Understanding the nature and etiology of intimate partner violence and implications for practice and policy

Coming to Terms with Risk Factors for Intimate Partner Violence Perpetration: A Scoping Review

PURPOSE

Intimate partner violence (IPV) is a global issue requiring a thorough understanding of risk factors to inform prevention strategies. This study applies Kraemer et al.'s (2005) categorization system to classify risk factors for IPV perpetration, addressing two research questions: 1) What variables or attributes are commonly employed to assess the risks associated with IPV perpetration, and how can these be thematized? 2) Which non-correlates, correlates, fixed markers, variable markers, and causal risk factors related to IPV perpetration are identified and examined in the existing literature?

MATERIAL AND METHODS

A scoping review of 62 publications on risk factors for IPV perpetration in married- and cohabiting couples was conducted. Risk factors were categorized using Kraemer et al.'s (2005) system.

RESULTS

The risk factors were classified into eight themes based on their shared characteristics. All variables fit Kraemer et al.'s categorization system. The majority showed correlational relationships. Fixed markers appeared in two themes, while variable markers appeared in six themes, however publications on these were limited. No causal risk factors were found.

DISCUSSION

The risk categorization system by Kraemer et al. enhances understanding of IPV perpetration risk factors. Priority areas for preventing IPV include reducing the risk of experiencing violence in childhood and ensuring access to higher education. More longitudinal research is needed for the remaining categories to establish temporal relationships.

CONCLUSION

The study highlights the value of Kraemer et al.'s categorization system for distinguishing correlation from causality in IPV risk factors, advancing prevention efforts. Important areas for preventive measures were targeted.

Psychological Predictors of Recidivism for Intimate Partner Violence Perpetrators: A Systematic Scoping Review

Theoretical accounts of recidivistic intimate partner violence (IPV) continue to differ considerably in relation to the relative weight given to psychological risk factors. A systematic overview of studies that have established psychological predictors of reoffending is currently lacking. This study aimed to identify and provide an overview of studies examining various psychological factors associated with IPV perpetration patterns. A systematic search of research conducted from 1945 to 2024 was carried out on PsycINFO, PubMed, and PILOTS. The inclusion criteria were that studies must not use self-reported reoffending data only, must use a criminal justice sample, must be longitudinal, participants must be over 17 years of age, and that studies must be published in the English language and peer reviewed. A total of 25 longitudinal studies examining individual psychological factors, proposed as potential predictors of IPV reoffending, were eligible. The identified factors were grouped into five categories: personality, anger and hostility, beliefs, attitudes and motivation, neurocognitive deficits and trauma (i.e., family of origin abuse/post-traumatic stress disorder). The current systematic scoping review found that the most-researched psychological predictor of IPV recidivism was personality. While studies vary in relation to the personality traits or disorders that contribute most to the likelihood of reoffending, in general, personality assessment appears to be a promising tool in predicting reoffending. Anger, childhood maltreatment, post-traumatic stress disorder (PTSD), implicit attitudes, and neurocognitive deficits were also identified as predictors of IPV recidivism. Methodological issues were found to be present across studies.

Domestic Violence Against Women in Nepal: A Systematic Review of Risk Factors

A systematic review was conducted to examine the factors that put women at risk of domestic violence in Nepal. Using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA), PubMed, Cochrane, MEDLINE, CINAHL, and PsycINFO were searched supplemented by searching of the reference list manually. Of the 143 studies identified 24 were included in the final review. Search strategy was developed, and studies were included if they considered female participants (age 15-49 years) in heterosexual relationship, with exposure of different factors and whose outcomes were the magnitude of any form of violence (physical, sexual, and emotional/psychological). The Mixed Methods Appraisal Tool was used to assess the quality of the studies included. The findings are categorized based on the four levels of the ecological framework. At the individual level, the alcohol consumption level of husband, education level of both women and men, women's age at the time of marriage and childhood exposure to violence were found to be highly prevalent risk factors. At the relationship level, most prevalent risk factors were controlling husband and decision-making capacity of women. At the community level, belonging to underprivileged community or low caste system and living in Terai region were the risk factors. At the societal level, patriarchal belief and norms supporting violence were the risk factors. The complex nature of violence against women in Nepal requires culturally sensitive interventions along with organized efforts from the local and intra government to improve the status of Nepalese women at all levels of the ecological framework.

Impact of the minimum wage increase on intimate partner violence (IPV): a quasi-experimental study in South Korea

BACKGROUND

Poverty is associated with intimate partner violence (IPV), but whether exogenous increases in wage could reduce IPV among low-income women is still unclear. We examined whether the 2018 minimum wage hike led to a reduction in IPV risk among women.

METHODS

Using the 2015-2019 Korean Welfare Panel Study, we employed a difference-in-differences (DID) approach to assess the effect of the minimum wage hike on IPV. The analysis focused on married women aged 19 or older. We categorised participants into a target group (likely affected by the minimum wage increase) and a comparison group based on their hourly wage. Three IPV outcomes were examined: verbal abuse, physical threat and physical assault. We conducted DID analyses with two-way fixed-effects models.

RESULTS

The increase in minimum wage was correlated with a 3.2% decrease in the likelihood of experiencing physical threat among low-income female workers (95% CI: -6.2% to -0.1%). However, the policy change did not significantly influence the risk of verbal abuse, physical assault or a combined IPV outcome. The study also highlights a higher incidence of all IPV outcomes in the target group compared with the comparison group.

CONCLUSIONS

The 2018 minimum wage increase in Korea was associated with a modest reduction in physical threat among low-income female workers. While economic empowerment through minimum wage policies may contribute to IPV prevention, additional measures should be explored. Further research is needed to understand the intricate relationship between minimum wage policies and IPV, and evidence-based prevention strategies are crucial to address IPV risk.

Evidence of Gender Asymmetry in Intimate Partner Violence Experience at the Population-Level

Claims of "gender symmetry" in intimate partner violence (IPV) prevalence are contested, with resolution of the issue complicated by methodological and measurement challenges. This study explores gendered differences in the distribution of IPV exposure at the population-level, considering multiple types of IPV exposure. The subjects comprised of 1,431 ever-partnered women and 1,355 ever-partnered men. Data from a nationally representative population-based cross-sectional survey were used to compare men and women's IPV experiences. Twenty-three IPV acts were assessed across IPV types (moderate physical, severe physical, sexual, psychological, controlling behaviors, economic). Proportions were presented by gender for the number of individual IPV acts experienced per IPV type, and the frequency of these acts (none, once, few times, or many times). A composite exposure score was developed to assess the number of acts and their frequency within types by comparing scores in tertiles and across types by correlations. Women reported greater overall prevalence of 20 of the 23 individual IPV acts assessed. Across all assessed acts, women comprised a substantially greater proportion of those who reported experiencing individual acts "many times." Women experienced more severe and more frequent IPV than men based on self-reported experience of IPV acts, and by the frequency with which acts were experienced. Significant differences between men and women's exposure scores were observed for all six assessed types, with greater proportions of women scoring in the upper tertiles. This study provides evidence of gender asymmetry in experiences of IPV at the population level. While men do experience IPV victimization, there remains need for directed and substantial resource allocation for intervention and therapeutic responses to women's exposure to IPV, and for primary prevention with men. Going forward, IPV measurement tools that consider frequency, severity, or co-occurring types of IPV are needed.

Gender, Relationship Concerns, and Intimate Partner Violence in Young Adulthood

Purpose

Few studies have examined gender-specific concerns within intimate relationships that may be associated with conflict escalation and intimate partner violence (IPV). While prior theorizing has emphasized issues such as men's feelings of jealousy, the role of concerns and conflict related to men's actions has not been as thoroughly investigated. We draw on the life course perspective as background for assessing conflict areas related to men's and women's actions during the young adult period, and subsequently the association between such concerns and the odds of reporting IPV in a current/most recent relationship.

