Remember Me
Or use your Academic/Social account:


Or use your Academic/Social account:


You have just completed your registration at OpenAire.

Before you can login to the site, you will need to activate your account. An e-mail will be sent to you with the proper instructions.


Please note that this site is currently undergoing Beta testing.
Any new content you create is not guaranteed to be present to the final version of the site upon release.

Thank you for your patience,
OpenAire Dev Team.

Close This Message


Verify Password:
Verify E-mail:
*All Fields Are Required.
Please Verify You Are Human:
fbtwitterlinkedinvimeoflicker grey 14rssslideshare1
Ferrari, Giulia; Agnew-Davies, Roxane; Bailey, Jayne; Howard, Louise; Howarth, Emma; Peters, Tim J.; Sardinha, Lynnmarie; Feder, Gene (2014)
Publisher: Co-Action Publishing
Journal: Global Health Action
Languages: English
Types: Article
Subjects: /dk/atira/pure/researchoutput/pubmedpublicationtype/D016449, public health; global health; gender studies; mental health;, /dk/atira/pure/researchoutput/pubmedpublicationtype/D016428, /dk/atira/pure/researchoutput/pubmedpublicationtype/D016439, mental health, CORE-OM, RA421-790.95; RA790-790.95, domestic violence and abuse, posttraumatic stress disorder, Randomized Controlled Trial, Intimate Partner Violence and Mental Health, anxiety, Public Health; Primary Care, Original Article, domestic violence and abuse; intimate partner violence; mental health; posttraumatic stress disorder; anxiety; CORE-OM; depression; women; advocacy, RA1-1270, Public aspects of medicine, Corrected and Republished Article, advocacy, RA421-790.95, intimate partner violence, Journal Article, depression, women
Background: Domestic violence and abuse (DVA) are associated with increased risk of mental illness, but we know little about the mental health of female DVA survivors seeking support from domestic violence services.Objective: Our goal was to characterise the demography and mental health of women who access specialist DVA services in the United Kingdom and to investigate associations between severity of abuse and measures of mental health and health state utility, accounting for important confounders and moderators.Design: Baseline data on 260 women enrolled in a randomized controlled trial of a psychological intervention for DVA survivors were analysed. We report the prevalence of and associations between mental health status and severity of abuse at the time of recruitment. We used logistic and normal regression models for binary and continuous outcomes, respectively. The following mental health measures were used: Clinical Outcomes in Routine Evaluation – Outcome Measure (CORE-OM), Patient Health Questionnaire, Generalised Anxiety Disorder Assessment, and the Posttraumatic Diagnostic Scale to measure posttraumatic stress disorder (PTSD). The Composite Abuse Scale (CAS) measured abuse.Results: Exposure to DVA was high, with a mean CAS score of 56 (SD 34). The mean CORE-OM score was 18 (SD 8) with 76% above the clinical threshold (95% confidence interval: 70–81%). Depression and anxiety levels were high, with means close to clinical thresholds, and more than three-quarters of respondents recorded PTSD scores above the clinical threshold. Symptoms of mental illness increased stepwise with increasing severity of DVA.Conclusions: Women DVA survivors who seek support from DVA services have recently experienced high levels of abuse, depression, anxiety, and especially PTSD. Clinicians need to be aware that patients presenting with mental health conditions or symptoms of depression or anxiety may be experiencing or have experienced DVA. The high psychological morbidity in this population means that trauma-informed psychological support is needed for survivors who seek support from DVA services.Keywords: domestic violence and abuse; intimate partner violence; mental health; posttraumatic stress disorder; anxiety; CORE-OM; depression; women; advocacy(Published. 8 February 2016)Citation: Glob Health Action 2016, 9: 29890 - http://dx.doi.org/10.3402/gha.v9.29890To access the supplementary material for this article, please see Supplementary files under ‘Article Tools’This article supersedes an originally published article under the same title, with the DOI: http://dx.doi.org/10.3402/gha.v7.25519. The numerical results have been revised in this version of the article.
  • The results below are discovered through our pilot algorithms. Let us know how we are doing!

