Detecting intimate partner violence in family and divorce mediation: A randomized trial of intimate partner violence screening.

Handling mediation cases with a history of intimate partner violence (IPV) is one of the most controversial issues in the field of divorce mediation. Before deciding whether and how to mediate cases with IPV, mediators must first detect violence. Using random assignment of cases to an enhanced screening condition (n = 30) and to a standard screening control condition (n = 31), we compared information gathered from a brief, behaviorally specific IPV screening questionnaire to mediators' independent determination of the presence or absence of violence using standard mediation clinic screening procedures. Mediators did not label as violent about half of the cases reporting IPV on the screening questionnaire. Mediators were more likely to report IPV when fathers were reported (by mothers) to have engaged in a greater number of differing violent behaviors, but a score reflecting severity and frequency of party reported violence did not predict mediator detection of violence. In cases with two mediators, mediators did not always agree on whether or not the case involved IPV. Possible reasons for the differences in mediator and party reports of IPV are considered, and we emphasize the potential importance of using systematic methods to screen for violence in divorce mediation. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Longitudinal risk factors for intimate partner violence among men in treatment for alcohol use disorders.

Objective: This study examined static and time-varying risk factors for perpetration of intimate partner violence (IPV) among men in treatment for alcohol use disorders. Method: Participants were 178 men diagnosed with alcohol abuse or dependence and their partners. Most (85%) of the men were European American; their average age was 41.0 years. Participants completed measures assessing initial alcohol problem severity, baseline beliefs related to alcohol use, antisocial personality characteristics, alcohol and drug use, relationship adjustment, and IPV. Results: According to couples' reconciled reports, 42% of participants perpetrated IPV at baseline. Among this group, the IPV recurrence rate was 43% at 6-month follow-up and 36% at 12-month follow-up. For participants without IPV perpetration at baseline, new incidence of IPV was 15% and 7% at the 6-month and 12-month follow-up points, respectively. Fixed marker predictors of IPV rates included baseline alcohol problem severity variables, baseline beliefs related to alcohol use, and antisocial personality characteristics. Variable risk factor predictors included alcohol and drug use variables, relationship adjustment factors, and anger. Alcohol use variables and anger were associated with new incidents of IPV among those without reported IPV at baseline only. Conclusions: Findings suggest that assessing and monitoring IPV occurrence by both partners is important for men in treatment for alcohol use disorders. Results indicate vulnerability factors that may identify individuals at risk for IPV and provide targets for IPV prevention among those with alcohol use disorders. These findings can aid in the development of more comprehensive models that more precisely predict IPV. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Self-regulatory failure and intimate partner violence perpetration.

Five studies tested the hypothesis that self-regulatory failure is an important predictor of intimate partner violence (IPV) perpetration. Study 1 participants were far more likely to experience a violent impulse during conflictual interaction with their romantic partner than they were to enact a violent behavior, suggesting that self-regulatory processes help individuals refrain from perpetrating IPV when they experience a violent impulse. Study 2 participants high in dispositional self-control were less likely to perpetrate IPV, in both cross-sectional and residualized-lagged analyses, than were participants low in dispositional self-control. Study 3 participants verbalized more IPV-related cognitions if they responded immediately to partner provocations than if they responded after a 10-s delay. Study 4 participants whose self-regulatory resources were experimentally depleted were more violent in response to partner provocation (but not when unprovoked) than were nondepleted participants. Finally, Study 5 participants whose self-regulatory resources were experimentally bolstered via a 2-week training regimen exhibited less violent inclinations than did participants whose self-regulatory resources had not been bolstered. These findings hint at the power of incorporating self-regulation dynamics into predictive models of IPV perpetration. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Longitudinal factor structure of posttraumatic stress symptoms related to intimate partner violence.

