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Mental Health Treatment in the Context of Intimate Partner Violence

Handbook of Interpersonal Violence and Abuse Across the Lifespan

Abstract

A large body of research has demonstrated that experiencing abuse by an intimate partner is associated with a wide range of mental health consequences. Some are the direct results of violence, others are related to the traumatic psychophysiological effects of ongoing abuse. Less well researched, however, are the ways that people who abuse their partners engage in coercive tactics related to their partner’s mental health or substance use as part of a broader pattern of abuse and control – tactics known as mental health and substance use coercion. For survivors of ongoing Intimate Partner Violence (IPV), responding to trauma raises another set of concerns, particularly when the trauma is unremitting, and symptoms reflect a response to ongoing danger and coercive control. At the same time, many survivors experience multiple types of trauma over the course of their lives, including structural violence and marginalization. While more research is needed on IPV-specific treatment interventions, evidence indicates that interventions that are adapted to meet the specific needs of survivors of IPV are most effective. This chapter provides an overview of the impact of IPV on survivors’ mental health and a framework for treatment in the context of IPV, including IPV-specific treatment strategies and suggestions for incorporating an IPV- and trauma-informed approach.

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References

  • Arroyo, K., Lundahl, B., Butters, R., Vanderloo, M., & Wood, D. S. (2017). Short-Term Interventions for Survivors of Intimate Partner Violence: Trauma, violence & abuse, 18(2), 155–171. https://doi.org/10.1177/1524838015602736

  • Bacchus, L. J., Ranganathan, M., Watts, C., & Devries, K. (2018). Recent intimate partner violence against women and health: A systematic review and meta-analysis of cohort studies. BMJ Open, 8(7). https://doi.org/10.1136/bmjopen-2017-019995.

  • Balousek, S., Plane, M. B., & Fleming, M. (2007). Prevalence of interpersonal abuse in primary care patients prescribed opioids for chronic pain. Journal of General Internal Medicine, 22(9), 1268–1273. https://doi.org/10.1007/s11606-007-0257-6.

    Article  Google Scholar 

  • Bent-Goodley, T. B. (2007). Health disparities and violence against women: Why and how cultural and societal influences matter. Trauma, Violence, & Abuse, 8(2), 90–104. https://doi.org/10.1177/1524838007301160.

    Article  Google Scholar 

  • Beydoun, H. A., Beydoun, M. A., Kaufman, J. S., Lo, B., & Zonderman, A. B. (2012). Intimate partner violence against adult women and its association with major depressive disorder, depressive symptoms and postpartum depression: A systematic review and meta-analysis. Social Science & Medicine, 75(6), 959–975. https://doi.org/10.1016/j.socscimed.2012.04.025.

    Article  Google Scholar 

  • Beydoun, H. A., Williams, M., Beydoun, M. A., Eid, S. M., & Zonderman, A. B. (2017). Relationship of physical intimate partner violence with mental health diagnoses in the nationwide emergency department sample. Journal of Women’s Health, 26(2), 141–151. https://doi.org/10.1089/jwh.2016.5840.

    Article  Google Scholar 

  • Bisson, J. I., Roberts, N. P., Andrew, M., Cooper, R., & Lewis, C. (2013). Psychological therapies for chronic post-traumatic stress disorder (PTSD) in adults. Cochrane Database of Systematic Reviews, 12. https://doi.org/10.1002/14651858.cd003388.pub4.

  • Breiding, M. J., Basile, K. C., Klevens, J., & Smith, S. G. (2017). Economic insecurity and intimate partner and sexual violence victimization. American Journal of Preventive Medicine, 53(4), 457–464. https://doi.org/10.1016/j.amepre.2017.03.021.

    Article  Google Scholar 

  • Breslau, N., Davis, G. C., Andreski, P., Peterson, E. L., & Schultz, L. R. (1997). Sex differences in posttraumatic stress disorder. Archives of General Psychiatry, 54(11), 1044–1048. https://doi.org/10.1001/archpsyc.1997.01830230082012.

    Article  Google Scholar 

  • Brockie, T. N., Dana-Sacco, G., Wallen, G. R., Wilcox, H. C., & Campbell, J. C. (2015). The relationship of adverse childhood experiences to PTSD, depression, poly-drug use and suicide attempt in reservation-based native American adolescents and young adults. American Journal of Community Psychology, 55(3–4), 411–421. https://doi.org/10.1007/s10464-015-9721-3.

    Article  Google Scholar 

  • Coker, A. L., Smith, P. H., Thompson, M. P., 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 & Gender-Based Medicine, 11(5), 265–476. https://doi.org/10.1089/15246090260137644. 2004.