Method

Building on a longitudinal data set focused on a large, diverse sample (Toledo Adolescent Relationships Study, n = 904), we administered surveys that assessed whether disagreements about potential conflict areas-including but not limited to infidelity-related to male or female partner's actions.

Results

Concerns about women's and men's actions were both related to the odds of reporting IPV experience, but disagreements about male partners' actions during young adulthood were actually more common, and relative to concerns about women's actions, more strongly associated with IPV.

Conclusions

Research and programmatic efforts should give additional attention to specific areas around which couples' disagreements develop and conflicts sometimes escalate. A dyadic approach adds to the frequent emphasis on emotion management and control that center primarily on one partner's problematic relationship style-thus addressing the 'form' but not the 'content' of intimate partner conflicts. This approach would highlight a broader range of relationship dynamics than are currently included in theorizing and applied efforts.

Gender Differences Between Domestic Violent Men and Women: Criminogenic Risk Factors and Their Association With Treatment Dropout

Although many studies have concluded that men and women engage in domestic violence at equal levels, existing studies have hardly focused on gender specific risk factors for domestic violence perpetration. Therefore, this study aimed to examine gender differences in criminogenic risk factors between Dutch male and female forensic outpatients who were referred to forensic treatment for domestic violence. Clinical structured assessments of criminogenic risk factors were retrieved for 366 male and 87 female outpatients. Gender differences were not only found in the prevalence and interrelatedness of criminogenic risk factors, but also in associations between criminogenic risk factors and treatment dropout. In men, risk factors related to the criminal history, substance abuse, and criminal attitudes were more prevalent than in women, whereas risk factors related to education/work, finances, and the living environment were more prevalent in women. Further, having criminal friends, having a criminal history, and drug abuse were associated with treatment dropout in men, whereas a problematic relationship with family members, housing instability, a lack of personal support, and unemployment were associated with treatment dropout in women. Finally, network analyses revealed gender differences in risk factor interrelatedness. The results provide important insights into gender specific differences in criminogenic risk factors for domestic violence, which support clinical professionals in tailoring treatment to the specific needs of male and female perpetrators of domestic violence.

Reported Perpetration of Intimate Partner Violence among Adolescent Girls: Motivations and IPV Victimization

Background: Studies on intimate partner violence (IPV) perpetration by girls and women have found self-defense is a common motivation. Current items—namely the abbreviated items from the Conflicts Tactics Scale (CTS)—used to measure IPV perpetration may be counting these girls/women as perpetrators when they are victims of IPV. The purpose of this study was to assess adolescent girls’ IPV perpetration, including (a) motivations and (b) factors associated with reports of adolescent girls’ perpetration of IPV using standard abbreviated CTS measures. Methods: This study utilized cross-sectional survey data collected from 159 participants in an urban Southern California clinic in 2016–2018. Demographic variables—age, ethnicity, current school enrollment, living situation and born in the U.S.—were analyzed with chi-square or independent t-tests. Frequency analyses were used to quantify motivations for IPV perpetration. Crude and adjusted logistic regression models assessed key variables associated with female adolescents’ IPV perpetration: victimization, drug use, alcohol day, binge drinking, depression, anxiety, and suicide ideation. A final multivariate model further adjusted for IPV victimization. Results: The average age of participants was 17 years old, and the majority of participants were Hispanic. Primary motivations for adolescent girls’ IPV perpetration included self-defense. Adolescent girls who reported IPV perpetration had significantly greater odds of victimization [95% CI = 4.31–32.07], drug use [95% CI = 1.14–6.99], binge drinking [95% CI = 1.08–6.87], and suicide ideation [95% CI = 1.13–10.62]. These findings remained significant in models adjusted for significant demographics. In the final multivariate regression model adjusted for IPV victimization, none of these factors remained significantly related to adolescent girls’ IPV perpetration. Conclusions: Findings establish a connection between victimization, self-defense, and adolescent girls’ IPV perpetration. These findings add to existing literature suggesting that the CTS measures of perpetration may encompass both IPV victimization and perpetration when used with populations of girls and women.

The Gendered Pathways Through Which Intimate Partner Violence Affects Health: Exploring the Role of Unmet Healthcare Needs

The aim of this study was to examine the relationships between intimate partner violence (IPV), gender, unmet healthcare needs, and health. Specifically, this study identified how unmet healthcare needs mediate the relationship between IPV and health, and how this mediation is moderated by gender. Using data from the National Longitudinal Study of Adolescent to Adult Health (Add Health) (N = 15,425), we first estimated ordinary least squares regression models to investigate the association between IPV and self-rated health. Then, we used structural equation models to examine how unmet healthcare needs mediate this relationship. Lastly, we conducted a moderated mediation model to investigate whether gender moderates these mediation patterns. The results of this study showed that experiencing IPV was associated with a decrease in self-rated health and an increase in the unmet need for medical care (but not in unmet need for routine health check-ups). Unmet need for medical care explained about one-quarter of the negative association between IPV and self-rated health. A moderated mediation model revealed that indirect effects of IPV on health via unmet medical care needs were more pronounced among victimized women than victimized men. This study filled knowledge gaps about the mechanisms underlying the association between IPV and poor health status. Unmet healthcare needs partially mediated the relationship between IPV victimization and health. This mechanism was more salient for the health of victimized women than victimized men. Interventions designed to improve the health of IPV victims may focus on addressing unmet healthcare needs and could be tailored according to the gender of patients.

The Association between Perpetuation of Intimate Partner Violence and Family Support on Couples with an Incarcerated Partner

The ripple effect of incarceration is multifaceted. Studies show that imprisonment impacts the well-being of intimate and extended familial relationships, parental involvement, and financial support. Using data from the Multi-site Family Study on Incarceration, Parenting, and Partnering [MFS-IP], this study examined the effects of incarceration on families. The focus of this study is to examine the effect of family support on perpetrating physical violence. The findings revealed that the actor effect for men (p < 0.05) is statistically significant, meaning that men with less family support perpetuate higher levels of intimate partner violence (IPV). The partner effects for men to women (p < 0.05) is also statistically significant, meaning women with less family support coincide with men's higher levels of IPV perpetration. Further, the effect of romantic attachment on perpetrating physical violence for men (p = 0.034) is statistically significant, meaning higher levels of romantic attachment towards the female partner coincides with their lower levels of perpetration of IPV. Clinical implications and future directions are provided.

The Earned Income Tax Credit and Intimate Partner Violence

Intimate partner violence (IPV) is a serious public health problem in the United States with adverse consequences for affected individuals and families. Recent reviews of the literature suggest that economic policies should be further investigated as part of comprehensive strategies to address IPV. The Earned Income Tax Credit (EITC) is the nation's largest anti-poverty program for working parents, and especially benefits low-income women with children, who experience an elevated risk of IPV. The EITC may prevent IPV by offering financial resources; such resources may help individuals experiencing IPV leave abusive relationships or address IPV risk factors, thereby preventing entry into abusive relationships. However, the association between EITC generosity and IPV has not been previously examined. We used state-level and individual-level datasets to examine the association between EITC generosity and IPV. Our state-level data source was the nationally representative National Crime Victimization Survey (NCVS; N = ~ 95,000 households per year). For NCVS, we used a difference-in-difference approach to investigate the relationship between state EITC generosity and IPV rates. We also used individual-level longitudinal data from the Fragile Families and Child Well-being Study (n = 13,422 person-waves). Using this cohort of US families at higher risk for IPV, we evaluated associations between estimated EITC benefits based on the mother's state of residence and number of children and self-reported IPV. In both state- and individual-level analyses, no significant association between state EITC benefits and IPV was found. Factors that may account for these null findings include program ineligibility for individuals who separate from abusive spouses. Future research efforts should more closely examine EITC policy implementation processes and the lived experience of participating in anti-poverty programs for people experiencing IPV.