Confirmatory factor analysis (CFA) studies have suggested that a model of posttraumatic stress disorder (PTSD) that is characterized by 4 factors is preferable to competing models. However, the composition of these 4 factors has varied across studies, with 1 model splitting avoidance and numbing symptoms (e.g., D. W. King, G. A. Leskin, L. A. King, & F. W. Weathers, 1998) and the other including a dysphoria factor that combines numbing and nonspecific hyperarousal symptoms (L. J. Simms, D. Watson, & B. N. Doebbeling, 2002). Using the PTSD Checklist (F. W. Weathers, B. T. Litz, D. S. Herman, J. A. Huska, & T. M. Keane, 1993) and CFA, the authors compared these models with competing models. A model of PTSD with 4 intercorrelated factors of Intrusions, Avoidance, Dysphoria, and Hyperarousal was found superior among 396 medical patients who screened positive for intimate partner violence (IPV) and 405 women seeking services for IPV. Structural invariance testing indicated that this 4-factor model remains stable across service setting and time. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Emotion regulation and intimate partner violence in newlyweds.

Is the inability to regulate negative emotions a risk factor for intimate partner violence (IPV)? To address this question, the authors asked 72 newlywed couples to report their levels of negative affect every day for 7 days and examined whether variability in those reports was associated with the IPV self-reported to have been perpetrated over the previous year. Although main effects of variability in both husbands' and wives' negative affect did not reach statistical significance, variability in husbands' negative affect significantly interacted with wives' reports of IPV to account for husbands' IPV, even after overall levels of husbands' negative affect, marital satisfaction, and chronic stress were controlled. Specifically, whereas variability in negative affect was unrelated to IPV among husbands with wives who reported no IPV, such variability was positively associated with the IPV perpetrated by husbands with wives who also reported having perpetrated IPV during the previous year. Although preliminary, these results support theories suggesting that the ability to regulate negative emotions may help intimates avoid perpetrating IPV, particularly when faced with a partner's IPV perpetration. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Impelling and inhibiting forces in the perpetration of intimate partner violence.

The huge corpus of research identifying risk factors for intimate partner violence (IPV) has outpaced theoretical models explaining how these risk factors combine to exert their effects. This report presents a 2-stage process model investigating how a previously nonviolent interaction between intimate partners escalates to IPV. The first stage examines whether at least one partner experiences strong violence-impelling forces, which lead the individual to experience action tendencies toward IPV. The second examines whether the partner experiencing violence-impelling forces suffers from weak violence-inhibiting forces, which would otherwise serve to override such action tendencies. This model extends previous research by emphasizing the importance of inhibitory processes in IPV and by imposing a new conceptual structure on the identified IPV risk factors. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Interventions for intimate partner violence: Review and implications for evidence-based practice.

The objective of this article was to survey available intimate partner violence (IPV) treatment studies with (a) randomized case assignment, and (b) at least 20 participants per group. Studies were classified into 4 categories according to primary treatment focus: perpetrator, victim, couples, or child-witness interventions. The results suggest that extant interventions have limited effect on repeat violence, with most treatments reporting minimal benefit above arrest alone. There is a lack of research evidence for the effectiveness of the most common treatments provided for victims and perpetrators of IPV, including the Duluth model for perpetrators and shelter–advocacy approaches for victims. Rates of recidivism in most perpetrator- and partner-focused treatments are approximately 30% within 6 months, regardless of intervention strategy used. Couples treatment approaches that simultaneously address problems with substance abuse and aggression yield the lowest recidivism rates, and manualized child trauma treatments are effective in reducing child symptoms secondary to IPV. This review shows the benefit of integrating empirically validated substance abuse and trauma treatments into IPV interventions and highlights the need for more work in this area. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Patterns of adjustment among siblings exposed to intimate partner violence.

This research explored and compared patterns of adjustment in siblings exposed to intimate partner violence. The quality of family relationships were investigated as potential mechanisms that accounted for heterogeneity in these patterns. Participants included 47 sibling pairs and their mothers recruited from the community. Mothers and children reported on child adjustment measures and the quality of family relationships. Five cluster patterns were identified for both younger and older siblings, replicating three identified in previous research: primarily internalizing symptoms, a combination of internalizing and externalizing symptoms, and an asymptomatic cluster. There was little overlap in cluster membership within families; most siblings differed in terms of their pattern of adjustment. The quality of family relationships varied significantly across clusters. Overall, asymptomatic siblings reported the most positive family relationships. Maternal warmth differed across clusters for both older and younger siblings, while maternal hostility varied across clusters for older but not younger siblings. The quality of sibling relationships also differed across clusters for older but not younger siblings. These findings underscore the importance of examining differential sibling experiences within violent families, and demonstrate the significance of family relationships as a mediating mechanism influencing heterogeneous child adjustment. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Adolescent psychosocial risk factors for severe intimate partner violence in young adulthood.

