Social network responses to victims of potentially traumatic events: A systematic review using qualitative evidence synthesis

Background

A substantial number of qualitative studies examined how adult victims of potentially traumatic events (PTEs) experienced support provided by family members, friends, colleagues, and other significant others in the informal network. Importantly, the large majority of qualitative studies focused on the perceived support of victims of specific events such as sexual offences, partner violence, homicide, accidents and disasters. Although it is likely that across specific PTEs there are similarities as well as differences in experienced support from the informal network, to date no systematic review synthesized the results of qualitative studies on support from the informal network following various types of PTEs. The aim of the present systematic review is to fill this gap in the scientific knowledge, which is also highly relevant for victim services, policymakers, and the informal network.

Methods

A literature search of qualitative studies was conducted using the electronic databases of PubMed, Web of Science, CINAHL, Psych INFO, Scopus, Criminal Justice Abstracts and Picarta. The quality of the identified studies was assessed with the Consolidated Criteria for Reporting Qualitative research (COREQ) checklist, followed by analysis of the results of the identified studies using Qualitative Evidence Synthesis.

Findings

Seventy-five papers were included in the synthesis, involving 2799 victims of PTEs such as accidents, disasters, homicide, intimate partner violence (IPV), and sexual offences. Saturation was only achieved for IPV. Overall, four major categories of perceived social support were identified, namely, support perceived as supportive, supportive but insufficient, unsupportive, and absent from informal support providers, which included friends, family, neighbors, (if applicable) offender’s family, religious group members, work/school colleagues, fellow victims, the local community, and the social network in general. Across the PTE groups, there were similarities in experiencing positive forms of support (particularly empathy and sharing experiences) as well as negative forms of support (abandonment, avoidance, lack of empathy, and not experiencing support despite victim’s request for help). There were also differences across PTE groups, in particular, victims of sexual and intimate partner violence mentioned a number of other supportive (mobilizing support, no unsupportive responses) and non-supportive (e.g., justification or normalization of violence and minimizing responses) responses.

Conclusions

The review showed that different actors within the social informal network can play an important role in providing support after victims experience violence, homicide, accidents, and disasters. However, the review revealed that the large majority of qualitative studies were aimed at victims of IPV, and only for this type of PTE was saturation achieved. This indicates that, although this synthesis identified several similarities and differences, it is still too early to draw more definitive conclusions on similarities and differences in experienced social support after various PTEs and that future qualitative studies focusing on other PTEs are much needed.

"Walking on Eggshells:" A Qualitative Study of How Friends of Young Women Experiencing Intimate Partner Violence Perceive Their Role

Young women who experience intimate partner violence (IPV) are most likely to turn to their friends for help. Although friends can play a critical role in providing support, there is little research that examines friends' experiences. In this qualitative study, we explored how friends of young women experiencing IPV perceived their role in responding to IPV in the context of friendship. We held in-depth interviews with 15 friends of young women who had experienced IPV and used reflexive thematic analysis to develop key themes from the data. We developed two overarching themes that reflected participants' perceptions of the roles they had played or considered as a friend in responding to IPV: "taking action" (which included "providing an outsider's view," "being an advisor or coach," "being a protector," and "taking a stand"); and "being there" (which included "being a listener," "being a companion" and "being an ally"). Their perceptions were shaped by friendship expectations, as well as by understandings of IPV. However, deciding what role to play in supporting their friend was constructed as challenging due to conflicting expectations that arose in the context of friendship. It involved balancing a perceived responsibility to do what they thought was best for their friend's well-being, a need to promote honesty and mutuality in the friendship, along with a competing obligation to respect their friend's choices, maintain her trust and ensure equality in the friendship. Being friends with the abuser as well as with the victim created additional complexities. Based on our findings, we identify key areas to address in developing interventions to assist friends to respond to young women experiencing IPV. These could guide friends on how to play an effective support role while also maintaining the friendship and managing the significant emotional impacts of providing help.

