Self‐esteem in the context of intimate partner violence: A concept analysis

Abstract

AIM To explore the meaning of self‐esteem in the context of intimate partner violence (IPV). Background IPV is a preventable public health issue. The dynamic of IPV diminishes women's self‐esteem. Defining self‐esteem will guide the development of IPV interventions in healthcare settings. Design Walker and Avant's eight‐step approach was used. Data Source The search was conducted from Oxford Dictionary of English online, CINAHL, APA PsycInfo, PubMed, Women's Studies International, and Google Scholar. Review Methods No limits on the year of publication were applied. Results Defining attributes of self‐esteem are self‐concept, self‐affirmation, and self‐respect. Antecedents of self‐esteem are exposure to IPV and victim‐blaming attitudes by healthcare professionals. Consequences include depression, substance abuse, and posttraumatic stress disorder. Empirical referents include self‐worth, self‐competence, self‐blame, self‐evaluation, self‐confidence, and self‐determination. Conclusions Current literature is limited in its definition of self‐esteem in the context of IPV. Women experiencing IPV with low self‐esteem might not seek help for IPV from nurses. Nurses could develop culturally appropriate IPV screening tools that assess the changes in self‐esteem among women from different sociodemographic and cultural backgrounds. The defining attributes could contribute to developing comprehensive IPV screening tools in healthcare settings.

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“…In addition, violence negatively affects women's health, productivity, and ability to care for themselves and their families, all aspects of their lives (Lutgendorf 2019). Violence undermines women's sense of self-worth, self-confidence, and ability to think and act independently (Güler et al 2022). Physical, psychological, and sexual abuse and violence can lead to a range of psychiatric disorders such as post-traumatic stress disorder (PTSD), depression, anxiety and low self-esteem, obsessivecompulsive disorder, substance abuse, multiple personality disorder, and psychosis (Garcia-Moreno et al 2013, Khalifeh et al 2015, Oram 2017, Gökler Danışman et al 2018, Han Almış et al 2020.…”