The authors examined prospective measures of psychosocial risk factors as predictors of severe intimate partner violence among a community sample of 610 young adults at risk for intergenerational transmission of depression. The hypothesized risk factors were youth history of depression by age 15 and maternal history of depression. Youth social functioning at age 15 was tested as a mediator of these associations. Results showed that youth history of depression by age 15 predicted victimization at age 20. Severe violence perpetration was predicted by maternal depressive history among women but not men. Youth social functioning was a partial mediator of both associations. In sum, the findings suggest that psychosocial factors observed in adolescence may contribute to the risk of experiencing severe intimate partner violence during young adulthood. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

How employment helps female victims of intimate partner violence: A qualitative study.

This exploratory, qualitative study documents ways in which being employed is helpful to victims of intimate partner violence (IPV). The authors conducted in-depth interviews with 21 women employed by a large health care organization in a major U.S. city. Through content analysis, the authors identified six ways in which employment was helpful to participants: by (1) improving their finances, (2) promoting physical safety, (3) increasing self-esteem, (4) improving social connectedness, (5) providing mental respite, and (6) providing motivation or a "purpose in life." Findings suggest that employment can play a critically important, positive role in the lives of IPV victims. The importance of flexible leave-time policies and employer assistance to IPV victims is discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Alcohol use and intimate partner violence perpetration among college students: Assessing the temporal association using electronic diary technology.

Objectives: The primary goals of this study were to assess the temporal relationship between alcohol use and intimate partner violence (IPV) perpetration using state-of-the-art electronic diary assessment methods and to examine the extent to which distal factors (e.g., sex, psychopathology, relationship satisfaction) moderated that association. Method: Participants were 184 male and female college students in dating relationships who used a handheld computer to answer daily questions about alcohol use and IPV every day for 2 months. Results: Based on a total of 7,775 daily electronic diary reports, results showed that the odds of perpetrating psychological and physical aggression were 2.19 and 3.64 times greater, respectively, on drinking days relative to nondrinking days. Men evidenced 7.03 greater odds of engaging in psychological aggression on drinking days, whereas women had only 1.60 greater odds of engaging in psychological aggression on drinking relative to nondrinking days. Conclusion: Findings suggest the need to provide intervention early in dating relationships to reduce alcohol use to reduce the risk of IPV. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

The role of drug use in a conceptual model of intimate partner violence in men and women arrested for domestic violence.

In a previous study, alcohol problems in perpetrators and their partners contributed directly and indirectly to intimate partner violence (IPV), even after including other correlates of violence in the model (G. L. Stuart et al., 2006). The present study extends these findings by examining the role of illicit drug use. We recruited 271 men and 135 women arrested for IPV and used structural equation modeling to examine the data. Results showed that drug use, as reported by the perpetrators, was a stronger predictor of IPV than were alcohol problems in perpetrators and their partners. Arrested males' marijuana use and stimulant use (i.e., cocaine and amphetamines) were associated with perpetration of IPV, and their report of their female partners' stimulant use was associated with her violence perpetration. In arrested women, specific substances used did not predict violence perpetration beyond other model variables; however, female perpetrators' report of male partners' stimulant use predicted male psychological and physical aggression, after controlling for other variables. These results provide further evidence that drug problems by both partners may be important in the evolution of aggression. Implications for batterer intervention programs are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Prevalences of intimate partner violence in a representative U.S. Air Force sample.