    Article  Google Scholar 

  • Courtois, C. A., & Ford, J. D. (2016). Treatment of complex trauma: A sequenced, relationship-based approach. New York: Guilford Press.

    Google Scholar 

  • Covington, S. S., Burke, C., Keaton, S., & Norcott, C. (2008). Evaluation of a trauma-informed and gender-responsive intervention for women in drug treatment. Journal of Psychoactive Drugs, 40(Suppl 5), 387–398. https://doi.org/10.1080/02791072.2008.10400666.

    Article  Google Scholar 

  • Davies, J., & Lyon, E. (2013). Domestic violence advocacy: Complex lives/difficult choices (Vol. 7). Los Angeles: SAGE.

    Google Scholar 

  • De Bellis, M. D., & Zisk, A. (2014). The biological effects of childhood trauma. Child and Adolescent Psychiatric Clinics of North America, 23(2), 185–222. https://doi.org/10.1016/j.chc.2014.01.002.

    Article  Google Scholar 

  • Dejonghe, E., Bogat, G., Levendosky, A., & von Eye, A. (2008). Women survivors of intimate partner violence and post-traumatic stress disorder: Prediction and prevention. Journal of Postgraduate Medicine, 54(4), 294–300. https://doi.org/10.4103/0022-3859.41435.

    Article  Google Scholar 

  • Desai, S., Arias, I., Thompson, M. P., & Basile, K. C. (2002). Childhood victimization and subsequent adult revictimization assessed in a nationally representative sample of women and men. Violence and Victims, 17(6), 639–653. https://doi.org/10.1891/vivi.17.6.639.33725.

    Article  Google Scholar 

  • Devries, K. M., Mak, J. Y., Bacchus, L. J., et al. (2013). Intimate partner violence and incident depressive symptoms and suicide attempts: A systematic review of longitudinal studies. PLoS Medicine, 10(5). https://doi.org/10.1371/journal.pmed.1001439.

  • Dillon, G., Hussain, R., Loxton, D., & Rahman, S. (2013). Mental and physical health and intimate partner violence against women: A review of the literature. International Journal of Family Medicine, 2013, 1–15. https://doi.org/10.1155/2013/313909.

    Article  Google Scholar 

  • Dutton, M. A., Bermudez, D., Matás, A., Majid, H., & Myers, N. L. (2013). Mindfulness-based stress reduction for low-income, predominantly African American women with PTSD and a history of intimate partner violence. Cognitive and Behavioral Practice, 20(1), 23–32. https://doi.org/10.1016/j.cbpra.2011.08.003.

    Article  Google Scholar 

  • Feder, G. S., Hutson, M., Ramsay, J., & Taket, A. R. (2006). Women exposed to intimate partner violence: Expectations and experiences when they encounter health care professionals: A meta-analysis of qualitative studies. Archives of Internal Medicine, 166(1), 22–37.

    Article  Google Scholar 

  • Felitti, V. J., Anda, R. F., Nordenberg, D., et al. (1998). Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults: The Adverse Childhood Experiences (ACE) Study. American Journal of Preventive Medicine, 14(4), 245–258.

    Article  Google Scholar 

  • Gilroy, H., Mcfarlane, J., Maddoux, J., & Sullivan, C. (2016). Homelessness, housing instability, intimate partner violence, mental health, and functioning: A multi-year cohort study of IPV survivors and their children. Journal of Social Distress and the Homeless., 25(2), 86–94. https://doi.org/10.1080/10530789.2016.1245258.

    Article  Google Scholar 

  • Goodman, L. A., Dutton, M. A., & Harris, M. (1995). Episodically homeless women with serious mental illness: Prevalence of physical and sexual assault. American Journal of Orthopsychiatry, 65(4), 468–478. https://doi.org/10.1037/h0079669.

    Article  Google Scholar 

  • Goodman, L. A., Smyth, K. F., Borges, A. M., & Singer, R. (2009). When crises collide: How intimate partner violence and poverty intersect to shape women’s mental health and coping? Trauma, Violence, & Abuse, 10(4), 306–329. https://doi.org/10.1177/1524838009339754.

    Article  Google Scholar 

  • Hackett, S., Mcwhirter, P. T., & Lesher, S. (2015). The therapeutic efficacy of domestic violence victim interventions. Trauma, Violence, & Abuse, 17(2), 123–132. https://doi.org/10.1177/1524838014566720.

