Skip to main content

Advertisement

Log in

African American Women’s Readiness to Change Abusive Relationships

  • ORIGINAL ARTICLE
  • Published:
Journal of Family Violence Aims and scope Submit manuscript

Abstract

This study explores 178 low-income, abused African American women’s readiness to change abusive relationships and achieve safety. We explore stages of change using Prochaska and DiClemente’s transtheoretical model (TM; Precontemplation, Contemplation, Action, Preparation, and Maintenance). Results reveal that: for abused women, the stages fall along a continuum (versus discreet and linear stages); abused women are primarily in the Contemplation stage; and multiple factors (perception of current abuse, number of children in her home, symptoms of general anxiety and posttraumatic stress disorder [PTSD], substance use, spiritual well-being, self-esteem, and social support) affect women’s total readiness to change intimate partner violence (IPV). Current IPV, anxiety, PTSD, substance abuse, and spirituality were positively correlated with readiness to change, and children in the home and self-esteem were negatively correlated with readiness to change. Multiple regression analysis revealed that PTSD and spiritual well-being are positive predictors of readiness to change. Findings contribute to the growing body of literature supporting the TM as applied to IPV. Results are discussed in terms of applicability to interventionists, policy makers, and community leaders as they consider the plight of abused women and their efforts towards violence-free relationships.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Anderson, M. A., & Gillig, P. M. (2003). “Why doesn’t she just leave?”: A descriptive study of victim reported impediments to her safety. Journal of Family Violence, 18, 151–155.

    Article  Google Scholar 

  • Babcock, J. C., Canady, B. E., Senior, A., & Eckhardt, C. I. (2005). Applying the Transtheoretical Model to female and male perpetrators of intimate partner violence: Gender differences in stages and processes of change. Violence and Victims, 20, 235–250.

    PubMed  Google Scholar 

  • Barnett, O. W. (2000). Why battered women do not leave, part 1: External inhibiting factors within society. Trauma, Violence, & Abuse, 1, 343–372.

    Article  Google Scholar 

  • Barnett, O. W. (2001). Why battered women do not leave, part 2: External inhibiting factors, social support, and internal inhibiting factors. Trauma, Violence, & Abuse, 2, 3–35.

    Article  Google Scholar 

  • Bent-Goodley, T. B. (2004). Perceptions of domestic violence: A dialogue with African American women. Health and Social Work, 29, 307–316.

    PubMed  Google Scholar 

  • Blanchard, K. A., Morgenstern, J., Morgan, T. J., Labouvie, E., & Bux, D. A. (2003). Motivational subtypes and continuous measures of readiness for change: Concurrent and predictive validity. Psychology of Addictive Behaviors, 17, 56–65.

    Article  PubMed  Google Scholar 

  • Bliss, M. J., Cook, S., & Kaslow, N. J. (2007). An ecological approach to understanding incarcerated women’s responses to abuse. Women and Therapy, 29(3–4), 97–115.

    Google Scholar 

  • Bradley, R. H., Schwartz, A., & Kaslow, N. J. (2005). Posttraumatic stress disorder symptoms among low-income, African American women with a history of intimate partner violence and suicidal behaviors: Self-esteem, social support, and religious coping. Journal of Traumatic Stress, 18, 685–696.

    Article  PubMed  Google Scholar 

  • Burke, J. G., Denison, J. A., Gielen, A. C., McDonnell, K. A., & O’Campo, P. (2004). Ending intimate partner violence: An application of the transtheoretical model. American Journal of Health Behavior, 28, 122–133.

    PubMed  Google Scholar 

  • Burke, J. G., Gielen, A. C., McDonnell, K., O’Campo, P., & Maman, S. (2001). The process of ending abuse in intimate relationships: A qualitative exploration of the transtheoretical model. Violence Against Women, 7, 1144–1163.

    Article  Google Scholar 

  • Campbell, D. (1999). Forced sex and intimate partner violence: Effects on women’s risk and women’s health. Violence Against Women, 5, 1017–1035.

