Journal of Family Violence

, Volume 29, Issue 7, pp 693–702 | Cite as

Impact of Intimate Partner Violence on Women’s Mental Health

  • Gunnur Karakurt
  • Douglas Smith
  • Jason Whiting
Research on the Effects of Intimate Partner Violence on Women


This study aimed to explore the mental health needs of women residing in domestic violence shelters; more specifically, we aimed to identify commonalities and differences among their mental health needs. For this purpose, qualitative and quantitative data was collected from 35 women from a Midwestern domestic violence shelter. Hierarchical clustering was applied to quantitative data, and the analysis indicated a three-cluster solution. Data from the qualitative analysis also supported the differentiation of women into three distinct groups, which were interpreted as: (A) ready to change, (B) focused on negative symptoms, and (C) focused on feelings of guilt and self-blame.


Mental health intimate partner violence cluster analysis women 


  1. Afifi, T. O., MacMillan, H., Cox, B. J., Asmundson, G. J. G., Stein, M. B., & Sareen, J. (2009). Mental health correlates of intimate partner violence in marital relationships in a nationally representative sample of males and females. Journal of Interpersonal Violence, 24, 1398–1417. doi: 10.1177/0886260508322192.PubMedCrossRefGoogle Scholar
  2. American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington: Author.Google Scholar
  3. Anderson, C. (2003). Evolving out of violence: An application of the transtheoretical model of behavioral change. Research and Theory of Nursing Practice: An International Journal, 17, 225–240.CrossRefGoogle Scholar
  4. Anderson, D. K., Saunders, D. G., Yoshihama, M., Bybeem, D. I., & Sullivan, C. M. (2003). Long-term trends in depression among women separated from abusive partners. Violence Against Women, 9, 807–838. doi: 10.1177/1077801203009007004.CrossRefGoogle Scholar
  5. Arboleda-Florez, J., Wade, T. J. (2001). Childhood and adult victimization as risk factors for major depression. International Journal of Law and Psychiatry, 24, 357370.,Google Scholar
  6. Barnett, O. W., Miller-Perrin, C. L., & Perrin, R. D. (2011). Family violence across the lifespan: an introduction (3rd ed.). Thousand Oaks: Sage.Google Scholar
  7. Berelson, B. (1952). Content analysis in communication research. New York: Free Press.Google Scholar
  8. Bonomi, A. E., Anderson, M. L., Anderson, R. J., Rivara, F. P., Carrell, D., & Thompson, R. S. (2009). Medical and psychological diagnoses in women with a history of intimate partner violence. Archives of Internal Medicine, 169, 1692–1697. doi: 10.1001/archinternmed.2009.292.PubMedCrossRefGoogle Scholar
  9. Brown, J. (1997). Working toward freedom from violence. Violence Against Women, 3, 5--19.Google Scholar
  10. Caetano, R., Cunradi, C., Schafer, J., & Clark, C. (2000). Intimate partner violence and drinking among white, black and Hispanic couples in the U.S. Journal of Substance Abuse, 11, 123–138.PubMedCrossRefGoogle Scholar
  11. Caetano, R., Nelson, S., & Cunradi, C. (2001). Intimate partner violence, dependence symptoms and social consequences from drinking among white, black and Hispanic couples in the United States. American Journal of Addiction, 10, 60–69. doi: 10.1080/10550490150504146.CrossRefGoogle Scholar
  12. Campbell, J. C. (2002). Health consequences of intimate partner violence. Lancet, 359, 1331–1336. doi: 10.1016/S0140-6736(02)08336-8.PubMedCrossRefGoogle Scholar