Objective: Intimate partner violence (IPV) is a serious health concern, but little is known about prevalence of IPV in the armed forces, as military members cope with the pressures of long-standing operations. Furthermore, previous prevalence studies have been plagued by definitional issues; most studies have focused on acts of aggression without consideration of impact (clinically significant [CS] IPV). This is the first large-scale study to examine prevalences of IPV, CS-IPV, and clinically significant emotional abuse (CS-EA) for men and women. Method: A United States Air Force-wide anonymous survey was administered across 82 bases in 2006 (N = 42,744) to assess IPV, CS-IPV, and CS-EA. Results: The adjusted prevalence of CS-IPV perpetration was 4.66% for men and 3.54% for women. Prevalences of IPV perpetration were 12.90% for men and 15.14% for women. CS-EA victimization was 6.00% for men and 8.50% for women. Sociodemographic differences in risk for violence were found for gender, race/ethnicity, pay grade, religious faith, marital status, and career type even after controlling for other demographic variables. Conclusions: Partner maltreatment is widespread in military (and civilian) samples. Men were more likely to perpetrate CS-IPV, whereas women were more likely to perpetrate IPV. Specific demographic risk factors were identified for different types of partner maltreatment (e.g., lower rank predicted higher risk for both perpetration and victimization across men and women). Other sociodemographic differences varied across severity (IPV vs. CS-IPV) and across gender. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Additional adverse events among women exposed to intimate partner violence: Frequency and impact.

Objective: To assess additional adverse life events that women exposed to intimate partner violence (IPV) may have endured and to ascertain whether, and in what ways, problems in adjustment are related more to IPV or to IPV plus other adverse life events. Method: Predictors of the effects of exposure to adversities were investigated in this study of 104 women exposed to severe IPV who reported conflict tactics, adverse life events, as well as symptoms of distress. Results: The majority of participants experienced additional adversities (86%). Significant differences were found between those exposed to IPV-only and those exposed to IPV plus other adverse events in terms of IPV frequency and current symptoms of distress. Women with IPV plus other adverse events had twice as many physical assaults and 4 times as many sexual assaults from an intimate partner compared to IPV-only women. The number of adverse events contributed significantly to variance in trauma symptoms over and above that of exposure to IPV alone. Women exposed to additional events had approximately twice as many avoidance and physiological arousal symptoms as IPV-only women. Conclusions: The results of this study suggest a variety of implications for IPV treatment and interventions. Specifically, the role that additional interpersonal violence, especially sexual violence, plays in the expression of distress may relate to the type of service offered to the survivor. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Talking about interpersonal violence: Cultural influences on Latinas' identification and disclosure of sexual assault and intimate partner violence.

Low rates of disclosure among Latina survivors of sexual assault and intimate partner violence may be related to cultural influences that stigmatize disclosure and make identifying instances of sexual assault and intimate partner violence difficult. In an effort to add to existing literature, the current study conducted a series of 10 focus groups with Spanish-speaking Latinas of varying educational, immigration, and generational statuses to identify the range of cultural influences that affect Latinas' ability to identify and disclose instances of sexual assault and intimate partner violence. Results suggested that gender role ideologies, traditional beliefs about marriage, familism, taboos against talking about sex, respect for authority, lack of community resources, and fear of violence operate in different ways to obscure and justify acts of sexual assault and intimate partner violence and to maintain silence when such acts do occur. Yet, most participants also felt that other people, particularly Latinos living abroad and the older generation of Latinas living in the United States, held far more conservative and traditional beliefs than the participants themselves did, suggesting that important differences exist in both the acceptance of cultural beliefs and the mechanisms through which these beliefs affect Latinas' ability to identify and disclose instances of sexual assault and intimate partner violence. Implications of these findings are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A call for a social network-oriented approach to services for survivors of intimate partner violence.

Despite the many hard-won victories of the antidomestic violence movement, it has had less success in reaching one of its own primary goals: that of making intimate partner violence a problem of the community rather than a problem between two individuals. Most mainstream domestic violence service models have not prioritized ongoing engagement of survivors' informal social support networks as a core part of their work. Yet the perpetration of domestic violence occurs within a community context that contributes to the maintenance or alleviation of the problem. Given extensive research on the centrality of social networks to the fabric of survivors' daily lives, as well as their ongoing safety and emotional well-being, it is critical to consider how domestic violence services and systems can align with these social networks more effectively. Following a review of research on the role of informal social support in survivors' lives, this article calls for a shift in mainstream domestic violence services toward a more network-oriented approach, one that highlights potential partnerships between professionals and survivors' informal social support networks. Such a shift would require a reconceptualization of the role of the domestic violence practitioner and the scope and nature of services. It would also raise a series of emergent research questions about how informal network members can best support survivors, how domestic violence services can help survivors engage with existing and new supporters, and the extent to which specific types of network-oriented practices can indeed improve survivors' safety and well-being. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Coexisting difficulties and couple therapy outcomes: Psychopathology and intimate partner violence.

