Can Women Shelters Help Reduce Symptoms of PTSD and C-PTSD? Trajectories of PTSD Symptom Development Following Partner- and Family-Related Violence

2022 ◽  
pp. 088626052110665
Author(s):  
Sarah Dokkedahl ◽  
Trine Rønde Kristensen ◽  
Ask Elklit
Keyword(s):  
Symptom Severity ◽  
Partner Violence ◽  
Latent Class ◽  
Psychological Treatment ◽  
Well Being ◽  
Class Discussion ◽  
Symptom Development ◽  
Class Membership ◽  
Women's Shelters ◽  
Women’S Shelters

Background: To protect women from Intimate partner violence (IPV), women’s shelters should not only provide emergency safety from IPV exposure, but also prolonged support that empowers women to build a life free from violence. The present study aims to investigate individual symptom development in association with residency at a women’s shelter. Method: Data were collected at four different timepoints, that is, enrolment (T1, N = 150), 3-months residency (T2, = 110), 6-months residency (T3, N = 68) and after relocation (T4, N = 63). Women were included from four Danish women’s shelters. The International Trauma Questionnaire (ITQ) was applied to test for post-traumatic stress disorder (PTSD) and Complex-PTSD (C-PTSD) at all timepoints. A paired sample t-test was used to test the mean symptom development, and a Latent Class Growth Analysis (LCGA) was applied to test for different classes of PTSD-trajectories. Logistic regression was applied to predict class membership from shelter-related variables and symptom severity, that is, length of residency, psychological counselling, revictimization and key symptoms of C-PTSD. Results: The prevalence of PTSD (31%) and C-PTSD (37.9%) was high at enrolment. Although t-tests suggested a significant decline in symptoms at follow-up, the LCGA revealed different classes of symptom development. The two-class model was found to be the best representation of data with low-symptom- and high-symptom profiles, respectively. Overall, the largest decline in symptoms occurred within the first 3 months of residency. Revictimization was high and was further found to predict class membership. However, when included in a multiple regression only symptom severity predicted the high-symptoms profile class. Discussion: Psychological treatment focussing on PTSD and C-PTSD is important for the women’s future well-being and safety. Reports on revictimization was alarmingly high, which emphasises a continuing need to protect women from psychological violence within the shelters. These findings should be replicated in larger samples before we can draw any conclusion.

scholarly journals Trajectories of Exposure to Neighborhood Deprivation and the Odds of Experiencing Intimate Partner Violence Among Women: Are There Sensitive Periods for Exposure?

2020 ◽  
pp. 088626052095962
Author(s):  
Alexa R. Yakubovich ◽  
Jon Heron ◽  
Christine Barter ◽  
David K. Humphreys
Keyword(s):  
Intimate Partner Violence ◽  
Early Childhood ◽  
Partner Violence ◽  
Latent Class ◽  
Well Being ◽  
Neighborhood Disadvantage ◽  
Intimate Partner ◽  
Neighborhood Deprivation ◽  
Parents And Children ◽  
Deprived Neighborhoods

Neighborhood disadvantage is commonly hypothesized to be positively associated with intimate partner violence (IPV) against women. However, longitudinal investigation of this association has been limited, with no studies on whether the timing of exposure matters. We used data from 2,115 women in the UK-based Avon Longitudinal Study of Parents and Children. Exposure to neighborhood-level deprivation was measured at 10-time points from baseline (gestation) until age 18. Family-level socioeconomic characteristics were measured at baseline. At age 21, participants self-reported whether they had experienced any IPV since age 18. We used a three-step bias-adjusted longitudinal latent class analysis to investigate how different patterns of neighborhood deprivation exposure were associated with the odds of experiencing IPV. A total of 32% of women experienced any IPV between ages 18 and 21. Women who consistently lived in deprived neighborhoods (chronic high deprivation) or spent their early childhoods in more deprived neighborhoods and later moved to less deprived neighborhoods (decreasing deprivation) had higher odds of experiencing IPV compared to those who consistently lived in non-deprived neighborhoods. The odds of experiencing IPV did not consistently differ between women who lived in non-deprived neighborhoods during early childhood and later moved to deprived neighborhoods (increasing deprivation) and those stably in non-deprived neighborhoods. Living in more deprived neighborhoods during early childhood, regardless of later exposure, was associated with higher odds of experiencing later IPV. This is congruent with prior research demonstrating the persistent effects of early neighborhood disadvantage on health and well-being. Replication, and underlying mechanisms, should be assessed across contexts.

