Relationship of Physical Intimate Partner Violence with Mental Health Diagnoses in the Nationwide Emergency Department Sample

Abstract

Objectives: We examined associations of physical intimate partner violence (PIPV) with selected mental health disorders using a nationally representative sample of emergency department (ED) discharges corresponding to men and women (18-64 years) from the 2010 Nationwide Emergency Department Sample. Methods: PIPV was determined using International Classification of Disease, 9th Revision, Clinical Modification (ICD-9-CM) external cause of injury code E967.3 (battering by spouse or partner). ICD-9-CM clinical classification of discharge diagnoses was used to identify mental health disorders. Multivariable logistic regression models were constructed to estimate adjusted odds ratios (OR adj ) and their 95% confidence intervals (CIs). Results: PIPV prevalence was estimated at 0.36 per 1000 ED discharges. The strongest correlates of PIPV were alcohol-related (OR adj = 3.02, 95% CI: 2.62-3.50), adjustment (OR adj = 2.37, 95% CI: 1.56-3.58), intentional selfharm (OR adj = 1.41, 95% CI: 1.05-1.89), anxiety (OR adj = 1.23, 95% CI: 1.07-1.40), drug-related (OR adj = 1.22, 95% CI: 1.01-1.47), and mood (OR adj = 1.16, 95% CI: 1.04-1.31) disorders. PIPV's association with alcoholrelated disorders was stronger among women (OR adj = 3.22, 95% CI: 2.79-3.72) versus men (OR adj = 1.98, 95% CI: 1.42-2.77). Similarly, drug-related disorders were stronger correlates of PIPV among women (OR adj = 1.32, 95% CI: 1.09-1.60) versus men (OR adj = 0.59, 95% CI: 0.31-1.16). Conclusions: In EDs, PIPV was linked to several mental health disorders, with women experiencing comorbid PIPV and substance use more frequently than men.

Depresión y ansiedad en mujeres víctimas de violencia en la relación de pareja

“…Los datos encontrados evidencian que existe una relación significativa entre haber experimentado violencia y presentar psicopatología psiquiátrica. Es importante destacar que las mujeres víctimas de VPI presentaron síntomas más severos que las que no la sufrieron (Beydoun et al 2017;Golding, 1999;Rosales, Bedón, Díaz, Brioso, & Pacheco, 2016).…”

“…El grupo de mujeres víctimas presentó síntomas de depresión leve, moderada y severa, mientras que las del grupo de comparación, que reportaron no experimentar violencia, presentaron síntomas de depresión en el rango mínimo (Beydoun et al 2017;Golding, 1999;Stein, & Kennedy, 2001). Estos hallazgos coinciden con lo descrito por otros autores que indican que los problemas psicológicos presentados por la mujer víctima de violencia en la pareja pueden ir de moderados a graves (Pérez & Escobar, 2011).…”

What is the Functional / Organic Distinction Actually Doing in Psychiatry and Neurology?

“…More generally, the neuropathological contributions to mild traumatic brain injury have been well-established (Romeu-Mejia et al, 2019) and the increased risk of mental health problems confidently identified (Perry et al, 2016). Nevertheless, the mental health consequences of intimate partner violence is almost always conceptualised in terms of social and emotional causality, with no mention of brain injury (Beydoun et al, 2016;Stewart and Vigod, 2019). Importantly, this is not simply a matter for researchers and the development of better theoretical models.…”

Attitudes of Health Workers in Family Health Centers on the Intimate Partner Violence Against Women (The Case of Mardin, Turkey)

“…For this reason, intimate partner violence against women in the family is a health problem that affects not only women, but also all the family members and hence the society and states in a multidimensional way. It requires multidisciplinary cooperation to prevent it (Korkut and Owen, 2008;Kruse et al, 2011;Beydoun et al, 2017).…”

“…In Turkey, the overall health status of women exposed to physical or sexual violence by their husbands is twice worse than that of women who have never had any violence (HÜNEE, 2015). For this reason, women who are exposed to the physical, sexual, psychological or economic violence of their partners are twice as often as women who are not violent, and the use of primary health care institutions and emergency services for physical and mental health problems are twice as often as women who are not violent Beydoun et al, 2017). Late or incomplete provision of the necessary health services to women suffering from peer violence causes the worsening of women's health, loss of limbs, death, reduction of treatment compliance and quality of life, increase hospitalization rate and hospitalization period (Costa et al, 2018).…”