What Helps and Hinders Students' Intervening in Incidents of Dating Violence On Campus? an Exploratory Study Using Focus Groups

Dating violence is a problem occurring on college campuses that requires unique prevention and intervention needs. Despite the widespread prevalence and pervasive impact of dating violence victimization, formal disclosure and utilization of on-campus support services for student survivors remain low and often survivors who do tell someone disclose to an informal source of support, most often a friend. Many current educational efforts on college campuses regarding dating violence, including bystander intervention programming, fail to increase students' understanding of how to safely address a situation where a peer is experiencing an abusive relationship or to provide students with information about their role as potential responders to disclosures of violence from friends. In the present exploratory study, a series of qualitative focus groups were conducted to better understand students' perspectives on dating violence on campus. Data were analyzed according to processes of thematic analysis to examine how students' understanding and knowledge of dating violence impact their decision about whether to intervene as prosocial bystanders within their social networks using focus groups. Emergent findings reveal that students undergo a multistage process of intervening that relies heavily on their existing knowledge and attitudes toward dating violence. The findings from this article are consistent with Banyard's Action Coils model. Suggestions for future research are also discussed.

Communicating a History of Sexual Trauma: Partner Responses to Women's Disclosure

The study aimed to understand how women who experienced sexual trauma but are now in a healthy relationship perceive their partners' responses to their disclosure of sexual trauma. Forty-one women completed an in-depth semi-structured phone interview. Responses were analyzed using reflexive thematic analysis, identifying two overarching themes and six subthemes. The results provide a voice to the needs and preferences of women who experienced sexual trauma, but are navigating communication in a healthy relationship. Given that most women disclosed their experiences with partners, this sample provides valuable insight for clinicians, interventionists, and partners of survivors to navigate supportive interactions.

Female Intimate Partner Violence Survivors' Experiences With Disclosure to Informal Network Members

With the growing recognition of the importance of disclosure to informal network members (INMs) in shaping experiences for survivors of intimate partner violence (IPV), numerous quantitative studies have examined these processes, but have not provided detailed descriptive analyses of the disclosure process. Yet, these descriptive data can be a rich contribution in their own right given the dearth of knowledge about IPV disclosure. This article presents in-depth descriptive data on a Mid-Atlantic metropolitan area sample of 200 female IPV survivors' experiences with disclosure to their INMs (collected using a one-time, online survey). Most survivors (66%) disclosed to at least one INM during their initial violent relationship. The three most commonly experienced reactions to disclosure were INMs listening to the survivors' feelings, urging the survivors to talk about how they felt, and expressing that the violent partners' behaviors were problematic. The three least commonly experienced reactions were INMs blaming survivors or saying that they deserved to be treated that way, offering financial assistance, and telling them to stop talking about the incident(s). Among survivors who disclosed to their INMs, 93.9% agreed that disclosure to their INMs helped them in some way. Survivors had disclosure experiences that were relatively comparable with other survivor samples, indicating good external validity. The findings regarding reactions to disclosure were also comparable with previous studies, although the extant published literature was quite limited. Young female survivors experience a variety of reactions from their INMs, most often experiencing supportive and subjectively "positive" reactions. As the research delving into the influences and impacts of disclosure expands, close attention should be paid to how these variables are being collected and disseminated so that we have a better understanding of what happens during disclosure to INMs.

Prospective Predictors of Receiving Disclosures of Intimate Partner Violence and Sexual Assault Among College Students

OBJECTIVE

Previous research has indicated that many undergraduates receive disclosures of sexual assault and intimate partner violence (IPV) from their peers; however, much of this research has been cross-sectional. The present study assessed the extent to which demographic characteristics and victimization history predicted whether participants received disclosures over the subsequent 6 months. Directional hypotheses assessed whether psychological symptoms and attitudes predicted, or were consequences of, disclosures at follow-up.

METHOD

College students (n = 867) from a broader treatment intervention study completed pretest (Time 1) and 6-month follow-up surveys (Time 2).

RESULTS

Individuals who reported new disclosures at follow-up (56%) were more likely to be women, have previous experience receiving either sexual assault or IPV disclosures, and have experienced sexual assault or IPV victimization in their lifetime and across the follow-up period. Sexual orientation did not predict receipt of disclosures at follow-up; intervention group did not moderate these relationships. Results of longitudinal structural equation models found that although higher Time 1 posttraumatic stress disorder symptoms and depressive symptoms predicted disclosure status at follow-up, Time 1 disclosure status did not predict subsequent increases in posttraumatic stress disorder and depressive symptoms. Attitudinal variables were not significantly associated with disclosures reported at Time 1 or follow-up.

