Intimate Partner Violence and Current Mental Health Needs Among Female Veterans

Katherine M. Iverson · Dawne S. Vogt · Melissa E. Dichter · Rachel E. Kimerling · Amy E. Street · Megan R. Gerber

47 citations0/0 files storedThe Journal of the American Board of Family Medicine

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

Abstract

BACKGROUND: The Veterans Health Administration (VHA) recommends screening female patients for intimate partner violence (IPV), yet few studies inform IPV screening efforts among this population. This study examined the proportion of women who experienced IPV within the past year and the associations between IPV and depression, post-traumatic stress disorder (PTSD), alcohol dependence, mental health multimorbidity (ie, 2 or 3 of these conditions), and military sexual trauma (MST) among female veterans. METHODS: A cross-sectional mail survey of 160 female VHA patients with an intimate partner within the past year was conducted in 2012 in New England. Self-reported IPV was assessed using the Hurt, Insult, Threaten, Scream screening tool. The survey also included validated screening measures of depression (Center for Epidemiologic Studies Depression Scale), PTSD (PTSD Checklist-Civilian), alcohol misuse (10-item Alcohol Use Disorders Identification Test), and MST. RESULTS: Approximately 37% of women reported IPV within the past year on the Hurt, Insult, Threaten, Scream tool. Odds ratios for the associations between reporting IPV and mental health outcomes ranged between 2.75 and 3.67. With the exception of alcohol dependence, IPV remained strongly associated with mental health conditions when adjusting for MST. CONCLUSIONS: These findings can increase provider knowledge of the strong connection between past-year IPV and mental health conditions among female veterans. This may encourage IPV screening and facilitate appropriate referrals, treatment conceptualization, and planning within the VHA and other health care settings.

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1977The CES-D Scale 2007Mail and internet surveys : the tailored design method 2007Mail and Internet Surveys: The Tailored Design Method 2012Experiences of Domestic Violence and Mental Disorders: A Systematic Review and Meta-Analysis 1998HITS: a short domestic violence screening tool for use in a family practice setting.2010Military-Related Sexual Trauma Among Veterans Health Administration Patients Returning From Afghanistan and Iraq 2012Screening Women for Intimate Partner Violence: A Systematic Review to Update the U.S. Preventive Services Task Force Recommendation 2011Cognitive–behavioral therapy for PTSD and depression symptoms reduces risk for future intimate partner violence among interpersonal trauma survivors.

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2017An Evidence Map of the Women Veterans’ Health Research Literature (2008–2015)2017Intimate Partner Violence Victimization and Associated Implications for Health and Functioning Among Male and Female Post-9/11 Veterans 2016Female veterans' preferences for counseling related to intimate partner violence: Informing patient-centered interventions 2019Intimate Partner Violence, Suicide, and Their Overlapping Risk in Women Veterans: A Review of the Literature

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