IPV Characteristics, Childhood Violence, and Adversities as Risk Factors for Being Victimized in Multiple IPV Relationships

Empirical knowledge regarding risk factors for intimate partner violence (IPV) from multiple partners (MP) is scarce and sought by clinicians and many women themselves for the prevention of future intimate partner violence relationships (IPVRs). Quantitative data were obtained through a structured interview with a stratified sample of help-seeking women (N = 154) with no (n = 48, 0IPVR), one (n = 55, 1IPVR), or multiple (n = 51, 2IPVR) IPVRs. This study investigated the association between (a) childhood family violence, (b) other childhood adversities, (c) victimization and perpetration of IPV in the last (index) relationship, and (d) controlling sociodemographic and contextual variables, and the following dependent variables: (a) women with 1IPVR and 2IPVR compared with 0IPVR and (b) women with 1IPVR compared with 2IPVR. Multivariate logistic regression analyses indicated that, compared with nonvictimized women, IPV victimized women were nearly three times more likely to report childhood sexual abuse. They also reported a higher frequency of peer victimization and a higher likelihood of having an immigrant partner. In addition, the length of the index relationship was shorter for IPV victimized women. Compared with women with 1IPVR, women with IPV by MP were more likely to report childhood emotional abuse and less education, and they were less likely to be immigrants. The two groups of IPV victimized women were indistinguishable regarding characteristics of victimization and perpetration of IPV. This study indicated that there were other risk factors for IPV by MP than for IPV in general and highlighted the importance of addressing parenting and emotional care in IPV families.

Examining Men's Experiences of Abuse From a Female Intimate Partner in Four English-Speaking Countries

This qualitative study explores the experiences of men who self-report victimization from a female intimate partner in four English-speaking countries. Forty-one men who reported any type of intimate partner abuse (IPA) from a female partner were recruited via targeted advertising in Australia, Canada, the United Kingdom, and the United States. Twelve online focus groups were conducted across countries using a phenomenologically informed design. Thematic analysis was carried out from an inductive and realist epistemological position and themes identified at a semantic level. This approach was taken to directly reflect the men's experiences and perspectives, ensuring the voices of this hard-to-reach and overlooked population were heard. Three themes were identified across the countries: an imbalanced experience of harm; living with sustained abuse; and knowledge is power for men experiencing IPA. It was found that most participants underwent physical harm in the context of coercive control and experienced abuse over long periods of time. They were slow to recognize the magnitude of their partners' behavior and act upon it for a range of reasons that are described in detail. In addition, promoting knowledge about the victimization of men by women, using appropriate language and active learning, was found to be important in helping the men gain autonomy and agency to break the pattern of abuse and aid their recovery. The implications of the findings for developing male-friendly IPA policy, practice, and services are discussed, in addition to the need for innovative research methodology to access hard-to-reach populations.

Prevalence and Social-Ecological Correlates of Intimate Partner Violence in a Conflict Zone-Evidence From the 2015 Afghanistan Demographic and Health Survey

This study examined the prevalence and social-ecological correlates of male-to-female intimate partner violence (IPV) in Afghanistan. Using data from the 2015 Afghanistan Demographic and Health Survey, which included 20,793 currently married women, we found that the past-year prevalence of physical IPV was highest (46%), followed by emotional (34%) and sexual forms (6%). Results also showed that the risk of IPV in general was associated with an array of community and societal-, family and relationship-, and person-level factors. Our findings point to potential intervention targets for women in this conflict zone where IPV is a highly pervasive and complex societal challenge.

Intimate partner violence among reproductive-age women with chronic mental illness attending a psychiatry outpatient department: cross-sectional facility-based study, Addis Ababa, Ethiopia

OBJECTIVE

To determine the prevalence of intimate partner violence (IPV), and associated factors, in reproductive-aged women attending psychiatric outpatient departments.

DESIGN

Cross-sectional facility-based study.

SETTING

Outpatient psychiatric clinics of public hospitals in Addis Ababa.

PARTICIPANTS

Reproductive aged women with chronic mental illness (CMI) who attended follow-up in psychiatric outpatient clinics.

PRIMARY AND SECONDARY OUTCOME MEASURES

The data were collected using a multi-culturally validated instrument from randomly sampled women with CMI. Multiple logistic regression was used to identify factors independently associated with IPV.

RESULT

Four hundred and twenty-two women who were attending the psychiatric outpatient clinics took part in the study. The majority of participants 62.0% (95% CI 56.1 to 68.8) experienced IPV at least once in their lifetime. The most common form of IPV experienced by women was emotional violence (60%; 95% CI 55.0 to 64.7). One hundred and eighty-six (44.1%; (95% CI 39.3 to 48.8)) respondents experienced physical or sexual violence during the last year. A history of divorce (Adjusted Odds Ratio [AOR]=5.64; 95% CI 2.75 to 11.56) and having a mental illness for more than 5 years (AOR=2.23; 95% CI 1.26 to 3.93) were associated with any form of IPV.

CONCLUSION

The high prevalence of IPV among women attending psychiatric outpatient services highlights the need to routinely inquire about IPV and develop effective strategies to prevent it among this vulnerable group.

Italian Validation of the Scale of Psychological Abuse in Intimate Partner Violence (EAPA-P)

Psychological and emotional forms of violence often represent a danger alarm and an important risk factor for other forms of intimate partner violence (IPV). Measuring psychological violence raises several issues of conceptualization and definition, which lead to the development of several assessment instruments; among them, the Scale of Psychological Abuse in Intimate Partner Violence (EAPA-P) showed good psychometric proprieties in a Spanish population and is used to identify which strategies are acted out to engage in psychological violence. The aim of the present study was to investigate the psychometric properties of the Italian version of EAPA-P among a group of Italian-speaking women (N = 343), thus evaluating its psychometric characteristics. Based on the English translation of the original Spanish version, an 11-item form of the EAPA-P was obtained, validity has been assessed through measures of emotion dysregulation, interpersonal guilt, conflict among partners and depression, anxiety, and stress symptomatology. Moreover, differences among groups were conducted to identify the capacity of the Italian version of EAPA-P to discriminate among women reporting experiencing psychological violence (N = 179), and who don't (N = 150). Results showed an excellent internal validity, good correlations, and a good discriminatory ability of the scale. Strengths, limitations, and practical implications of the study have been discussed according to recent literature.

A Network Analysis of Domestic Violence Beliefs Among Young Adults in India

This study sought to describe the system of beliefs on gender, attitudes toward women, and wife beating, in young adults who live in Mysore, India. Furthermore, it identified structural sex differences in the interplay of values among these matters that can affect individual and community views toward domestic violence. Drawing from survey data gathered from 265 young adult Indian men and women, this study used network analysis to graph a correlation network of beliefs and attitudes toward domestic violence. Node, scale, and network structure descriptions allowed for comparisons among male and female participant responses. The findings support the assertion that there are sex differences among the system of beliefs toward wife beating among Indian young adults. Gender ideology, masculine role in relationships, and legal and social consequences of wife beating emerged as the most important values to focus on when addressing young men's beliefs of domestic violence and attitudes toward women. In contrast, values influencing women's perceptions of domestic violence are more complex and related to multiple beliefs about women's power, family structure, and social and legal implications of domestic violence. The results highlight the importance of recognizing gender differences in the connectivity between gender and wife beating beliefs when designing interventions. There is a need for efforts to accurately target these values and attitudes to more effectively address gendered attitudes and beliefs about domestic violence in this population.

