C Nadine Wathen1,2, Masako Tanaka3, Jennifer C D MacGregor4,5, Mark A Ferro3, Christine McKee3, Michael Boyle3, Marilyn Ford-Gilboe6, Harriet L MacMillan3. 1. Faculty of Information and Media Studies, Western University, North Campus Building, Rm 240, 1151 Richmond St., London, ON, N6A 5B7, Canada. nwathen@uwo.ca. 2. Centre for Research and Education on Violence Against Women and Children, Western University, London, ON, Canada. nwathen@uwo.ca. 3. Offord Centre for Child Studies, McMaster University, Hamilton, ON, Canada. 4. Faculty of Information and Media Studies, Western University, North Campus Building, Rm 240, 1151 Richmond St., London, ON, N6A 5B7, Canada. 5. Centre for Research and Education on Violence Against Women and Children, Western University, London, ON, Canada. 6. School of Nursing, Western University, London, ON, Canada.
Abstract
OBJECTIVES: To examine the role of abuse severity in predicting women's trajectories in mental and physical health and psychological quality of life during the 18 months following abuse identification in a health care setting. METHODS: The present analysis used growth curve modeling in a sample of 411 women positive for abuse on the Composite Abuse Scale. RESULTS: A high proportion of women experienced severe combined abuse (SCA; 55 % at baseline and 29 % at 18 months). On average, there was an improvement in depressive symptoms and psychological quality of life over time. Controlling for sociodemographic characteristics, women scoring positive versus negative for SCA experienced increased depressive symptoms and decreased quality of life; however, exposure to severe abuse did not affect the rate of change over time in these outcomes. Severe abuse was not associated with physical health. CONCLUSIONS: There is an important association between abuse severity and women's health and well-being over time. Understanding the role of different abuse experiences, risk and protective factors, and trajectories can assist in more accurate identification and appropriate care provision for women exposed to IPV.
OBJECTIVES: To examine the role of abuse severity in predicting women's trajectories in mental and physical health and psychological quality of life during the 18 months following abuse identification in a health care setting. METHODS: The present analysis used growth curve modeling in a sample of 411 women positive for abuse on the Composite Abuse Scale. RESULTS: A high proportion of women experienced severe combined abuse (SCA; 55 % at baseline and 29 % at 18 months). On average, there was an improvement in depressive symptoms and psychological quality of life over time. Controlling for sociodemographic characteristics, women scoring positive versus negative for SCA experienced increased depressive symptoms and decreased quality of life; however, exposure to severe abuse did not affect the rate of change over time in these outcomes. Severe abuse was not associated with physical health. CONCLUSIONS: There is an important association between abuse severity and women's health and well-being over time. Understanding the role of different abuse experiences, risk and protective factors, and trajectories can assist in more accurate identification and appropriate care provision for women exposed to IPV.
Entities:
Keywords:
Abuse severity; Depression; Intimate partner violence; Life quality; Physical health
Authors: Susan Rees; Derrick Silove; Tien Chey; Lorraine Ivancic; Zachary Steel; Mark Creamer; Maree Teesson; Richard Bryant; Alexander C McFarlane; Katherine L Mills; Tim Slade; Natacha Carragher; Meaghan O'Donnell; David Forbes Journal: JAMA Date: 2011-08-03 Impact factor: 56.272
Authors: Megan R Gerber; Eve Wittenberg; Michael L Ganz; Corrine M Williams; Laura A McCloskey Journal: J Gen Intern Med Date: 2007-11-28 Impact factor: 5.128
Authors: Mary Ellsberg; Henrica A F M Jansen; Lori Heise; Charlotte H Watts; Claudia Garcia-Moreno Journal: Lancet Date: 2008-04-05 Impact factor: 79.321
Authors: Jennifer A Wagman; Blake Charvat; Marie E Thoma; Anthony Ndyanabo; Fred Nalugoda; Joseph Ssekasanvu; Grace Kigozi; David Serwadda; Joseph Kagaayi; Maria J Wawer; Ronald H Gray Journal: Int J Public Health Date: 2016-09-13 Impact factor: 3.380