    Google Scholar 

  • Campbell, J. C. (2002). Health consequences of intimate partner violence. Lancet, 359, 1331–1336.

    Article  PubMed  Google Scholar 

  • Coid, J., Petruckevitch, A., Feder, G., Chung, W., Richardson, J., & Moorey, S. (2001). Relation between childhood sexual and physical abuse and risk of revictimization in women: A cross-sectional survey. Lancet, 358, 450–454.

    Article  PubMed  CAS  Google Scholar 

  • Coker, A. L., Smith, P. H., Thompson, M., McKeown, R. E., Bethea, L., & Davis, K. E. (2002). Social support protects against the negative effects of partner violence on mental health. Journal of Women’s Health and Gender-Based Medicine, 11, 465–476.

    Article  PubMed  Google Scholar 

  • Coley, S. M., & Beckett, J. O. (1988). Black battered women: A review of the empirical literature. Journal of Counseling and Development, 66, 266–270.

    Google Scholar 

  • Cook, S. L., Smith, S. G., Tusher, C. P., & Raiford, J. (2005). Self-report of traumatic events in a random sample of incarcerated women. Women and Criminal Justice, 16, 107–126.

    Article  Google Scholar 

  • Dahlem, N. W., Zimet, G. D., & Walker, R. R. (1991). The multidimensional scale of perceived social support: A confirmation study. Journal of Clinical Psychology, 47, 756–762.

    Article  PubMed  CAS  Google Scholar 

  • Davidson, J. (1996). Davidson trauma scale. Toronto, ON: Multi-Health Systems Inc.

    Google Scholar 

  • Derogatis, L. R. (2000). Brief symptom inventory-18. Minneapolis: National Computer Systems, Inc.

    Google Scholar 

  • Dutton, M. A., Goodman, L. A., & Bennett, L. (1999). Court-involved battered women’s responses to violence: The role of psychologist, physical and sexual abuse. Violence and Victims, 14, 89–104.

    PubMed  CAS  Google Scholar 

  • Dutton, M. A., Mitchell, B., & Haywood, Y. (1996). The emergency department as a violence prevention center. Journal of the American Medical Women’s Association, 51, 92–96.

    PubMed  CAS  Google Scholar 

  • Eckhardt, C. I., Babcock, J., & Homack, S. (2004). Partner assaultive men and the stages and processes of change. Journal of Family Violence, 19, 81–93.

    Article  Google Scholar 

  • Edwards, T. A., Houry, D., Kemball, R. S., Harp, S. E., McNutt, L.-A., Straus, H., et al. (2006). Stages of change as a correlate of mental health symptoms in abused, low-income African American women. Journal of Clinical Psychology, 62, 1531–1543.

    Article  PubMed  Google Scholar 

  • El-Khoury, M. Y., Dutton, M. A., Goodman, L. A., Engel, L., Belamaric, R. J., & Murphy, M. (2004). Ethnic differences in battered women’s formal help-seeking strategies: A focus on health, mental health, and spirituality. Cultural Diversity and Ethnic Minority Psychology, 10, 383–393.

    Article  PubMed  Google Scholar 

  • Ellison, C. W. (1983). Spiritual well-being: Conceptualization and measurement. Journal of Psychology and Theology, 11, 330–340.

    Google Scholar 

  • Field, C. A., & Caetano, R. (2004). Ethnic differences in intimate partner violence in the U.S. general population: The role of alcohol use and socioeconomic status. Trauma, Violence, & Abuse, 5, 303–318.

    Article  Google Scholar 

  • Folstein, M. F., Folstein, S. E., McHugh, P. R., & Fanjiang, G. (2001). Mini-mental state examination. Odessa, FL: Psychological Assessment Resources.

    Google Scholar 

  • Frasier, P. Y., Slatt, L., Kowlowitz, V., & Glowa, P. T. (2001). Using the stages of change model to counsel victims of intimate partner violence. Patient Education and Counseling, 43, 211–217.