Morality and Intimate Partner Violence: Do Men in Court-Mandated Psychological Treatment Hold a Sacred Moral Vision of the World and Themselves?

2016 ◽  
Vol 31 (3) ◽  
pp. 510-522 ◽  
Author(s):  
María L. Vecina ◽  
José C. Chacón
Keyword(s):  
Partner Violence ◽  
Criminal Behavior ◽  
Latent Class ◽  
Psychological Treatment ◽  
Moral Foundations ◽  
Moral Vision ◽  
Mandated Treatment ◽  
Moral World ◽  
Court Mandated

This article examines the characterization of men in a court-mandated treatment for violence against their partners as holding a sacred vision of the 5 moral foundations and of their own morality. This characterization is compatible with the assumption that a sacred moral world is easily threatened by reality and that may be associated to violent defensive actions. The results from latent class analyses reveal (a) a 4-class distribution depending exclusively on the intensity with which all participants (violent and nonviolent) tend to sacralize the actions proposed in the Moral Foundations Sacredness Scale and (b) a greater prevalence of the violent participants among the classes that are more prone to sacralize. They also show that they hold an inflated moral vision of themselves: They think they are much more moral than intelligent than others who have never been charged with criminal behavior (Muhammad Ali effect).

scholarly journals Activity Engagement Patterns Among Older Chinese Immigrants

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 232-232
Author(s):  
Fengyan Tang ◽  
Mary Rauktis
Keyword(s):  
Social Environment ◽  
Latent Class ◽  
Chinese Immigrants ◽  
Later Life ◽  
Well Being ◽  
Class Membership ◽  
Related Factors ◽  
Activity Engagement ◽  
Older Immigrants ◽  
Older Chinese

Abstract Activity engagement is a major component of well-being in later life. However, very few studies have focused on older immigrants who are often at risk for social isolation and psychological distress. We aim to map the pattern of activity engagement and examine its variations in relation to immigration-related factors and social aspects of neighborhoods in a representative sample of older Chinese immigrants. We used data from the Population Study of Chinese Elderly in Chicago (PINE), a population-based epidemiological study of US Chinese older adults that were conducted between 2011 and 2013 (N=3,157). Latent class analysis and multinominal regression analysis were conducted to identify activity engagement patterns and examine the associated factors. Four patterns of activity engagement were identified: restricted (15%), diverse (31%), informal social (32%), and community-based social (21%). Acculturation and family-oriented immigration differentiated the restricted from the diverse class membership. Positive attributes of social environment measured by social network size, positive social support, neighborhood cohesion, and sense of community were associated with the probabilities of class membership relative to the restricted class. Findings point to the importance of positive attributes of social environment in enhancing engagement with life among older Chinese immigrants. Efforts are needed to assist the vulnerable restricted group and recent older immigrants while meeting the demands of older immigrants who are less educated and less acculturated. Creating a supportive environment is important to provide information, access, and resources needed for activity engagement in the marginalized minority aging populations

scholarly journals If You Can’t Say Something Nice: A Latent Profile Analysis of Social Reactions to Intimate Partner Violence Disclosure and Associations With Mental Health Symptoms

2018 ◽  
Vol 25 (10) ◽  
pp. 1243-1261 ◽  
Author(s):  
Jacqueline Woerner ◽  
Janan Wyatt ◽  
Tami P. Sullivan
Keyword(s):  
Mental Health ◽  
Intimate Partner Violence ◽  
Symptom Severity ◽  
Partner Violence ◽  
Well Being ◽  
Intimate Partner ◽  
Mental Health Symptoms ◽  
Health Symptoms ◽  
Social Reactions ◽  
Latent Profile

The social reactions that victims receive when disclosing intimate partner violence (IPV) have important implications for recovery and well-being. Women from the community ( n = 172) reported IPV, reactions to IPV disclosure, and mental health symptoms in individual interviews. Latent profile analyses revealed three subgroups of victims with varied experiences of reactions. The group characterized by high negative/low positive reactions reported the highest depression and posttraumatic stress disorder (PTSD) symptom severity; symptom severity was high regardless of IPV severity. However, symptoms were only severe at high IPV severity among individuals classified into groups characterized by high positive reactions, and by low negative and low positive reactions.