    • 1. Garcia-Moreno C, Jansen HA, Ellsberg M, Heise L, Watts CH. Prevalence of intimate partner violence: findings from the WHO multi-country study on women's health and domestic violence. Lancet 2006; 368: 1260 9.
    • 2. FRA (2014). Violence against women, an EU-wide survey. Vienna, Austria: FRA.
    • 3. Devries KM, Mak JYB, Loraine J, Child JC, Falder G, Petzold M, et al. Intimate partner violence and incident depressive symptoms and suicide attempts: a systematic review of longitudinal studies. PLoS Med 2013; 10: e1001439.
    • 4. Trevillion K, Oram S, Feder G, Howard LM. Experiences of domestic violence and mental disorders: a systematic review and meta-analysis. PLoS One 2012; 7: e51740.
    • 5. Ellsberg M, Jansen HA, Heise L, Watts CH, Garcia-Moreno C. Intimate partner violence and women's physical and mental health in the WHO multi-country study on women's health and domestic violence: an observational study. Lancet 2008; 371: 1165 72.
    • 6. Hegarty K, Gunn J, Chondros P, Small R. Association between depression and abuse by partners of women attending general practice: descriptive, cross sectional survey. BMJ 2004; 328: 621 4.
    • 7. Coid J, Petruckevitch A, Chung WS, Richardson J, Moorey S, Feder G. Abusive experiences and psychiatric morbidity in women primary care attenders. Br J Psychiatry 2003; 183: 332 9.
    • 8. Queen J, Nurse A, Brackley MH, Williams GB. Being emotionally abused: a phenomenological study of adult women's experiences of emotionally abusive intimate partner relationships. Issues Ment Health Nurs 2009; 30: 237 45.
    • 9. Hegarty KL, O'Doherty LJ, Chondros P, Valpied J, Taft AJ, Astbury J, et al. Effect of type and severity of intimate partner violence on women's health and service use: findings from a primary care trial of women afraid of their partners. J Interpers Violence 2013; 28: 273 94.
    • 10. Lacey KK, McPherson MD, Samuel PS, Sears KP, Head D. The impact of different types of intimate partner violence on the mental and physical health of women in different ethnic groups. J Interpers Violence 2013; 28: 359 85.
    • 11. Nathanson A, Shorey R, Tirone V, Rhatigan D. The prevalence of mental health disorders in a community sample of female victims of intimate partner violence. Partner Abuse 2012; 3: 59 75.
    • 12. Dutton MA, Green BL, Kaltman SI, Roesch DM, Zeffiro TA, Krause ED. Intimate partner violence, PTSD, and adverse health outcomes. J Interpers Violence 2006; 21: 955 68.
    • 13. Howarth E, Feder G. Prevalence and physical health impact of domestic violence. In: Howard L, Agnew-Davies R, Feder G, eds. Domestic violence and mental health. London: RCPsych Publications; 2013, pp. 1 17.
    • 14. Griffin MG, Uhlmansiek MH, Resick PA, Mechanic MB. Comparison of the posttraumatic stress disorder scale versus the clinician-administered posttraumatic stress disorder scale in domestic violence survivors. J Trauma Stress 2004; 17: 497 503.
    • 15. Bell M, Goodman LA. Supporting battered women involved with the court system: an evaluation of a law school-based advocacy intervention. Violence Against Women 2001; 7: 1377 404.
    • 16. Sullivan C, Tan C, Basta J, Rumptz M, Davidson W. An advocacy intervention program for women with abusive partners: initial evaluation. Am J Community Psychol 1992; 20: 309 32.
    • 17. Tiwari A, Fong D, Yuen K, Yuk H, Pang P, Humphreys J. Effect of an advocacy intervention on mental health in Chinese women survivors of intimate partner violence: a randomized controlled trial. JAMA 2010; 304: 536 43.
    • 18. Coker A, Smith P, Whitaker D, Le B, Crawford T, Flerx V. Effect of an in-clinic IPV advocate intervention to increase help seeking, reduce violence, and improve well-being. Violence Against Women 2012; 18: 118 31.
    • 19. Sullivan C, Bybee D. Reducing violence using community-based advocacy for women with abusive partners. J Consult Clin Psychol 1999; 67: 43 53.
    • 20. Becker KD, Stuewig J, McCloskey LA. Traumatic stress symptoms of women exposed to different forms of childhood victimization and intimate partner violence. J Interpers Violence 2010; 25: 1699 715.
    • 21. Koenig MA, Ahmed S, Hossain MB, Mozumder KA. Women's status and domestic violence in rural Bangladesh: individualand community-level effects. Demography 2003; 40: 269 88.
