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Treatment of Post-traumatic Stress Disorder in Survivors of Intimate Partner Violence

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Handbook of Interpersonal Violence and Abuse Across the Lifespan

Abstract

Intimate partner violence (IPV) is associated with substantial psychiatric morbidity, with post-traumatic stress disorder (PTSD) being one of the most prevalent outcomes. PTSD symptoms can compromise IPV survivors’ ability to use community resources effectively, as well as their ability to react to potentially dangerous situations. Thus, PTSD symptoms frequently interfere with survivors’ capability to establish safety for themselves and their children. Standard services for IPV survivors often prioritize advocacy, case management, and support/educational groups. Few interventions exist that target the specific and unique needs of IPV survivors with PTSD. This chapter reviews the existing literature on PTSD, and treatment of PTSD, in IPV survivors. Further, this chapter highlights a PTSD treatment designed specifically for residents of domestic violence shelters, Helping to Overcome PTSD through Empowerment (HOPE). HOPE adopts a cognitive-behavioral (CBT) approach to more effectively address IPV survivors’ needs and improve engagement in treatment. HOPE expands upon traditional treatments through its incorporation of the empowerment and stabilization treatment models for IPV survivors; models of care that experts in the field of IPV strongly recommend. In this chapter, we provide an overview of HOPE, as well as a summary of existing research on the efficacy of the program. A case example of HOPE and suggestions for implementing HOPE in clinical practice are also presented.

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References

  • American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington: American Psychiatric Publishing.

    Book  Google Scholar 

  • Arroyo, K., Lundahl, B., Butters, R., Vanderloo, M., & Wood, D. S. (2017). Short-term interventions for survivors of intimate partner violence: A systematic review and meta-analysis. Trauma, Violence, & Abuse, 18(2), 155–171. https://doi.org/10.1177/1524838015602736.

    Article  Google Scholar 

  • Beck, J. G., Tran, H. N., Dodson, T. S., Henschel, A. V., Woodward, M. J., & Eddinger, J. (2016). Cognitive trauma therapy for battered women: Replication and extension. Psychology of Violence, 6, 368–377. https://doi.org/10.1037/vio0000024.

    Article  Google Scholar 

  • Becker, K. D., Stuewig, J., & McCloskey, L. A. (2010). Traumatic stress symptoms of women exposed to different forms of childhood victimization and intimate partner violence. Journal of Interpersonal Violence, 25, 1699–1715.

    Article  Google Scholar 

  • Blake, D. D., Weathers, F. W., Nagy, L. M., Kaloupek, D. G., Gusman, F. D., Charney, D. S., & Keane, T. M. (1995). The development of a clinician-administered PTSD scale. Journal of Traumatic Stress, 8, 75–90. https://doi.org/10.1002/jts.2490080106.

    Article  PubMed  Google Scholar 

  • Brown, J., Burnette, M. L., & Cerulli, C. (2015). Correlations between sexual abuse histories, perceived danger, and PTSD among intimate partner violence victims. Journal of Interpersonal Violence, 30, 2709–2725. https://doi.org/10.1177/0886260514553629.

    Article  PubMed  Google Scholar 

  • Catalano, S. (2012, November). Intimate partner violence, 1993–2010 (National Criminal Justice Report no. NCJ239203). Retrieved from National Center on domestic and sexual violence website: http://www.ncdsv.org/images/BJS_IPV1993-2010_11-2012.pdf

  • Cavanaugh, C. E., Hansen, N. B., & Sullivan, T. P. (2010). HIV sexual risk behavior among low-income women experiencing intimate partner violence: The role of posttraumatic stress disorder. AIDS and Behavior, 14, 318–327. https://doi.org/10.1007/s10461-009-9623-1.

    Article  PubMed  PubMed Central  Google Scholar 

  • Cort, N. A., Cerulli, C., Poleshuck, E. L., Bellenger, K.M., Xia, Y., Tu, X., … Talbot, N. L. (2014). Interpersonal psychotherapy for depressed women with histories of intimate partner violence. Psychological Trauma: Theory, Research, Practice, and Policy, 6, 700–707.

