Pathways of Chronic Pain in Survivors of Intimate Partner Violence

Judith Wuest · Marilyn Ford‐Gilboe · Marilyn Merritt‐Gray · Piotr Wilk · Jacquelyn C. Campbell · Barbara Lent +2 more

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Intimate Partner and Family Violence Posttraumatic Stress Disorder Research Child Abuse and Trauma

Abstract

OBJECTIVE: To examine the roles of lifetime abuse-related injury, posttraumatic stress disorder (PTSD) symptom severity, and depressive symptom severity in mediating the effects of severity of assaultive intimate partner violence (IPV), psychological IPV, and child abuse on chronic pain severity in women survivors of IPV. METHODS: Structural equation modeling of data from a community sample of 309 women survivors of IPV was used to test partial and full theoretical models of the relationships among the variables of interest. RESULTS: The full model had good fit and accounted for 40.2% of the variance in chronic pain severity. Abuse-related injury, PTSD symptom severity, and depressive symptom severity significantly mediated the relationship between child abuse severity and chronic pain severity, but only abuse-related injury significantly mediated the relationship between assaultive IPV severity and chronic pain severity. Psychological IPV severity was the only abuse variable with significant direct effects on chronic pain severity but had no significant indirect effects. CONCLUSIONS: These findings can inform clinical care of women with chronic pain in all areas of healthcare delivery by reinforcing the importance of assessing for a history of child abuse and IPV. Moreover, they highlight the relevance of routinely assessing for abuse-related injury and PTSD and depressive symptom severity when working with women who report chronic pain.

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References

1977The CES-D Scale 1998Relationship of Childhood Abuse and Household Dysfunction to Many of the Leading Causes of Death in Adults 2015A Beginner's Guide to Structural Equation Modeling 2004A Beginner's Guide to Structural Equation Modeling 1999Intimate Partner Violence as a Risk Factor for Mental Disorders: A Meta-Analysis 2000Extent, Nature, and Consequences of Intimate Partner Violence: Findings from the National Violence Against Women Survey 2000Physical Health Consequences of Physical and Psychological Intimate Partner Violence 2003Intimate partner physical abuse perpetration and victimization risk factors: A meta-analytic review

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2016Chronic Pain Types Differ in Their Reported Prevalence of Post -Traumatic Stress Disorder (PTSD) and There Is Consistent Evidence That Chronic Pain Is Associated with PTSD: An Evidence-Based Structured Systematic Review 2013Routledge International Handbook of Qualitative Nursing Research 2019A Systematic Review: Mindfulness Intervention for Cancer-Related Pain 2023Adverse childhood experience is associated with an increased risk of reporting chronic pain in adulthood: a stystematic review and meta-analysis

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