    Article  Google Scholar 

  • Hansen, N. B., Eriksen, S. B., & Elklit, A. (2014). Effects of an intervention program for female victims of intimate partner violence on psychological symptoms and perceived social support. European Journal of Psychotraumatology, 5(1), 24797. https://doi.org/10.3402/ejpt.v5.24797.

    Article  Google Scholar 

  • Harb, C. A., Warshaw, C., & Dutton, M. A. (2018). Trauma in the context of domestic violence: Literature review and conceptual framework (Unpublished manuscript). National Center on Domestic Violence, Trauma & Mental Health, Chicago.

    Google Scholar 

  • Harris, M., & Fallot, R. D. (Eds.). (2001). Using trauma theory to design service systems. San Francisco: Jossey-Bass.

    Google Scholar 

  • Heru, A. M., Stuart, G. L., Rainey, S., Eyre, J., & Recupero, P. R. (2006). Prevalence and severity of intimate partner violence and associations with family functioning and alcohol abuse in psychiatric inpatients with suicidal intent. The Journal of Clinical Psychiatry, 67(01), 23–29. https://doi.org/10.4088/jcp.v67n0104.

    Article  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(3), 242–248. https://doi.org/10.1037/a0013476.

    Article  Google Scholar 

  • Johnson, D. M., & Zlotnick, C. (2012). Remission of PTSD after victims of intimate partner violence leave a shelter. Journal of Traumatic Stress, 25(2), 203–206. https://doi.org/10.1002/jts.21673.

    Article  Google Scholar 

  • Johnson, D. M., Zlotnick, C., & Perez, S. (2011). Cognitive behavioral treatment of PTSD in residents of battered womens shelters: Results of a randomized clinical trial. Journal of Consulting and Clinical Psychology, 79(4), 542–551. https://doi.org/10.1037/a0023822.

    Article  Google Scholar 

  • Kaysen, D., Resick, P. A., & Wise, D. (2003). Living in danger: The impact of chronic traumatization and the traumatic context on posttraumatic stress disorder. Trauma, Violence, & Abuse, 4(3), 247–264. https://doi.org/10.1177/1524838003004003004.

    Article  Google Scholar 

  • Khalifeh, H., Oram, S., Trevillion, K., Johnson, S., & Howard, L. M. (2015). Recent intimate partner violence among people with chronic mental illness: Findings from a national cross-sectional survey. British Journal of Psychiatry, 207(3), 207–212. https://doi.org/10.1192/bjp.bp.114.144899.

    Article  Google Scholar 

  • Kubany, E. S., Hill, E. E., Owens, J. A., et al. (2004). Cognitive trauma therapy for battered women with PTSD (CTT-BW). Journal of Consulting and Clinical Psychology, 72(1), 3–18. https://doi.org/10.1037/0022-006x.72.1.3.

    Article  Google Scholar 

  • Lieberman, A. F., Van Horn, P., & Ippen, C. G. (2005). Toward evidence-based treatment: Child-parent psychotherapy with preschoolers exposed to marital violence. Journal of the American Academy of Child & Adolescent Psychiatry, 44, 1241–1248.

    Article  Google Scholar 

  • Mertin, P., & Mohr, P. B. (2001). A follow-up study of posttraumatic stress disorder, anxiety, and depression in Australian victims of domestic violence. Violence and Victims, 16, 645–654.

    Google Scholar 

  • Miller, E., Goodman, L., Thomas, K., Petersen, A., Scheer, J., & Warshaw, C. (2016). Trauma-informed approaches for LGBQT∗ survivors of intimate partner violence: A review of the literature and a set of practice observations. Cambridge, MA: The GLBTQ Domestic Violence Project.

    Google Scholar 

  • Myers, H. F., Wyatt, G. E., Ullman, J. B., et al. (2015a). Cumulative burden of lifetime adversities: Trauma and mental health in low-SES African Americans and Latino/as. Psychological Trauma: Theory, Research, Practice, and Policy, 7(3), 243–251. https://doi.org/10.1037/a0039077.

  • Myers, U. S., Browne, K. C., & Norman, S. B. (2015b). Treatment engagement: Female survivors of intimate partner violence in treatment for PTSD and alcohol use disorder. Journal of Dual Diagnosis, 11(3–4), 238–247. https://doi.org/10.1080/15504263.2015.1113762.

