Psychological harm in women victims of intimate partner violence: Epidemiology and quantification of injury in mental health markers

Abstract

Victimization of a crime is defined in terms of the physical and psychological injury sustained by the victim. A field study was designed with women victims of intimate partner violence (WVs-IPV) to assess the epidemiology of injury in mental health markers and to quantify injury by combining the analysis of the population of WVs-IPV (difference in means) with clinical cases (clinical significance). A total of 50 WVs-IPV, of both physical and psychological violence as confirmed by unappealable legal judgements, voluntarily responded to the SCL-90-R. The results showed WVs-IPV informed of more clinical symptoms in all of the clinical dimensions measured (i.e., somatization, obsession-compulsion, interpersonal sensitivity, depression, anxiety, hostility, phobic anxiety, paranoid ideation, and psychoticism), and of higher scores in the distress indexes (i.e., GSI, PST, PSDI). These results were generalizable to other samples of the WVs-IPV population, but not all. The mean injury was 53% in depression and obsession-compulsion, 48% in anxiety, 45% in interpersonal sensitivity, 44% in phobic anxiety, 43% in paranoid ideation, 38% in psychoticism, 36% in somatization, and 20% in hostility; and 48%, 45%, and 43% in the GSI, PST, and PSDI distress indexes, respectively. Moreover, the study of cases in victims found a significant rate of clinical cases (clinical significance) in all of the dimensions and distress indexes. The results were also generalizable to other studies in the same population. The results are discussed in terms of their implications for both clinical and forensic evaluation.