for marital status and mother education, father contact moderated relations between IPV and child externalizing, but not internalizing problems. While father contact was not associated with child adjustment across the entire sample, it did moderate relations between IPV and child behavior problems, suggesting that child contact with a less violent or nonviolent father or father figure might have a buffering effect on behavior problems in children exposed to IPV. Recommendations around father contact in families with IPV are discussed.     

Implicit Theories in Intimate Partner Violence Sex Offenders: an Interpretative Phenomenological Analysis

An increased understanding of the cognitive characteristics of Intimate Partner Violence (IPV) Sex Offenders would have implications for clinical intervention and risk assessment in this distinctive offending behaviour group. The improved understanding of cognitions in violent offenders, sex offenders, and IPV offenders has led to the development and implementation of specific offender behaviour programmes taking these cognitive characteristics into account. Recently, empirical investigations have focussed on qualitative exploration of cognition to propose implicit theories (ITs), that is distinct sets of schemas that offenders hold in relation to themselves, the world, and others. The current paper utilises Interpretative Phenomenological Analysis to explore cognition in 11 Intimate Partner Sex Offenders. Five superordinate and 14 subthemes were identified, which are representative of Implicit Theories present in this specific offender group. These ITs are discussed in relation to other offending behaviour groups in addition to their clinical implications in the development of effective interventions and risk assessment tools.     

Measuring intimate partner violence (IPV): you may only get what you ask for

With the goal of understanding the true extent of intimate partner violence (IPV), researchers have put tremendous effort over the past 20 years developing, revising, and assessing IPV screening instruments. The enhancements made in IPV instrumentation reflect our improved understanding of the nature of IPV. Unfortunately, as is often the case with progress, we are presently at the stage where IPV researchers have an arsenal of multiple IPV screens that are, in some cases, slightly different, whereas in others, the differences are sizeable. This article explores the evolution and variation of a sample of IPV screens. To further progress in IPV research, we must make conscious decisions concerning the best tool for our individual research. Simultaneously, we must enhance our understanding of how these IPV screening instruments overlap so that comparisons of IPV prevalence or incidence across time and population are possible.     

The assessment of intimate partner violence in Spanish women: the index of spouse abuse

We aimed to analyze the internal consistency and construct validity of the Spanish version of the Index of Spouse Abuse (ISA) in a representative sample of 8,995 women attending general practice in Spain in 2006-2007. The factor structure analysis shows that the ISA measures four intimate partner violence (IPV) dimensions: emotional, physical, and sexual abuse, and controlling behavior. Cronbach alpha ranges from .82 (sexual factor) to .94 (emotional). Construct validity analysis shows that IPV is associated with poorer self-perceived health, higher psychological distress, and lower tangible social support. The ISA can help make more visible forms of gender violence in the intimate relationship that sometimes are not recognized as such, like sexual violence or controlling behavior. This can contribute to the development of specific interventions for women experiencing IPV, considering the specificities of the violent acts experienced.     

Homicide as a cause of the sudden infant death syndrome

The homicidal asphyxiation of a 10 1/2-month-old male infant and the attempted asphyxiation of his 4-month-old sibling, documented by parental confession, is presented as evidence that murder may sometimes be mistaken as sudden infant death syndrome (SIDS). A review of the literature of the relationship between murder and SIDS deaths reveals the suspicions of some physicians but few published cases; this reflects not only the difficulties of making a determination of murder by suffocation, since no injuries may be present, but also a lack of awareness among physicians who must evaluate infant deaths. It is recommended that murder should be considered in the differential diagnosis of sudden, unexpected death in infants and that the autopsy should include full-body x-rays and at least an initial look at the social history of the child.     

Shuttle and Online Mediation: A Review of Available Research and Implications for Separating Couples Reporting Intimate Partner Violence or Abuse

Whether family law cases with a history of severe intimate partner violence and/or abuse (IPV/A cases) should have the option of settling family‐related issues using mediation is the subject of significant debate. Recommendations for potentially safer ways to mediate IPV/A cases have been developed, including shuttle and online mediation. Given the current lack of research on these forms of mediation with IPV/A cases, we review the research on shuttle and online mediation in other contexts and theorize how the findings might apply to IPV/A cases. We argue that, although online and shuttle mediation may benefit IPV/A cases, aspects of these procedures require special considerations.     

INTIMATE PARTNER VIOLENCE IN YOUNG ADULTHOOD: NARRATIVES OF PERSISTENCE AND DESISTANCE

Prior research on patterns of intimate partner violence (IPV) has documented changes over time, but few studies have focused directly on IPV desistance processes. This analysis identifies unique features of IPV, providing a rationale for the focus on this form of behavior cessation. We develop a life‐course perspective on social learning as a conceptual framework and draw on qualitative interviews (n = 89) elicited from a sample of young adults who participated in a larger longitudinal study (Toledo Adolescent Relationships Study). The respondents’ backgrounds reflected a range of persistence and desistance from IPV perpetration. Our analyses revealed that relationship‐based motivations and changes were central features of the narratives of successful desisters, whether articulated as a stand‐alone theme or in tandem with other potential “hooks” for change. The analysis provides a counterpoint to individualistic views of desistance processes, highlighting ways in which social experiences foster attitude shifts and associated behavioral changes that respondents tied to this type of behavior change. The analyses of persisters and those for whom change seemed to be a work in progress provide points of contrast and highlight barriers that limit a respondent's desistance potential. We describe implications for theories of desistance as well as for IPV prevention and intervention efforts.     

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.     

Gender symmetry in the self-reporting of intimate partner violence

Research has not conclusively determined whether men and women are equally likely to commit intimate partner violence (IPV). One explanation for the disparity in previous findings may be gender-based differences in reporting styles. The present study investigated whether there was any gender difference in self-reported IPV prevalence. A total of 3,740 Chinese couples from a representative population in Hong Kong were interviewed. Self-reports of men-to-women and women-to-men IPV between spouses were compared. Gender was controlled for to evaluate whether age, education, the Chinese concept of face, and other violence-related characteristics would affect the self-reporting of IPV. Findings supported gender symmetry in self-reported IPV prevalence as well as a moderate interspousal agreement in the self-reports. After adjustment for covariates, face was a significant factor predicting the interspousal differences in both men-to-women and women-to-men physical IPV.