    Article  Google Scholar 

  • National Network to End Domestic Violence. (2011). Technology safety & privacy: A toolkit for survivors. Washington, DC: NNEDV. https://www.techsafety.org/resources-survivors

  • Neria, Y., Bromet, E. J., Sievers, S., Lavelle, J., & Fochtmann, L. J. (2002). Trauma exposure and posttraumatic stress disorder in psychosis: Findings from a first-admission cohort. Journal of Consulting and Clinical Psychology, 70(1), 246–251. https://doi.org/10.1037//0022-006x.70.1.246.

    Article  Google Scholar 

  • Office of the Surgeon General (US); Center for Mental Health Services (US); National Institute of Mental Health (US). (2001). Mental health: Culture, race, and ethnicity: A supplement to mental health: A report of the surgeon general. Rockville: Substance Abuse and Mental Health Services Administration (US). https://www.ncbi.nlm.nih.gov/books/NBK44243/.

    Google Scholar 

  • Oquendo, M. A., & Volkow, N. D. (2018). Suicide: A silent contributor to opioid-overdose deaths. New England Journal of Medicine, 378(17), 1567–1569. https://doi.org/10.1056/nejmp1801417.

    Article  Google Scholar 

  • Oram, S., Trevillion, K., Feder, G., & Howard, L. M. (2013). Prevalence of experiences of domestic violence among psychiatric patients: Systematic review. British Journal of Psychiatry, 202(2), 94–99. https://doi.org/10.1192/bjp.bp.112.109934.

    Article  Google Scholar 

  • Packard G. (2016). NCDVTMH webinar on incorporating an accessible, culturally responsive, DV – and trauma-informed (ACDVTI) approach: Strategies, insights and lessons learned. Published December, 7 2016.

    Google Scholar 

  • Phillips, H., Kaewken, O., & Lyon, E. (2020). A needs assessment on mental health and substance use services in domestic violence programs: Key findings. Chicago: National Center on Domestic Violence, Trauma & Mental Health.

    Google Scholar 

  • Pico-Alfonso, M. A., Garcia-Linares, M. I., Celda-Navarro, N., Blasco-Ros, C., Echeburúa, E., & Martinez, M. (2006). The impact of physical, psychological, and sexual intimate male partner violence on women’s mental health: Depressive symptoms, posttraumatic stress disorder, state anxiety, and suicide. Journal of Womens Health, 15(5), 599–611. https://doi.org/10.1089/jwh.2006.15.599.

    Article  Google Scholar 

  • Ramos, B. M., Carlson, B. E., & McNutt, L.-A. (2004). Lifetime abuse, mental health, and African American women. Journal of Family Violence, 19(3), 153–164. https://doi.org/10.1023/b:jofv.0000028075.94410.85.

    Article  Google Scholar 

  • Root, M. P. (1996). Women of color and traumatic stress in “domestic captivity”: Gender and race as disempowering statuses. In A. Marella, M. Friedman, E. Gerrity, & R. Scuffled (Eds.), Ethnocultural aspects of posttraumatic stress disorder: Issues, research and clinical applications. Washington, DC: American Psychological Association.

    Google Scholar 

  • Satcher (2001) Office of the Surgeon General (US), Center for Mental Health Services (US), & National Institute of Mental Health (US). (2001). Mental Health: Culture, Race, and Ethnicity: A Supplement to Mental Health: A Report of the Surgeon General. Substance Abuse and Mental Health Services Administration (US).

    Google Scholar 

  • Shah, R., Mach, T. V., Fedina, L., Link, B., & DeVylder, J. (2018). Intimate partner violence and psychotic experiences in four U.S. cities. Schizophrenia Research, 195, 506–512. https://doi.org/10.1016/j.schres.2017.09.017.

    Article  Google Scholar 

  • Silverman, J. G., Raj, A., Mucci, L. A., & Hathaway, J. G. (2001). Dating violence against adolescent girls and associated substance use, unhealthy weight control, sexual risk behavior, pregnancy, and suicidality. Journal of the American Medical Association, 286(5), 572–579. https://doi.org/10.1001/jama.286.5.572.

    Article  Google Scholar 

  • Sotero, M. A. (2006). Conceptual model of historical trauma: Implications for public health research and practice. Journal of Health Disparities Research and Practice, 1(1), 93–98.

    Google Scholar 

  • Sullivan, C. M. (2017). Understanding how domestic violence support services promote survivor well-being: A conceptual model. Journal of Family Violence, 33(2), 123–131. https://doi.org/10.1007/s10896-017-9931-6.

    Article  Google Scholar 

  • Sullivan, C. M., & Bybee, D. I. (1999). Reducing violence using community-based advocacy for women with abusive partners. Journal of Consulting and Clinical Psychology, 67(1), 43–53. https://doi.org/10.1037//0022-006x.67.1.43.

