scholarly journals The Trauma Recovery Actions Checklist: Applying Mixed Methods to a Holistic Gender-Based Violence Recovery Actions Measure

Sexes ◽  
2021 ◽  
Vol 2 (3) ◽  
pp. 363-377
Author(s):  
Laura Sinko ◽  
Limor Goldner ◽  
Denise Marie Saint Arnault
Keyword(s):  
Mixed Methods ◽  
Help Seeking ◽  
Positive Emotions ◽  
Trauma Recovery ◽  
Gender Based Violence ◽  
Financial Barriers ◽  
Sequential Mixed Methods ◽  
Recovery Models ◽  
Gender Based ◽  
And Coping

Gender-Based Violence (GBV) trauma recovery models have evolved in such a way that survivors are viewed as actively engaging in a multitude of strategies. In addition to seeking help and coping, survivors engage in diverse lifestyle, social, spiritual, and practical strategies to promote their health and wellbeing. This exploratory sequential mixed-methods study develops an instrument to measure the holistic recovery actions used by GBV survivors. The qualitative phase combined recovery action codes from interviews with 50 GBV survivors in three different survivor samples to create an initial six-concept 41-item Trauma Recovery Actions Checklist (TRAC). The quantitative psychometrics phase used data from 289 American GBV survivors. Results revealed a five-factor 35-item final version (sharing/connecting; building positive emotions; reflecting and creating healing spaces; establishing security; and planning the future). There were positive significant correlations between sharing/connecting and depression scores, and between sharing/connecting, reflecting, and building security with PTSD scores. No correlations were found between any recovery action type and the barriers to help-seeking subscales of Problem Management Beliefs, Discrimination, or Unavailability. However, there were significant negative correlations between Shame and Financial barriers and Sharing/Connecting, and between Feeling Frozen, Constraints, and Establishing Security. Implications for research, clinical practice and ways of understanding survivorship recovery are suggested.

scholarly journals Trauma Recovery of Greek Women Who Have Experienced Gender-Based Violence: A Narrative Research

Sexes ◽  
2021 ◽  
Vol 2 (3) ◽  
pp. 256-271
Author(s):  
Katerina Lathiotaki ◽  
Kleio Koutra ◽  
Nikoleta Ratsika ◽  
Denise Saint Arnault
Keyword(s):  
Help Seeking ◽  
Physical Symptoms ◽  
Trauma Recovery ◽  
Help Seeking Behavior ◽  
Gender Based Violence ◽  
The Social ◽  
Gastrointestinal Problems ◽  
Seeking Behavior ◽  
Violent Relationship ◽  
Gender Based

In a society where women still suffer from oppression and injustice, research on gender-based violence (GBV) and trauma recovery path is considered a priority. Specifically, it was to be researched how the social and cultural obstacles can affect the help-seeking behavior of Greek women who experienced GBV. The data of this qualitative research were collected through narrative interviews and the analysis was carried out with the thematic analysis. The significant findings of the research were that the feelings of the women changed through the violent relationship, with the feelings of betrayal, guilt, and shame dominating. Moreover, the relative network was not notably utilized, while it seems that the women who utilized their social network were helped to evolve. Additionally, the feelings of guilt and shame stood out as an obstacle to help-seeking behavior and the functionality of the women was reduced on multiple levels during the period in which they experienced gender-based violence. Finally, the physical symptoms of the women during that period, such as musculoskeletal pain, numbing, and gastrointestinal problems, evoke great interest.

scholarly journals Burnout, resilience, and perception of mindfulness programmes among GP trainees: a mixed-methods study

BJGP Open ◽  
2020 ◽  
Vol 4 (3) ◽  
pp. bjgpopen20X101058
Author(s):  
Petra Hanson ◽  
Amy Clarke ◽  
Manuel Villarreal ◽  
Majid Khan ◽  
Jeremy Dale
Keyword(s):  
Mixed Methods ◽  
Focus Groups ◽  
Help Seeking ◽  
High Stress ◽  
Mixed Methods Study ◽  
Mindfulness Practice ◽  
Negative Effects ◽  
High Prevalence ◽  
High Level ◽  
And Coping

BackgroundTrainee GPs are at risk of developing burnout as a result of high stress levels. Improving resilience may prevent the negative effects of stress on wellbeing, morale, and patient care, thereby supporting recruitment to general practice.AimTo explore experiences of stress and burnout among GP trainees, and their level of interest in undertaking a mindfulness programme.Design & settingA qualitative study was performed with a cohort of GP trainees in Coventry and Warwickshire.MethodThis mixed-methods study utilised a survey with validated measures to investigate the prevalence of burnout, state of wellbeing, and resilience in GP trainees. Focus groups were also used to explore experiences of stress and burnout, and perceptions of mindfulness practice.ResultsIn total, 47 (response rate 39%) trainees completed the survey and 14 participated in focus groups. There was a high prevalence of disengagement (n = 36; 80%) and emotional exhaustion (n = 35; 77%), with 29 (64%) scoring above the cut-off value for both. While 16 (34%) reported already practising mindfulness, 39 (83%) described interest in engaging in mindfulness practice. The focus groups identified a range of issues relating to how trainees recognise stress and burnout, their help-seeking and coping strategies, the perceived barriers to practising self-care, and motivations for participating in mindfulness training.ConclusionThis study confirms the degree of stress and burnout that GP trainees experience, and their desire for greater wellbeing and resilience support. It identified a high level of interest in attending a mindfulness programme, but also barriers to engagement. Results of this research shaped the Mindful Practice Curriculum programme, which was later provided to this cohort of trainees.

