Partner Violence, Social Support, and Distress Among Inner-City African American Women

This study examined the role of social support in the partner violence–psychological distress relation in a sample of African American women seeking medical care at a large, urban hospital (n = 138). Results from bivariate correlational analyses revealed that partner violence was related to lower perceived social support and greater psychological distress, and lower social support was related to more distress. Furthermore, findings based on path analysis indicated that low levels of social support helped account for battered women's increased distress. Findings point to the need for service providers to screen for partner violence in nontraditional sites, such as hospital emergency rooms, and to address the role of social support resources in preventive interventions with African American battered women.     

Psychosocial Variables Associated With Verbal Abuse as a Form of Intimate Partner Violence Against Women in a Spanish Sample

This article aims to analyze psychosocial variables associated with verbal abuse in women who suffer intimate partner violence. The following factors, taken from the scientific literature, were examined: social and family isolation; low self-esteem; an excess of empathy for the abuser; submission; psychological dependence on the abuser; and, self-blame as internal attribution for the cause of abuse. Our results show that low self-esteem has a direct relationship with verbal abuse. Additionally, family (including in-laws) and social (from friends, workmates, and neighbors), isolation are significantly and positively related to verbal abuse. The results of our study raise questions about the adoption of gender roles and their consequences when stereotyped tendencies are acquired. Implications, as well as ideas future research, are discussed.     

Women Experiencing Intimate Partner Violence: Effects of Confiding in Religious Leaders

IPV is the most challenging mental health problem facing clergy. Abused women (n = 476), most of whom are Christians living at home (not in shelters), sought assistance from domestic violence centers. Data obtained from questionnaires demonstrated that confiding in clergy predicts higher self-esteem and reduces the impact of lack of social support on self-esteem, self-efficacy, and life satisfaction. Compassionate clergy counseling can have a positive influence on psychological outcomes of women in abusive relationships.     

The relative contribution of abuse severity and PTSD severity on the psychiatric and social morbidity of battered women in shelters

Intimate partner violence (IPV) is a severe health problem associated with significant distress and impairment in women. The most common psychiatric difficulty in battered women is posttraumatic stress disorder (PTSD); however, no research to date has investigated the relative impact of the severity of IPV and IPV-related PTSD symptoms on battered women's psychosocial functioning. In a sample of 177 sheltered battered women, PTSD severity was associated with considerable psychiatric morbidity, social maladjustment, and personal and social resource loss. Moreover, PTSD severity mediated the relationship between IPV severity and psychiatric severity and loss of personal and social resources. Results highlight the need for the assessment and treatment of IPV-related PTSD in battered women's shelters.     

Social psychology of mental health: the social structure and personality perspective

Previous research has revealed a persistent association between social structure and mental health. However, most researchers have focused only on the psychological and psychosocial aspects of that relationship. The present paper indicates the need to include the social and structural bases of distress in our theoretical models. Starting from a general social and psychological model, our research considered the role of several social, environmental, and structural variables (social position, social stressors, and social integration), psychological factors (self-esteem), and psychosocial variables (perceived social support). The theoretical model was tested working with a group of Spanish participants (N = 401) that covered a range of social positions. The results obtained using structural equation modeling support our model, showing the relevant role played by psychosocial, psychological and social, and structural factors. Implications for theory and intervention are discussed.     

Correlates of Readiness to Change in Victims of Intimate Partner Violence

Intimate partner violence (IPV) is a social problem associated with significant morbidity; however, victims do not always utilize treatment and resources. One's readiness to change might be one variable impacting his or her pursuit of treatment and other resources. This study investigated correlates of readiness to change, and readiness to change's impact on treatment utilization. Data were collected from 223 women residing in battered women's shelters. Correlational analyses find that generally victims with more psychopathology and distress, as well as more social support, were more ready to change. Posttraumatic stress disorder symptoms, overall distress, and social support were the strongest predictors of readiness to change. Finally, victims higher in readiness to change were more likely to seek mental health treatment and other IPV-related services.     

Stress, psychosocial resources, and depressive symptomatology during pregnancy in low-income, inner-city women.

The authors examined the prospective influence of stress, self-esteem, and social support on the postpartum depressive symptoms of 191 inner-city women (139 European Americans and 52 African Americans) over 3 waves of data collection. Depressive symptomatology was measured by multiple indicators, including self-report and clinical scales. Women became less depressed as they move from prenatal to postpartum stages and adjusted to their pregnancy and its consequences. LISREL and regression analyses indicated that stress was related to increased depression, whereas greater income and social support were related to decreased depression. Self-esteem was related to lower depression at the prenatal and postpartum periods but not to change in depression from the prenatal to the postpartum period. The results also indicated that self-esteem and social support did not have additional stress-buffering effects over and above their direct effects on depression. Finally, African American women did not differ from European American women terms of depression or in terms of how they were impacted by stress or psychosocial resources.     

