Pathways of chronic pain in survivors of intimate partner violence.

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Title: Pathways of chronic pain in survivors of intimate partner violence.
Authors: Wuest J (AUTHOR), Ford-Gilboe M (AUTHOR), Merritt-Gray M (AUTHOR), Wilk P (AUTHOR), Campbell JC (AUTHOR), Lent B (AUTHOR), Varcoe C (AUTHOR), Smye V (AUTHOR)
Source: Journal of Women's Health (15409996). Sep2010, Vol. 19 Issue 9, p1665-1674. 10p.
Subjects: Chronic pain in women, Intimate partner violence, Post-traumatic stress disorder, Depression in women, Psychology of abused women, Child abuse, Symptoms, Assault & battery, Structural equation modeling
Abstract: Objective: To examine the roles of lifetime abuse-related injury, posttraumatic stress disorder (PTSD) symptom severity, and depressive symptom severity in mediating the effects of severity of assaultive intimate partner violence (IPV), psychological IPV, and child abuse on chronic pain severity in women survivors of IPV. Methods: Structural equation modeling of data from a community sample of 309 women survivors of IPV was used to test partial and full theoretical models of the relationships among the variables of interest. Results: The full model had good fit and accounted for 40.2% of the variance in chronic pain severity. Abuserelated injury, PTSD symptom severity, and depressive symptom severity significantly mediated the relationship between child abuse severity and chronic pain severity, but only abuse-related injury significantly mediated the relationship between assaultive IPV severity and chronic pain severity. Psychological IPV severity was the only abuse variable with significant direct effects on chronic pain severity but had no significant indirect effects. Conclusions: These findings can inform clinical care of women with chronic pain in all areas of healthcare delivery by reinforcing the importance of assessing for a history of child abuse and IPV. Moreover, they highlight the relevance of routinely assessing for abuse-related injury and PTSD and depressive symptom severity when working with women who report chronic pain. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Women's Health (15409996) is the property of Mary Ann Liebert, 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: Psychology and Behavioral Sciences Collection
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  Data: Pathways of chronic pain in survivors of intimate partner violence.
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  Data: <searchLink fieldCode="AR" term="%22Wuest+J%22">Wuest J</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Ford-Gilboe+M%22">Ford-Gilboe M</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Merritt-Gray+M%22">Merritt-Gray M</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Wilk+P%22">Wilk P</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Campbell+JC%22">Campbell JC</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Lent+B%22">Lent B</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Varcoe+C%22">Varcoe C</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Smye+V%22">Smye V</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Women's+Health+%2815409996%29%22">Journal of Women's Health (15409996)</searchLink>. Sep2010, Vol. 19 Issue 9, p1665-1674. 10p.
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  Data: <searchLink fieldCode="DE" term="%22Chronic+pain+in+women%22">Chronic pain in women</searchLink><br /><searchLink fieldCode="DE" term="%22Intimate+partner+violence%22">Intimate partner violence</searchLink><br /><searchLink fieldCode="DE" term="%22Post-traumatic+stress+disorder%22">Post-traumatic stress disorder</searchLink><br /><searchLink fieldCode="DE" term="%22Depression+in+women%22">Depression in women</searchLink><br /><searchLink fieldCode="DE" term="%22Psychology+of+abused+women%22">Psychology of abused women</searchLink><br /><searchLink fieldCode="DE" term="%22Child+abuse%22">Child abuse</searchLink><br /><searchLink fieldCode="DE" term="%22Symptoms%22">Symptoms</searchLink><br /><searchLink fieldCode="DE" term="%22Assault+%26+battery%22">Assault & battery</searchLink><br /><searchLink fieldCode="DE" term="%22Structural+equation+modeling%22">Structural equation modeling</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Objective: To examine the roles of lifetime abuse-related injury, posttraumatic stress disorder (PTSD) symptom severity, and depressive symptom severity in mediating the effects of severity of assaultive intimate partner violence (IPV), psychological IPV, and child abuse on chronic pain severity in women survivors of IPV. Methods: Structural equation modeling of data from a community sample of 309 women survivors of IPV was used to test partial and full theoretical models of the relationships among the variables of interest. Results: The full model had good fit and accounted for 40.2% of the variance in chronic pain severity. Abuserelated injury, PTSD symptom severity, and depressive symptom severity significantly mediated the relationship between child abuse severity and chronic pain severity, but only abuse-related injury significantly mediated the relationship between assaultive IPV severity and chronic pain severity. Psychological IPV severity was the only abuse variable with significant direct effects on chronic pain severity but had no significant indirect effects. Conclusions: These findings can inform clinical care of women with chronic pain in all areas of healthcare delivery by reinforcing the importance of assessing for a history of child abuse and IPV. Moreover, they highlight the relevance of routinely assessing for abuse-related injury and PTSD and depressive symptom severity when working with women who report chronic pain. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Journal of Women's Health (15409996) is the property of Mary Ann Liebert, 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.)
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      – Type: doi
        Value: 10.1089/jwh.2009.1856
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        Text: English
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        PageCount: 10
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        Type: general
      – SubjectFull: Intimate partner violence
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      – SubjectFull: Post-traumatic stress disorder
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      – SubjectFull: Depression in women
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      – SubjectFull: Psychology of abused women
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      – SubjectFull: Child abuse
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      – SubjectFull: Symptoms
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      – SubjectFull: Assault & battery
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      – SubjectFull: Structural equation modeling
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              M: 09
              Text: Sep2010
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              Y: 2010
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