Couples presenting for treatment of relationship distress often experience additional problems, including individual psychopathology and intimate partner violence (IPV). Both issues are associated with current and future poor relationship functioning in nontreatment samples, but relatively little is understood about their association with initial presentation and outcomes in couple therapy. The current study examined these associations in a sample of 177 heterosexual couples who received therapy at two Veteran's Affairs clinics. Unlike most studies of couple therapy outcomes, couples were not excluded from treatment specifically because of high levels of psychopathology or IPV. Results of Actor Partner Interdependence Model (APIM) analyses revealed actor and partner effects of depression, actor effects of anxiety, and partner effects of IPV on initial relationship satisfaction, such that greater coexisting difficulties were associated with poorer initial satisfaction. However, improvement in relationship satisfaction over the course of therapy was not associated with psychopathology, and, contrary to hypothesis, was positively associated with men's IPV prior to treatment, even when initial level of satisfaction was controlled. The results suggest that coexisting symptoms of psychopathology or IPV may not necessarily interfere with therapy outcomes and, indeed, therapy may have positive effects for couples with these problems. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Persist. persist.: A qualitative study of women's decisions to disclose and their perceptions of the impact of routine screening for intimate partner violence.

Objective: To understand the conditions under which a group of women recruited from antenatal, mental health, and substance abuse services disclose abuse in response to routine screening for intimate partner violence and their constructions of the impact of routine screening. Method: In-depth interviews with 20 women followed up 6 months after disclosing abuse in response to screening. Results: Women were in diverse situations relating to trajectories of abuse that included continued abuse despite interventions and abuse cessation within relationship. Women disclosed their abuse after making active judgments about safety on three dimensions: from the abuser, from shame and from relinquishing control. Most women described valued impacts from screening, though this was less common for those who had previous contact with statutory agencies. The process of asking shaped constructions of abuse, giving name to it. Health workers' responses to disclosures often helped to create a sense of connection. Conclusions: These effects align with Herman's work identifying naming and reconnection as important steps in recovery from trauma. The diversity of women's situations may explain difficulties in achieving significant findings by RCTs on screening impacts. Screening can bring about important changes for some women and is not simply a strategy for identification and referral. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

The gender debate about intimate partner violence: Solutions and dead ends.

The debate on gender continues to define much scholarship on partner violence. No other single issue is as important to identifying one's theoretical and political position among those who are concerned about intimate partner violence (IPV). At this point in time, several well-documented conclusions can be drawn. First, two common estimates—under 10% female-perpetrated and 50% or more female-perpetrated—are quite discrepant from virtually all other data on physical violence. Second, several key definitional and measurement issues explain a large part of this discrepancy. Third, a number of commonly mentioned possibilities for measurement artifacts are unlikely sources of the gender parity found in many studies of IPV. This article will review each of these issues and suggest a third approach, the moderate asymmetry approach. The moderate asymmetry hypothesis for IPV is currently best-supported by the data, and it should be emphasized until a better alternative is found. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Attitudes toward intimate partner violence in dating relationships.

Prevention of intimate partner violence on college campuses includes programs designed to change attitudes, and hence, a scale that assesses such attitudes is needed. Study 1 (N = 859) cross validates the factor structure of the Intimate Partner Violence Attitude Scale-Revised using exploratory factor analysis and presents initial validity data on the scale. In Study 2 (N = 687), the obtained three-factor structure (Abuse, Control, Violence) is tested using confirmatory factor analysis, and it is shown to be concurrently related to assault in romantic relationships and to predict psychological aggression 14 weeks later. The findings are discussed in the context of how understanding and modifying attitudes assessed by the Intimate Partner Violence Attitude Scale-Revised may improve interventions aimed at reducing intimate partner violence. (PsycINFO Database Record (c) 2010 APA, all rights reserved)