Prevalence of intimate partner violence victimization and its association with mental disorders in the Korean general population
This study assessed the association between experiencing physical or sexual intimate partner violence (IPV) and mental health among women in the general Korean population. A total of 3160 South Korean women aged 18 to 74 responded to the Korean version of the WHO-Composite International Diagnostic Interview (K-CIDI), version 2.1., and questions about IPV. Multiple logistic regression was used to examine the odds of developing mental disorders associated with each type of IPV. Victimization by any type of IPV was associated with significantly increased odds of experiencing any mental disorders in the lifetime (OR 4.4, 95% CI 2.4–8.0). Participants who experienced sexual IPV had the highest odds of having mental disorders (OR 14.3, 95% CI 4.1–54.8). Sexual IPV experience among participants was associated with higher odds of major depressive disorder, anxiety disorder, obsessive-compulsive disorder, post-traumatic stress disorder, generalized anxiety disorder, specific phobias, agoraphobia, and nicotine dependence. Alcohol use disorder was highly associated with experiencing physical IPV (OR 3.8, 95% CI 1.7–8.0). Among women who experienced IPV, the youngest age group, from 18 to 35 years old (2.6%, 95% CI 1.4–3.8), and the never married group (2.7%, 95% CI 1.2–4.2) experienced the highest proportion of any form of IPV. Mental disorders throughout the lifetime are highly associated with the experience of IPV among women and are most prevalent among those who experienced sexual IPV. Thus, to prevent mental disorders among female IPV victims, treatment specific to each type of IPV should be provided early.
KeywordsViolence Women Mental health Mental disorders
Intimate partner violence
Korean version of the WHO-Composite International Diagnostic Interview
Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition
Adjusted odds ratio
Major depressive disorder
Generalized anxiety disorder
Post-traumatic stress disorder
We would like to acknowledge the Ministry of Health and Welfare, Republic of Korea, for their support of data collection.
JHA and CSM participated in the study design, conception, data acquisition and data analysis, wrote the first manuscript drafting, and revised new drafts from co-authors. DEK participated in data analysis and acquisition of data. SYL participated in the design and conceptualized the study and revising of the manuscript. HJJ, SJC, and SJS were in charge of developing the questionnaire, directed the data acquisition, and participated in the study design and conceptualization. JPH participated in study design and conception, data acquisition, manuscript drafting, and funding acquisition. All authors read and approved the final manuscript.
This work was supported by the Korea Healthcare Technology R&D project, Ministry of Health and Welfare, Republic of Korea (HM15C1072, HL19C0018).
Compliance with ethical standards
Written informed consent was obtained from all participants before presenting questionnaires and performing face-to-face interviews. This study was conducted with the approval of the institutional review board of the Samsung Seoul Hospital Clinical Research Committee (IRB No. 2016-05-014).
Conflict of interest
The authors declare that they have no competing interests.
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