Threats and Acts of Intimate Partner Violence Reported by Users at Norwegian Women’s Shelters

2010 ◽  
Vol 26 (5) ◽  
pp. 950-970 ◽  
Author(s):  
Kjersti Alsaker ◽  
Kjell Kristoffersen ◽  
Bente E. Moen ◽  
Valborg Baste
Keyword(s):  
Intimate Partner Violence ◽  
Partner Violence ◽  
Intimate Partner ◽  
Women's Shelters ◽  
Women’S Shelters

Intimate Partner Violence and Posttraumatic Stress Symptoms: Indirect Effects Through Negative and Positive Emotion Dysregulation

2021 ◽  
pp. 088626052110063
Author(s):  
Lauren E. Simpson ◽  
Alexa M. Raudales ◽  
Miranda E. Reyes ◽  
Tami P. Sullivan ◽  
Nicole H. Weiss
Keyword(s):  
Intimate Partner Violence ◽  
Emotion Regulation ◽  
Posttraumatic Stress ◽  
Symptom Severity ◽  
Partner Violence ◽  
Emotion Dysregulation ◽  
Positive Emotion ◽  
Intimate Partner ◽  
Difficulties In Emotion Regulation

Women who experience intimate partner violence (IPV) are at heightened risk for developing posttraumatic stress (PTS). Emotion dysregulation has been linked to both IPV and PTS, separately, however, unknown is the role of emotion dysregulation in the relation of IPV to PTS among women who experience IPV. Moreover, existing investigations in this area have been limited in their focus on negative emotion dysregulation. Extending prior research, this study investigated whether physical, sexual, and psychological IPV were indirectly associated with PTS symptom severity through negative and positive emotion dysregulation. Participants were 354 women who reported a history of IPV recruited from Amazon’s MTurk platform ( Mage = 36.52, 79.9% white). Participants completed self-report measures assessing physical (Conflict Tactics Scale), sexual (Sexual Experiences Scale), and psychological (Psychological Maltreatment of Women) IPV; negative (Difficulties in Emotion Regulation Scale) and positive (Difficulties in Emotion Regulation Scale-Positive) emotion dysregulation; and PTS symptom severity (PTSD Checklist for DSM-5) via an online survey. Pearson’s correlation coefficients examined intercorrelations among the primary study variables. Indirect effect analyses were conducted to determine if negative and positive emotion dysregulation explained the relations between physical, sexual, and psychological IPV and PTS symptom severity. Physical, sexual, and psychological IPV were significantly positively associated with both negative and positive emotion dysregulation as well as PTS symptom severity, with the exception that psychological IPV was not significantly associated with positive emotion dysregulation. Moreover, negative and positive emotion dysregulation accounted for the relationships between all three IPV types and PTS symptom severity, with the exception of positive emotion dysregulation and psychological IPV. Our findings provide support for the potential underlying role of both negative and positive emotion dysregulation in the associations of IPV types to PTS symptom severity. Negative and positive emotion dysregulation may be important factors to integrate into interventions for PTS among women who experience IPV.

The Effects of Religion and Modernization on Egyptian Women’s IPV Attitudes

2021 ◽  
pp. 107780122097880
Author(s):  
Golshan Golriz ◽  
Skye Miner
Keyword(s):  
Higher Education ◽  
Intimate Partner Violence ◽  
Latent Class Analysis ◽  
Significant Relationship ◽  
Partner Violence ◽  
Latent Class ◽  
Intimate Partner ◽  
Wife Beating ◽  
Multinomial Regression ◽  
The Relationship

This article uses the 2008 Egypt Demographic and Health Survey to explore the relationship between religion and women’s attitudes toward intimate partner violence (IPV). It also asks whether modernization, as measured by having a higher education or living in an urban area, can mediate or moderate this relationship. Using latent class analysis to create categories of women’s wife-beating attitudes, and multinomial regression to explore the relationship between religion, education, and urbanity, we find no significant relationship between being Muslim and justifying wife beating. Our data further suggest that neither education nor urbanity mediate or moderate this relationship.

