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Latina Women Exposed to Intimate Partner Violence: Clinical Level Problems AVA Members’ Meeting: Controversies and Challenges in Addressing Violence and Abuse Across the Lifespan Nora Montalvo-Liendo, RN, PhD, FAAN Andrew Grogan-Kaylor, PhD Sandra Graham-Berman, PhD October 16-18, 2014
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Fear Psychological Guilt Power Intimidation Sexual Abuse Shame
Control Fear Guilt Psychological Power Humiliation Intimidation Sexual Abuse Physical Abuse Oppression Shame Threats Emotional
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Background A high level of mental disorders, particularly PTSD are effects of intimate partner violence. (Babcock & Deprince, 2013; Edelson, Hokoda, & Ramos-Lira, 2007). A mother’s mental health impacts children’s functioning. (Fredland, et al., 2014; Graham-Berman, S. 2007; Sturge-Apple, M., et al. 2011).
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Beyond the Physical Violence B
Permission to use drawings from CAVE project-UTPA
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Purpose To explore: Commonalties and differences Four groups of women
Cope with the violence
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Methods Recruited from multiple sites Face-to-Face interviews
(Time 1 & Time 2) Eligibility criteria: history of IPV past 2 years, and child ages 5 to 12
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Multiple Sites
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Measures Center for Epidemiologic Studies Depression Scale (Orme, Reis & Herz, 1986). Conflict Tactics Scale-Revised Version (CTS2), (Strauss, Hamby, Boney-McCoy & Sugarman, 1996). Mothers were interviewed regarding their violence experiences and their mental health with two measures…
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Sample Characteristics
N=191 African-American 23% Latina 41% White 30% *Biracial 6% *(primarily African American & White)
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Sample Characteristics
Single 80% Grade School or less 12% High School/GED or less 60% Mom working 42% Used shelter before
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Results Women were exposed to an average of:
101 (SD=53.15) Psychological Aggression tactics 58 (SD=61.52) Physical Aggression tactics 31.73 (SD=14.41) Mean depressed mood total score
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Results For all groups:
Significant differences in depressed mood, education, income No significant differences in emergency shelter use, housing instability, and employment at time of study
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Discussion Latina women:
Significantly higher depression scores relative to the three groups Lowest level of education & income Higher level of exposure to violence Several years older (Latina & Biracial women)
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Discussion H1 Depressed mood scores will be higher in women from minority ethno- racial groups than in White women. H2 The extent of physical violence and economic income will predict to greater depressed mood for women across ethno-racial minority groups.
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Ethnoracial Groups’ Mean CES-D Score
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Policy, Program, & Clinical Implications
Policies to address psychological abuse Implementation of cultural specific programs Collaborative efforts to address unmet mental health needs Increase healthcare and community outreach/education
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Acknowledgment Women survivors Agencies
Office of the Provost, University of Michigan, Global Challenges for a Third Century Grant. Research team: Dr. Grogan-Kaylor Dr. Graham-Bermann
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