Intimate Partner Violence, PTSD, and Adverse Health Outcomes

The high prevalence of adverse health outcomes related to intimate partner violence (IPV) is well documented. Yet we know little about the pathways that lead to adverse health outcomes. Research concerning the psychological, biological, neurological, behavioral, and physiological alterations following exposure to IPV—many of which are associated with posttraumatic stress disorder (PTSD)—represents a promising area of empirical discovery. New technologies and interdisciplinary collaborative efforts are required to integrate diverse methodologies and to apply new findings to improving the health and well being of those affected by IPV. This article focuses on victimization by IPV and addresses the most important research findings in the last 20 years (health and mental health burden of IPV), the most important research issue for the next decade (pathways between IPV and adverse health outcomes), and the most promising methodological innovation for the study of IPV (integrated, interdisciplinary, biobehavioral methodology).

[1]  M. Dutton,et al.  Longitudinal Patterns of Intimate Partner Violence, Risk, Well-Being, and Employment:Preliminary Findings , 2004 .

[2]  A. O'Leary,et al.  Self-efficacy and health. , 1985, Behaviour research and therapy.

[3]  S. Southwick,et al.  MRI-based measurement of hippocampal volume in patients with combat-related posttraumatic stress disorder. , 1995, The American journal of psychiatry.

[4]  Jacquelyn C. Campbell,et al.  Forced Sex and Intimate Partner Violence , 1999 .

[5]  R. Kikinis,et al.  Magnetic resonance imaging study of hippocampal volume in chronic, combat-related posttraumatic stress disorder , 1996, Biological Psychiatry.

[6]  A. Tait,et al.  Do physical and sexual abuse differentially affect chronic pain states in women? , 1999, Journal of pain and symptom management.

[7]  D. Foy,et al.  Posttraumatic stress disorder among battered women: risk and resiliency factors. , 1993, Violence and victims.

[8]  J. Bremner.  Neuroimaging studies in post-traumatic stress disorder , 2002, Current psychiatry reports.

[9]  R. Bronen,et al.  Magnetic resonance imaging-based measurement of hippocampal volume in posttraumatic stress disorder related to childhood physical and sexual abuse—a preliminary report , 1997, Biological Psychiatry.

[10]  J. Mcfarlane,et al.  Abuse during pregnancy: frequency, severity, perpetrator, and risk factors of homicide. , 1995, Public health nursing.

[11]  B. McEwen,et al.  Posttraumatic stress disorder, allostatic load, and medical illness. , 2004 .

[12]  K. O’leary,et al.  Depressive symptomatology, self-esteem, and self-blame in battered women , 1992, Journal of Family Violence.

[13]  D. Wolfe,et al.  Child Abuse in Peacetime , 2004 .

[14]  W. Vega,et al.  Intimate Partner Violence and Health: Self-Assessed Health, Chronic Health, and Somatic Symptoms Among Mexican American Women , 2001, Psychosomatic medicine.

[15]  J. Hillard,et al.  Psychiatric disorders of abused women at a shelter , 2005, Psychiatric Quarterly.

[16]  P. Schnurr,et al.  Physical health and post-traumatic stress disorder: review and synthesis. , 1999, Seminars in clinical neuropsychiatry.

[17]  J. Lewine,et al.  MRI Reveals Gross Structural Abnormalities in PTSD , 1997, Annals of the New York Academy of Sciences.

[18]  Jacquelyn C. Campbell,et al.  Predictors of Depression in Battered Women , 1997 .

[19]  Type and Severity of Abuse and Posttraumatic Stress Disorder Symptoms Reported by Women Who Killed Abusive Partners , 1999 .

[20]  W. Katon,et al.  Adult health status of women with histories of childhood abuse and neglect. , 1999, The American journal of medicine.

[21]  T. McCanne,et al.  Relationship of childhood sexual, physical, and combined sexual and physical abuse to adult victimization and posttraumatic stress disorder. , 1998, Child abuse & neglect.

[22]  Jacquelyn C. Campbell,et al.  Abuse During Pregnancy and Femicide: Urgent Implications for Women's Health , 2002, Obstetrics and gynecology.

[23]  M. Dutton,et al.  Impact of violence on women's health. , 1997 .

[24]  Schnurr Pp,et al.  Physical health and post-traumatic stress disorder: review and synthesis. , 1999, Seminars in clinical neuropsychiatry.

[25]  R. Niaura,et al.  Psychological factors affecting physical condition. Cardiovascular disease literature review. Part I: Coronary artery disease and sudden death. , 1992, Psychosomatics.