    Google Scholar 

  • Darrin, A. M., Babione, J. M., Proescher, E., Greenstein, J. E., DiGani, J. A., Schroth, C., Kennedy, A. E., … Luan, P. K. (2018). Impact of PTSD in post-concussive symptoms, neuropsychological functioning, and pain in post-9/11 veterans with mild traumatic brain injury. Psychiatry Research, 268, 460–566. https://doi.org/10.1016/j.psychres.2018.08.019.

  • Dutton, M. A., Green, B. L., Kaltman, S. I., Roesch, D. M., Zeffiro, T. A., & Krause, E. D. (2006). Intimate partner violence, PTSD, and adverse health outcomes. Journal of Interpersonal Violence, 21, 955–968. https://doi.org/10.1177/0886260506289178.

    Article  PubMed  Google Scholar 

  • Fedovskiy, K., Higgins, S., & Paranjape, A. (2008). Intimate partner violence: How does it impact major depressive disorder and post traumatic stress disorder among immigrant Latinas? Journal of Immigrant and Minority Health, 10, 45–51. https://doi.org/10.1007/s10903-007-9049-7.

    Article  PubMed  Google Scholar 

  • Gilbert, L., El-Bassel, N., Manuel, J., Wu, E., Go, H., Golder, S., … Sanders, G. (2006). An integrated relapse prevention and relationship safety intervention for women on methadone: Testing short-term effects on intimate partner violence and substance use. Violence and Victims, 21, 657–672.

    Google Scholar 

  • Greene, T., Neria, Y., & Gross, R. (2016). Prevalence, detection and correlates of PTSD in the primary care setting: A systematic review. Journal of Clinical Psychology in Medical Settings, 23, 160–180. https://doi.org/10.1007/s10880-016-9449-8.

    Article  PubMed  Google Scholar 

  • Hegarty, K., O’Doherty, L., Taft, A., Chondros, P., Brown, P., Valpied, J., … Gunn, J. (2013). Screening and counseling in the primary care setting for women who have experienced intimate partner violence (WEAVE): A cluster randomised controlled trial. Lancet, 382, 249–258.

    Google Scholar 

  • Herman, J. L. (1992). Trauma and recovery. New York: Basic Books.

    Google Scholar 

  • Iverson, K. M., Shenk, C., & Fruzzetti, A. E. (2009). Dialectical behavior therapy for women victims of domestic abuse: A pilot study. Professional Psychology: Research and Practice, 40, 242–248.

    Article  Google Scholar 

  • Iverson, K. M., Gradus, J. L., Resick, P. A., Suvak, M. K., Smith, K. F., & Monson, C. M. (2011). Cognitive–behavioral therapy for PTSD and depression symptoms reduces risk for future intimate partner violence among interpersonal trauma survivors. Journal of Consulting and Clinical Psychology, 79, 193–202. https://doi.org/10.1037/a0022512.

    Article  PubMed  PubMed Central  Google Scholar 

  • Iverson, K. M., Litwack, S. D., Pineles, S. L., Suvak, M. K., Vaughn, R. A., & Resick, P. A. (2013). Predictors of intimate partner violence revictimization: The relative impact of distinct PTSD symptoms, dissociation, and coping strategies. Journal of Traumatic Stress, 26, 102–110. https://doi.org/10.1002/jts.21781.

    Article  PubMed  Google Scholar 

  • Iverson, K. M., Dardis, C. M., & Pogoda, T. K. (2017). Traumatic brain injury and PTSD symptoms as a consequence of intimate partner violence. Comprehensive Psychiatry, 74, 80–87. https://doi.org/10.1016/j.comppsych.2017.01.007.

    Article  PubMed  Google Scholar 

  • Johnson, D. M., & Zlotnick, C. (2006). A cognitive-behavioral treatment for battered women with PTSD in shelters: Findings from a pilot study. Journal of Traumatic Stress, 19, 559–564. https://doi.org/10.1002/jts.20148.

    Article  PubMed  Google Scholar 

  • Johnson, D. M., & Zlotnick, C. (2009). HOPE for battered women with PTSD in domestic violence shelters. Professional Psychology: Research and Practice, 40, 234–241. https://doi.org/10.1037/a0012519.