  13. Carlson, E. B., & Dalenberg, C. J. (2000). A conceptual framework for the impact of traumatic experiences. Trauma, Violence, and Abuse, 1, 4–28. doi: 10.1177/1524838000001001002.CrossRefGoogle Scholar
  14. Chase KA, O'Farrell TJ, Murphy CM, Fals-Stewart W, Murphy M. (2003). Factors associated with partner violence among female alcoholic patients and their male partners. Journal of Studies on Alcohol, 64, 137–149.Google Scholar
  15. Clements, C. M., & Sawhney, D. K. (2000). Coping with domestic violence: control attributions, dysphoria, and hopelessness. Journal of Traumatic Stress, 13, 219–238. doi: 10.1023/A:1007702626960.PubMedCrossRefGoogle Scholar
  16. Coker, A. L., Smith, P. H., McKeown, R. E., & King, M. R. (2000). Frequency and correlates of intimate partner violence by type: physical, sexual, and psychological battering. American Journal of Public Health, 90, 553–559.PubMedCrossRefPubMedCentralGoogle Scholar
  17. Coolidge, F. L., & Anderson, L. W. (2002). Personality profiles of women in multiple abusive relationships. Journal of Family Violence, 17, 117–131.CrossRefGoogle Scholar
  18. Cunradi, C. B., Caetano, R., & Schafer, J. (2002). Alcohol-related problems, drug use, and male intimate partner violence severity among U.S. couples. Alcoholism and Clinical Experimental Research, 26, 493–500. doi: 10.1111/j.1530-0277.2002.tb02566.x.CrossRefGoogle Scholar
  19. Danielson, K. K., Moffitt, T. E., Casppi, A., & Silva, P. A. (1998). Comorbidity between abuse of an adult and DSM III-R mental disorder: evidence from epidemiological study. American Journal of Psychiatry, 155, 131–133.PubMedPubMedCentralGoogle Scholar
  20. Dienemann, J., Boyle, E., Resnick, W., Wiederhorn, N., & Campbell, J. C. (2000). Intimate partner abuse among women diagnosed with depression. Issues in Mental Health Nursing, 21, 499–513. doi: 10.1080/01612840050044258.PubMedCrossRefGoogle Scholar
  21. Drapkin, M. L., McCrady, B. S., Swingle, J. M., & Epstein, E. E. (2005). Exploring bidirectional violence in a clinical sample of female alcoholics. Journal of Studies on Alcoholism, 66, 213–219.Google Scholar
  22. Eddleston, M., Rezvi-Sheriff, M. H., & Hawton, K. (1998). Deliberate self-harm in Sri Lanka: an overlooked tragedy in the developing world. British Medical Journal, 317(7151), 133–135.PubMedCrossRefPubMedCentralGoogle Scholar
  23. Follette, V. M., Polusny, M. A., Bechtle, A. E., & Naugle, A. E. (1996). Cumulative trauma: the impact of child and sexual abuse, adult sexual assault, and spouse abuse. Journal of Traumatic Stress, 9, 25–35. doi: 10.1002/jts.2490090104.PubMedCrossRefGoogle Scholar
  24. Fowler, D. (2007). The extent of substance use problems among women partner abuse survivors residing in a domestic violence shelter. Family and Community Health, 30, S106–S108.PubMedCrossRefGoogle Scholar
  25. Garcia-Moreno, C., Heise, L., Jassen, H. A., Ellsberg, M., Watts, C. (2005). Domestic Violence and severe psychological disorder: Prevalence and intervention. The Lancet, 368, 1260–1269.,Google Scholar
  26. Golding, J. M. (1999). Intimate partner violence as a risk factor for mental disorders: a meta-analysis. Journal of Family Violence, 14, 99–132.CrossRefGoogle Scholar
  27. Griffing, S., Ragin, D. F., Sage, R. E., Madry, L., Bingham, L. E., & Primm, B. J. (2002). Domestic violence survivors’ self-identified reasons for returning to abusive relationships. Journal of Interpersonal Violence, 17, 306--319.Google Scholar