[26]  S. Zierler,et al.  Sexual violence against women living with or at risk for HIV infection. , 1996, American journal of preventive medicine.

[27]  T. Newton,et al.  Gender and psychophysiology of PTSD. , 2002 .

[28]  J. Mcfarlane.  Battering during pregnancy: tip of an iceberg revealed. , 1989, Women & health.

[29]  J. Whitworth,et al.  CORTISOL AND HYPERTENSION , 1998, Clinical and experimental pharmacology & physiology. Supplement.

[30]  R. Acierno,et al.  Health impact of interpersonal violence. 2: Medical and mental health outcomes. , 1997, Behavioral medicine.

[31]  P. Ouimette,et al.  Gender and PTSD. , 2002 .

[32]  Melissa A. Polusny,et al.  Cumulative trauma: The impact of child sexual abuse, adult sexual assault, and spouse abuse , 1996, Journal of traumatic stress.

[33]  K. O’leary,et al.  Psychological Abuse in Violent Domestic Relations , 2001 .

[34]  D. Jessop,et al.  Hypothalamo‐Pituitary‐Adrenal Axis and Chronic Immune Activation , 2003, Annals of the New York Academy of Sciences.

[35]  A. Street,et al.  Psychological Abuse and Posttraumatic Stress Disorder in Battered Women: Examining the Roles of Shame and Guilt , 2001, Violence and Victims.

[36]  K. Kendall-Tackett.  Health consequences of abuse in the family: A clinical guide for evidence-based practice. , 2004 .

[37]  C. Piotrkowski,et al.  Exposure, threat appraisal, and lost confidence as predictors of PTSD symptoms following September 11, 2001. , 2002, The American journal of orthopsychiatry.

[38]  R. Kessler,et al.  Posttraumatic Stress Disorder: Diagnosis and Epidemiology, Comorbidity and Social Consequences, Biology and Treatment , 2001, Neuropsychobiology.

[39]  A. Kemp,et al.  Post‐traumatic stress disorder (PTSD) in battered women: A shelter sample , 1991 .

[40]  Jacquelyn C. Campbell,et al.  INTIMATE PARTNER ABUSE AMONG WOMEN DIAGNOSED WITH DEPRESSION , 2000, Issues in mental health nursing.

[41]  A context for understanding the physical health consequences of exposure to extreme stress. , 2004 .

[42]  T. Dembroski,et al.  Challenge-induced cardiovascular response as a predictor of minor illnesses. , 1981, Journal of human stress.

[43]  G. Bogat,et al.  The Effects of Domestic Violence During Pregnancy on Maternal and Infant Health , 2002, Violence and Victims.

[44]  M. Cascardi,et al.  Co-occurrence and Correlates of Posttraumatic Stress Disorder and Major Depression in Physically Abused Women , 1999, Journal of Family Violence.

[45]  Cris M. Sullivan,et al.  Effects of Intimate Partner Violence Versus Poverty on Women's Health , 2001 .

[46]  R. Mckeown,et al.  Frequency and correlates of intimate partner violence by type: physical, sexual, and psychological battering. , 2000, American journal of public health.

[47]  Alastair M. Hull,et al.  Neuroimaging findings in post-traumatic stress disorder , 2002, British Journal of Psychiatry.

[48]  Bonnie L. Green,et al.  Trauma and health : physical health consequences of exposure to extreme stress , 2004 .

[49]  Lisa M Shin,et al.  Exaggerated amygdala response to masked facial stimuli in posttraumatic stress disorder: a functional MRI study , 2000, Biological Psychiatry.

[50]  M. Astin,et al.  Posttraumatic stress disorder and childhood abuse in battered women: comparisons with maritally distressed women. , 1995, Journal of consulting and clinical psychology.

[51]  N. Breslau,et al.  A second look at comorbidity in victims of trauma: the posttraumatic stress disorder–major depression connection , 2000, Biological Psychiatry.

[52]  M. Stein,et al.  Major depressive and post-traumatic stress disorder comorbidity in female victims of intimate partner violence. , 2001, Journal of affective disorders.

[53]  S. Rauch,et al.  An fMRI study of anterior cingulate function in posttraumatic stress disorder , 2001, Biological Psychiatry.

[54]  D. Foy,et al.  The Assessment of Posttraumatic Stress Disorder in Battered Women , 1991 .

[55]  P. Schnurr,et al.  The relationship between trauma, post-traumatic stress disorder, and physical health. , 1995 .