Perpetrators' Perspectives on Family Violence: An Event Process Model

Offense process models are descriptive theories that provide a temporal outline of an offense-including its cognitive, behavioral, contextual, and motivational components-from a perpetrator's perspective. Offense process models have been developed for a wide range of criminal offending (e.g., alcohol-impaired driving, child sexual offending, rape, aggravated robbery, homicide), but remain underdeveloped for family violence. The purpose of this study was to develop an offense process model of family violence. We conducted individual semistructured interviews with 27 participants-14 men and 13 women-completing community-based family violence perpetrator treatment programs, and systematically analyzed participants' narratives of family violence events using grounded theory methods. The resulting event process model of family violence (FVEPM) contains four sections, arranged temporally from the most distal to the most proximal factors in relation to the family violence event: (1) background factors, (2) event build-up, (3) event, and (4) post-event. Each section outlines the cognitive, behavioral, contextual, and motivational factors that contribute to family violence perpetration. The FVEPM is the first attempt to consider whether a single offense process model can account for a broader range of family violence than that used solely by men toward their female intimate partners. Furthermore, the FVEPM highlights the dynamic nature of family violence events (FVEs), and the salient role of situational and interpersonal factors in contributing to family violence perpetration. We argue that the FVEPM has the potential to accommodate a range of types of family violence perpetration, and makes a useful contribution to theory and research on event-based models from a perpetrator perspective.

Meta-Analysis on Interventions for Children Exposed to Intimate Partner Violence

Several reviews have been conducted on children's outcomes following exposure to intimate partner violence (IPV), but there remain inconsistent findings. We conducted a meta-analysis on child emotional and behavioral outcomes of IPV exposure interventions, based on published reviews that included a child component. We also explored relative effect sizes by examining moderators of the effect sizes across studies. This meta-analysis included 21 evaluation studies across 12 published reviews, which were located using a multiple database systematic search of English publications between 2000 and 2019. Studies were required to evaluate IPV interventions that included children, to gather quantitative pre- and post-intervention data on child outcomes, to use standardized instruments, and to present data in a format that could be used in a meta-analysis. Results indicated an overall pre- to post-intervention medium effect size (d = 0.49), with effect sizes ranging from small to large depending on the specific outcome. Improvements at follow-up were maintained for internalizing behaviors but decreased for trauma-related symptoms and social, externalizing, and total behaviors. However, externalizing and total behavior outcomes still had significant effect sizes in the small-to-medium range (d = 0.36 and 0.44). There were greater intervention effects when treatment was not exclusively trauma-specific. It appears that IPV exposure interventions are generally effective for improving children's emotional and behavioral well-being, although interventions would benefit from greater tailoring to children's specific needs. Interventions may also benefit from incorporating various content areas (both trauma-specific and non-trauma-specific) and from greater focus on ensuring the maintenance of treatment gains.

Examining Adolescent Family Experiences as Risks for Young Adulthood Intimate Partner Violence in Two Longitudinal Samples

Little research has examined multiple family risks that may act as precursors to the cycle of violence, or the link between child maltreatment and subsequent intimate partner violence perpetration. Scholarly work that addresses this gap has important implications for early prevention and intervention efforts aimed at reducing family violence in adolescence and young adulthood. Based upon the family stress model and the cycle of violence hypothesis, it was hypothesized that adolescent experiences of economic pressure, caregiver depressed mood, and caregiver conflict would increase risk for abusive parenting and that abusive parenting in adolescence would link these family experiences to partner violence perpetration in young adulthood. The model was tested using longitudinal data spanning 12 years from two studies: The Iowa Youth and Families Project (N = 306, 56.2% women), a sample of White, married-parent families, and the Family and Community Health Study (N = 213, 53.3% women), a sample of Black families diverse in terms of family structure. Path model analyses provided support for the proposed model in each sample, highlighting the importance of considering several adolescent family experiences in work on the etiology of partner violence. Policy and practice interventions are offered, such as the need for economic supports for families, accessible mental health care, and relationship education programming for youth.

Meaning Attribution to Intimate Partner Violence by Counselors Who Support Women With Intimate Partner Violence Experiences in Greece

The present study refers to the meaning attributed to intimate partner violence by counselors supporting women who have experienced abuse and seek for help. The main focus of the study is the investigation of the effect of the counselors' work experience in changing the meaning of intimate partner violence. The research involved 10 counselors working in social services (counseling centers and shelter services), in Greece, who support women who have suffered intimate partner violence in their relationships. The research data were collected through semi-structured interviews, and their analysis followed the interpretative phenomenological method. The qualitative analysis of the interviews showed that the counselors' work experience broadens the meaning of intimate partner violence. The broadened definition of intimate partner violence seems to affect simultaneously the counselors' sense of (their) vulnerability to violence.

Couple Reports on Intimate Partner Violence and their Health Impact: Evidence From a Population-Based Survey in Japan

Recent studies have shown that couples' reports of intimate partner violence (IPV) are not necessarily consistent. This study investigated the associations between patterns of partner victimization and perpetration reports and health and perceived wellbeing. Using household survey data from a probabilistic urban sample of adults aged 25 to 50 years and their partners, we identified 1,467 heterosexual pairs who completed the modified Japanese version of the Conflict Tactics Scale 2 Short Form. We classified responses into four categories: congruent report of no IPV, incongruent respondent victimization report, incongruent partner perpetration report, and congruent report of IPV. We used analysis of covariance to compare physical and mental health (measured by the SF-8 Health Survey Questionnaire) and life satisfaction among the four groups. The results showed that 22.4% of respondents were involved in IPV, and approximately 75% of them had incongruent reports. Compared with congruent reports of no IPV, respondents with an incongruent victimization report and an incongruent partner perpetration report scored significantly lower on physical health (-0.96, p = .03 and -1.16, p = .04, respectively). Those with an incongruent victimization report and congruent report of IPV had lower mental health scores (-2.32, p = .00 and -2.21, p = .00, respectively) and lower life satisfaction (-0.32, p = .00 and -0.21, p = .01, respectively). The results indicated that the respondent's victimization report was associated with worse mental health regardless of their partner's perpetration report, and physical health was worse only in cases with incongruent reports. Cases with a partner perpetration report but no respondent victimization report showed worse physical health but no negative effects on mental health and perceived wellbeing. These results indicate that research and practice regarding IPV should consider both partners' experiences of violence when assessing the impact of health and wellbeing on victims.

Cardiac Autonomic Function and Psychological Characteristics of Heterosexual Female Perpetrators of Intimate Partner Physical Aggression

Intimate partner violence is predominantly viewed as a social problem of men's violence against women. However, a growing evidence base suggests an equal prevalence rate for male and female perpetrated intimate partner physical aggression. Moreover, female perpetrated intimate partner violence is often assumed to be reactive, yet there is limited evidence to support this notion. In this article, we describe the results of two studies that investigated the prevalence of female perpetrated intimate partner physical aggression, and its correlates in heterosexual female university students. The relationships of personality traits, resting heart rate, and heart rate variability (a correlate of vagal activity) were compared between females who did and did not report having engaged in intimate partner physical aggression. In Study 1, we found that 30.9% of participants reported enacting intimate partner physical aggression during the preceding 12 months. This finding suggests that a considerable number of undergraduate females aggress against their intimate partners. Perpetrators, relative to nonperpetrators, scored higher on secondary psychopathic traits. In Study 2, female intimate partner violence was shown to be associated with low resting heart rate and high heart rate variability. Perpetrators, relative to nonperpetrators, scored higher on psychopathic traits that index emotional resilience and unempathic tendencies, and reported increased proactive and reactive aggression. This raises the possibility that some incidences of female intimate partner physical aggression represent proactive aggressive acts. These findings also support the frequently found association between low resting heart rate and aggression, but raise the prospect that the reported aggressive acts reflect high heart rate variability and strong parasympathetic nervous system activity.

