Problem-Solving and Mental Health Outcomes of Women and Children in the Wake of Intimate Partner Violence

John A. Maddoux · Lene Symes · JUDITH M. McFARLANE · Anne Koci · Heidi Gilroy · Nina Fredland

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Intimate Partner and Family Violence Resilience and Mental Health Problem Solving Skills Development

Abstract

The environmental stress of intimate partner violence is common and often results in mental health problems of depression, anxiety, and PTSD for women and behavioral dysfunctions for their children. Problem-solving skills can serve to mitigate or accentuate the environmental stress of violence and associated impact on mental health. To better understand the relationship between problem-solving skills and mental health of abused women with children, a cross-sectional predictive analysis of 285 abused women who used justice or shelter services was completed. The women were asked about social problem-solving, and mental health symptoms of depression, anxiety, and PTSD as well as behavioral functioning of their children. Higher negative problem-solving scores were associated with significantly (P < 0.001) greater odds of having clinically significant levels of PTSD, anxiety, depression, and somatization for the woman and significantly (P < 0.001) greater odds of her child having borderline or clinically significant levels of both internalizing and externalizing behaviors. A predominately negative problem-solving approach was strongly associated with poorer outcomes for both mothers and children in the aftermath of the environmental stress of abuse. Interventions addressing problem-solving ability may be beneficial in increasing abused women's abilities to navigate the daily stressors of life following abuse.

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References

2013Diagnostic and Statistical Manual of Mental Disorders 2000Frequency and correlates of intimate partner violence by type: physical, sexual, and psychological battering 2003Violent Childhood Experiences and the Risk of Intimate Partner Violence in Adults 2000Brief Symptom Inventory-18 1992Development of the severity of violence against women scales 1999Short Screening Scale for DSM-IV Posttraumatic Stress Disorder 2009Problem-solving therapy for depression: A meta-analysis 1986Nursing assessment for risk of homicide with battered women

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