  28. Haggerty, L. & Goodman, L. (2002). Stages of change-based nursing intervention for victims of interpersonal violence. Journal of Obstetric Gynecologic & Neonatal Nursing, 32(1), 68--75. doi: 10.1002/jts.2490090104
  29. Johnson, M. P. (2008). A typology of domestic violence: intimate terrorism, violent resistance, and situational couple violence. Boston: Northeastern University Press.Google Scholar
  30. Kellermann, A. L., & Mercy, J. A. (1992). Men, women, and murder: Gender-specific differences in rates of fatal violence and victimization. Journal of Trauma, 33, 1–5.PubMedCrossRefGoogle Scholar
  31. Kernic, M. A., Holt, V. L., Stoner, J. A., Wolf, M. E., & Rivara, F. P. (2003). Resolution of depression among victims of intimate partner violence: is cessation of violence enough? Violence and Victims, 18, 115–129. doi: 10.1891/vivi.2003.18.2.115.PubMedCrossRefGoogle Scholar
  32. Kilpatrick, D. G. (2004). What is violence against women? Defining and measuring the problem. Journal of Interpersonal Violence, 1209–1234. doi:10.1177/0886260504269679Google Scholar
  33. Kilpatrick, D., & Acierno, R. (2003). Mental health needs of crime victims: epidemiology and outcomes. Journal of Traumatic Stress, 16, 119–132. doi: 10.1023/A:1022891005388.PubMedCrossRefGoogle Scholar
  34. Krug, E. G., Dahlberg, L. L., Mercy, J. A., Zwi, A. B., & Lozano, R. (2002a). The world report on violence and health. Geneva: World Health Organization.Google Scholar
  35. Krug, E., Dahlberg, L. L., Mercy, J. A., Zwi, A. B., Lozano, R, eds. (2002). World Report on Violence and Health. Geneva, Switzerland: World Health Organization. Read More: Scholar
  36. Lafata, L. (2002). The domestic violence empowerment model: Putting theory into practice. Paper presented at the 2002 National Conference on health Care and Domestic Violence, Atlanta, GA.Google Scholar
  37. Levesque, D. A., Driskell, M., Prochaska, J. M., & Prochaska, J. O. (2008). Acceptability of a stage-matched expert system intervention for domestic violence offenders. Violence and Victims, 23, 432–445. doi: 10.1891/0886-6708.23.4.432.PubMedCrossRefGoogle Scholar
  38. Lindgren, M. S., & Renck, B. (2008). It is still so deep-seated, the fear: Psychological stress reactions as consequences of intimate partner violence. Journal of Psychiatric and Mental Health Nursing, 15(3), 219–228. doi: 10.1111/j.1365-2850.2007.01215.x.CrossRefGoogle Scholar
  39. Lipsky, S., Caetano, R., Field, C. A., & Larkin, G. L. (2005). Is there a relationship between victim and partner alcohol use during an intimate partner violence event? Journal of Studies on Alcoholism, 66, 407–412.Google Scholar
  40. Logan, T., Cole, J., Shannon, L., & Walker, R. (2006). Partner violence and stalking of women: context, consequences, & coping. New York: Springer.Google Scholar
  41. Martin, S. L., Moracco, K. E., Chang, J. C., Council, C. L., & Dulli, L. S. (2008). Substance abuse issues among women in domestic violence programs. Violence Against Women, 14, 985–997. doi: 10.1177/1077801208322103.PubMedCrossRefGoogle Scholar
  42. Mertin, P. G., & Mohr, P. B. (2001). A follow up study of post traumatic stress disorder, anxiety, and depression in Australian victims of domestic violence. Violence and Victims, 16, 645–653.PubMedGoogle Scholar
  43. Murphy, C. & Maiuro, R. (2009). Motivational interviewing and stages of changes in intimate partner violence. New York, NY: Springer.Google Scholar
  44. Najavits, L. M., Sullivan, T. P., Schmitz, M., Weiss, R. D., & Lee, C. S. N. (2004). Treatment utilization by women with PTSD and substance dependence. American Journal on Addiction, 13, 215–224. doi: 10.1080/10550490490459889.CrossRefGoogle Scholar
