Impact of Intimate Partner Violence on Women’s Mental Health

This study aimed to explore the mental health needs of women residing in domestic violence shelters; more specifically, we aimed to identify commonalities and differences among their mental health needs. For this purpose, qualitative and quantitative data was collected from 35 women from a Midwestern domestic violence shelter. Hierarchical clustering was applied to quantitative data, and the analysis indicated a three-cluster solution. Data from the qualitative analysis also supported the differentiation of women into three distinct groups, which were interpreted as: (A) ready to change, (B) focused on negative symptoms, and (C) focused on feelings of guilt and self-blame.     

Why do they Stay? Examining Contributing Factors to Women’s Length of Stay in a Domestic Violence Shelter

Previous research in the domestic violence literature suggests that the longer women remain in shelters, the more likely they are to benefit from their stay. However, we know little about the factors that influence women’s length of stay in shelters. This study examines demographic data, abuse history, situational needs, and contextual factors in a sample of 210 women accessing a Domestic Violence shelter in Bogota (Colombia) from 2010 to 2012. Results showed that the women’s level of education, level of needs, and the extent to which needs are met, were associated with increased length of stay. The findings contribute to the discussion on the services that could be offered to survivors of intimate partner violence (IPV) accessing shelters.     

Factors that Influence Life Satisfaction Among Battered Women in Shelters: Those Who Stay Versus Those Who Leave

The study focused on differences between women who left shelters for battered women and returned to their partners, versus those who stayed in the shelter for over 3 months. The study was conducted in battered women’s shelters in Israel, and examined the contribution of women’s internal resources (self-esteem and empowerment) to their life satisfaction, as well as the contribution of integration (participation and commitment) in the shelter at the time of their arrival to their satisfaction with their life. Findings indicate that, among the group of women who stayed in the shelter, personal resources as well as participation and commitment contributed to their life satisfaction. Among the group of women who left the shelter, only commitment contributed to life satisfaction.     

Abused South Korean women: a comparison of those who do and those who do not resort to lethal violence

This study compares two groups of women in South Korea: one group incarcerated for the deaths of their male partners and the other staying in a shelter for battered women. The analysis serves to answer two questions: First, are the findings regarding women who kill their intimate partners in Western societies generally applicable to their counterparts in South Korea? Second, how are abused South Korean women who resort to lethal violence against their abusers different from those who do not? Regarding both abused and nonabused women incarcerated for criminal homicide against their partners, results indicate that they have less experience of psychological and physical abuse by their partners and that they are less educated, underemployed, and more supportive of traditional patriarchal norms than are the women who utilize domestic violence shelters. This research explores implications for intervention strategies to encourage abused women to seek help from legal and extralegal sources.     

Postshelter adjustment of children from violent families

Few studies have examined the adjustment of battered women and their children after exiting domestic violence shelters. Participants were 62 women who had endured severe partner abuse, completed a shelter program with their children, and resided in the community for at least 6 months. Field interviews concerned mothers' and children's abuse histories and included measures of maternal depression, maternal trauma, and child behavior problems. Nearly all women had lived violence free since shelter exit. Child internalizing behaviors were associated with direct abuse, maternal depression, and shelter program. Externalizing behaviors were related to maternal depression and shelter program. Neither severity of interparental violence nor maternal trauma symptoms was related to child behavior problems. Mothers' family of-origin abuse predicted current satisfaction with child functioning, beyond the effects of maternal depression and child behavioral problems. Findings suggest a need for postshelter therapeutic services and further research addressing the adjustment of such families.     

Predicting the timing of women's departure from abusive relationships

The aim of this study was to investigate forces that affect the timing of women's exit from violent relationships with men. Abused women were recruited from posters in the community and battered women's shelters, interviewed, and followed up for 10 years. Data for this study are based on 100 women and were analyzed using event history analysis. Age, ethnicity, and alcohol consumption levels of both partners predicted the timing of women's termination of abusive relationships. An interaction effect showed that women who scored above the mean on an index of physical aggression and who never used shelter services had the longest trajectories of violence exposure; severely abused women without shelter use were more likely to stay. Our findings indicate that women who receive shelter services endure shorter periods of violence than women who do not access such services. Further outreach, especially to women experiencing high rates of physical aggression, is recommended.     

An Eight State Study on the Relationships Among Domestic Violence Shelter Services and Residents’ Self-Efficacy and Hopefulness

Survivors of intimate partner violence have myriad reasons why they turn to domestic violence shelter programs. While all are seeking immediate safety and feel a pressing need to leave their homes to obtain it, safety is rarely the only issue survivors are grappling with upon shelter entry. Other concerns are particular to each person’s history and circumstances, and include but are not limited to employment, counseling, social support, health care, addiction recovery services, immigration help, housing, and services for their children. The current study involved secondary analysis of survey data completed at two points in time by 565 shelter residents. The original research involved 215 domestic violence programs across eight states in the U.S., and surveys were completed by shelter residents shortly after they arrived in shelter and again as they were close to exiting. Results confirmed that survivors had numerous needs in addition to safety when entering shelter. Residents’ overall rating of how helpful their stay at shelter had been for them was predicted by how much help they had received across their presenting needs, as well as how they were treated by staff. The amount of help received, as well as treatment by staff, also related to survivors’ hopefulness at shelter exit, as well as the extent to which they felt better able to do things on their own. The study findings provide further evidence that domestic violence shelter staff assist residents with a variety of complex needs in addition to safety, and that this assistance is related to positive outcomes for survivors.     