CONCLUSIONS

Findings suggest the importance of attending to personal experiences of victimization within interventions aiming to improve responses to disclosure. Although individuals with higher distress are more likely to receive subsequent disclosures, disclosure does not appear to lead to increases in long-term psychological distress.

Influence of Intimate Partner Violence Severity on the Help-Seeking Strategies of Female Victims and the Influence of Social Reactions to Violence Disclosure on the Process of Leaving a Violent Relationship

This article uses data from the 2015 Spanish Survey on Violence Against Women, a nationally representative survey of 10,171 women aged 16 or above, to analyze the relationship between the severity of intimate partner violence and formal and informal help-seeking strategies, the link between the severity of abuse and the reasons for not seeking formal help, and the influence of social reactions to violence disclosure on the process of leaving a violent relationship. The results show that in Spain, many abused women disclose violence and seek help. However, the severity of the violence strongly determines their help-seeking strategies, especially the search for formal help. Women who experienced less severe incidents tended to minimize their importance and did not seek formal help. For informal help, the differences were smaller, and a high proportion of women talked about the abuse with someone within their social environment, regardless of the severity of the suffered violence. A supportive reaction to violence disclosure had a strong and positive influence on the process of leaving the abusive relationship. The implications of these findings for the design of public policies, education, and awareness-raising campaigns are discussed.

"You Blame Me, Therefore I Blame Me": The Importance of First Disclosure Partner Responses on Trauma-Related Cognitions and Distress

Trauma recovery processes may be understood within a socioecological model. Individual factors (such as sex of the survivor) and microsystem factors (including trauma characteristics) have been studied extensively. However, there is a paucity of research examining the effects of macrosystem factors on the impact of trauma-especially examining how the response of the first person to whom the survivor disclosed affects trauma-related cognitions and distress. Sixty-three college student participants reported a history of disclosing at least one traumatic event in an online, anonymous survey. Participants also provided information on the first person they told about the trauma, the social reactions of that person, general social reactions to trauma disclosure, the participants' trauma-related cognitions and psychological distress (PTSD, other mental health issues), details about the traumatic event, and basic demographic information. Paired sample t tests showed that participants experienced the responses of the first person they told about their trauma as more favorable than the responses of the all of the people to whom they told about the event. Women and survivors of non-interpersonal trauma reported more supportive responses than men and survivors of interpersonal trauma. Hierarchical linear regressions showed that interpersonal trauma and victim blame on the part of the first person the survivor told were associated with more negative trauma-related cognitions. Interpersonal trauma, emotional support, and victim blame were associated with a greater degree of trauma-related distress. The results suggest that participants perceived the response of the first person they told as more beneficial than the response of the rest of their exosystem. However, the reactions of the first person the survivor told differed based on the sex of the survivor and the type of trauma they experienced. Consistent with previous research, interpersonal trauma and victim blame by the first person the survivor told about the trauma were associated with more trauma-related distress and negative cognitions. Trauma-related distress was also associated with greater emotional support by the disclosure partner. The results support the use of the socioeological model to better understand the complex nature of trauma recovery and have implications for prevention.

Trinidadian and U.S. Citizens’ Attitudes Toward Domestic Violence and their Willingness to Intervene

In this study, Trinidadian ( n = 194) and U.S. ( n = 290) citizens were compared on their attitudes toward domestic violence (DV) as well as their willingness to intervene in five distinct DV contexts (when the DV involved an immediate family member, extended family member, a friend, neighbor, and a coworker). The results indicated that Trinidadians were modestly, albeit statistically significantly, more tolerant of DV compared to U.S. citizens—a finding that was accounted for primarily by age differences between the two national groups. Also, Trinidadians reported being significantly less willing to intervene in DV involving a friend, neighbor, and coworker than U.S. citizens, even after controlling for differences in sociodemographic variables. Regarding gender, women expressed significantly less tolerance for DV than men across nationality. Diverse interpretations of these findings are discussed in the context of culture.

