Ileana Arias

Physical and mental health effects of intimate partner violence for men and women.

BACKGROUND Few population-based studies have assessed the physical and mental health consequences of both psychological and physical intimate partner violence (IPV) among women or men victims. This study estimated IPV prevalence by type (physical, sexual, and psychological) and associated physical and mental health consequences among women and men. METHODS The study analyzed data from the National Violence Against Women Survey (NVAWS) of women and men aged 18 to 65. This random-digit-dial telephone survey included questions about violent victimization and health status indicators. RESULTS A total of 28.9% of 6790 women and 22.9% of 7122 men had experienced physical, sexual, or psychological IPV during their lifetime. Women were significantly more likely than men to experience physical or sexual IPV (relative risk [RR]=2.2, 95% confidence interval [CI]=2.1, 2.4) and abuse of power and control (RR=1.1, 95% CI=1.0, 1.2), but less likely than men to report verbal abuse alone (RR=0.8, 95% CI=0.7, 0.9). For both men and women, physical IPV victimization was associated with increased risk of current poor health; depressive symptoms; substance use; and developing a chronic disease, chronic mental illness, and injury. In general, abuse of power and control was more strongly associated with these health outcomes than was verbal abuse. When physical and psychological IPV scores were both included in logistic regression models, higher psychological IPV scores were more strongly associated with these health outcomes than were physical IPV scores. CONCLUSIONS Both physical and psychological IPV are associated with significant physical and mental health consequences for both male and female victims.

Childhood victimization and subsequent adult revictimization assessed in a nationally representative sample of women and men.

The purpose of this study was to identify whether experiences of childhood physical and/or sexual victimization would increase women’s and men’s risk for victimization in adulthood by different perpetrators (any perpetrator regardless of the relationship to the victim; intimate partner perpetrator; non-intimate perpetrator) using a nationally representative sample. Results of hierarchical logistic regression analyses indicated that childhood victimization increased the risk for adulthood victimization by any perpetrator for men and women, and by an intimate partner for women but not men. Female and male victims of physical and/or sexual child abuse are at higher risk for adult victimization by non-intimate perpetrators. These results suggest the appropriateness of interventions among adults or young adults who have been victims of child abuse, to prevent any future victimization in adulthood. To guide the development of such prevention programs, research is needed to identify factors that affect the probability of adulthood victimization among child abuse victims.

Psychological abuse: implications for adjustment and commitment to leave violent partners.

The contribution of psychological abuse, beyond that of physical abuse, to battered women’s psychological adjustment and their intentions to terminate their abusive relationships was examined. Sixty-eight battered women residing in shelters for battered women provided information on their: (1) physical and psychological abuse; (2) psychological symptomatology; (3) strategies for coping with and perceptions of control over partner violence; and (4) intentions to return to their abusive partners. Multiple regression analyses indicated that frequency and severity of physical abuse was not a significant predictor of posttraumatic stress disorder (PTSD) symptomatology nor of women’s intentions to terminate their abusive relationships. However, psychological abuse was a significant predictor of both PTSD symptomatology and intentions to permanently leave abusive partners even after controlling for the effects of physical abuse. PTSD symptomatology moderated the relationship between psychological abuse and intentions to terminate the abusive relationships: resolve to leave the abusive partner as a function of level of psychological abuse was significant only among women characterized by low levels of PTSD symptomatology. Greater use of emotion-focused coping strategies, absolutely and relative to problem-focused coping, had direct effects on PTSD symptomatology. However, neither coping nor perceptions of control moderated the effects of psychological abuse on psychological adjustment. The results of the investigation suggested that psychological abuse and ensuing PTSD symptomatology are important variables to assess among physically battered women.

Prevalence and Correlates of Physical Aggression During Courtship

A total of 95 males and 175 females provided information about whether they had engaged in or been victims of physical aggression in past and/or current dating relationships. Some 30% of the men and 32% of the women reported engaging in some form of physical aggression against a current steady dating partner. Additionally, 49% of the men and 26% of the women reported being the victims of their current dating partners physical aggression. Length of the dating relationship was associated with mens physical aggression and their victimization was associated with decreased liking for their partners. Womens experiences with physical aggression in a dating relationship as both victims and aggressors were related to the length of the relationship, less liking for the partner, and less positive affect for the partner.