Intimate Partner Violence Victimization and Perpetration in a Turkish Female Sample: Rejection Sensitivity and Hostility

Intimate partner violence (IPV) against women is one of the most alarming social problems all over the world. Recently, IPV research focuses on the bidirectional nature of the phenomenon, which underlines that both women and men can equally be victims and perpetrators of IPV, especially in community samples. The cycle of violence theory asserts that child abuse and neglect (CAN) is a vulnerability factor for being both a victim and perpetrator of IPV while developmental mechanisms perspective assesses mediators explaining this association. The purpose of the current study was to investigate whether CAN and each type of CAN (emotional maltreatment, physical abuse and neglect, and sexual abuse) would be associated with victimization of and perpetration by women via the multiple mediator roles of rejection sensitivity and hostility after controlling for co-occurring CAN types. The sample (N = 288) included Turkish women who were currently married or in a romantic relationship or in one of these statutes in the past year. Participants were recruited via online survey to fill out the related questionnaires. The results of Bootstrap analyses showed that the total CAN scores were associated with being a victim and perpetrator of IPV in the past year. Rejection sensitivity mediated the association between CAN and being a victim of IPV while hostility was a mediator between CAN and perpetration of IPV. Childhood emotional maltreatment (CEM) was the only trauma type which predicted victimization by rejection sensitivity and perpetration by hostility above and beyond the effects of co-occurring trauma types. The present study findings contributed to the growing literature that women exposed to childhood traumas can also be perpetrators of violence that was a demonstrated risk factor for the repeated victimization. Results implied that developmental and process variables should be taken into account rather than a strict gendered analysis of IPV in research and clinical practice.

Initial Development and Validation of the Likelihood to Physically Abuse Scale in an American Male Sample

In two studies, a psychological measure that predicts the likelihood of a male partner to physically abuse a female intimate partner-the Likelihood to Physically Abuse (LPA) scale-was developed. The LPA scale's internal reliability and validity were tested in Study I (N = 183). In Study II, 299 men were administered the LPA scale online along with validated measures related to intimate partner violence (IPV) perpetration to further test the internal reliability of the LPA scale and test its construct and external validity. Overall, the results from both studies showed excellent internal reliability (α ≥ 90) and support for the LPA scale's validity with all but one measure showing moderate (r ≥ .30) to strong correlational relationships (r ≥ .50).

Exploring the knowledge translation of domestic violence research: A literature review

There is growing recognition of the links between knowledge translation, policy and practice, particularly in the domestic violence research area. A literature review applying a systematic approach with a realist lens was the preferred methodology. The review answered the following question: What are the mechanisms of change in research networks which 'work' to support knowledge translation? A search of eight electronic databases for articles published between 1960 and 2018 was completed, with 2,999 records retrieved, 2,869 records excluded and 130 full-text articles screened for final inclusion in the review. The inclusion criteria were purposefully broad, including any study design or data source (including grey literature) with a focus on domestic violence knowledge translation. The analysis of included studies using a realist lens identified the mechanisms of change to support knowledge translation. A disaggregation of the included studies identified five theories focused on the following outcomes: (1) develop key messages, (2) flexible evidence use, (3) strengthen partnerships, (4) capacity building and (5) research utilisation. This review adds to our understanding of knowledge translation of domestic violence research. The mechanisms of change identified may support knowledge translation of research networks. Further research will focus on exploring the potential application of these program theories with a research network.

Male Victims of Female-Perpetrated Partner Violence: A Qualitative Analysis of Men's Experiences, the Impact of Violence, and Perceptions of Their Worth

There has been a recent increase in the amount of research on male victims of female-perpetrated partner violence (PV) but research needs to be conducted to understand how the patterns of abuse persist in these relationships. In the current study, the experiences of 59 male PV victims in the USA, recruited through online advertisements in professional networks and websites (e.g., agencies that specialize in male victims of PV), were explored through a thematic analysis. Analyses suggested that the help seeking process of male PV victims is complex and heterogeneous and can often lead to further negative consequences due to various structural, cultural, social, and organizational factors. The findings also highlight the potential societal issues that male victims perceived as contributing to male victimization and lack of available resources for them. The results are discussed in terms of its implications for agencies, service providers, and general societal attitudes that are relevant to raising awareness about this phenomenon.

Comparing Implicit and Explicit Attitudes Toward Intimate Partner Violence Against Women

Intimate partner violence against women (IPVAW) is an epidemic social and public health problem. Research has consistently found evidence for a complex etiology of IPVAW resulting from the interaction of many factors, among which gender-related norms and attitudes are among the main drivers of this violence. Public attitudes toward IPVAW are especially important because attitudes rejecting, condoning, or fostering such behavior are social factors that contribute to a climate of tolerance or refusal that can shape the social environment in which such violence takes place. Given the importance of these attitudes, the availability of reliable, valid, and concise measures is critical for both research and intervention purposes. The evidence shows a probable bias of direct or explicit assessment measures of IPVAW attitudes, and it has been suggested that they should be complemented by indirect or implicit measures. In this context, the main aim of this paper was to examine how implicit and explicit attitudes toward IPVAW differ among a Spanish population. An opportunity sample of 693 students took part in this study. Two direct or explicit measures (the Inventory of Distorted Thoughts about Women and Violence, IPDMV, and the Inventory of Beliefs about Intimate Partner Violence, IBIPV) and one indirect or implicit measure [the Gender Violence Implicit Association Test (GV-IAT), a personalized form of the Implicit Association Test (IAT)] were applied. The results obtained show that the psychometric characteristics of the implicit measure used (GV-IAT) are acceptable. Additionally, we obtained significant differences by gender, IPVAW knowledge, IPVAW involvement, and political opinion when we measured IPVAW attitudes by implicit measures. However, when we measured these attitudes by explicit measures, we only obtained significant differences by gender and political opinion. Finally, the results highlight the important differences between the levels of strong IPVAW rejection measured with explicit and implicit measures, confirming the traditional discrepancy between explicit and implicit measures of attitudes. In summary, the results obtained provide additional support for the idea that GV-IAT constitutes a promising assessment tool to complement explicit measures for attitudes toward IPVAW.

A study protocol to assess the feasibility of conducting an evaluation trial of the ADVANCE integrated intervention to address both substance use and intimate partner abuse perpetration to men in substance use treatment

BACKGROUND

Strong evidence exists that substance use is a contributory risk factor for intimate partner abuse (IPA) perpetration. Men in substance use treatment are more likely to perpetrate IPA than men from the general population. Despite this, referral pathways are lacking for this group. This trial will assess the feasibility of conducting an evaluation trial of a tailored integrated intervention to address substance use and IPA perpetration to men in substance use treatment.

METHODS/DESIGN

ADVANCE is a multicentre, parallel-group individually randomised controlled feasibility trial, with a nested formative evaluation, comparing an integrated intervention to reduce IPA + substance use treatment as usual (TAU) to TAU only. One hundred and eight men who have perpetrated IPA in the past 12 months from community substance use treatment in London, the West Midlands, and the South West will be recruited. ADVANCE is a manualised intervention comprising 2-4 individual sessions (2 compulsory) with a keyworker to set goals, develop a personal safety plan and increase motivation and readiness, followed by a 12-session weekly group intervention delivered in substance use services. Men will be randomly allocated (ratio 1:1) to receive the ADVANCE intervention + TAU or TAU only. Men's female (ex) partners will be invited to provide outcome data and offered support from integrated safety services (ISS). Regular case management meetings between substance use and ISS will manage risk. Outcome measures will be obtained at the end of the intervention (approximately 4 months post-randomisation) for all male and female participants. The main objective of this feasibility trial is to estimate parameters required for planning a definitive trial including rates of consent, recruitment, and follow-up by site and group allocation. Nested formative evaluation including focus groups and in-depth interviews will explore the intervention's acceptability to participants, group facilitators, keyworkers and ISS workers. Secondary outcomes include substance use, IPA, mental health, self-management, health and social care service use, criminal justice contacts, and quality of life.