Dating Violence

This study examined the relationship of African American middle school youths’ help-seeking intentions related to dating violence with their levels of violent victimization and perpetration. When faced with the possibility of dating violence, youth expressed a willingness to seek assistance from adults. Girls victimized by more violence reported a greater willingness to turn to friends for help, in addition to parents, than girls victimized by less violence. Boys who perpetrated more violence reported a greater willingness to turn to friends, in addition to parents, than those boys who perpetrated less violence. Implications for developing culturally sensitive prevention programming are discussed.

Latino Teens Talk About Help Seeking and Help Giving in Relation to Dating Violence

The authors examine attitudes about help seeking and help giving related to dating violence among Latino ninth graders, including survey and focus group data. Latino teens are more likely to seek help for a dating violence situation from informal sources of support (e.g., friends) than from formal sources (e.g., health professionals). Students are most likely to turn to other teens for help and do not confide or trust the adults in their social network. Teens are reluctant to intervene in dating violence situations. The quality of help offered by teens related to dating violence is perceived as being limited.

Beliefs about intimate partner violence: A survey of the Swedish general public

Public interventions are considered to be an important means of preventing intimate partner violence (IPV). What people believe about the nature of IPV is likely to determine their propensity to intervene, but little is known at present about IPV beliefs among the general public. In a survey of 650 Swedish citizens, beliefs about the prevalence and causes of IPV, and viable means of intervention were assessed. Respondents estimated, on average, that IPV occurs in almost one quarter of all intimate relationships in Sweden, and that IPV is particularly prevalent in low-income groups, among non-European immigrants, in suburban areas, and in couples under the age of 50 years. Physical violence was believed to be the most frequent form of abuse in male offender-female victim cases, whereas psychological violence was considered most frequent in other combinations of offender and victim gender. Female respondents estimated a higher prevalence of IPV, attributed less blame to IPV victims, and suggested more means of intervention, than did male respondents. The findings are discussed in relation to empirical prevalence estimates, and implications are proposed.

Informal social reactions to college women's disclosure of intimate partner violence: associations with psychological and relational variables

This researchers assessed informal (e.g., friends, family) social reactions to college women's (N = 139) disclosure of intimate partner violence (IPV) within their current romantic relationships and associated psychological (i.e., posttraumatic stress symptoms [PTSS] and global psychological distress symptoms) and relational (i.e., intentions to leave the abusive relationship) variables. Women completed confidential surveys, which assessed current partner abuse, psychological and relational variables, and three types of social reactions from informal supports to disclosure of IPV: positive (e.g., believing, validating the victim), negative (e.g., disbelieving, blaming the victim), and leaving (i.e., being told to end the relationship) reactions. At the bivariate level, negative social reactions to women's disclosure were related to increases in global psychological distress, PTSS, and leaving intentions; positive social reactions to disclosure related only to increases in PTSS; and being told to leave the relationship related to increases in PTSS and leaving intentions. In the regression analyses, after controlling for abuse severity, negative social reactions were significantly related to global psychological distress and PTSS, and being told to leave significantly related to leaving intentions and PTSS. Mechanisms for these relationships and implications are discussed.

Conceptualizing Partner Abuse Among South Asian Women in Hong Kong

PURPOSE

This qualitative study was conducted with 14 South Asian women in Hong Kong to explore their perception and experiences of domestic violence by an intimate partner.

DESIGN

All interviews were transcribed and then coded based on the process of coding suggested by Strauss and Corbin, including both open and axial coding.

RESULTS

Data analysis resulted in two main core categories, "Women's perception of domestic violence" and "Cultural factors that influence their help-seeking behavior," denoting that the context in which domestic violence is experienced influences women's perception and understanding of domestic violence. Participants also drew on the discourse of culture to explain its role in their experiences of domestic violence.

CONCLUSION

Domestic violence is a concern among this group of South Asian women. Culturally appropriate domestic violence services and public education on domestic violence are needed for this community.

