Contribution of intimate partner violence exposure, other traumatic events and posttraumatic stress disorder to chronic pain and depressive symptoms

Authors

  • Natalia Tobo Medina Enfermera, Especialista en Enfermería Cardiorrespiratoria, Magíster en Enfermería, Maestría en Psicología Evolutiva y de la Educación para la Atención del Adulto y el Anciano y Doctora en Psicología del Aprendizaje Humano y Psicología de la Salud. Profesora Titular de la Universidad del Valle, Colombia. email: nataliatobo@yahoo.es
  • Gladys Eugenia Canaval Erazo Especialista en Salud de la Mujer, Magíster en Fisiología y Doctora en Ciencias de la Enfermería. Profesora Titular de la Universidad del Valle, Colombia. email: gladys.canaval@correounivalle.edu.co.
  • Delia Concepción Burgos Dávila Especialista en Terapia de Pareja y Familia, Especialista en Educación Sexual y Magíster en Psicoterapia Gestalt. Profesora Auxiliar de la Universidad del Valle, Colombia. email: delia.burgos@correounivalle.edu.co.
  • Janice Carrol Humphreys Enfermera, Magíster y Doctora en Enfermería. Profesora de University of California at San Francisco, Estados Unidos. email: janice.humphreys@nursing.ucsf.edu

Keywords:

Battered women; domestic violence; violence against women; sexual violence; stress disorders, post-traumatic; pain; stress, psychological; life change events; scales.

Abstract


Objective. To assess the contribution of intimate partner violence (IPV) exposure, other traumatic events and posttraumatic stress disorder to chronic pain and depressive symptoms.

Methodology. Cross sectional descriptive study. 150 women with a past history of IPV who lived in the metropolitan area of the city of Cali (Co­lombia), and were over 18 years old participated in the study. Data were collected between June of 2009 and March of 2010. IPV, trauma exposure, posttraumatic stress, depressive symptoms and pain were measured with standard scales. Information was analyzed using regression and multiple-scale analysis.

Results. More than 50% of the women from the sample were exposed to the typical types of violence: threatening, physical and sexual violence. Usually a type of violence coexists with the other types. Depressive symptoms and chronic pain were present in 72% and 74% of the patients respectively.

Conclusion. Physical manifes­tations were not the ones that caused most of the effects over women’s health with IPV, but psychological manifestations as de­pressive symptoms and stress did. Women exposed to IPV health approach should be conducted from a multidimensional view.

|Abstract
= 83 veces | PDF (ENGLISH)
= 46 veces| | HTML (ENGLISH)
= 4 veces|

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

References

(1) Profamilia. Estudio Nacional de Demografía y Salud 2005-ENDS-2005. Bogotá: Colombia, Profamilia; 2005.

(2) Coker AL, Smith PH, Bethea L, King MR, McKeown RE. Physical health consequences of physical and psychological intimate partner violence. Arch Fam Med. 2000;9(5):451-57.

(3) Diaz-Olavarrieta C, Campbell J, Garcia de la Cadena C, Paz F, Villa AR. Domestic violence against patients with chronic neurologic disorders. Arch Neurol. 1995;56(6): 681-85.

(4) Labrador Encinas FJ, Fernandez–Velasco MR, Rincon P. Características psicopatológicas de mujeres víctimas de violencia de pareja. Psicothema. 2010;22(1):99-105.

(5) Saltzman LE, Fanslow JL, McMahon PM, Shelley GA. Intimate partner violence surveillance: uniform definitions and recommended data elements. Atlanta: Centers of Disease Control and Prevention; 1999.

(6) World Health Organization. Multy-country study on women´s health and domestic violence against women. Switzerland: WHO; 2005.

(7) Organización Mundial de la Salud/Organización Panamericana de la Salud. Violencia contra la mujer: Un tema de salud prioritario. Declaración del Director General de la OMS. Junio 1998. [En línea] [Acceso 2006 Oct 18]. Disponible en: www.who.int/gender/violence/en/violencia_infopack1.pdf

(8) Jones AS, Gielen AC, Campbell JC, Schollenberger J, Dienemann JA, Kub J et al. Annual and lifetime prevalence of partner abuse in a sample of female HMO enrollees. Women’s Health Issues. 1999;9(6):295-305.

