Youth violence trajectories and proximal characteristics of intimate partner violence

Analyses first examined the developmental course of intimate partner violence (IPV), beginning with trajectories of youth violence. We then examined potential mediators of prior youth violence trajectories in models predicting later IPV perpetration as an outcome. Potential mediators include risks associated with the individual (e.g., current alcohol and drug use and mental health diagnosis), characteristics of a perpetrator's partner (e.g., use of alcohol/drugs and history of antisocial behavior), and aspects of the surrounding community (e.g., neighborhood norms favorable to violence and drug use). Data are from the Seattle Social Development Project, a longitudinal study of over 800 individuals followed from elementary school to young adulthood (age 24). Findings suggest that both chronic and late-increaser patterns of youth violence elevated the likelihood of later IPV perpetration. Partial mediation effects of the relation between youth violence and IPV were found for variables related to one's partner and the surrounding community. Individual characteristics of the perpetrator were not uniquely predictive of IPV when measured as a risk index and modeled along with other risk factors. Findings indicate that the risk of IPV could be lessened by addressing earlier forms of violence and by intervening to reduce risks within and across domains of influence.     

The contribution of childhood family violence on later intimate partner violence among robbery victims

This study examined the relative contributions of the three forms of childhood family violence exposure on physical intimate partner violence (IPV) victimization among recent robbery victims and tested a gender-matching modeling prediction for IPV risk. Data from a sample of 103 male and 93 female victims of a robbery were analyzed to investigate the effects of exposure to childhood physical abuse (CPA), childhood sexual abuse (CSA), and witnessing parental violence on the likelihood of IPV in adulthood. As expected, witnessing parental violence was associated with a 2.4-fold increase in IPV for both men and women. Neither CPA nor CSA was significantly associated with IPV after accounting for the effect of witnessing parental violence. There was support for the gender-matching hypothesis with men more likely to report IPV if they had witnessed mother-to-father violence and women more likely to report IPV if they had witnessed father-to-mother violence. Witnessing parental violence is strongly associated with risk for IPV victimization, particularly when the victim is the same-gender parent. Future directions and clinical implications are discussed.     

Understanding intimate partner violence against women in the rural South

Most U.S. intimate partner violence (IPV) research to date has been limited to women residing in urban areas, with the small body of research focusing on rural populations being primarily qualitative. In this case-control study of Southern rural women, while many factors are consistent with those found in urban settings, unlike findings elsewhere, IPV risk appears to increase with age, and race showed no increased risk. Furthermore, in rural areas where guns are more acceptable than in other parts of the United States, partners of IPV victims are considerably more likely to carry weapons than partners of nonabused women. Given the geographic limitations to police and medical response to severe IPV in a rural setting, an improved understanding of IPV risk among this population can aid health care providers in ascertaining risk before it escalates further.     

Gender differences in attitudinal acceptance of intimate partner violence perpetration under attachment-relevant contexts

Attachment theory has been one of the leading theoretical frameworks in the last few decades for explaining physical violence within romantic relationships. In this study, the authors examined differences in attachment patterns and attitudinal acceptance of violence perpetrated in romantic relationships among men and women. The Attitudinal Acceptance of Intimate Partner Violence questionnaire was developed to measure acceptance of intimate partner violence (IPV) under attachment-relevant contexts of abandonment, as well as other contexts identified in the literature. Results indicated that men with higher degrees of attachment anxiety were more accepting of both male- and female-perpetrated IPV under contexts of abandonment, and men with higher degrees of attachment avoidance were more accepting of female-perpetrated IPV under contexts of abandonment. Implications for research and treatment are discussed.     

Couples treatment for interpersonal violence: a review of outcome research literature and current clinical practices

Conjoint couples treatment for interpersonal partner violence (IPV) remains controversial despite a growing body of research and practice experience indicating that it can be effective and safe. In addition, developing typologies of couples who are violent suggest that a "one-size-fits-all" treatment approach to IPV is not appropriate and conjoint treatment may have a place in the treatment of at least some couples. In this article, we review the experimental studies and clinical practices of conjoint treatment. Based on this review, we suggest current best practices for this approach to treatment. Best practices include couples treatment as part of a larger community response to IPV, careful screening of couples for inclusion in couples treatment, modification of typical conjoint approaches to promote safety and ongoing assessment of safety with contingency plans for increased risk.     