DISCUSSION

Findings from this feasibility trial will inform the design of a multicentre randomised controlled trial evaluating the efficacy and cost-effectiveness of the ADVANCE intervention for reducing IPA and improving the well-being of female (ex)partners.

TRIAL REGISTRATION

ISRCTN79435190.

Intimate Partner Violence: Innovations in Theory to Inform Clinical Practice, Policy, and Research

Intimate partner violence (IPV) and intergenerational transmission of IPV in families are destructive social issues in need of considerable attention. Knowledge of the multi-level, complex causes, and consequences of IPV in the United States has increased significantly over the last two decades. Given these gains in learning, the authors’ aim here is to highlight recent critical and emerging theoretical perspectives on IPV. Frameworks included for application are intersectionality theory, historical trauma and decolonization, human rights, constructivist self-development theory, the posttraumatic growth paradigm, and adverse childhood experiences. This discussion will help to illuminate the dynamics of IPV that are actionable by practitioners using frameworks that promote cultural sensitivity, inclusion, and strengths-based practice with diverse populations. The authors discuss the scope of IPV while focusing on critical vulnerable people and exploring issues of relative privilege and oppression. Next, the authors review the historical body of theory informing understandings of IPV, and emerging theoretical frameworks on IPV. We offer conclusions throughout as they relate to the application of highlighted theories to IPV.

Self-reporting DSM-5/ICD-11 clinically significant intimate partner violence and child abuse: Convergent and response process validity

Diagnostic and Statistical Manual of Mental Disorders-Fifth Edition (DSM-5) and International Classification of Diseases-11th Revision (ICD-11; proposed) now include criteria for clinically significant (a) intimate partner violence (IPV) and neglect and (b) child abuse and neglect. However, existing measures of IPV and child abuse do not allow for assessment of established criteria. The current study examines the convergent and response process validity of the Family Maltreatment (FM) measure of clinically significant physical and psychological IPV and child abuse. Participants (N = 126) completed the FM via computer and measures of IPV (Revised Conflict Tactics Scale; Straus, Hamby, Boney-McCoy, & Sugarman, 1996) and child abuse (Parent-Child Conflict Tactics Scale; Straus, Hamby, Finkelhor, Moore, & Runyan, 1998) via paper-and-pencil. Participants who endorsed acts of aggression on the FM completed an audio-recorded computerized interview recounting the 2 most severe incidents. Verbalized incidents (n = 138) were coded for clinically significant family maltreatment. Results largely supported the convergent validity of the FM. Agreement of acts endorsed on the FM with those endorsed on convergent measures was excellent for IPV and physical child abuse, yet poor for psychological child abuse. Further, in support of the response process validity of the FM, comparison with observer ratings of interviews indicated few "false positives" and no "false negatives" on the FM across the examined types of clinically significant IPV and child abuse. In summary, the FM is a promising measure for the assessment of clinically significant physical and psychological abuse as defined in the DSM-5 and ICD-11 (proposed). (PsycINFO Database Record (c) 2020 APA, all rights reserved).

Physical Intimate Partner Violence and Controlling Behavior in Mexican University Students and Their Attitudes Toward Social Limits

This study explored patterns of controlling behavior, physical violence, and attitudes toward social limits in young Mexican university students in light of the effect that socialization processes have in attitudes toward social norms and violent behavior as indicated in some of the literature. A total of 437 male and female heterosexual participants residing in Ciudad Juárez, Mexico, provided information on their perpetration/victimization experiences of controlling behavior (by means of the Controlling Behaviors Scale) and physical violence (using the Revised Conflict Tactics Scales [CTS2]) and their attitudes toward social limits (using the Attitudes Toward Social Limits scale). Results indicate similar chronicity levels of experienced controlling behavior and physical violence perpetration/victimization between the sexes. Participants expressed major tendency to adjust to a social norm rather than overstepping it. Males tend to overstep social limits more often than females, although no significant linear relationship was found between abusive behavior and attitudes promoting the infringement of social norms. Higher chronicity levels were rather found by dyadic type, relationships with mutual physical intimate partner violence (IPV), and controlling behavior in comparison with relationships where unidirectional violence prevails. Implications of findings involve the acknowledgment of change in dynamics used by more educated young Mexicans, and the recognition of IPV in these populations as a heterogeneous phenomenon for primary and secondary interventions.

The Prevalence and Correlates of Partner Violence Used and Experienced by Adults With Intellectual Disabilities: A Systematic Review and Call to Action

It has been suggested that individuals with intellectual disabilities (IDs) are at increased risk of violence perpetration and victimization. A systematic review was undertaken to identify and critically evaluate the existing empirical research concerning the use and experience of partner violence by adults with IDs. In total, six poor-quality articles were identified: five of which adopted qualitative methods and one of which adopted a mixed-methods approach, comprising a total of 93 participants (48 women, 45 men: 1 perpetrator, 92 victims). The qualitative data were extracted from the studies and synthesized. A partner violence victimization rate of 60% was identified in one nonrepresentative sample. Two superordinate themes emerged from the qualitative data: nature of partner violence experience and help seeking. Children were the cross-cutting theme within the two superordinate themes. Participants reported experiencing a range of physical, emotional, and sexual violence leading to serious injury and psychological consequences. Participants reported experiences of positive and negative help-seeking reactions from professionals and specific requirements of services for victims with IDs. Children were identified as involved in the experience of abuse, the impact of abuse, and decisions to seek help. The findings indicate that training of clinical staff to detect partner violence is needed. In addition, adults with IDs need education concerning healthy relationships. Research is needed to better understand the difference between "challenging behavior" that is behavior displayed by an individual which challenges services, family members, and carers. Such behavior is more common in individuals with a severe ID for whom it would not be appropriate to be dealt with through the criminal justice system, and partner violence, in order to develop appropriate interventions for victims and perpetrators with ID.

Mental disorders and intimate partner violence perpetrated by men towards women: A Swedish population-based longitudinal study

BACKGROUND

Intimate partner violence (IPV) against women is associated with a wide range of adverse outcomes. Although mental disorders have been linked to an increased risk of perpetrating IPV against women, the direction and magnitude of the association remain uncertain. In a longitudinal design, we examined the association between mental disorders and IPV perpetrated by men towards women in a population-based sample and used sibling comparisons to control for factors shared by siblings, such as genetic and early family environmental factors.

METHODS AND FINDINGS

Using Swedish nationwide registries, we identified men from 9 diagnostic groups over 1998-2013, with sample sizes ranging from 9,529 with autism to 88,182 with depressive disorder. We matched individuals by age and sex to general population controls (ranging from 186,017 to 1,719,318 controls), and calculated the hazard ratios of IPV against women. We also estimated the hazard ratios of IPV against women in unaffected full siblings (ranging from 4,818 to 37,885 individuals) compared with the population controls. Afterwards, we compared the hazard ratios for individuals with psychiatric diagnoses with those for siblings using the ratio of hazard ratios (RHR). In sensitivity analyses, we examined the contribution of previous IPV against women and common psychiatric comorbidities, substance use disorders and personality disorders. The average follow-up time across diagnoses ranged from 3.4 to 4.8 years. In comparison to general population controls, all psychiatric diagnoses studied except autism were associated with an increased risk of IPV against women in men, with hazard ratios ranging from 1.5 (95% CI 1.3-1.7) to 7.7 (7.2-8.3) (p-values < 0.001). In sibling analyses, we found that men with depressive disorder, anxiety disorder, alcohol use disorder, drug use disorder, attention deficit hyperactivity disorder, and personality disorders had a higher risk of IPV against women than their unaffected siblings, with RHR values ranging from 1.7 (1.3-2.1) to 4.4 (3.7-5.2) (p-values < 0.001). Sensitivity analyses showed higher risk of IPV against women in men when comorbid substance use disorders and personality disorders were present, compared to risk when these comorbidities were absent. In addition, increased IPV risk was also found in those without previous IPV against women. The absolute rates of IPV against women ranged from 0.1% to 2.1% across diagnoses over 3.4 to 4.8 years. Individuals with alcohol use disorders (1.7%, 1,406/82,731) and drug use disorders (2.1%, 1,216/57,901) had the highest rates. Our analyses were restricted to IPV leading to arrest, suggesting that the applicability of our results may be limited to more severe forms of IPV perpetration.