(9) Dutton MA, Goodman LA, Bennett L. Court-involved battered women’s responses to violence: the role of psychological, physical, and sexual abuse. Violence Vict.1999;14(1):89-104.

(10) Arias I, Pape KT. Psychological abuse: implications for adjustment and commitment to leave violent partners. Violence Vict. 1999;14(1):55-67.

(11) Sutherland CA, Bybee DI, Sullivan CM. Beyond bruises and broken bones: the joint effects of stress and injuries on battered women’s health. Am J Community Psychol. 2002;30(5):609-36.

(12) Dienemann J, Boyle E, Baker D, Resnick W, Wiederhorn N, Campbell J. Intimate partner abuse among women diagnosed with depression. Issues Ment Health Nurs. 2000;21(5):499-513.

(13) Silva C, McFarlane J, Soeken K, Parker B, Reel S. Symptoms of post-traumatic stress disorder in abused women in a primary care setting. J Womens Health.1997;6(5): 543-52.

(14) Humphreys J, Lee K, Neylan T, Marmar C. Trauma history of sheltered battered women. Issues Ment Health Nurs. 1999; 20(4):319-32.

(15) Schnurr PP, Green BL, editors. Trauma and health: physical health consequences of exposure to extreme stress. Washington, DC: American Psychological Association;2004.

(16) Jones AS, Gielen AC, Campbell JC, Schollenberger J, Dienemann JA, Kub J et al. Annual and lifetime prevalence of partner abuse in a sample of female HMO enrollees. Women’s Health Issues. 1999; 9 (6): 295-305.

(17) Humphreys J, Campbell JC, editors. Family violence and nursing practice. Philadelphia: Lippincott Williams & Wilkins; 2004.

(18) Garcia-Moreno C, Heise L, Jansen HA, Ellsberg M, Watts C. Violence against women. Science. 2005;310(5752):1282-83.

(19) Green BL, Kimerling R. Physical health outcomes in traumatized populations. In: Schnurr PP, Green BL. Trauma and health: physical health consequences of exposure to extreme stress. Washington, DC: American Psychological Association; 2004. p.13-42.

(20) American Psychiatric Association - APA. Diagnostic and statistical manual of mental disorders. 4th Ed. Washington DC: APA; 1994. p. 424.

(21) Walker EA, Gelfand AN, Katon WJ, Koss MP, Von Korff M, Bernstein DE et al. Adult health status of women with histories of childhood abused and neglect. Am J Med. 1999;107(4):332-9.

(22) Centers for Disease Control Vietnam Experience Study. Health status of Vietnam veterans. II. Physical health. J Am Med Assoc. 1988; 259(18):2708-14.

(23) Drossman DA. Sexual and physical abuse and gastrointestinal illness. Scand J Gastroenterol Suppl. 1995;208:90-96.

(24) American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 4th ed. Washington DC: American Psychiatric Association; 1994.

(25) Astin MC, Lawrence KJ, Foy DW. Posttraumatic stress disorder among battered women: risk and resiliency factors. Violence Vict. 1993;8(1):17-28.

(26) Silva C, McFarlane J, Soeken K, Parker B, Reel S. Symptoms of post-traumatic stress disorder in abused women in a primary care setting. J Womens Health. 1997;(5):543-52.

(27) Saunders DG. Posttraumatic stress symptom profiles of battered women: a comparison of survivors in two settings. Violence Vict. 1994;9(1):31-44.

(28) Melzack R. Pain and the neuromatrix in the brain. J Dent Educ. 2001;65(12):1378-82.

(29) Andrasik F, Flor H, Turk DC. An expanded view of psychological aspects in head pain: a biopsychosocial model. Neurol Sci. 2005;26:S87-S91.

(30) Hamber K, Johansson EE, Lindgren G. “I was always on guard”—an exploration of woman abuse in a group of women with musculoskeletal pain. Fam Pract. 1999;16(3):238-44.