  45. National Center for Injury Prevention and Control. (2003). Costs of intimate partner violence against women in the United States. Atlanta (GA): Centers for Disease Control and Prevention.Google Scholar
  46. Norcross, J. C., Krebs, P. M., & Prochaska, J. O. (2011). Stages of change. Journal of Clinical Psychology, 67(2), 143–154. doi: 10.1002/jclp.20758.PubMedCrossRefGoogle Scholar
  47. Prochaska, J.O. (2002). Staging: A revolution in therapeutic relating. In J. Norcross (Ed.), Psychotherapy Relationships that Work. New York: Oxford University Press.Google Scholar
  48. Resick, P. A., & Schnicke, M. K. (1992). Cognitive processing therapy for sexual assault victims. Journal of Consulting and Clinical Psychology, 60, 748–756. doi: 10.1037/0022-006X.60.5.748.PubMedCrossRefGoogle Scholar
  49. Robson, C. (2002). Real world research: A resource for social scientists and practitioner-researchers (2nd ed.). Malden, MA: Blackwell Publishing.Google Scholar
  50. Schnurr, P. P., & Green, B. L. (2004). Understanding relationships among trauma, posttraumatic stress disorder, and health outcomes. In P. P. Schnurr & B. L. Green (Eds.), Trauma and health: physical health consequences of exposure to extreme stress (pp. 247–275). Washington: American Psychological Association.Google Scholar
  51. Sleutel, M. (1998). Womes’s experiences in abuse: A review of qualitative research. Issues in Mental Health Nursing 19, 525--539.Google Scholar
  52. Stein, M. B., Walker, J. R., & Forde, D. R. (2000). Gender differences in susceptibility to posttraumatic stress disorder. Behaviour Research and Therapy, 38, 619–628. doi: 10.1016/S0005-7967(99)00098-4.PubMedCrossRefGoogle Scholar
  53. Straus, M. A., Smith, C. (1990). Family patterns of primary prevention of family violence. In M.A. Straus & R. J. Gelles (Eds.), Physical violence in American families: Risk factors and adaptations to violence in 8, 145 families (pp. 507–526). New Brunswick, NJ:Transaction.Google Scholar
  54. Umberson, D., Anderson, K., Glick, J., & Shapiro, A. (1998). Domestic violence, personal control, and gender. Journal of Marriage and the Family, 60, 442–452. doi: 10.2307/353860.CrossRefGoogle Scholar
  55. Watson, C. G., Bamett, M., Nikunen, L., Schultz, C., Randolph-Elgin, T., & Mendez, C. M. (1997). Lifetime prevalences of nine common psychiatric/personality disorders in female domestic abuse survivors. Journal of Nervous and Mental Disease, 185, 645–647. doi: 10.1097/00005053-199710000-00011.PubMedCrossRefGoogle Scholar
  56. Weaver, T. L., & Clum, G. A. (1995). Psychological distress associated with interpersonal violence: a meta-analysis. Clinical Psychology Review, 15, 115–140. doi: 10.1016/0272-7358(95)00004-9.CrossRefGoogle Scholar
  57. Weber, R. P. (1990). Basic content analysis (2nd ed.). Newbury Park: Sage Publications.Google Scholar
  58. White, H. R., & Chen, P. H. (2002). Problem drinking and intimate partner violence. Journal of Studies on Alcohol, 63, 205–214.PubMedGoogle Scholar
  59. World Health Organization (2002), World Report on Violence and Health; Scholar

Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  1. 1.Department of Family Medicine and Community HealthCase Western Reserve UniversityClevelandUSA
  2. 2.Department of Community, Family, and Addiction ServicesTexas Tech UniversityLubbockUSA

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