    Article  Google Scholar 

  • Johnson, D. M., Palmieri, P. A., Jackson, A. P., & Hobfoll, S. E. (2007). Emotional numbing weakens abused inner-city women’s resiliency resources. Journal of Traumatic Stress, 20, 197–206. https://doi.org/10.1002/jts.20201.

    Article  PubMed  Google Scholar 

  • Johnson, D. M., Zlotnick, C., & Perez, S. (2008). The relative contribution of abuse severity and PTSD severity on the psychiatric and social morbidity of battered women in shelters. Behavior Therapy, 39(3), 232–241. https://doi.org/10.1016/j.beth.2007.08.003.

    Article  PubMed  Google Scholar 

  • Johnson, D. M., Zlotnick, C., & Perez, S. (2011). Cognitive behavioral treatment of PTSD in residents of domestic violence shelters: Results of a randomized clinical trial. Journal of Consulting and Clinical Psychology, 79, 542–551. https://doi.org/10.1037/a0023822.

    Article  PubMed  PubMed Central  Google Scholar 

  • Johnson, D. M., Johnson, N. L., Perez, S. K., Palmieri, P. A., & Zlotnick, C. (2016). Comparison of adding treatment of PTSD during and after shelter stay to standard care in residents of domestic violence shelters: Results of a randomized clinical trial. Journal of Traumatic Stress, 29(4), 365–373. https://doi.org/10.1002/jts.22117.

    Article  PubMed  PubMed Central  Google Scholar 

  • Kelly, U. A. (2010). Symptoms of PTSD and major depression in Latinas who have experienced intimate partner violence. Issues in Mental Health Nursing, 31, 119–127. https://doi.org/10.3109/01612840903312020.

    Article  PubMed  Google Scholar 

  • Kelly, U. A., & Pich, K. (2014). Community-based PTSD treatment for ethnically diverse women who experienced intimate partner violence: A feasibility study. Issues in Mental Health Nursing, 35, 906–913. https://doi.org/10.3109/01612840.2014.931496.

    Article  PubMed  Google Scholar 

  • Khadra, C., Wehbe, N., Lachance Fiola, J., Skaff, W., & NehmĂ©, M. (2015). Symptoms of post-traumatic stress disorder among battered women in Lebanon: An exploratory study. Journal of Interpersonal Violence, 30, 295–313. https://doi.org/10.1177/0886260514534774.

    Article  PubMed  Google Scholar 

  • Kraemer, H. C., Mintz, J., Noda, A., Tinklenberg, J., & Yesavage, J. A. (2006). Caution regarding the use of pilot studies to guide power calculations for study proposals. Archives of General Psychiatry, 63, 484–489. https://doi.org/10.1001/archpsyc.63.5.484.

    Article  PubMed  Google Scholar 

  • Krause, E. D., Kaltman, D., Goodman, L., & Dutton, M. A. (2006). Role of distinct PTSD symptoms in intimate partner reabuse: A prospective study. Journal of Traumatic Stress, 19(4), 507–516. https://doi.org/10.1002/jts.20136.

    Article  PubMed  Google Scholar 

  • Krause, E. D., Kaltman, S., Goodman, L. A., & Dutton, M. A. (2008). Avoidant coping and PTSD symptoms related to domestic violence exposure: A longitudinal study. Journal of Traumatic Stress, 21, 83–90. https://doi.org/10.1002/jts.20288.

    Article  PubMed  Google Scholar 

  • Kubany, E. S., Hill, E. E., & Owens, J. A. (2003). Cognitive trauma therapy for battered women with PTSD: Preliminary findings. Journal of Traumatic Stress, 16, 81–91. https://doi.org/10.1023/A:1022019629803.

    Article  PubMed  Google Scholar 

  • Kubany, E. S., Hill, E. E., Owens, J. A., Iannce-Spencer, C., McCaig, M. A., Tremayne, K. J., & Williams, P. L. (2004). Cognitive trauma therapy for battered women with PTSD (CTT-BW). Journal of Consulting and Clinical Psychology, 72, 3–18. https://doi.org/10.1037/0022-006X.72.1.3.