(31) Bodden-Heidrich R, Kuppers V, Beckmann MW, Rechenberger I, Bender HG. Chronic pelvic pain syndrome (CPPS) and chronic vulvar pain syndrome (CVPS): evaluation of psychosomatic aspects. J Psychosom Obstet Gynaecol.1999;20(3):145-51.

(32) Coker AL, Smith PH, Bethea L, King MR, McKeown RE. Physical health consequences of physical and psychological intimate partner violence. Arch Fam Med. 2000;9(5):451-7.

(33) Sutherland CA, Bybee DI, Sullivan CM. Beyond bruises and broken bones: The joint effects of stress and injuries on battered women’s health. Am J Community Psychol 2002;30(5):609-36.

(34) Golding JM. Intimate partner violence as a risk factor for mental disorders: a meta-analysis. J Fam Violence. 1999;14(2):99-132.

(35) Kessler RC, Sonnega A, Bromet E, Hughes M, Nelson CB. Posttraumatic stress disorder in the National Comorbidity Survey. Arch Gen Psychiatry.1995;52(12):1048-60.

(36) Schnurr PP, Green BL. Understanding relationships among trauma, posttraumatic stress disorder, and health outcomes. In: Schnurr PP, Green BL. Trauma and health: physical health consequences of exposure to extreme stress. Washington DC: American Psychological Association; 2004. p.247-75.

(37) Kraemer HC, Thiemann S. How many subjects? Statistical power analysis in research. Thousand Oaks: Sage; 1987.

(38) Marshall L. Development of the Severity of Violence Against Women Scales. J Fami Violence, 1992;7(2):103-21.

(39) Wolfe J, Kimerling R. Gender issues in the assessment of posttraumatic stress disorder. In: Wilson JP, Keane TN, editors. Assessing psychological trauma and PTSD. New York: Guilford Press; 1997. p.192-238.

(40) Wolfe J, Kimerling R. Gender issues in the assessment of posttraumatic stress disorder. In: Wilson J, Keane T. Assessing psychological trauma and PTSD. New York: Guilford Press; 1997. p. 192-219.

(41) Brown PJ, Stout RL, Mueller T. Substance use disorder and posttraumatic stress disorder comorbidity: Addiction and psychiatric treatment rates. Psychol Addict Behav. 1999;13(2):115-22.

(42) Schumacher AM, Jaramillo D, Uribe T, De Pheils P, Holzemer W, Taylor D et al.The relationship of two types of trauma exposure to current physical and psychological symptom distress in a community sample of colombian women: why interpersonal violence deserves more attention. Health Care Women Int. 2010;31(10):946-61.

(43) Brown PJ, Stout RL, Mueller T. Substance use disorder and posttraumatic stress disorder comorbidity: addiction and psychiatric treatment rates. Psychol Addict Behav. 1999;13(2):115-22.

(44) Foa EB, Riggs DS, Dancu CV, Rothbaum BO. Reliability and validity of a brief instrument for assessing post-traumatic stress disorder. J Trauma Stress. 1993;6(4):459-73.

(45) Daut RL, Cleeland, CS, Flanery RC. Development of the Wisconsin Brief Pain Questionnaire to assess pain in cancer and other diseases. Pain. 1983;17(2):197-210.

(46) Radloff LS. The CES-D scale: a self-report depression scale for research in the general population. Appl Psychol Meas. 1977;1(3):385-401.

(47) McFarlane J, Parker B, Soeken K, Bullock L. Assessing for abuse during pregnancy: Severity and frequency of injuries and associated entry into prenatal care. JAMA. 1992;267(23):3176-78.

(48) Cohen J. Statistical Power Analysis for the Behavioral Sciences. 2nd ed. Mahwah: Lawrence Erlbaum; 1988.

(49) Hemphill JF. Interpreting the magnitudes of correlation coefficients. Am Psychol. 2003;58(1):78-9.