Psychological Distress of Children and Mothers in Domestic Violence Emergency Shelters

Abused mothers and their school-aged children who recently entered domestic violence emergency shelters were assessed by individual interview and psychometric measures. Children had positiveviews of the shelter residence. Mothers and children reported high-quality relationships with eachother. Children came from highly violent homes, and the majority had attempted to intervene in theinteradult violence. Hierarchical multiple regressions were conducted on child PTSD symptoms, child behavior problems, and maternal depression, anxiety, and anger. Child PTSD symptoms were associated with amount of physical violence. Child behavioral problems were related to mother anxiety andanger. The predictors of maternal emotional distress varied. Depression was associated with sexualabuse, child physical intervention, and quality of mother–child relationship; anxiety was related to witnessing child abuse, child age, and child internalizing behaviors; anger was associated with abuse-related injuries, violence frequency, and child internalizing behaviors. Augmentationof shelter-based interventions for children's trauma, maternal emotional distress, and parenting are discussed.     

Access to Legal Services in Women’s Shelters

This study examines access to legal services among clients of three Calgary-area domestic violence shelters. The study samples the views of staff and clients at three domestic violence shelters with the goals of improving understanding of clients’ legal service needs, understanding the challenges clients attempting to access legal services encounter and making recommendations for improvement. The authors conclude that clients’ service needs are complex and often involve legal problems, yet shelters face specific organizational barriers to coordinating legal services. The authors recommend that a further analysis be undertaken to examine the legal access patterns of women experiencing domestic violence, to assess the prevalence of the barriers identified in the study and to determine whether further barriers are present in other shelters.     

Incidence and Correlates of Posttraumatic Stress Disorder in Australian Victims of Domestic Violence

In recent years, evidence has emerged of the significant incidence of posttraumatic stress disorder (PTSD) among victims of domestic violence. The present study examined incidence and correlates of PTSD in 100 female victims of domestic violence resident in women's shelters in Adelaide, South Australia. Forty-five women were found to meet all diagnostic criteria for PTSD. Women meeting PTSD diagnostic criteria reported having experienced higher levels of violence and were more likely to report having a spouse with an alcohol problem and having believed they would be killed by their spouse than women who did not meet criteria. Diagnosis of PTSD was also associated with higher levels of anxiety and depression.     

Mental health disorders and functioning of women in domestic violence shelters

This study investigates the presence of mental health symptoms and disorders reported by 74 women in a domestic violence shelter and the impact of those symptoms on function in work, school, and social encounters. Findings are compared to estimates of U.S. women generally, based on a national sample of over 65,000 women drawn from the 1995 National Health Interview Survey. The sheltered sample presents significantly higher rates of mental conditions and functional impairments affecting their work, school, and social functioning. These women are also less educated and poorer and use more health services than the U.S. population. Mental health conditions must be identified in shelters to improve functioning and facilitate independence from abusers.     

The Abuse Disability Questionnaire: Internal Consistency and Validity Considerations in Two Samples

Comparative psychometric information on the Abuse Disability Questionnaire (ADQ), given to women who were receiving services from domestic violence shelters, was presented. The total score of the ADQ and its subscale scores for Relationship Disability, Life Restriction, Psychological Dysfunction, and Health Status Issues demonstrated adequate internal consistency across two shelter samples. Further construct validation was evidenced by the relationship found between self-esteem and impairment, and also between prior abuse and impairment. Additional research to establish the utility of the Abuse Disability Questionnaire as a research and/or clinical instrument was proposed.     

Exploring the link between pet abuse and controlling behaviors in violent relationships

Domestic violence is not as simple as one partner physically harming another. Instead, it consists of a complex range of controlling behaviors including physical, emotional, sexual, and economic maltreatment as well as isolation, male privilege, blaming, intimidation, threats, and minimizing/denying behaviors. In addition to the controlling behaviors reported by women seeking shelter from violent relationships, a growing body of research indicates some individuals who abuse their intimate partner also abuse their pets. This study explores these connections using reports of 1,283 female pet owners seeking refuge from their male batterer in a domestic violence shelter. Findings indicate that batterers who also abuse their pet (a) use more forms of violence and (b) demonstrate greater use of controlling behaviors than batterers who do not abuse their pets. Likewise, positive correlations are found between specific controlling behaviors and cruelty to pets. Implications for practice and future research are discussed.     

