413Prim Care Companion J Clin Psychiatry 2007;9(6) to inpatient psychiatric units. 3 It is important to recognize that IPV is no longer considered primarily a situation with a male batterer and a female victim. Many community and clinical studies have found that IPV is often bidirectional, where each partner is both an aggressor and a victim of IPV. The U.S. National Comorbidity Survey revealed rates of violence of 6.5% for females and 5.5% for males. 4 A meta-analysis of 82 studies including both community and clinical samples found that more women than men reported physical aggression in their relationships. 5 In an outpatient sample of couples seeking marital therapy, 64% of wives and 61% of husbands were classified as aggressive. 6 In 272 engaged couples, both women (44%) and men (31%) reported physical violence toward their partners. 7 Intimate partner violence is associated with individual psychopathology, with rates of 54% to 68% for major depressive disorders and rates of 50% to 75% for posttraumatic stress disorder in female victims, 8,9 and excessive alcohol use. 10-14 Women arrested for IPV have high rates of posttraumatic stress disorder, depression, generalized anxiety disorder, panic disorder, substance use disorders, borderline personality disorder, and antisocial personality disorder. 15 Intimate partner violence is also associated with family pathology. A brief review of the current literature of family dysfunction and IPV follows. Included are the results of a previous study examining family functioning across many dimensions, 3 which was carried out by the authors. In this previous study, high rates of IPV were associated with poor family functioning. 3 The current study describes a subsequent analysis of this same sample of inpatients. The current analysis provides in-depth information about the relationship between IPV and family functioning.
PROBLEM SOLVINGMale perpetrators show poorer problem-solving behavior in both community samples 16 and court-referred samples 17,18 Court-referred male batterers also blame and show contempt for their partners during problem-solving Background: Intimate partner violence (IPV) is commonly bidirectional with both partners perpetrating and being victims of aggressive behaviors. In these couples, family dysfunction is reported across a broad range of family functions: communication, intimacy, problem solving, expression or control of anger, and designation of relationship roles. This study reports on the perceived family functioning of suicidal inpatients.Method: In this descriptive, cross-sectional study of adult suicidal inpatients, participants completed assessments of recent IPV and family functioning. Recruited patients were between 18 and 65 years of age and English fluent, had suicidal ideation, and were living with an intimate partner for at least the past 6 months. Intimate partner violence was assessed using the Conflict Tactics Scale-Revised, and family functioning was measured using the McMaster Family Assessment Device. The study was conducted ...