    Article  PubMed  CAS  Google Scholar 

  • Gavin, D. R., Ross, H. E., & Skinner, H. A. (1989). Diagnostic validity of the Drug Abuse Screening Test in the assessment of DSM-III drug disorders. British Journal of Addictions, 84, 301–307.

    Article  CAS  Google Scholar 

  • Gerlock, A. A. (1999). Health impact of domestic violence. Issues in Mental Health Nursing, 20, 373–385.

    Article  PubMed  CAS  Google Scholar 

  • Goldney, R. D., Wilson, D., Grande, E. D., Fisher, L. J., & McFarlane, A. C. (1999). Suicidal ideation in a random community sample: Attributable risk due to depression and psychosocial and traumatic events. Australian and New Zealand Journal of Psychiatry, 34, 98–106.

    Article  Google Scholar 

  • Goodman, L. M., Dutton, M. A., Weinhurt, K., & Cook, S. L. (2003). The Intimate Partner Violence Strategies Index: Development and application. Violence Against Women, 9, 163–186.

    Article  Google Scholar 

  • Hendy, H. M., Eggen, D., Freeman, K., Gustitus, C., & Ng, P. (2003). Decision to Leave Scale: Perceived reasons to stay or leave violent relationships. Psychology of Women Quarterly, 27, 162–173.

    Article  Google Scholar 

  • Henriques, Z. W., & Rupert-Manatu, N. (2001). Living on the outside: African American women before, during, and after imprisonment. The Prison Journal, 82, 6–19.

    Google Scholar 

  • Heron, S. L., Thompson, M. P., Jackson, E. B., & Kaslow, N. J. (2003). Do responses to an intimate partner violence screen predict scores on a comprehensive measure of intimate partner violence in low-income black women? Annals of Emergency Medicine, 42, 483–491.

    Article  PubMed  Google Scholar 

  • Holmes, M., & Resnick, H. (1998). Follow-up of sexual assault victims. American Journal of Obstetrics and Gynecology, 179, 336–342.

    Article  PubMed  CAS  Google Scholar 

  • Jones, L., Hughes, M., & Unterstaller, U. (2001). Post-traumatic stress disorder (PTSD) in victims of domestic violence. Trauma, Violence, & Abuse, 2, 99–119.

    Article  Google Scholar 

  • Kanuha, V. (1996). Domestic violence, racism, and the battered women’s movement in the United States. In Z. C. Eisikovitz (Ed.), Future interventions with battered women and their families (pp. 34–52). Thousand Oaks: Sage.

    Google Scholar 

  • Kaslow, N. J., Thompson, M., Meadows, L., Chance, S., Puett, R., Hollins, L., et al. (2000). Risk factors for suicide attempts among African American women. Depression and Anxiety, 12, 13–20.

    Article  PubMed  CAS  Google Scholar 

  • Kaslow, N. J., Thompson, M., Meadows, L., Jacobs, D., Chance, S., Gibb, B., et al. (1998). Factors that mediate and moderate the link between partner abuse and suicidal behavior in African American women. Journal of Consulting and Clinical Psychology, 66, 533–540.

    Article  PubMed  CAS  Google Scholar 

  • Kernic, M. A., Wolf, M. E., & Holt, V. L. (2000). Rates and relative risk of hospital admission among women in violent intimate partner relationships. American Journal of Public Health, 90, 1416–1420.

    Article  PubMed  CAS  Google Scholar 

  • Kimerling, R., & Baumrind, N. (2004). Intimate partner violence and use of welfare services among California women. Journal of Sociology and Social Welfare, 31, 161–176.

    Google Scholar 

  • Kramer, A., Lorenzon, D., & Mueller, G. (2004). Prevalence of intimate partner violence and health implications for women using emergency departments and primary care clinics. Women’s Health Issues, 14, 19–30.