Disclosure of intimate partner violence to informal social support network members: a review of the literature

This article presents a review of the published literature to date on rates, experiences, and correlates of victims' disclosure of or help seeking for intimate partner violence to informal social support network members (e.g., friends, family, classmates, and coworkers). Research indicates that the majority of individuals disclose to at least one informal support and that victims' disclosure is associated with a number of demographic (e.g., victims' sex, age, race), intrapersonal (e.g., victims' feelings of shame/embarrassment, perception of control over abuse), and situational (e.g., violence frequency and severity, if abuse is witnessed) factors. Following disclosure, victims experience a wide range of positive (e.g., believing the victim's reports, validating the victim's experiences) and negative (e.g. disbelieving, blaming the victim) social reactions, with positive reactions rated as the most common and most helpful forms of support by victims. Finally, a review of psychological correlates associated with reactions to disclosure indicates that positive social reactions are associated with more psychological health benefits and fewer negative health symptoms, whereas negative social reactions were associated with increased negative psychological health symptoms. Future research methodologies and implications for violence prevention, intervention, and policy are discussed.

Public Responses to Intimate Partner Violence Against Women: The Influence of Perceived Severity and Personal Responsibility

This paper explored public willingness to act when exposed to cases of intimate partner violence against women, by analyzing the influence of perceived severity and personal responsibility on two types of responses: mediating and reporting to the police. Results (N = 419) yielded main effects of personal responsibility for both types of responses. No main effects of perceived severity were found. A significant interaction between perceived severity and personal responsibility was found only for reporting responses. Results are discussed in light of the helping behavior research tradition. Implications for public education and advocacy programs are also considered.

Women’s disclosure of dating violence: A mixed methodological study

The researchers utilized quantitative and qualitative methods to examine college women’s disclosure of dating violence. Quantitative analyses showed that disclosure of dating violence was related to stress associated with abuse, partner blame, and thoughts about ending the relationship. Qualitative content analyses demonstrated that women’s minimization of the abuse was the most commonly given reason for nondisclosure. Women who disclosed dating violence reported that the following responses to their disclosures were most helpful: receiving ‘good advice’, the opportunity to vent/talk about it, receiving comfort and other emotional support, rationalizing the partners’ behavior, and providing a neutral perspective. Conversely, the following responses were reported as least helpful: being told to end the relationship, not understanding, joking about the experiences, and ‘bad advice’. Implications for intervention and future research are discussed.

Friends of survivors: the community impact of unwanted sexual experiences

Since sexual assault survivors are most likely to disclose their experiences to a friend; prevention efforts increasingly focus on friends as informal helpers. The current study examined friends' perceptions of the disclosure experience. Undergraduates (N=1,241) at the University of New Hampshire completed a shortened version of the Ahrens and Campbell (2000) Impact on Friends measure. Results found that about 1 in 3 female undergraduates and 1 in 5 male students were told by a friend that they were a victim of an unwanted sexual experience. Gender differences were found in friends' responses to disclosure. Women reported greater emotional distress in response to a friend's disclosure, greater positive responses and lesser-perceived confusion/ineffectiveness as compared to men. Implications include the need to develop specific and clear educational material to help the community cope with and effectively respond to unwanted sexual experiences on college campuses.

Factors related to willingness to help survivors of intimate partner violence

Although researchers have found that survivors of intimate partner violence seek support from a multitude of sources, ranging from professionals to informal support networks, little is known about the extent to which community members reach out to help survivors. This study explored the type of support provided to survivors and various factors that relate to individuals' willingness to help. Survivors were more likely to be helped by women, younger individuals, those who strongly endorsed criminal justice interventions for perpetrators, and those who perceived intimate partner violence as a frequently occurring issue in their communities. Two additional factors were found to relate to an individual's likelihood of assisting others, including witnessing intimate partner violence as a child and prior victimization. Further research is needed in this area to explore helper, survivor, and contextual characteristics that may affect one's likelihood to offer assistance to survivors.

When will adolescents tell someone about dating violence victimization?