Intimate Partner Violence and Poverty in the Context of Botswana

The study aimed at exploring pathways of intimate partner violence and poverty. The sample consisted of 30 women (aged 18 to 54 years) who had experienced intimate partner violence. Data were collected through semi-structured in-depth interviews and analysed thematically. The results revealed that intimate partner violence was related to a lack of financial resources and stable income, financial dependency on the perpetrator, lack of child support, and intergenerational exposure to violence and poverty. The findings suggest that experiences of poverty and intimate partner violence are largely intertwined.     

Race,psychosocial vulnerability and social support differences in inner-city women's symptoms of posttraumatic stress disorder

Background/Objectives: Inner-city Black women may be more susceptible to posttraumatic stress disorder (PTSD) than White women, although mechanisms underlying this association are unclear. Living in urban neighborhoods distinguished by higher chronic stress may contribute to racial differences in women's cognitive, affective, and social vulnerabilities, leading to greater trauma-related distress including PTSD. Yet social support could buffer the negative effects of psychosocial vulnerabilities on women's health. Methods/Design: Mediation and moderated mediation models were tested with 371 inner-city women, including psychosocial vulnerability (i.e., catastrophizing, anger, social undermining) mediating the pathway between race and PTSD, and social support moderating psychosocial vulnerability and PTSD. Results: Despite comparable rates of trauma, Black women reported higher vulnerability and PTSD symptoms, and lower support compared to White Hispanic and non-Hispanic women. Psychosocial vulnerability mediated the pathway between race and PTSD, and social support moderated vulnerability, reducing negative effects on PTSD. When examining associations by race, the moderation effect remained significant for Black women only. Conclusions: Altogether these psychosocial vulnerabilities represent one potential mechanism explaining Black women's greater risk of PTSD, although cumulative psychosocial vulnerability may be buffered by social support. Despite higher support, inner-city White women's psychosocial vulnerability may actually outweigh support's benefits for reducing trauma-related distress.     

Religious Involvement and Domestic Violence Among U.S. Couples

A small but growing literature focuses on the links between religion and family violence. Several recent studies report that regular religious attendance is inversely related to abuse among both men and women. After outlining a series of theoretical arguments regarding possible direct and indirect links between religious involvement and domestic violence, we analyze these relationships using data from Wave 1 of the National Survey of Families and Households (NSFH-1). Among the key findings: (1) regular religious attendance is inversely associated with the perpetration of domestic violence; (2) among men, this protective effect is evident only among weekly attenders, whereas among women, the protective effect also surfaces among monthly attenders; (3) although the estimated net effects of religious attendance are generally somewhat larger in models of self-reports of domestic violence, this link also remains strong and statistically significant in models of partner reports of violence; and (4) moreover, the inverse association between religious attendance and abuse persists even with statistical controls for measures of (a) social integration and social support, (b) alcohol and substance abuse, and (c) low self-esteem and depression. We conclude by discussing a number of implications of these findings, and by identifying several promising directions for future research.     

Suicidality, clinical depression, and anxiety disorders are highly prevalent in men who have sex with men in Mumbai, India: findings from a community-recruited sample

In India men who have sex with men (MSM) are a stigmatized and hidden population, vulnerable to a variety of psychosocial and societal stressors. This population is also much more likely to be HIV-infected compared to the general population. However, little research exists about how psychosocial and societal stressors result in mental health problems. A confidential, quantitative mental-health interview was conducted among 150 MSM in Mumbai, India at The Humsafar Trust, the largest non-governmental organization serving MSM in India. The interview collected information on sociodemographics and assessed self-esteem, social support and DSM-IV psychiatric disorders using the Mini International Neuropsychiatric Interview (MINI). Participants' mean age was 25.1 years (SD?=?5.1); 21% were married to women. Forty-five percent reported current suicidal ideation, with 66% low risk, 19% moderate risk, and 15% high risk for suicide per MINI guidelines. Twenty-nine percent screened in for current major depression and 24% for any anxiety disorder. None of the respondents reported current treatment for any psychiatric disorder. In multivariable models controlling for age, education, income, and sexual identity, participants reporting higher levels of self-esteem and greater levels of satisfaction with the social support they receive from family and friends were at lower risk of suicidality (self-esteem AOR?=?0.85, 95% CI: 0.78-0.93; social support AOR?=?0.76, 95% CI: 0.62-0.93) and major depression (self-esteem AOR?=?0.79, 95% CI: 0.71-0.89; social support AOR?=?0.68, 95% CI: 0.54-0.85). Those who reported greater social support satisfaction were also at lower risk of a clinical diagnosis of an anxiety disorder (AOR?=?0.80; 95% CI: 0.65-0.99). MSM in Mumbai have high rates of suicidal ideation, depression, and anxiety. Programs to improve self-esteem and perceived social support may improve these mental health outcomes. Because they are also a high-risk group for HIV, MSM HIV prevention and treatment services may benefit from incorporating mental health services and referrals into their programs.     