    • 22. Jewkes R. Intimate partner violence: causes and prevention. Lancet 2002; 359: 1423 9.
    • 23. Coid J, Petruckevitch A, Feder G, Chung W, Richardson J, Moorey S. Relation between childhood sexual and physical abuse and risk of revictimisation in women: a cross-sectional survey. Lancet 2001; 358: 450 4.
    • 24. Brierley G, Agnew-Davies R, Bailey J, Evans M, Fackrell M, Ferrari G, et al. Psychological advocacy toward healing (PATH): study protocol for a randomized controlled trial. Trials 2013; 14: 221. DOI: 10.1186/1745-6215-14-221.
    • 25. Barkham M, Mellor-Clark J, Connell J, Cahill J. A core approach to practice-based evidence: a brief history of the origins and applications of the COREOM and CORE System. Counsell Psychother Res 2006; 6: 3 15.
    • 26. Gilbody S, Richards D, Barkham M. Diagnosing depression in primary care using self-completed instruments: UK validation of PHQ 9 and CORE OM. Br J Gen Pract 2007; 57: 650 2.
    • 27. Kroenke K, Spitzer RL. The PHQ-9: a new depression diagnostic and severity measure. Psychiatr Ann 2002; 32: 1 7.
    • 28. Spitzer RL, Kroenke K, Williams JBW, Loewe B. A brief measure for assessing generalized anxiety disorder, the GAD-7. Arch Intern Med 2006; 166: 1092 7.
    • 29. Weathers FW, Keane TM, Davidson JRT. Clinician -administered PTSD scale: a review of the first ten years of research. Depress Anxiety. 2001; 13: 132 56.
    • 30. Rabin R, de Charro F. EQ-5D: a measure of health status from the EuroQol Group. Ann Med 2001; 33: 337 43.
    • 31. Maruish ME. User's manual for the SF-12v2 health survey. Lincoln, RI: QualityMetric; 2012.
    • 32. Hegarty K, Fracgp, Bush R, Sheehan M. The composite abuse scale: further development and assessment of reliability and validity of a multidimensional partner abuse measure in clinical settings. Violence Vict 2005; 20: 529 47.
    • 33. Saunders JB, Aasland OG, Babor TF, De La Fuente JR, Grant M. Development of the alcohol use disorders identification test (AUDIT): WHO collaborative project on early detection of persons with harmful alcohol consumption-II. Addiction 1993; 88: 791 804.
    • 34. StataCorp (2011). STATA statistical software: release 12. College Station, TX: StataCorp LP.
    • 35. Hegarty K, O'Doherty L, Taft A, Chondros P, Brown S, Valpied J, et al. Screening and counselling in the primary care setting for women who have experienced intimate partner violence (WEAVE): a cluster randomised controlled trial. Lancet 2013; 382: 249 58.
    • 36. Kind P, Hardman G, Macran S. UK population norms for EQ5D. York: Centre for Health Economics, University of York; 1999.
    • 37. Devries KM, Mak JY, Bacchus LJ, Child JC, Falder G, Petzold M, et al. Intimate partner violence and incident depressive symptoms and suicide attempts: a systematic review of longitudinal studies. PLoS Med 2013; 10: e1001439.
    • 38. Duxbury F. Recognising domestic violence in clinical practice using the diagnoses of posttraumatic stress disorder, depression and low self-esteem. Br J Gen Pract 2006; 56: 294 300.
    • 39. Forbes D, Lockwood E, Phelps A, Wade D, Creamer M, Bryant R, et al. Trauma at the hands of another: distinguishing PTSD patterns following intimate and nonintimate interpersonal and noninterpersonal trauma in a nationally representative sample. J Clin Psychiatr 2014; 75: 147 53.
    • 40. Connell J, Barkham M, Stiles WB, Twigg E, Singleton N, Evans O, et al. Distribution of CORE-OM scores in a general population, clinical cut-off points and comparison with the CIS-R. Br J Psychiatry 2007; 190: 69 74.
    • 41. El-Bassel N, Gilbert L, Wu E, Go H, Hill J. Relationship between drug abuse and intimate partner violence: a longitudinal study among women receiving methadone. Am J Public Health 2005; 95: 465 70.
    • 42. WHO (2013). Responding to intimate partner violence and sexual violence against women: WHO clinical and policy guidelines. Geneva: WHO.
    • 43. Prosman G-J, Lo Fo Wong SH, Lagro-Janssen AL. Support by trained mentor mothers for abused women: a promising intervention in primary care. J Fam Pract 2014; 31: 71 80.
    • 44. Mallender J, Venkatachalam M, Onwude O, Jhita T. Economic analysis of interventions to reduce incidence and harm of domestic violence. London: National Institute for Health and Care Excellence; 2013.
  • No similar publications.