This study examined factors that influence help-seeking among a diverse sample of adolescents who experienced dating violence. A sample of 57 high school students in an urban community reported on the prevalence and characteristics of dating violence in their relationships. Someone observing a dating violence incident and a survivor's attaching an emotional meaning to the event significantly influenced adolescents to talk to someone. When dating violence occurred in isolation, survivors were more likely to receive no support from others in the aftermath of the incident. Differences between boys' and girls' help-seeking and implications for dating violence intervention and prevention programming are discussed.

Informal helpers’ responses when adolescents tell them about dating violence or romantic relationship problems

This study examines the responses of informal helpers to adolescents who disclose dating violence or upsetting but non-violent experiences in their romantic relationships. Based on a survey of 224 Midwestern high school students, the study found that youths were more likely to disclose problems to friends rather than others. A factor analysis of potential helpers' responses showed that, compared to avoidance and minimization, nurturing was the most typical response received. Adolescents who told someone about being victimized by severe dating violence were more likely to receive an avoidance response than those who told about less severe dating violence. Males encountered high levels of minimization regarding less severe dating violence. While friends and family seem to respond effectively to romantic relationship problems, youths need more training in how to respond helpfully to friends' difficulties with dating violence or how to encourage victims to seek help from trained practitioners.

Collegiate sororities and dating violence: an exploratory study of informal and formal helping strategies

Women in collegiate sororities are more at risk for violence within the context of dating relationships than is the general population of college women. Because assaulted women are more likely to turn to their peer networks for support, this study explores the formal and informal helping strategies available to sorority members within the context of their sororities. A total of 35 women representing 17 different sororities participated in 4 focus groups. Although the central finding uncovered how violence is largely omitted from the formal agendas of sororities, community and campus-based programs addressing the issue can build on their sincere interest in helping each other.

The role of social support in the psychological well-being of African American girls who experience dating violence victimization

The goals of this study were to test the relationship between dating violence victimization (i.e., verbal, emotional, and physical abuse) and psychological well-being (i.e., depressive symptomatology, self-esteem, and body image) among 522 African American girls, and to determine whether social support acted as a buffer of negative effects (moderator) or as an intervening factor (mediator) in the relationship between dating violence victimization and psychological well-being. Results from structural equation modeling indicated that dating violence victimization was associated with negative psychological outcomes. Although social support did not moderate this relationship, it served as a mediator of the relationship between dating violence victimization and psychological well-being. Dating violence programs for African American girls should consider how to incorporate family, church, and other networks in the community to foster support, and allow adolescent girls to discuss their abusive experiences in a nonblaming environment. If programs are able to buoy girls who experience dating violence, then they may be able to ameliorate the associated negative psychological sequelae.

Physical aggression, forced sex, and stalking victimization by a dating partner: an analysis of the National Violence Against Women Survey

This study used the National Violence Against Women Survey (NVAWS) of women and men to estimate noncohabitating dating violence prevalence by type (physical, forced sex, and stalking), associations between dating violence and other types of interpersonal violence across the lifespan, and association of dating violence with longer-term mental health including substance abuse. Among respondents aged 18 to 65, 8.3% of 6,790 women and 2.4% of 7,122 men experienced physical aggression, forced sex, or stalking victimization by a dating partner. Few (20.6% of women and 9.7% of men) reported more than one type of dating violence. Childhood physical aggression by a parent or guardian was strongly associated with subsequent dating violence risk for men and women. Dating violence (physical aggression specifically) was associated with current depressive symptoms, current therapeutic drug use (antidepressants, tranquilizers, or pain medications), and current recreation drug use for women. Implications for parents, survivors, health care, and service providers are discussed.

Dating violence: a critical review of the literature

The investigation of dating violence has previously been underrepresented in the interpersonal violence literature. Within the past 2 decades, however, researchers have significantly advanced our knowledge of the variables associated with dating violence. This critical article provides a comprehensive review of the current body of literature on dating aggression. Research on dating violence is presented, progressing from prevalence rates and types of violence to an exploration of victim and perpetrator characteristics. There is an emphasis on the necessity to establish a theoretical model of typology to allow investigation of the distinct subgroups of violent individuals. The deficits in the present body of literature are presented and include sampling methods, dependent measures, and data analyses. Finally, implications for future research and prevention are provided.