(50) Tobo N. Factores emocionales, cognitivos y conductuales en la vivencia de la fibromialgia [tesis doctoral en internet]. Barcelona: Tesis doctoral en Xarxa, Universidad Autónoma de Barcelona; 2007 [acceso 2010 sep 19]. Disponible en: http://www.tesisenred.net/TDX-1102107-093654

(51) Campbell JC. Health consequences of intimate partner violence. Lancet. 2002; 359: 1331-36.

(52) Garcia-Moreno C, Heise L, Jansen H A, Ellsberg M, Watts C. Violence against women. Science. 2005; 310 (5752): 1282-1283.

(53) Campbell JC, Lewandowski L. Mental and physical health effects of intimate partner violence on women and children. Psychiatric Clinics of North Am. 1997;20(2):353-74.

(54) Koss MP, Koss PG, Woodruff WJ. Deleterious effects of criminal victimization on women’s health and medical utilization. Arch Intern Med. 1991;151(2):342-7.

(55) Hathaway JE, Mucci LA, Silverman JG, Brooks DR, Mathews R, Pavlos CA. Health status and health care use of Massachusetts women reporting partner abuse. Am J Prev Med. 2000;19(4):302-7.

(56) Rand MR. Violence-related injuries treated in hospital emergency department. Bureau of Justice Statistics special report. Washington, DC: US Department of Justice; 1997.

(57) Coker AL, Smith PH, Bethea L, King MR, McKeown RE. Physical health consequences of physical and psychological intimate partner violence. Arch Fam Med. 2000;9(5):451-7.

(58) Campbell JC, Soeken K. Forced sex and intimate partner violence: effects on women’s health. Violence Against Women. 1999;5(9):1017-35.

(59) Felitti VJ, Anda RF, Nordenberg D, Williamson DF, Spitz AM, Edwards V et al. Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults. Am J Prev Med. 1998;14(4):245-58.

(60) Diaz-Olavarrieta C, Campbell J, Garcia C, Paz F, Villa AR. Domestic violence against patients with chronic neurologic disorders. Arch Neurol. 1999;56(6):681-5.

(62) Jaramillo DE, Uribe TM. Medición de distrés psicológico en mujeres maltratadas, Medellín, 2003. Colomb Med [en línea] 2006;37. [Acceso 2009 May 13]; disponible en: http://colombiamedica.univalle.edu.co/Vol37No2/html/PDF/cm37n2a7.pdf.

(63) Canaval GE, González MC, Humphreys J, De León N, González S. Violencia de pareja y salud de las mujeres que consultan a las Comisarias de Familia. Invest Educ Enferm. 2009;27(2): 209-17.

(64) Barrett DH, Doebbeling CC, Schwartz DA, Voelker MD, Falter KH, Woolson RF et al. Posttraumatic stress disorder and self-reported physical health status among U.S. Military personnel serving during the Gulf War period: a population-based study. Psychosomatics. 2002;43(3):195-205.

(65) Boscarino JA. Post-traumatic stress and associated disorders among Vietnam veterans: the significance of combat exposure and social support. J Trauma Stress.1995; 8(2):317-36.

(66) Golding JM, Cooper ML, George LK. Sexual assault history and health perceptions: seven general population studies. Health Psychol. 1997;16(5):417-25.

(67) Roy-Byrne P, Smith WR, Goldberg J, Afari N, Buchwald D. Post-traumatic stress disorder among patients with chronic pain and chronic fatigue. Psychol Med. 2004;34(2):363-8.

Published

2011-08-22

How to Cite

Medina, N. T., Canaval Erazo, G. E., Burgos Dávila, D. C., & Humphreys, J. C. (2011). Contribution of intimate partner violence exposure, other traumatic events and posttraumatic stress disorder to chronic pain and depressive symptoms. Investigación Y Educación En Enfermería, 29(2). Retrieved from https://revistas.udea.edu.co/index.php/iee/article/view/9977

Issue

Section

ORIGINAL ARTICLES / ARTÍCULOS ORIGINALES / ARTIGOS ORIGINAIS

Most read articles by the same author(s)

Similar Articles

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 > >> 

You may also start an advanced similarity search for this article.