CONCLUSIONS

Our results indicate that most of the studied mental disorders are associated with an increased risk of perpetrating IPV towards women, and that substance use disorders, as principal or comorbid diagnoses, have the highest absolute and relative risks. The findings support the development of IPV risk identification and prevention services among men with substance use disorders as an approach to reduce the prevalence of IPV.

Expanding perspectives: A social inequities lens on intimate partner violence, reproductive justice, and infant mental health

Intimate partner violence (IPV) poses a threat to the attainment of reproductive justice. Women who experience IPV are limited in their ability to parent their children in a secure and nurturing environment, which can have negative effects on the mother and child immediately and long-term, potentially distressing reproductive well-being across generations. Societal inequities faced by women, particularly women of color, within education, economic, and legal systems are associated with risk factors for IPV. This article will use national- and state-level data with case examples and the lens of reproductive justice to consider the impact of and potential solutions to historical and institutional inequities related to IPV.

The Process of Primary Desistance From Intimate Partner Violence

This study examined the interaction between structure and agency for individuals in the first or early phase of primary desistance (1 year offending free) from intimate partner violence (IPV). Narrative accounts of perpetrators, survivors, and IPV program facilitators were analyzed using Thematic Analysis. Changes in the self and the contexts, structures, and conditions were necessary to promote desistance. Perpetrators made behavioral and cognitive changes taking on different identities (agentic role) by removing external stressors and instability within the confines of a supportive environment (structural role). Findings provide a theoretical framework of desistance from IPV that integrates social processes and subjective change.

[Sexist attitudes and recognition of abuse in young couples]

Objetivo

Explorar la asociación entre las actitudes de rol de género y el reconocimiento del maltrato en jóvenes.

Diseño

Estudio transversal.

Emplazamiento

Cincuenta y siete centros de educación secundaria, formación profesional y universitaria de 5 provincias españolas (Huelva, Sevilla, A Coruña, Pontevedra y Asturias).

Participantes

Un total de 4.337 estudiantes de entre 15 y 26 años (40,6% chicos y 59,4% chicas) que mantuvieron una relación de pareja durante un mes o más.

Mediciones principales

Se utilizó la Escala de Actitudes de Rol de Género, con 20 indicadores de actitudes igualitarias o sexistas a nivel familiar, social y laboral. También se estudió si la persona estaba en una situación de maltrato percibido (MP), maltrato no percibido (MNP) o no maltrato (NM).

Resultados

En el conjunto de la muestra, el 68,6% se declaró NM, el 26,4% vivía una situación de MNP y el 5,0% reconoció sufrir maltrato. El MP fue más frecuente entre las chicas (6,3%), en los/as ≥ 18 años (6,4%) y en el alumnado universitario (6,9%). El MNP fue más habitual en los chicos (30,2%). Las actitudes más sexistas se encontraron en la dimensión laboral, y especialmente en varones y en adolescentes (15-17 años). Las actitudes menos sexistas se asociaron con menor probabilidad de vivir situaciones de MNP (odds ratio = 0,71; p-tendencia < 0,001).

Conclusiones

El sexismo parece dificultar el reconocimiento del maltrato. Lograr la equidad de género en la adolescencia y juventud es imprescindible. Los esfuerzos deberían centrarse en los varones, por ser el grupo con actitudes más sexistas y con mayor prevalencia de MNP.

Perpetrators' and Victims' Attributions for IPV: A Critical Review of the Literature

Research shows that there are a variety of reasons why people self-report engaging in intimate partner violence (IPV) perpetration, but few studies report victims' attributions for their partners' IPV perpetration. Because there are two acting partners in relationships, as well as the IPV incidents that occur in the relationships, to fully understand the dynamics of IPV, both partners' perceptions of why the incidents occur must be understood. The authors of this article systematically reviewed the available empirical evidence regarding male and female perpetrators' endorsed attributions for their IPV perpetration, as well victims' attributions for their partners' IPV perpetration. Several literature databases were explored, resulting in 50 articles that met the criteria for inclusion in this review. IPV perpetrators' commonly endorsed attributions for physical and psychological IPV consisted of control, anger, retaliation, self-defense, to get attention, and an inability to express oneself verbally. Research has not examined endorsed attributions for coercive control. The few studies examining attributions for sexual IPV found that it was attributed to dominance or hedonism. Themes regarding victims' attributions were largely similar to those of the perpetrators, however, there were some differences. Victims' attributions for physical IPV perpetration consisted of anger, control, jealousy, and the influence of drugs/alcohol, which are similar to perpetrators' self-reported attributions for engaging in IPV perpetration. Victims' attributions for their partners' psychological IPV perpetration consisted of the perpetrator's personality, relationship dissolution, alcohol, and their partners' jealousy. Victims' attributions for their partners' sexual IPV perpetration, however, differed from perpetrators' attributions, consisting of the victim believing that the perpetrator thought they wanted it, being under the influence of alcohol/drugs, and doing it out of love. Methodological inconsistencies, directions for future research, and treatment implications are also discussed.

A Review of Domestic Violence Perpetrator Programs in the United Kingdom

The aim of this study was to conduct a review of current intimate partner violence (IPV) perpetrator provision within the United Kingdom. The objective of the review was to explore the characteristics of intervention programs currently within the United Kingdom. Using a questionnaire-based design, we explored characteristics of current programs including program structure, program logistics, facilitator characteristics, and facilitator insights around the programs. A number of organizations completed the questionnaire (N = 21), and a review of existing literature was performed to explore the general characteristics of programs being delivered within the United Kingdom. Within the sample, we found that the feminist approach was still influential, but that facilitators also reported a need to ensure programs are more inclusive in their service provision to represent the diversity of perpetrators found. An unexpected finding from this study was the resistance of many organizations to engage with the research through an apparent suspicion of the agenda and motivation of the research team.

"He Never Did Anything You Typically Think of as Abuse": Experiences With Violence in Controlling and Non-Controlling Relationships in a Non-Agency Sample of Women

Traditionally, any physical aggression within intimate relationships has been labeled "domestic violence," even as researchers and advocates continue to disagree about the nature of that phenomenon vis-à-vis gender and control. As part of a larger mixed-methods study, 22 women from a non-agency, community-based sample who reported experience with relationship violence were interviewed. The existence of patterned coercive and controlling behaviors substantially differentiated experiences with violence, suggesting this dynamic is at least as important to identify as physical violence. Although preliminary, the impact of these findings on intervention and prevention strategies and on the debate surrounding gender symmetry is discussed.

Factors associated with physical or sexual intimate partner violence perpetration by men attending substance misuse treatment in Catalunya: A mixed methods study

BACKGROUND

Prevalence of intimate partner violence perpetration is higher among male substance misusers than men in the general population. Previous studies have included few risk factors, limiting their capacity to inform interventions.