Unidirectional and bidirectional intimate partner violence among White, Black, and Hispanic couples in the United States

This article describes the rates and risk factors of unidirectional and bidirectional intimate partner violence (IPV) among White, Black and Hispanic couples in the US. Subjects constitute a multistage area probability sample representative of married and cohabiting couples from the 48 contiguous United States. Results indicate that most couples reporting violence engage in bidirectional IPV. Blacks are more likely than Whites to report bidirectional IPV. In addition, severe unidirectional and bidirectional IPV are more common among Blacks and Hispanics. The results also indicate that predictors of IPV vary depending on whether it is unidirectional or bidirectional. Unidirectional female-to-male IPV and bidirectional IPV are more associated with the characteristics of the female. In contrast, the occurrence of unidirectional male-to-female IPV is associated with a single risk factor, male childhood physical abuse. These findings highlight the importance of distinguishing different types of IPV and have important epidemiological and prevention implications.     

Couple‐Level Economic and Career Concerns and Intimate Partner Violence in Young Adulthood

Family scholars have demonstrated that economic conditions influence marital quality and relationship instability. Similarly, researchers have identified low income and poverty as important risk factors for intimate partner violence (IPV). Yet limited work has examined how economic factors influence the use of violence in the romantic context, particularly during young adulthood. Using the Toledo Adolescent Relationships Study (n = 928), the authors examined the influence of economic and career concerns as specific sources of conflict on IPV among a sample of young adults. Findings suggest that these areas of disagreement within romantic relationships are associated with IPV risk, net of traditional predictors. The implications of our findings for intervention and prevention efforts are discussed.     

Bidirectional, unidirectional, and nonviolence: a comparison of the predictors among partnered young adults

In order to more fully understand the context and impact of intimate partner violence (IPV), it is important to make distinctions between different types of relationship aggression. As such, the current study longitudinally examines the differential effects of childhood, adolescent, and demographic factors on three different partner violence groups: those who experience bidirectional IPV, those who experience unidirectional IPV, and those who do not experience either form of IPV. Multinomial logistic regression results reveal that depressive symptoms and lower partner education predict bidirectional when compared to unidirectional IPV and nonviolence. In contrast, other risk factors such as illicit drug use are found to be predictors of unidirectional violence only, which reveals that the correlates of violence vary depending upon the type of IPV examined.     

Problem Gambling and Intimate Partner Violence

This study examined the prevalence and severity of intimate partner violence (IPV) among 248 problem gamblers (43 women, 205 men) recruited from newspaper advertisements. The main outcome measures used were the Canadian Problem Gambling Index, the Conflicts Tactics Scale-2, the State Trait Anger Expression Inventory-2, the drug and alcohol section of the Addiction Severity Index and the substance use section of the Structured Clinical Interview for the DSM-IV. In this sample, 62.9% of participants reported perpetrating and/or being the victims of IPV in the past year, with 25.4% reporting perpetrating severe IPV. The majority of the sample (64.5%) also had clinically significant anger problems, which was associated with an increased risk of being both the perpetrator and victim of IPV. The presence of a lifetime substance use disorder among participants who had clinically significant anger problems further increased the likelihood of both IPV perpetration and victimization. These findings underscore the importance of routinely screening gambling clients for anger and IPV, and the need to develop public policy, prevention and treatment programs to address IPV among problem gamblers. Future research to examine IPV among problem gamblers is recommended.     

Hopes and Fears: Teenage Mothers’ Experiences of Intimate Partner Violence

Research has shown that pregnancy and motherhood increase the risk of experiencing intimate partner violence (IPV) — physical, sexual and emotional — in relationships. Much of this research, however, explores this issue in relation to adults and little attention has been given to the experiences of pregnant teenagers or teenage mothers in violent relationships. This paper focuses on three main areas to explore this, disadvantage, sexual negotiations and stigma, and draws upon interviews conducted by the authors with 16 teenage mothers in the UK as part of a wider study about IPV in the relationships of disadvantaged young people.     