    PubMed  Google Scholar 

  • Krishnan, S., & Hilbert, J. (2001). An examination of intimate partner violence in rural communities: Results from a hospital emergency department study from Southwest United States. Family and Community Health, 24, 1–14.

    PubMed  CAS  Google Scholar 

  • Ledbetter, M. F., Smith, L. A., Fischer, J. D., Vosler-Hunter, W. L., & Chew, G. P. (1991). An evaluation of the construct validity of the Spiritual Well-Being Scale: A confirmatory factor analytic approach. Journal of Psychology and Theology, 19, 94–102.

    Google Scholar 

  • Lincoln, K. D., Chatters, L. M., & Taylor, R. J. (2005). Social support, traumatic events, and depressive symptoms among African Americans. Journal of Marriage and Family, 67, 754–767.

    Article  PubMed  Google Scholar 

  • Littell, J. H., & Girvin, H. (2002). Stages of change: A critique. Behavior Modification, 26, 223–273.

    Article  PubMed  Google Scholar 

  • McConnaughy, E. A., Prochaska, J. O., & Velicer, W. F. (1983). Stages of change in psychotherapy: Measurement and sample profiles. Psychotherapy: Theory, Research, and Practice, 20, 368–375.

    Article  Google Scholar 

  • Moss, V. A., Pitula, C. R., Campbell, J. C., & Halstead, L. (1997). The experience of terminating an abusive relationship from an Anglo and African American perspective: A qualitative descriptive study. Issues in Mental Health Nursing, 18, 433–454.

    PubMed  CAS  Google Scholar 

  • Murphy, C. M., & Baxter, V. A. (1997). Motivating batterers to change in the treatment context. Journal of Interpersonal Violence, 12, 607–619.

    Article  Google Scholar 

  • O’Campo, P., McDonnell, K., Gielen, A. C., Burke, J. D., & Yi-hua, C. (2002). Surviving physical and sexual abuse: What helps low-income women? Patient Education and Counseling, 46, 205–212.

    Article  PubMed  Google Scholar 

  • Olstad, R., Sexton, H., & Sogaard, A. J. (2001). The Finnmark study: A prospective population study of the social support buffer hypothesis, specific stresses, and mental distress. Social Psychiatry and Psychiatric Epidemiology, 36, 582–590.

    Article  PubMed  CAS  Google Scholar 

  • Peled, E., Eisikovitz, Z. C., Enosh, G., & Winstok, Z. (2000). Choice and empowerment for battered women who stay: Toward a constructivist model. Social Work, 45, 9–25.

    PubMed  CAS  Google Scholar 

  • Pokorny, A., Miller, B., & Kaplan, H. (1972). The brief MAST: A shortened version of the Michigan alcohol screening test. American Journal of Psychiatry, 129, 342–345.

    PubMed  CAS  Google Scholar 

  • Prochaska, J. O., & DiClemente, C. C. (1982). Transtheoretical therapy: Toward a more integrative model of change. Psychotherapy Research and Practice, 20, 161–173.

    Article  Google Scholar 

  • Prochaska, J. O., DiClemente, C. C., & Norcross, J. C. (1992). In search of how people change: Applications to addictive behaviors. American Psychologist, 47, 1102–1113.

    Article  PubMed  CAS  Google Scholar 

  • Prochaska, J. O., & Velicer, W. F. (1997). The transtheoretical model of health behavior change. American Journal of Health Promotion, 12, 38–48.

    PubMed  CAS  Google Scholar 

  • Prochaska, J. O., Velicer, W. F., Rossi, J. S., Goldstein, M. G., Marcus, B. H., Rakowski, W., et al. (1994). Stages of change and decisional balance for 12 problem behaviors. Health Psychology, 13, 39–46.

    Article  PubMed  CAS  Google Scholar 

  • Skinner, H. (1983). The drug abuse screening test. Addictive Behaviors, 7, 363–371.