The perceived impact of a child maltreatment report from the perspective of the domestic violence shelter worker

The purpose of this study is to examine domestic violence shelter workers' perceptions of child maltreatment reporting. A sample of 82 professionals from domestic violence shelters across the United States participated in a survey focusing on a variety of different types of reports and the frequency of both positive and negative outcomes arising from these reports. Possible outcomes included in the study are damage to the relationship between the worker and the battered woman, disempowerment of the battered woman, discouragement from seeking further help, protection of the child, further traumatization of the child, further disruption to the family, and damage to the woman's likelihood of maintaining custody. Significant differences in perceived impact are found based on identity of abuser (spousal batterer vs. battered woman) and nature of report (child as witness to domestic violence vs. child as victim of abuse). These results point to the complexity of perceptions regarding the impact of reporting.     

Rural Versus Urban Victims of Violence: The Interplay of Race and Region

This paper examines individuals who were victims of domestic violence in Illinois between 1990 and 1995, comparing the traits and service needs of those who received assistance in an urban county over the 5-year period with those who were served by domestic violence programs in rural areas. Analysis focuses on the demographic characteristics of clients in each region, their relationship to the abuser, type of abuse, referral source, and need for both concrete and supportive services. In addition to looking at variations by region, analysis examines differences between African American and White clients within and across geographic areas so that the interaction of race and location is highlighted. Results indicate that apart from demographic differences related to race, there is little difference in the circumstances of abuse when victims in the urban region are compared to rural victims of violence. However, those in rural environments regardless of race, have more service needs. Differences in service needs also exist in relation to race, and for some services, both race and location are important. The implications of these findings for policy, practice, and future research are examined.     

A Cross-Cultural Assessment of Posttrauma Reactions Among Malaysian and US Women Reporting Partner Abuse

Information on partner abuse in women from non-Western cultures and resulting psychological morbidity are scant. The present study examined these issues among women who experienced partner violence and sought refuge at a domestic violence shelter in Malaysia. These women completed a semi-structured interview and standardized measures to assess posttrauma morbidity. Responses by Malaysian shelter residents were compared with a sample of US women who also reported partner violence. The majority of women in both samples reported severe levels of distress and met criteria for posttraumatic stress disorder (PTSD). These findings suggest that psychological problems that women face after partner abuse may be similar in many respects, despite political, geographical, or cultural differences.     

Substance Use and Intimate Violence Among Incarcerated Males

The purpose of this study was to examine substance use patterns among a sample of incarcerated males who report engaging in levels of intimate violence, as well as identifying similarities and differences in demographic, economic status, mental health, criminal justice involvement, relationships, and treatment factors for three groups of incarcerated males - those who report perpetrating low intimate violence, those who report perpetrating moderate intimate violence, and those who report perpetrating extreme intimate violence the year preceding their current incarceration. Findings indicated that low intimate violence group's perpetration consisted almost exclusively of emotional abuse. Moderately intimate violent males and extremely intimate violent males, however, report not only high rates of emotional abuse but physical abuse as well. The distinction between moderate and extremely violent groups was substantial. Findings also indicated that perpetrators at different levels of violence in this study did not vary significantly in age, employment history, marital status, or race. However, the three groups showed significant differences in three main areas: (1) cocaine and alcohol use patterns, (2) stranger violence perpetration and victimization experiences, and (3) emotional discomfort. Implications for substance abuse and mental health treatment interventions and for future research are discussed.     

Conjugal Violence in Korean American Families: A Residue of the Cultural Tradition

The study explored the incidence of spouse abuse in Korean American families and interrelations between conjugal violence, marital power structure, stress, and socioeconomic and cultural factors. Rate of conjugal violence in these families is higher than those for other Asian American families. Data were collected from 256 families selected at random. In male dominant couples, rate of severe violence, wife beating, was four times higher than that of egalitarian couples. Husbands who experienced higher levels of stress had a greater rate of assaulting their wives. Wives in egalitarian and female dominant couples experienced a lower amount of stress and shared more decision-making power than did those in the male dominant couples. The longer the couples had been in the United States and the more American education they had received, the more egalitarian and female-dominant marital relations they tended to have. The residual influence of the traditional culture, in which they lived prior to immigration, is a factor suggesting why men were more abusive than women. Cultural differences associated with conjugal violence and needs for services are discussed.     

Parental Representations in the Play of Preschool Aged Witnesses of Marital Violence

The play of young children has long been used clinically to understand children’s experiences and inner feelings. More recently, children’s play has been examined quantitatively to understand differences due to varying backgrounds, family relationships, etc. Forty preschool children (21 girls and 19 boys) aged 27 to 71 months from families with histories of domestic violence were observed using a play interview, The MacArthur Story Stem Battery, to determine if severity of violence, frequency of visitation with their previously violent fathers, and mother-child relationship functioning impacted how parents were represented in play. Overall, girls represented their parents more positively regardless of other family circumstances. Boys, especially those who did not visit regularly with their fathers, had negative representations of their mothers. Severity of violence did not predict negative parental representations in the sample.