“I put a stone on my heart and kept going”: An explanatory model of how distress is generated and regulated among Indian women from slums reporting gender-based violence

2021 ◽  
pp. 136346152110550
Author(s):  
Anushka R. Patel ◽  
Merdijana Kovacevic ◽  
Devon Hinton ◽  
Elana Newman
Keyword(s):  
Help Seeking ◽  
Clinical Care ◽  
Cultural Models ◽  
Explanatory Model ◽  
Idioms Of Distress ◽  
Gender Based Violence ◽  
Indian Women ◽  
Help Seeking Behaviors ◽  
Illness Experiences ◽  
Gender Based

Clinical variation in the expression of panic disorder, depression and anxiety, and posttraumatic stress disorder (PTSD) has have been documented across cultures. However, local (emic) cultural models that explain how people make sense of their illness experiences remain relatively understudied in India among trauma-exposed populations. Further, the integration of emic findings into clinical care is limited, underscoring the need for emic perspectives following trauma to improve the development or adaptation of trauma-focused treatments in India. This study describes an emic explanatory model of distress, which includes idioms of distress, perceived causes of distress, and coping/help-seeking behaviors among Indian women from slums reporting gender-based violence. This explanatory model can be used as a culturally grounded way to develop clinical case conceptualizations to adapt and deliver psychological treatments for this under-served population.

scholarly journals “I Go up to the Edge of the Valley, and I Talk to God”: Using Mixed Methods to Understand the Relationship between Gender-Based Violence and Mental Health among Lebanese and Syrian Refugee Women Engaged in Psychosocial Programming

2021 ◽  
Vol 18 (9) ◽  
pp. 4500
Author(s):  
Rassil Barada ◽  
Alina Potts ◽  
Angela Bourassa ◽  
Manuel Contreras-Urbina ◽  
Krystel Nasr
Keyword(s):  
Mental Health ◽  
Mixed Methods ◽  
Focus Groups ◽  
Service Providers ◽  
Gender Based Violence ◽  
Community Members ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
International Research Institute ◽  
Gender Based

Lebanon’s intersecting economic and political crises exacerbate complex public health issues among both host and refugee populations. This mixed-methods study by a Lebanese service provider, in partnership with an international research institute, seeks to better understand how experiences of gender-based violence (GBV) and mental health intersect in the lives of Syrian and Lebanese women, and how to better meet these needs. It employs a randomized cross-sectional survey of 969 Abaad service users and focus groups with community members and service providers. There were significant associations between GBV and ill mental health; notably, respondents reporting transactional sex had 4 times the likelihood of severe distress (aOR 4.2; 95% CI 1.2–14.8; p ≤ 0.05). Focus groups emphasized less-visible forms of violence, such as emotional violence, and the importance of environmental factors in one’s ability to cope, noting “it always came back to the economy”. Recommendations include providing a more holistic and coordinated approach between GBV, mental health, livelihood, and basic assistance sectors; and sensitive, accessible, and higher-quality mental health services informed by GBV response actors’ experience putting in place survivor-centered programming and made available to both host and refugee community members.

scholarly journals Understanding and Measuring Help-Seeking Barriers among Intimate Partner Violence Survivors: Mixed-Methods Validation Study of the Icelandic Barriers to Help-Seeking for Trauma (BHS-TR) Scale

2021 ◽  
Vol 19 (1) ◽  
pp. 104
Author(s):  
Karen Birna Thorvaldsdottir ◽  
Sigridur Halldorsdottir ◽  
Denise M. Saint Arnault
Keyword(s):  
Intimate Partner Violence ◽  
Mixed Methods ◽  
Partner Violence ◽  
Help Seeking ◽  
Public Health Problem ◽  
Intimate Partner ◽  
Adverse Outcomes ◽  
Trauma Recovery ◽  
Group Validity ◽  
Internal Barriers

Intimate partner violence (IPV) against women is a global human rights violation of vast proportions and a severe public health problem. Despite high rates of adverse outcomes related to IPV, help-seeking and service utilization among survivors is low. This exploratory sequential mixed-methods study using a combined etic–emic approach describes the validation of the Icelandic Barriers to Help-Seeking for Trauma (BHS-TR) scale. The qualitative phase involved developing new items based on the experiences of 17 Icelandic IPV survivors, identifying barriers including beliefs that help-seeking is a sign of weakness, and the desire to safeguard oneself from re-traumatization. The quantitative phase examined the psychometrics of the BHS-TR in a sample of 137 IPV survivors in Iceland. Results supported an eight-factor structure (Financial Concerns; Unavailable/Not Helpful; External Constraints; Inconvenience; Weakness/Vulnerability; Problem Management Beliefs; Frozen/Confused; and Shame), which when grouped comprised two indices of Structural and Internal Barriers. The scale’s internal consistency was high (α  =  0.87), and the results provided evidence of convergent, discriminant, and known-group validity. This study adds to the growing literature supporting the advantages of applying mixed methods for instrument development and validation, and its results highlight the significance of giving rise to the voices of survivors. The BHS-TR is the first trauma-specific and survivor-centered measure of help-seeking barriers available in Iceland. It can be used to provide valuable information that may guide the development of evidence-based interventions to break down barriers and help survivors find ways to trauma recovery.

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