    Article  Google Scholar 

  • Thompson, M. P., Kaslow, N. J., & Kingree, J. B. (2002). Risk factors for suicide attempts among African American women experiencing recent intimate partner violence. Violence and Victims, 17(3), 283–295. https://doi.org/10.1891/vivi.17.3.283.33658.

    Article  Google Scholar 

  • Velopulos, C. G., Carmichael, H., Zakrison, T. L., & Crandall, M. (2019). Comparison of male and female victims of intimate partner homicide and bidirectionality-An analysis of the national violent death reporting system. Journal of Trauma and Acute Care Surgery, 87(2), 331–336. https://doi.org/10.1097/TA.0000000000002276.

    Article  Google Scholar 

  • Walsh, K., Keyes, K. M., Koenen, K. C., & Hasin, D. (2015). Lifetime prevalence of gender-based violence in US women: Associations with mood/anxiety and substance use disorders. Journal of Psychiatric Research, 62, 7–13. https://doi.org/10.1016/j.jpsychires.2015.01.002.

    Article  Google Scholar 

  • Warshaw, C. (2014). Thinking about trauma in the context of domestic violence: An integrated framework. Reno: Synergy, A Newsletter of the Resource Center on Domestic Violence Child Protection and Custody, National Council of Juvenile and Family Court Judges.

    Google Scholar 

  • Warshaw, C., & Brashler, P. (2009). Mental health treatment for survivors of domestic violence. In C. Mitchell & D. Anglin (Eds.), Intimate partner violence: A health-based perspective (pp. 325–387). New York: Oxford University Press.

    Google Scholar 

  • Warshaw, C., Brashler, P., & Gill, J. (2009). Mental health consequences of intimate partner violence. In C. Mitchell & D. Anglin (Eds.), Intimate partner violence: A health-based perspective (pp. 147–171). New York: Oxford University Press.

    Google Scholar 

  • Warshaw, C., & Tinnon, E. (2018). Coercion related to mental health and substance use in the context of intimate partner violence: A toolkit for screening, assessment, and brief counseling in primary care and behavioral health settings. Chicago: National Center on Domestic Violence, Trauma & Mental Health. http://www.nationalcenterdvtraumamh.org/publications-products/coercion- related-to-mental-health-and-substance-use-in-the-context-of-intimate-partner-violence-a-toolkit/.

    Google Scholar 

  • Warshaw, C., Sullivan, C. M., & Rivera, E. A. (2013). A systematic review of trauma-focused interventions for domestic violence survivors. PsycEXTRA Dataset. https://doi.org/10.1037/e566602013-001.

  • Warshaw, C., Lyon, E., Bland, P., Phillips, H., & Hooper, M. (2014). Mental health and substance use coercion surveys (Report from the National Center on Domestic Violence, Trauma & Mental Health and the National Domestic Violence Hotline). Chicago: National Center on Domestic Violence, Trauma & Mental Health.

    Google Scholar 

  • Warshaw, C., Tinnon, E., & Cave, C. (2018a). Tools for transformation: Creating accessible, culturally responsive, and trauma-informed organizations – An organizational reflection toolkit. Chicago: National Center on Domestic Violence, Trauma & Mental Health. http://www.nationalcenterdvtraumamh.org/publications-products/tools-for-transformation-becoming-accessible-culturally-responsive-and-.

    Google Scholar 

  • Warshaw, C., Foley, K., Alpert, E. J., et al. (2018b). Recommendations for suicide prevention hotlines on responding to intimate partner violence. Chicago: National Center on Domestic Violence, Trauma & Mental Health, National Domestic Violence Hotline, the National Suicide Prevention Lifeline, University of Rochester Susan B. Anthony Center and Laboratory of Interpersonal Violence and Victimization.

    Google Scholar 

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Warshaw, C., Zapata-Alma, G.A. (2020). Mental Health Treatment in the Context 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/10.1007/978-3-319-62122-7_282-1

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  1. Latest

    Mental Health Treatment in the Context of Intimate Partner Violence
    Published:
    07 May 2021

    DOI: https://doi.org/10.1007/978-3-319-62122-7_282-3

  2. Mental Health Treatment in the Context of Intimate Partner Violence
    Published:
    28 November 2020

    DOI: https://doi.org/10.1007/978-3-319-62122-7_282-2

  3. Original

    Mental Health Treatment in the Context of Intimate Partner Violence
    Published:
    25 September 2020

    DOI: https://doi.org/10.1007/978-3-319-62122-7_282-1