    Article  PubMed  Google Scholar 

  • Langenderfer-Magruder, L., Whitfield, D. L., Walls, E. N., Kattari, S. K., & Ramos, E. (2016). Experiences of intimate partner violence and subsequent police reporting among lesbian, gay, bisexual, transgender, and queer adults in Colorado: Comparing rates of cisgender and transgender victimization. Journal of Interpersonal Violence, 31(5), 855–871. https://doi.org/10.1177/0886260514556767.

    Article  PubMed  Google Scholar 

  • Lewis, R. J., Milletich, R. J., Kelley, M. L., & Woody, A. (2012). Minority stress, substance use, and intimate partner violence among sexual minority women. Aggression and Violent Behavior, 17, 247–256. https://doi.org/10.1016/j.avb.2012.02.004.

    Article  Google Scholar 

  • Lipsky, S., Kernic, M. A., Qiu, Q., & Hasin, D. S. (2016). Traumatic events associated with posttraumatic stress disorder: The role of race/ethnicity and depression. Violence Against Women, 22, 1055–1074. https://doi.org/10.1177/1077801215617553.

    Article  PubMed  Google Scholar 

  • McCann, I. L., Sakheim, D. K., & Abrahamson, D. J. (1988). Trauma and victimization: A model of psychological adaptation. The Counseling Psychologist, 16, 531–594. https://doi.org/10.1177/0011000088164002.

    Article  Google Scholar 

  • McNamara, J. R., Tamani, K., & Pelletier-Walker, S. (2008). The impact of short-term counseling at a domestic violence shelter. Research on Social Work Practice, 18, 132–136.

    Article  Google Scholar 

  • Nathanson, A. M., Shorey, R. C., Tirone, V., & Rhatigan, D. L. (2012). The prevalence of mental health disorders in a community sample of female victims of intimate partner violence. Partner Abuse, 3, 59–75. https://doi.org/10.1891/1946-6560.3.1.59.

    Article  PubMed  PubMed Central  Google Scholar 

  • National Network to End Domestic Violence. (2018). Domestic violence counts: 13th annual census report. Washington, DC: NNEDV. http://www.nnedv.org/census.

    Google Scholar 

  • Pacella, M. L., Hruska, B., & Delahanty, D. L. (2013). The physical health consequences of PTSD and PTSD symptoms: A meta-analytic review. Journal of Anxiety Disorders, 27, 33–46. https://doi.org/10.1016/j.janxdis.2012.08.004.

    Article  PubMed  Google Scholar 

  • Perez, S., & Johnson, D. M. (2008). PTSD compromises battered women’s future safety. Journal of Interpersonal Violence, 23, 635–651. https://doi.org/10.1177/0886260507313528.

    Article  PubMed  Google Scholar 

  • Perez, S., Johnson, D. M., & Wright, C. V. (2012a). The attenuating effect of empowerment on IPV-related PTSD symptoms in battered women living in domestic violence shelters. Violence Against Women, 18, 102–117. https://doi.org/10.1177/1077801212437348.

    Article  PubMed  PubMed Central  Google Scholar 

  • Perez, S., Johnson, D. M., Walter, K. H., & Johnson, N. (2012b). The role of PTSD and length of shelter stay in battered women’s severity of reabuse after leaving shelter. Journal of Aggression, Maltreatment, & Trauma, 21, 776–291. https://doi.org/10.1080/10926771.2012.702712.

    Article  Google Scholar 

  • Reich, C. M., Blackwell, N., Simmons, C. A., & Beck, J. G. (2015). Social problem solving strategies and posttraumatic stress disorder in the aftermath of intimate partner violence. Journal of Anxiety Disorders, 32, 31–37. https://doi.org/10.1016/j.janxdis.2015.02.007.

    Article  PubMed  Google Scholar 

  • Rhodes, K. V., Rodgers, M., Sommers, M., Hanlon, A., Chittams, J., Doyle, A., … Crits-Christoph, P. (2015). Brief motivational intervention for intimate partner violence and heavy drinking in the emergency department: A randomized clinical trial. JAMA, 314(5), 466–477. https://doi.org/10.1001/jama.2015.8369

  • Rizo, C. F., Wretman, C. J., Macy, R. J., Guo, S., & Ermentrout, D. M. (2018). A novel intervention for system-involved female intimate partner violence survivors: Changes in mental health. American Journal of Orthopsychiatry. https://doi.org/10.1037/ort0000332.