Distress and Internalized Homophobia Among Lesbian Women Treated for Early Stage Breast Cancer

A convenience sample of 57 lesbian women who had been recruited for a study of adjustment to breast cancer completed measures of internalized homophobia, degree of disclosure of sexual orientation, social support, self-esteem, and distress. Consistent with our prediction, internalized homophobia related to greater distress. Contrary to our prediction, disclosure did not relate to lower distress. Path models were consistent with the position that internalized homophobia promotes distress through lower self-esteem and perceived unavailability of social support. However, the data were also consistent with a model in which low self-esteem leads to internalized homophobia by way of elevated distress. Internalized homophobia also related inversely to utilization of health care resources. Our discussion centers on the need for more information regarding this understudied population.     

Gender Violence as a Social Problem in Spain: Attitudes and Acceptability

Although violence against women (VAW) is not strictly a new phenomenon, its visibilization and the social rejection it produces are recent and, in this sense, it would be appropriate to consider it as an emerging social problem. This paper analyses how a particular form of this violence, intimate partner violence against women (IPVAW), is currently considered as a social problem in Spain. We present some data from different surveys carried out previously in Spain. Specifically, this review provides an overview of acceptability and public attitudes that support the use of this violence and focuses on the effect of gender and gender role attitudes. The data review shows that Spanish society as a whole, considers IPVAW as a social problem and rejects it, but there are still some violence-supportive attitudes, such as victim blaming, and also a gender gap in the consideration of this violence. We discuss the implications of these data on the management and prevention of IPVAW.     

Effects of psychosocial and situational variables on substance abuse among homeless adults

Finding direct and indirect influences of salient psychosocial and situational variables on problem substance use among homeless people is important in designing evidence-based, effective, and relevant interventions for this special population. A stress-coping paradigm in conjunction with situational items specialized for homeless people was used to explore predictive relationships in a sample of homeless adults (N = 664) among (a) psychosocial variables of self-esteem, social support, positive and negative coping, and emotional distress, (b) situational variables of homelessness history and quality of recent housing, and (c) outcomes of alcohol use, injection drug use (IDU), and non-IDU. Lower self-esteem predicted greater emotional distress, lower positive coping, greater negative coping, and more alcohol use. Social support predicted less emotional distress and more positive coping. Chronic homelessness predicted more emotional distress, less positive coping, greater alcohol use, and IDU. Poor housing was associated with more alcohol use and IDU. Substance abuse interventions among the homeless should have a dual focus that includes attention to psychological issues and negative coping patterns while also addressing situational, environmental factors, including encouraging provision of permanent supportive housing.     

Religious Attendance and Social Support: Integration or Selection?

Although numerous studies have shown that religious attendance is associated with greater social support, concerns remain about selection into religious attendance and more supportive relationships. In this paper, we employ data collected from the 2011 Miami-Dade Health Survey (n?=?444) to assess the extent to which the association between religious attendance and social support is due to selection processes related to personality, health behavior, and health status. In our multinomial logistic regression of attendance, we find that the odds of weekly attendance are increased by extraversion and reduced by smoking. We also observe that religious attendance does not vary according to level of agreeableness, self-esteem, alcohol consumption, psychological distress, or physical health. In our regression of support, we find that respondents who attend religious services weekly or more tend to report more social support than respondents who never attend. This association persisted with adjustments for age, gender, race, immigrant status, interview language, education, employment status, household income, financial strain, marital status (parent and respondent), the presence of children, family difficulties, personality (agreeableness, extroversion, and self-esteem), health behavior (smoking, binge drinking, and substance use), and health status (psychological distress, activity limitations, and overall physical health). Across models, the association between weekly attendance and social support is attenuated by no more than 7%. This attenuation is due to personality (extraversion), not health behavior or health status. We conclude that the association between religious attendance and social support is primarily driven by integration processes rather than any selection processes we have considered.

     

Coping with a threat to life: A longitudinal study of self-concept,social support,and psychological distress

The relationship of self-concept (self-esteem and mastery) and social support to psychological distress was studied among 68 Israeli women immediately prior to undergoing biopsy for suspected cancer (acute stress) and 3 months later for the noncancer group (everyday stress). It was predicted that women with stronger self-concepts and more social support would experience less state depression and state anxiety during the acute crisis than women with weaker self-concepts and less social support. It was further predicted that self-concept would be more critical than social support due to the acute nature of the event. Finally, self-concept was predicted to be related to psychological distress both during the acute and everyday stress situations (a direct effect), while social support was predicted to be related to psychological distress only during the acute stress situation (a buffering effect). The hypotheses were generally confirmed. However, self-concept and social support were seen as complexly related to psychological distress during the acute phase, one not necessarily being more critical than the other. The selective employment of available resistance resources to fit the situation and implications for preventive intervention were discussed.     