    Article  Google Scholar 

  • Smith, P. H., Thornton, G. E., DeVellis, R., Earp, J., & Coker, A. L. (2002). A population-based study of the prevalence and distinctiveness of battering, physical assault, and sexual assault in intimate relationships. Violence Against Women, 8, 1208–1232.

    Article  Google Scholar 

  • Staley, D., & El-Guebaly, N. (1990). Psychometric properties of the drug abuse screening test in a psychiatric patient population. Addictive Behavior, 15, 257–256.

    Article  Google Scholar 

  • Stark, E., & Flitcraft, A. (1996). Women at risk: Domestic violence and women’s health. Thousand Oaks, CA: Sage.

    Google Scholar 

  • Taylor, J. M., & Tomasic, M. (1996). Taylor’s measure of dysphoria, anxiety, anger, and self-esteem. In R. L. Jones (Ed.), Handbook of tests and measurements for black populations, Vol. 2 (pp. 295–305). Hampton: Cobb & Henry.

    Google Scholar 

  • Tjaden, P., & Thoennes, N. (2000). Full report of the prevalence, incidence, and consequences of violence against women: Findings from the National Violence Against Women Survey (no. 93-IJ-CX-0012). Washington, DC: National Institute of Justice, Office of Justice Programs.

    Google Scholar 

  • West, C. M. (Ed.) (2002). Violence in the lives of Black women: Battered, black, and blue. New York: Haworth.

  • West, C. M. (2004). Black women and intimate partner violence: New directors for research. Journal of Interpersonal Violence, 19, 1487–1493.

    Article  PubMed  Google Scholar 

  • Williams, M., Parker, R., Baker, D., Parikh, N., Pitkin, K., Coates, W., et al. (1995). Inadequate functional health literacy among patients at two public hospitals. Journal of the American Medical Association, 274, 1677–1682.

    Article  PubMed  CAS  Google Scholar 

  • Wolf, M. E., Hobart, M. A., & Kernic, M. A. (2003). Barriers to seeking police help for intimate partner violence. Journal of Family Violence, 8, 121–129.

    Article  Google Scholar 

  • Wyatt, G. E. (1992). The sociocultural context of African American and White American women’s rape. Journal of Social Issues, 48, 77–91.

    Article  Google Scholar 

  • Wyatt, G. E., Axelrod, J., Chin, D., Carmona, J. V., & Loeb, T. B. (2000). Examining patterns of vulnerability to domestic violence among African American women. Violence Against Women, 6, 495–514.

    Google Scholar 

  • Zimet, G. D., Dahlem, N. W., Zimet, S. G., & Farley, G. K. (1988). The multidimensional scale of perceived social support. Journal of Personality Assessment, 52, 30–41.

    Article  Google Scholar 

  • Zimet, G. D., Powell, S. S., Farley, G. K., Werkman, S., & Berkoff, K. A. (1990). Psychometric characteristics of the multidimensional scale of perceived social support. Journal of Personality Assessment, 55, 610–617.

    Article  PubMed  CAS  Google Scholar 

  • Zink, T., Elder, N., Jacobson, J., & Klostermann, B. (2004). Medical management of intimate partner violence considering the stages of change: Precontemplation and contemplation. Annals of Family Medicine, 2, 231–239.

    Article  PubMed  Google Scholar 

  • Zung, B. J. (1979). Psychometric properties of the MAST and two briefer versions. Journal of Studies on Alcohol, 40, 845–859.

    PubMed  CAS  Google Scholar 

Download references

Acknowledgment

This research was funded by a grant from the Centers for Disease Control and Prevention, National Center for Injury Prevention and Control: R49 CCR421767-02, entitled Group Interventions for Abused, Suicidal African American Women, awarded to the last author (Kaslow).

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Nadine J. Kaslow.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Bliss, M.J., Ogley-Oliver, E., Jackson, E. et al. African American Women’s Readiness to Change Abusive Relationships. J Fam Viol 23, 161–171 (2008). https://doi.org/10.1007/s10896-007-9138-3

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10896-007-9138-3

Keywords

Navigation