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Trajectories of Depression, Post-Traumatic Stress, and Chronic Pain Among Women Who Have Separated From an Abusive Partner: A Longitudinal Analysis.

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Title: Trajectories of Depression, Post-Traumatic Stress, and Chronic Pain Among Women Who Have Separated From an Abusive Partner: A Longitudinal Analysis.
Authors: Ford-Gilboe, Marilyn1 mfordg@uwo.ca, Varcoe, Colleen2, Wuest, Judith3, Campbell, Jacquelyn4, Pajot, Michelle1, Heslop, Lisa1, Perrin, Nancy4
Source: Journal of Interpersonal Violence. Jan2023, Vol. 38 Issue 1/2, pNP1540-NP1568. 29p.
Subject Terms: *Research methodology, *Domestic violence, *Psychological tests, *Mental depression, *Longitudinal method, Intimate partner violence, Competency assessment (Law), Psychology of abused women, Chronic pain, Time, Post-traumatic stress disorder, Interviewing, Health status indicators, Severity of illness index, Descriptive statistics, Center for Epidemiologic Studies Depression Scale, Research funding, Classification of mental disorders, Symptoms
Geographic Terms: British Columbia, New Brunswick, Ontario
Abstract: This longitudinal study explored changes in women's health after separation from an abusive partner by characterizing the trajectories of their mental health (depression and post-traumatic stress disorder [PTSD]) and physical health (chronic pain) over a 4-year period. We examined how the severity of intimate partner violence (IPV) affected these trajectories, controlling for selected baseline factors using 5 waves of data collected from a community sample of 309 English-speaking, Canadian women. IPV severity was measured using the Index of Spouse Abuse where women were asked to consider the entire period of their partner relationship up to present at wave 1 and to rate their IPV experiences in the previous 12 months at waves 2-5. Mental health was measured using established self-report measures of depression (CESD) and PTSD (Davidson Trauma Scale), while chronic pain was measured using the Chronic Pain Grade Scale. Trajectories were estimated using MLM techniques with severity of IPV and selected co-variates (time since separation, age, financial strain) included. Our results show that women's health improved significantly over time, although significant levels of depression, PTSD symptoms and disabling chronic pain remained at the end of wave 5. Regardless of time since separation, more severe IPV was associated with higher levels of depression, PTSD, and disabling chronic pain, with IPV having a stronger effect on these health outcomes over time, suggesting cumulative effects of IPV on health. The results of this study contribute to quantifying the continuing mental and physical health burdens experienced by women after separation from an abusive partner. Increased attention to the long-term effects of violence on women's health beyond the crisis of leaving is critically needed to strengthen health and social services and better support women's recovery and healing. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Interpersonal Violence is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Education Research Complete
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  Data: Trajectories of Depression, Post-Traumatic Stress, and Chronic Pain Among Women Who Have Separated From an Abusive Partner: A Longitudinal Analysis.
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Interpersonal+Violence%22">Journal of Interpersonal Violence</searchLink>. Jan2023, Vol. 38 Issue 1/2, pNP1540-NP1568. 29p.
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  Data: <searchLink fieldCode="DE" term="%22British+Columbia%22">British Columbia</searchLink><br /><searchLink fieldCode="DE" term="%22New+Brunswick%22">New Brunswick</searchLink><br /><searchLink fieldCode="DE" term="%22Ontario%22">Ontario</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: This longitudinal study explored changes in women's health after separation from an abusive partner by characterizing the trajectories of their mental health (depression and post-traumatic stress disorder [PTSD]) and physical health (chronic pain) over a 4-year period. We examined how the severity of intimate partner violence (IPV) affected these trajectories, controlling for selected baseline factors using 5 waves of data collected from a community sample of 309 English-speaking, Canadian women. IPV severity was measured using the Index of Spouse Abuse where women were asked to consider the entire period of their partner relationship up to present at wave 1 and to rate their IPV experiences in the previous 12 months at waves 2-5. Mental health was measured using established self-report measures of depression (CESD) and PTSD (Davidson Trauma Scale), while chronic pain was measured using the Chronic Pain Grade Scale. Trajectories were estimated using MLM techniques with severity of IPV and selected co-variates (time since separation, age, financial strain) included. Our results show that women's health improved significantly over time, although significant levels of depression, PTSD symptoms and disabling chronic pain remained at the end of wave 5. Regardless of time since separation, more severe IPV was associated with higher levels of depression, PTSD, and disabling chronic pain, with IPV having a stronger effect on these health outcomes over time, suggesting cumulative effects of IPV on health. The results of this study contribute to quantifying the continuing mental and physical health burdens experienced by women after separation from an abusive partner. Increased attention to the long-term effects of violence on women's health beyond the crisis of leaving is critically needed to strengthen health and social services and better support women's recovery and healing. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Data: <i>Copyright of Journal of Interpersonal Violence is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=ehh&AN=160479360
RecordInfo BibRecord:
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        Value: 10.1177/08862605221090595
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        Text: English
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        PageCount: 29
        StartPage: NP1540
    Subjects:
      – SubjectFull: Research methodology
        Type: general
      – SubjectFull: Domestic violence
        Type: general
      – SubjectFull: Psychological tests
        Type: general
      – SubjectFull: Mental depression
        Type: general
      – SubjectFull: Longitudinal method
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      – SubjectFull: Intimate partner violence
        Type: general
      – SubjectFull: Competency assessment (Law)
        Type: general
      – SubjectFull: Psychology of abused women
        Type: general
      – SubjectFull: Chronic pain
        Type: general
      – SubjectFull: Time
        Type: general
      – SubjectFull: Post-traumatic stress disorder
        Type: general
      – SubjectFull: Interviewing
        Type: general
      – SubjectFull: Health status indicators
        Type: general
      – SubjectFull: Severity of illness index
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Center for Epidemiologic Studies Depression Scale
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      – SubjectFull: Research funding
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      – SubjectFull: Classification of mental disorders
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      – SubjectFull: Symptoms
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      – SubjectFull: British Columbia
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      – SubjectFull: New Brunswick
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      – SubjectFull: Ontario
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      – TitleFull: Trajectories of Depression, Post-Traumatic Stress, and Chronic Pain Among Women Who Have Separated From an Abusive Partner: A Longitudinal Analysis.
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              Text: Jan2023
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              Y: 2023
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