Victim of and witness to violence: an interactional perspective on mothers' perceptions of children exposed to intimate partner violence

This article reports a study of how mothers perceive the effects of intimate partner violence (IPV) during pregnancy and children's exposure to IPV: (a) Do interactional aspects of IPV have a negative impact on the fetus during pregnancy or on the newborn baby? and (b) Is there a relationship between interactional aspects of IPV and (a) children's risk of being exposed to IPV and (b) the age of the child when at risk for exposure to IPV? A representative sample of 137 IPV help-seeking mothers in Norway was interviewed. Severity of physical IPV and injury from sexual IPV increased the risk of consequences to the fetus. Frequency of physical and psychological IPV increased the likelihood of children's exposure. Duration of the partnership increased the risk of children's exposure to physical and sexual IPV. Finally, there was a negative linear association between children's age when exposed for the first time and frequency of physical and psychological IPV.     

Police-reported intimate partner violence during pregnancy: who is at risk?

The objective of this retrospective cohort study was to determine risk factors for police-reported intimate partner violence (IPV) during pregnancy among Seattle residents with a registered live birth or fetal death in Washington State. Logistic regression was used to calculate adjusted odds ratios (aOR) and 95% confidence intervals for the association between demographic, behavioral, and obstetric history risk factors and any, physical, and non-physical police-reported IPV. Significant risk factors for any police-reported IPV during pregnancy included unmarried status (aOR 2.36), public health program use (aOR 1.33), smoking or alcohol use during pregnancy (aORs 1.45 and 1.80, respectively), previous live birth (aOR 1.39), and previous spontaneous or induced abortion (aORs 1.39 and 1.34, respectively). Risk factors for physical IPV varied only slightly from those for any IPV, and fewer factors were associated with nonphysical IPV. Demographic, behavioral, and obstetric history risk factors are potential markers of IPV risk during pregnancy.     

Associations Between Psychological,Physical, and Sexual Intimate Partner Violence and Health Outcomes Among Women Veteran VA Patients

Women veterans experience high rates of lifetime intimate partner violence (IPV) and suffer a variety of trauma-related health conditions. The purpose of this study was to identify health status and health risk behaviors associated with experiences of psychological, physical, or sexual IPV among women veterans receiving care at a Veterans Affairs (VA) medical center. We conducted surveys with 249 women veteran patients and examined health factors associated with each form of violence. Sexual IPV victimization had the most pronounced associations with adverse health. In multivariate analysis, controlling for age, race, and income, women veterans who experienced sexual violence victimization were close to or more than three times as likely as those who experienced no IPV to report poor or fair overall health, a diagnosis of post-traumatic stress disorder or depression, bipolar disorder, or anxiety, difficulty sleeping, cigarette smoking, and problem drinking. Those who reported psychological violence only (without physical or sexual violence) also reported greater odds of self-rated poor or fair health. These findings are consistent with findings from studies with non-veteran populations and serve to further identify the unique contributions of sexual IPV to health outcomes. The integrated VA health care system offers opportunities for IPV identification and response including a coordinated team-based care model with social work integrated within primary care.     

Reducing situational violence in low-income couples by fostering healthy relationships

This work evaluated a psycho-educational intervention designed to reduce intimate partner violence (IPV) in low-income situationally violent couples. The primary objective was to evaluate the mechanism through which violence was reduced. It was hypothesized that IPV would be reduced via use of therapeutic skills taught during the intervention (i.e., friendship, sex/romance/passion, shared meaning, and conflict management skills). One-hundred-fifteen couples were randomly assigned to a treatment or no-treatment control group. Couples self-reported attitudes reflecting healthy relationship skills and IPV at multiple time points (baseline, post-intervention, and long-term post-intervention). Results support the notion that violence was reduced via an increase in intervention-based skills. Findings suggest that IPV can be safely reduced in low-income situationally violent couples via conjoint treatment focused on building healthy relationship skills.     

Village Tolerance of Abuse,Women's Status,and the Ecology of Intimate Partner Violence in Rural Uttar Pradesh,India

We explore the multilevel determinants of intimate partner violence (IPV) against women in rural Uttar Pradesh, India. We focus on village tolerance of abuse and its ability to regulate the effects of individual and village‐level women's status and social capital. Using individual and village data from the 1998 to 1999 India National Family Health Survey, we find that village tolerance and women's status at individual and village levels help explain the risk of IPV. Village tolerance of abuse also moderates the ability of village‐level women's status and social capital to protect women from IPV. Results underscore the need to understand processes that sustain and/or challenge violence‐legitimating norms.     