AIM

The aim of this study was to examine factors associated with intimate partner violence by male substance misusers.

METHODS

Two hundred and thirty-five men in treatment for substance misuse completed surveys that included the Revised Conflict Tactics Scale and the Psychological Maltreatment of Women Inventory (PMWI). Variables significant in bivariate analyses were entered into multiple logistic regression analyses. Seventeen in-depth interviews were conducted with perpetrators and analysed using a framework approach.

RESULTS

Just over a third of the men (34%) had been violent in the last year to their current/most recent partner. After excluding the men's own domestic victimisation from the multivariate model, perpetratation of such violence was significantly and independently associated with lower level of education, having higher PMWI dominance-isolation and emotional-verbal subscale scores and parents who had separated/divorced, and at a lower level of significance, childhood physical abuse, hazardous drinking and cocaine as the principal drug for which treatment was sought. Interview data suggested that perpetrators 'blamed' alcohol or cocaine use, jealousy, control and provocation or 'fighting back' for their behaviour.

CONCLUSIONS

Intimate partner violence is common among men attending substance misuse treatment. Integrated interventions should that address both intimate partner violence and substance misuse should be considered. Areas for intervention would include reducing dominating-isolating behaviours and emotional-verbal abuse, improving communication skills, challenging gender-specific roles and believing that substance use 'causes' violent behaviour.

Systematic review of structural interventions for intimate partner violence in low- and middle-income countries: organizing evidence for prevention

Background

Despite growing attention to intimate partner violence (IPV) globally, systematic evaluation of evidence for IPV prevention remains limited. This particularly is true in relation to low- and middle-income countries (LMIC), where researchers often organize evidence by current interventions strategies rather than comprehensive models of IPV. Applying the concept of structural interventions to IPV, we systematically reviewed the quantitative impact of such interventions for prevention of male-to-female IPV in LMIC in order to (a) highlight current opportunities for IPV research and programming and (b) demonstrate how structural interventions may provide an organizing framework through which to build an evidence base for IPV prevention.

Methods

We identified articles by systematically searching PubMed and Web of Science, reviewing references of selected studies, and contacting 23 experts. Inclusion criteria included original research, written in English, published between January 2000 and May 2015 in the peer-reviewed literature. Studies evaluated the quantitative impact of structural interventions for the prevention of male-to-female IPV in LMIC through (a) IPV incidence or prevalence or (b) secondary outcomes theoretically linked to IPV by study authors. After initial screening, we evaluated full text articles for inclusion and extracted data on study characteristics, outcomes, and risk of bias, using forms developed for the review.

Results

Twenty articles (16 studies) from nine countries met inclusion criteria, representing 13 randomized control trials and seven additional studies, all of which reported results from economic, social, or combined economic and social interventions. Standardized at p < 0.05 or 95 % confidence intervals not including unity, 13 studies demonstrated statistically significant effects for at least one primary or secondary outcome, including decreased IPV and controlling behaviors; improved economic wellbeing; enhanced relationship quality, empowerment, or social capital; reduced acceptability of IPV; new help seeking behaviors; and more equitable gender norms. Risk of bias, however, varied in meaningful ways.

Conclusions

Our findings support the potential effectiveness of structural interventions for IPV prevention. Structural interventions, as an organizing framework, may advance IPV prevention by consolidating available evidence; highlighting opportunities to assess a broader range of interventions, including politico-legal and physical approaches; and emphasizing opportunities to improve evaluation of such interventions.

Electronic supplementary material

The online version of this article (doi:10.1186/s12889-015-2460-4) contains supplementary material, which is available to authorized users.

Anger, hostility, internalizing negative emotions, and intimate partner violence perpetration: A meta-analytic review

Prior reviews have identified elevated trait anger as a risk factor for intimate partner violence (IPV) perpetration. Given that 10 years have passed since the last comprehensive review of this literature, we provide an updated meta-analytic review examining associations among anger, hostility, internalizing negative emotions, and IPV for male and female perpetrators. One hundred and five effect sizes from 64 independent samples (61 studies) were included for analysis. IPV perpetration was moderately associated with the constructs of anger, hostility, and internalizing negative emotions. This association appeared stronger for those who perpetrated moderate to severe IPV compared to those who perpetrated low to moderate IPV, and did not vary across perpetrator sex, measurement method, relationship type, or perpetrator population. Implications and limitations of findings were reviewed in the context of theoretical models of IPV, and future directions for empirical and clinical endeavors were proposed.

Women's entrepreneurship and intimate partner violence: A cluster randomized trial of microenterprise assistance and partner participation in post-conflict Uganda (SSM-D-14-01580R1)

Intimate partner violence is widespread and represents an obstacle to human freedom and a significant public health concern. Poverty alleviation programs and efforts to economically "empower" women have become popular policy options, but theory and empirical evidence are mixed on the relationship between women's empowerment and the experience of violence. We study the effects of a successful poverty alleviation program on women's empowerment and intimate partner relations and violence from 2009 to 2011. In the first experiment, a cluster-randomized superiority trial, 15 marginalized people (86% women) were identified in each of 120 villages (n = 1800) in Gulu and Kitgum districts in Uganda. Half of villages were randomly assigned via public lottery to immediate treatment: five days of business training, $150, and supervision and advising. We examine intent-to-treat estimates of program impact and heterogeneity in treatment effects by initial quality of partner relations. 16 months after the initial grants, the program doubled business ownership and incomes (p < 0.01); we show that the effect on monthly income, however, is moderated by initial quality of intimate partner relations. We also find small increases in marital control (p < 0.05), self-reported autonomy (p < 0.10), and quality of partner relations (p < 0.01), but essentially no change in intimate partner violence. In a second experiment, we study the impact of a low-cost attempt to include household partners (often husbands) in the process. Participants from the 60 waitlist villages (n = 904) were randomly assigned to participate in the program as individuals or with a household partner. We observe small, non-significant decreases in abuse and marital control and large increases in the quality of relationships (p < 0.05), but no effects on women's attitudes toward gender norms and a non-significant reduction in autonomy. Involving men and changing framing to promote more inclusive programming can improve relationships, but may not change gender attitudes or increase business success. Increasing women's earnings has no effect on intimate partner violence.

Women's perspectives on the context of violence and role of police in their intimate partner violence arrest experiences

Intimate partner violence (IPV) accounts for up to 50% of all calls to police. In an effort to standardize arrest criteria, mandatory arrest laws were established. It is unclear whether subsequent increased rates of female arrest are due to greater recognition of female IPV perpetrators or of women acting in self-defense. This study aims to understand the context and consequences of IPV-related arrest from perspectives of women arrested in a single metropolitan area. Semi-structured qualitative interviews were conducted with women arrested and court-ordered to attend IPV education groups at a women's shelter in the Northeast United States. Interviews addressed circumstances surrounding arrest, experience with past violence, and reasoning regarding use of partner violence. Two researchers independently coded transcripts and met to iteratively refine the code and review transcripts for themes. Eighteen women were interviewed. Major themes that emerged were as follows: (a) Women's use of violence occurred within the context of their own victimization; (b) the arrest included a complex interplay between subject, partner, and police; (c) women perceived police arrest decisions to be based on a limited understanding of context; and (d) women experienced both positive and negative consequences of arrest. Many relationships did not fall under the traditional victim/perpetrator construct. Rather, women's use of violence evolved, influenced by prior experiences with violence. More appropriate methods must be developed for making arrest decisions, guiding justice system responses, and developing interventions for couples experiencing IPV. Recognition that women's use of partner violence often represented either a retaliatory or self-defensive gesture within the context of prior victimization suggests that victims' interventions should not only focus on empowerment but also provide skills and strategies to avoid temptation to adopt aggression as a primary method of self-protection.