Health Care Utilization, Transition Readiness, and Quality of Life: A Latent Class Analysis

2020 ◽  
Author(s):  
Katherine A Traino ◽  
Christina M Sharkey ◽  
Megan N Perez ◽  
Dana M Bakula ◽  
Caroline M Roberts ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Health Care ◽  
Health Care Utilization ◽  
Latent Class Analysis ◽  
Latent Class ◽  
Care Utilization ◽  
Class Membership ◽  
Transition Readiness ◽  
High Utilization

Abstract Objective To identify possible subgroups of health care utilization (HCU) patterns among adolescents and young adults (AYAs) with a chronic medical condition (CMC), and examine how these patterns relate to transition readiness and health-related quality of life (HRQoL). Methods Undergraduates (N = 359; Mage=19.51 years, SD = 1.31) with a self-reported CMC (e.g., asthma, allergies, irritable bowel syndrome) completed measures of demographics, HCU (e.g., presence of specialty or adult providers, recent medical visits), transition readiness, and mental HRQoL (MHC) and physical HRQoL (PHC). Latent class analysis identified four distinct patterns of HCU. The BCH procedure evaluated how these patterns related to transition readiness and HRQoL outcomes. Results Based on seven indicators of HCU, a four-class model was found to have optimal fit. Classes were termed High Utilization (n = 95), Adult Primary Care Physician (PCP)-Moderate Utilization (n = 107), Family PCP-Moderate Utilization (n = 81), and Low Utilization (n = 76). Age, family income, and illness controllability predicted class membership. Class membership predicted transition readiness and PHC, but not MHC. The High Utilization group reported the highest transition readiness and the lowest HRQoL, while the Low Utilization group reported the lowest transition readiness and highest HRQoL. Conclusions The present study characterizes the varying degrees to which AYAs with CMCs utilize health care. Our findings suggest poorer PHC may result in higher HCU, and that greater skills and health care engagement may not be sufficient for optimizing HRQoL. Future research should examine the High Utilization subgroup and their risk for poorer HRQoL.

scholarly journals Eating behaviour, physical activity, TV exposure and sleeping habits in five year olds: a latent class analysis

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Molly Mattsson ◽  
Deirdre M. Murray ◽  
Mairead Kiely ◽  
Fergus P. McCarthy ◽  
Elaine McCarthy ◽  
...  
Keyword(s):  
Physical Activity ◽  
Latent Class Analysis ◽  
Latent Class ◽  
Eating Behaviour ◽  
Overweight And Obesity ◽  
Class Analysis ◽  
Class Membership ◽  
Active Play ◽  
Food Avoidance ◽  
Cluster Membership

Abstract Background Diet, physical activity, sedentary behaviours, and sleep time are considered major contributory factors of the increased prevalence of childhood overweight and obesity. The aims of this study were to (1) identify behavioural clusters of 5 year old children based on lifestyle behaviours, (2) explore potential determinants of class membership, and (3) to determine if class membership was associated with body measure outcomes at 5 years of age. Methods Data on eating behaviour, engagement in active play, TV watching, and sleep duration in 1229 5 year old children from the Cork BASELINE birth cohort study was obtained through in-person interviews with parent. Latent class analysis was used to identify behavioural clusters. Potential determinants of cluster membership were investigated using multinomial logistic regression. Associations between the identified classes and cardio metabolic body measures were examined using multivariate logistic and linear regression, with cluster membership used as the independent variable. Results 51% of children belonged to a normative class, while 28% of children were in a class characterised by high scores on food avoidance scales in combination with low enjoyment of food, and 20% experienced high scores on the food approach scales. Children in both these classes had lower conditional probabilities of engaging in active play for at least 1 hour per day and sleeping for a minimum of 10 h, and higher probability of watching TV for 2 hours or more, compared to the normative class. Low socioeconomic index (SEI) and no breastfeeding at 2 months were found to be associated with membership of the class associated with high scores on the food avoidance scale, while lower maternal education was associated with the class defined by high food approach scores. Children in the class with high scores on the food approach scales had higher fat mass index (FMI), lean mass index (LMI), and waist-to-height ratio (WtHR) compared to the normative class, and were at greater risk of overweight and obesity. Conclusion Findings suggest that eating behaviour appeared to influence overweight and obesity risk to a greater degree than activity levels at 5 years old. Further research of how potentially obesogenic behaviours in early life track over time and influence adiposity and other cardio metabolic outcomes is crucial to inform the timing of interventions.

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