Risk Factors for Clinically Significant Intimate Partner Violence Among Active‐Duty Members

Hypothesized risk factors for men's and women's clinically significant intimate partner violence (CS‐IPV) from four ecological levels (i.e., individual, family, workplace, community) were tested in a representative sample of active‐duty U.S. Air Force members (N = 42,744). When considered together, we expected only individual and family factors to account for unique variance in CS‐IPV perpetration. Hypothesized factors from all four ecological levels were related to men's CS‐IPV perpetration bivariately, but, as expected, only individual and family factors accounted for unique variance across ecological levels. For women, only risk factors from the individual and family levels were significantly related to CS‐IPV perpetration even bivariately. Results imply somewhat different risk profiles across gender and identify ecological risk factors of men's CS‐IPV not previously studied.     

Childhood and adolescent violent victimization and the risk of young adult intimate partner violence victimization

Using a nationally representative sample of participants, this study investigates childhood victimization in the home and adolescent violent victimization in the community on the risk of being a victim of intimate partner violence (IPV), general violence, or both during early adulthood. The study findings indicate being left home alone and being physically abused during childhood, and adolescent violent victimization in the community had strong independent effects on an individual's likelihood of becoming a victim of IPV, general violence, or both in early adulthood. The study findings suggest a consistent pattern of victimization across the life course, and intervention programs need to be developed that address the specific needs of children and adolescents at high risk for home and community violent victimization.     

The role of alcohol use in intimate partner violence and non-intimate partner violence

Alcohol use is a risk factor for violent victimization in general, and intimate partner violence in particular. However, there has been limited empirical attention on whether alcohol use is more often associated with IPV or non-IPV offenses. Further, few studies on the association between alcohol use and victimization have assessed for incident-specific alcohol use, or examined both victim and perpetrator alcohol use. We used data from the National Violence Against Women Survey to determine if incident-specific alcohol use is more prevalent in IPV or non-IPV physical assaults, and to determine if the association varied by gender. Results indicated that among women, perpetrator alcohol use was twice as likely in IPV incidents than in non-IPV incidents, but among men, perpetrator alcohol use was four times less likely in IPV incidents than in non-IPV incidents. Our results highlight the important role of gender in understanding the association between alcohol use and victimization risk.     

Exposure to abuse, neglect, and household dysfunction among adults who witnessed intimate partner violence as children: implications for health and social services

Intimate partner violence (IPV) damages a woman's physical and mental well-being, and indicates that her children are likely to experience abuse, neglect and other traumatic experiences. Adult HMO members completed a questionnaire about adverse childhood experiences (ACEs) including childhood abuse, neglect, and household dysfunction. We used their responses to retrospectively assess the relationship between witnessing intimate partner violence and experiencing any of the 9 ACEs and multiple ACEs (ACE score). Compared to persons who grew up with no domestic violence, the adjusted odds ratio for any individual ACE was approximately two to six times higher if IPV occurred (p < 0.05). There was a powerful graded increase in the prevalence of every category of ACE as the frequency of witnessing IPV increased. In addition, the total number of ACEs was increased dramatically for persons who had witnessed IPV during childhood. There was a positive graded risk for self-reported alcoholism, illicit drug use, i.v. drug use and depressed affect as the frequency of witnessing IPV increased. Identification of victims of IPV must include screening of their children for abuse, neglect and other types of adverse exposures, as well as recognition that substance abuse and depressed affect are likely consequences of witnessing IPV. Finally, this data strongly suggest that future studies, which focus on the effect of witnessing IPV on long-term health outcomes, may need to take into consideration the co-occurrence of multiple ACEs, which can also affect these outcomes.     

Intimate Partner Violence Perpetrator Subtypes and their Developmental Origins: Implications for Prevention and Intervention

Intimate partner violence (IPV) is a major issue for many Australian families and yet progress towards the development of effective prevention and behaviour change programs has been relatively slow. In this paper, it is proposed that the tendency to treat perpetrators as a homogenous group has hampered progress, and that treatment outcomes can be improved by tailoring treatment responses to a small set of personal and offence‐related characteristics. It explores the developmental origins and trajectories of these presentations and identifies some new directions for further research in this area.