  • Roberts, A. L., Gilman, S. E., Breslau, J., Breslau, N., & Koenen, K. C. (2011). Race/ethnic differences in exposure to traumatic events, development of post-traumatic stress disorder, and treatment-seeking for post-traumatic stress disorder in the United States. Psychological Medicine, 41, 71–83. https://doi.org/10.1017/S0033291710000401.

    Article  PubMed  Google Scholar 

  • Santos, A., Matos, M., & Machado, A. (2017). Effectiveness of a group intervention program for female victims of intimate partner violence. Small Group Research, 48(1), 34–61. https://doi.org/10.1177/1046496416675226.

    Article  Google Scholar 

  • Seedat, S., Lochner, C., Vythilingum, B., & Stein, D. J. (2006). Disability and quality of life in post-traumatic stress disorder: Impact of drug treatment. PharmacoEconomics, 24, 989–998. https://doi.org/10.2165/00019053-200624100-00006.

    Article  PubMed  Google Scholar 

  • Sullivan, C. M. (2012). Domestic violence shelter services: A review of the empirical evidence. Harrisburg: National Resource Center on Domestic Violence. Retrieved from: http://www.dvevidenceproject.org.

    Google Scholar 

  • Sullivan, C. M. (2018). Understanding how domestic violence support services promote survivor well-being: A conceptual model. Journal of Family Violence, 33, 123–131. https://doi.org/10.1007/s10896-017-9931-6.

    Article  PubMed  Google Scholar 

  • Sullivan, T. P., Weiss, N. H., Price, C., Pugh, N., & Hansen, N. B. (2018). Strategies for coping with individual PTSD symptoms: Experiences of African American victims of intimate partner violence. Psychological Trauma: Theory, Research, Practice, and Policy, 10(3), 336–344. https://doi.org/10.1037/tra0000283.

    Article  Google Scholar 

  • Trabold, N., Swogger, M., McMahon, J., Cerulli, C., & Poleshuck, E. (2020). A brief motivational intervention to address intimate partner violence victimization: A pilot study. Research on Social Work Practice. https://doi.org/10.1177/1049731519900652.

  • Varma, D., Chandra, P. S., Thomas, T., & Carey, M. P. (2007). Intimate partner violence and sexual coercion among pregnant women in India: Relationship with depression and post-traumatic stress disorder. Journal of Affective Disorders, 102, 227–235. https://doi.org/10.1016/j.jad.2006.09.026.

    Article  PubMed  Google Scholar 

  • Wilson, C. K., Samuelson, K. W., Zenteno, C. B., & Sorsoli, L. (2012). Relationships between past trauma exposures and PTSD among survivors of intimate partner violence. Journal of Aggression, Maltreatment & Trauma, 21, 540–554. https://doi.org/10.1080/10926771.2012.680575.

    Article  Google Scholar 

  • Worell, J., & Remer, P. (1992). Feminist perspectives in therapy: An empowerment model for women. Oxford: Wiley.

    Google Scholar 

  • Wuest, J., Ford-Gilboe, M., Merritt-Gray, M., Varcoe, C., Lent, B., Wilk, P., & Campbell, J. (2009). Abuse-related injury and symptoms of posttraumatic stress disorder as mechanisms of chronic pain in survivors of intimate partner violence. Pain Medicine, 10, 739–747. https://doi.org/10.1111/j.1526-4637.2009.00624.x.

    Article  PubMed  Google Scholar 

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Correspondence to Dawn M. Johnson .

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Johnson, D.M., Zlotnick, C., Gonzalez, A. (2022). Treatment of Post-traumatic Stress Disorder in Survivors of Intimate Partner Violence. In: Geffner, R., White, J.W., Hamberger, L.K., Rosenbaum, A., Vaughan-Eden, V., Vieth, V.I. (eds) Handbook of Interpersonal Violence and Abuse Across the Lifespan. Springer, Cham. https://doi.org/10.1007/978-3-319-89999-2_149

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