Self-reported psychosocial factors among in vitro fertilization patients interviewed alone or with the partner

The purpose of this study was to compare the sociodemographic and psychosocial characteristics reported by female in vitro fertilization (IVF) patients interviewed alone or with the partner in heterosexual couples. During 12 months (2011–2012), all patients undergoing IVF or intracytoplasmic sperm injection at one public reproductive medicine unit, in Portugal, were interviewed on the day of the diagnosis of pregnancy, being recruited 221 women interviewed with the partner and 92 interviewed alone. Interviewers collected data on sociodemographic and obstetric characteristics; and anxiety, depression, social support and partner relationship were collected by self-administered questionnaires. χ² test was used to assess the independent association between the categorical variables and being interviewed alone or with the partner. For continuous variables, mean or median differences were compared by the t-test or the Mann–Whitney test, according to data distribution. No statistically significant differences were found in the self-reporting of depression, anxiety, social support and partner relationship or in sociodemographic and obstetric characteristics between women interviewed alone or with the partner. Although women interviewed alone were older and more frequently had children than women interviewed with the partner, no significant associations were observed. Thus, having a male partner present in the research setting during a self-administered questionnaire seems not to influence women’s responses to psychosocial measures. Other outcomes and settings need to be evaluated to support evidence-based guidelines for research on infertility.     

Immigration, lack of control and psychological distress: findings from the Oslo Health Study

The aims of this study are to compare the level of psychological distress between Norwegian born and immigrants from countries with different income levels and culture, and to investigate the explanatory effect of socioeconomic and psychosocial factors, with special emphasis on lack of control (powerlessness and self-efficacy). A cross-sectional survey with self-administered questionnaire was conducted in 2000-2001 in a sample of 15,723 adults living in Oslo. Psychological distress was measured by a ten-item shortened version of Hopkins Symptom Checklist-25 items, whereas psychosocial variables were measured by various instruments. The results show that the level of psychological distress is significantly higher in immigrants from low- and middle-income countries than in the Norwegian born and the immigrants from high-income countries. They also report more powerlessness, more negative life events, less social support, less income and less paid work. It is concluded that negative life events, mainly related to social network, somatic health and economic situations, as well as lack of social support, are important mediators between immigration from low- and middle-income countries to Norway and psychological distress. Powerlessness also plays a role, but this is mainly because of a concept overlap between psychological distress and powerlessness.     

Psychosocial Factors Associated with Quality of Life Among Individuals Attending Genetic Counseling for Hereditary Cancer

The aim of this multicenter study was to explore associations between psychosocial factors (general self-efficacy, perceived availability of social support, cancer-related distress) and health-related quality of life, among individuals at risk for hereditary cancer. One-hundred and twenty one participants with a family history of breast-cancer or colorectal cancer answered a questionnaire 2-4 weeks prior to genetic counseling. The two dimensions of the health-related quality of life measure, mental and physical health were both used as outcome variables. Multiple regression (linear) analyses revealed that increasing degrees of cancer-related distress was related to decreasing degrees of mental health whereas increasing degrees of self-efficacy and social support were related to increasing degrees of this outcome variable. Self-efficacy, self-esteem support and tangible aid seemed to moderate the relationship between cancer-related distress and mental health. These results suggest that self-efficacy and certain resources of social support buffer the negative association between cancer-related distress and mental health, and might be suitable for interventional efforts. Implications for genetic counseling practice are discussed.     

Trajectories of Adjustment to Couple Relationship Separation

To test a stress‐diathesis model of adjustment to separation, the current study describes the trajectories of different aspects of separation adjustment in people formerly married or cohabiting, and moderators of those trajectories. A convenience sample of 303 recently separated individuals (169 women; 134 men) completed assessments of their emotional attachment to the former partner, loneliness, psychological distress, and coparenting conflict at two time points 6 months apart. Multilevel modeling of the overlapping multicohort design was used to estimate the trajectories of these different aspects of adjustment as a function of time since separation, marital status, gender, presence of children from the relationship, who initiated separation, social support, and anxious attachment. Attachment to the former partner, loneliness, and psychological distress were initially high but improved markedly across the 2 years after separation, but coparenting conflict was high and stable. Adjustment problems were similar in men and women, and in those formerly married or cohabiting, except that reported coparenting conflict was higher in men than women. Low social support and high anxious attachment predicted persistent attachment to the former partner, loneliness, and psychological distress. Coparenting conflict is a common, chronic problem for many separated individuals, and individuals with certain psychological vulnerabilities also experience chronic personal distress.