[56]  J. Golding.  Intimate Partner Violence as a Risk Factor for Mental Disorders: A Meta-Analysis , 1999, Journal of Family Violence.

[57]  F. Snodgrass,et al.  Battering during pregnancy. , 1986, The American journal of nursing.

[58]  Mich.,et al.  American Medical Association Diagnostic and Treatment Guidelines on Domestic Violence. , 1992, Archives of family medicine.

[59]  D. Abrams,et al.  Symptoms of depression and survival experience among three samples of smokers trying to quit. , 2001, Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors.

[60]  T. Revenson,et al.  Handbook of Health Psychology , 2001 .

[61]  J. Mcfarlane,et al.  The prevalence and characteristics of battered women in a primary care setting. , 1989, The Nurse practitioner.

[62]  A. P. Shapiro.  Psychological factors in hypertension: an overview. , 1988, American heart journal.

[63]  S. Woods.  PREVALENCE AND PATTERNS OF POSTTRAUMATIC STRESS DISORDER IN ABUSED AND POSTABUSED WOMEN , 2000, Issues in mental health nursing.

[64]  A. Dyer,et al.  Resting heart rate is a risk factor for cardiovascular and noncardiovascular mortality: the Chicago Heart Association Detection Project in Industry. , 1999, American journal of epidemiology.

[65]  W. Gleason.  Mental Disorders in Battered Women: An Empirical Study , 1993, Violence and Victims.

[66]  B. Green,et al.  Trauma interventions in war and peace : prevention, practice, and policy , 2003 .

[67]  C. G. Watson,et al.  Lifetime prevalences of nine common psychiatric/personality disorders in female domestic abuse survivors. , 1997, The Journal of nervous and mental disease.

[68]  S. Hall,et al.  Social relationships and abstinence from cocaine in an American treatment sample. , 1995, Addiction.

[69]  D. Williamson,et al.  Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults. The Adverse Childhood Experiences (ACE) Study. , 1998, American journal of preventive medicine.

[70]  Jacquelyn C. Campbell,et al.  Abuse During and Before Pregnancy: Prevalence and Cultural Correlates , 2000, Violence and Victims.

[71]  Terri L. Messman-Moore,et al.  The Revictimization of Child Sexual Abuse Survivors: An Examination of the Adjustment of College Women with Child Sexual Abuse, Adult Sexual Assault, and Adult Physical Abuse , 2000, Child maltreatment.

[72]  H. Resnick,et al.  Trauma, posttraumatic stress disorder, and health risk behaviors. , 2004 .

[73]  B. Green,et al.  Trauma, posttraumatic stress disorder, and health status. , 2004 .

[74]  Nancy Thoennes,et al.  Extent, nature, and consequences of intimate partner violence , 2000 .

[75]  H. Nasrallah,et al.  Single-voxel proton MR spectroscopy of right versus left hippocampi in PTSD , 2003, Psychiatry Research: Neuroimaging.

[76]  C. Lyketsos,et al.  HIV risk behaviors and their relationship to posttraumatic stress disorder among women prisoners. , 2001, Psychiatric services.

[77]  A. Deutch,et al.  Neurobiological and clinical consequences of stress : from normal adaptation to post-traumatic stress disorder , 1995 .

[78]  P. Blackman.  Actual causes of death in the United States. , 1994, JAMA.

[79]  K. Kendall-Tackett,et al.  Chronic Pain Syndromes and Violence Against Women , 2003 .

[80]  J. Salonen,et al.  Interaction of workplace demands and cardiovascular reactivity in progression of carotid atherosclerosis: population based study , 1997, BMJ.

[81]  R. Nuttall,et al.  Traumatic brain injury: A hidden consequence for battered women. , 2002 .

[82]  R. Royak-Schaler,et al.  Health care for women : psychological, social, and behavioral influences , 1997 .

[83]  McGinnis Jm,et al.  Actual causes of death in the United States. , 1993 .

[84]  S. Southwick,et al.  MRI and PET study of deficits in hippocampal structure and function in women with childhood sexual abuse and posttraumatic stress disorder. , 2003, The American journal of psychiatry.

[85]  M. Dutton,et al.  Court-Involved Battered Women’s Responses to Violence: The Role of Psychological, Physical, and Sexual Abuse , 1999, Violence and Victims.

[86]  R. G. Hoffman,et al.  The impact of PTSD on treatment adherence in persons with HIV infection. , 2001, General hospital psychiatry.