Domestic violence against women as a risk factor for depressive and anxiety disorders: findings from domestic violence household survey in Tehran, Iran
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Domestic violence (DV) especially intimate partner violence is a global health problem responsible for significant part of burden of diseases in women. Mental health problems such as depression and anxiety are possibly results and resulted in IPV. To investigate correlation between IPV and depression and anxiety among married women, in a household survey of married women in Tehran, Iran, at summer 2011, we recruited 615 samples with cluster sampling method and they are directly asked about experience of 23 different types of physical and non-physical IPV during marital life and last 12 months. Depression and anxiety were assessed by Beck depression inventory II (BDI) and Beck Anxiety inventory (BAI). Multinominal regression model was used to assess the independent relationship of factor on IPV. Mean (±SE) age and duration of marriage were 42.6 ± 0.9 and 22 ± 0.8, respectively. Non-physical violence and physical violence during marital life reported in 77.2 and 35.1 %. Clinically significant depression and anxiety was reported in 15.3 and 32.7 % of women, respectively. The odds ratio (95 % CI) of clinically significant depression and anxiety in DV victims were 5.8 (2.3–14.6) and 2.6 (1.6–4.3). DV as a social factor is significantly correlated factor with depression and anxiety. Comprehensive view and collaborative work to detect and address social determinants of mental illness like DV is a crucial point in mental health promotion programs.
KeywordsDomestic violence Women Depression Anxiety Iran
We wish to thank all women participated generously with patience in providing data giving us not only as much valid data as we aimed to gather but also valuable humanistic intentions to work against domestic violence against women. We also be gratitude to the cooperation of data collection and administrative team members: Hussein Abtahi, Mitra Moradpour, Rasool Soltani, Mina Javadi, Elham Kheiri, Hadi Meserghani whom without their commitment to the study there would be no such a quality we reached. This manuscript shows findings from the “study of service utilization, depression and anxiety with domestic violence among married women in Tehran, Iran” project as a part of the two psychiatric specialty dissertations of M.A.A and N.Z. and granted project no. 89-04-121-12426 of M.R. from MHRC, TUMS.
Compliance with ethical standards
Conflict of interest
The authors declare that they have no conflict of interest.
- Aalto AM, Elovainio M, Kivimaki M, Uutela A, Pirkola S (2012) The Beck Depression Inventory and General Health Questionnaire as measures of depression in the general population: a validation study using the Composite International Diagnostic Interview as the gold standard. Psychiatry Res 197(1–2):163–171. doi: 10.1016/j.psychres.2011.09.008 CrossRefPubMedGoogle Scholar
- Ahmadzad-Asl M, Davoudi F, Mohammad Sadeghi H, Khademolreza N, Zarei N, Naserbakht M, . . . Rasoulian M (2013a) Correlates of mental health service utilization in married women in Tehran 2011. Iran J Psychiatry Behav Sci 7 (1):51–60Google Scholar
- Ahmadzad-Asl M, Davoudi F, Zarei N, Mohammadsadeghi H, Khademolreza N, Rasoulian M (2013b) Design and evaluation of an inventory to examine knowledge and attitude about domestic violence against women. Iran J Psychiatry Clin Psychol 19(1):43–53Google Scholar
- Alonso J, Vilagut G, Chatterji S, Heeringa S, Schoenbaum M, Bedirhan Ustun T, . . . Kessler RC (2011) Including information about co-morbidity in estimates of disease burden: results from the World Health Organization World Mental Health Surveys. Psychol Med 41(4): 873–886. doi: 10.1017/s0033291710001212
- Davoudi F, Rasoulian M, Ahmadzad Asl M, Nojomi M (2013) Factors associated with physical domestic violence against women in countries of Eastern Mediterranean Region (EMR): a systematic review and metanalysis. Iran J Psychiatry Clin Psychol 18(4):261–275Google Scholar
- Ellsberg M, Jansen HA, Heise L, Watts CH, Garcia-Moreno C (2008) Intimate partner violence and women’s physical and mental health in the WHO multi-country study on women’s health and domestic violence: an observational study. Lancet 371(9619):1165–1172. doi: 10.1016/S0140-6736(08)60522-X CrossRefPubMedGoogle Scholar
- Heise LL, Pitanguy J, Germain A (1994) Violence against women: the hidden health burden. World Bank discussion papers; no. WDP 255. Washington, D.C.: The World Bank. http://documents.worldbank.org/curated/en/1994/07/442273/violence-against-women-hidden-health-burden
- Shorey RC, Elmquist J, Ninnemann A, Brasfield H, Febres J, Rothman EF, . . . Stuart GL (2012a) The association between intimate partner violence perpetration, victimization, and mental health among women arrested for domestic violence. Partner Abus 3(1):3–21. doi: 10.1891/1946-6522.214.171.124
- Statistics Center of Iran (2012) Estimation of country population based on rural/urban regions and gender between 1375–89. Retrieved 2012/05/08, 2012, from http://library.sci.org.ir/DIGLIB/getfile.aspx?fileid=1750&cmd=WPV
- World Health Organization (2005) WHO multi-country study on women’s health and domestic violence against women: summary report of initial results on prevalence, health outcomes and women’s responses. World Health Organization, GenevaGoogle Scholar