Prevalence of Traumatic Events and Peritraumatic Predictors of Posttraumatic Stress Symptoms in a Nonclinical Sample of College Students

This study investigated lifetime prevalence of traumatic events and posttraumatic stress disorder (PTSD) symptoms among 937 college students. Participants rated their lifetime experiences of traumatic events and, in response to their “most stressful” event, completed measures of objective stressor dimensions, PTSD, and peritraumatic reactions. Approximately 67% of respondents reported at least one traumatic event. An estimated 4% of the full sample (12% of traumatized individuals) met PTSD criteria within the past week. After controlling for vulnerability factors and objective characteristics, peritraumatic reactions remained strongly predictive of PTSD symptoms. Results are discussed with respect to immediate reactions to traumatic events as potential precursors of PTSD symptomatology.

Psychological Abuse and Posttraumatic Stress Disorder in Battered Women: Examining the Roles of Shame and Guilt

Psychological abuse among battered women has been relatively understudied. However, battered women’s reports in the existing qualitative and quantitative research suggest that the effects of psychological abuse can be even more damaging than the effects of physical abuse. The current study attempted to clarify the relationship between psychological abuse and posttraumatic stress disorder (PTSD) within a sample of battered women by statistically controlling for the effects of physical abuse. This study also explored the affective experiences of shame and guilt as important variables in the development of PTSD in battered women. This investigation replicated previous work suggesting that battered women are very much at risk for a diagnosis of PTSD and suggests that clinicians and researchers may need to focus on psychological abuse as a predictor of PTSD symptomatology. The current findings encourage attention to shame reactions in battered women and suggest new directions in the study of PTSD for other traumatized populations.

Validity of self-reports of marital violence

The most commonly used and practiced method for assessing spouse abuse is the individuals self-report of engaging in or being a victim of physical aggression. However, the socially undesirable nature of relationship violence raises questions regarding the likelihood that it is accurately reported. The current investigation found that a socially desirable response set is related to willingness to report ones own aggression. However, it is not related to willingness to report a spouses aggressive behavior. Social desirability was not related to reports of frequency or severity of ones own aggression for individuals admitting the use of any form of aggressive behavior.

Evaluations of Physical Aggression Among Intimate Dyads

This investigation examined subjective evaluations of spousal aggression as a function of sex of the aggressor, severity of the violence, and sex of the respondent. Male and female respondents evaluated male violence and female violence equally. Forms of violence implying greater physical harm were evaluated more negatively, and all forms of violence were evaluated more negatively when the male was the aggressor. Both men and women who reported experiences as aggressors or victims in their relationships evaluated aggression less negatively than individuals with no history of violence in their relationships. Respondents offered similar situations legitimizing male violence and female violence.

The Impact of Partner Psychological Abuse on Health Behaviors and Health Status in College Women

Previous research documents increased health problems, somatic complaints, and negative health behaviors among victims of physical and sexual violence. This study extended existing literature by examining the unique effects of partner psychological abuse on physical health and the moderating effects of approach and avoidance coping strategies. Psychological abuse was positively related to illegal drug use, physical and role limitations, negative health perceptions, and cognitive impairment in college women even after controlling for physical victimization. Psychological abuse was not related to sleep hygiene, exercise, problem drinking, or smoking. Approach coping moderated the effects of partner psychological abuse on binge drinking and health perceptions. Low approach coping was associated with more binge drinking and negative health perceptions as abuse increased; high approach coping did not show a significant relationship with binge drinking or health perceptions across levels of abuse. Avoidance coping showed only a trend as a moderator of illegal drugs.

Measuring Sex Differences in Violence Victimization and Perpetration Within Date and Same-Sex Peer Relationships

This study examines sex differences in the patterns of repeated perpetration and victimization of physical violence and psychological aggression within dating relationships and same-sex peer relationships. Data were obtained from the Youth Violence Survey: Linkages among Different Forms of Violence, conducted in 2004, and administered to all public school students enrolled in grades 7, 9, 11 and 12 (N = 4,131) in a high-risk school district. Analyses of adolescents who dated in the past year (n = 2,888) show that girls are significantly more likely than boys to report physical violence and psychological aggression perpetration within dating relationships. However, boys are significantly more likely than girls to report physically injuring a date. Boys are also significantly more likely than girls to report physical violence victimization and perpetration within same-sex peer relationships. Implications and directions for future research are discussed.