Evidence map›Paper›PMID 26860876›Full record

Trial reportGlobal health action2016

Domestic violence and mental health: a cross-sectional survey of women seeking help from domestic violence support services.

Giulia Ferrari, Roxane Agnew-Davies, Jayne Bailey, Louise Howard, Emma Howarth, Tim J Peters, Lynnmarie Sardinha, Gene Solomon Feder

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Global health action, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

45 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Giulia FerrariCentre for Academic Primary Care, School of Social and Community Medicine, University of Bristol, Bristol, UK; giulia.ferrari@bristol.ac.uk.
Roxane Agnew-DaviesDomestic Violence Training Ltd, Surbiton, Surrey, UK.
Jayne BaileyCentre for Academic Primary Care, School of Social and Community Medicine, University of Bristol, Bristol, UK.
Louise HowardInstitute of Psychiatry, King's College London, London, UK.
Emma HowarthCentre for Academic Primary Care, School of Social and Community Medicine, University of Bristol, Bristol, UK.
Tim J PetersCentre for Academic Primary Care, School of Social and Community Medicine, University of Bristol, Bristol, UK.
Lynnmarie SardinhaCentre for Academic Primary Care, School of Social and Community Medicine, University of Bristol, Bristol, UK.
Gene Solomon FederCentre for Academic Primary Care, School of Social and Community Medicine, University of Bristol, Bristol, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDomestic violence and abuse (DVA) are associated with increased risk of mental illness, but we know little about the mental health of female DVA survivors seeking support from domestic violence services.

objectiveOur goal was to characterise the demography and mental health of women who access specialist DVA services in the United Kingdom and to investigate associations between severity of abuse and measures of mental health and health state utility, accounting for important confounders and moderators.

designBaseline data on 260 women enrolled in a randomized controlled trial of a psychological intervention for DVA survivors were analysed. We report the prevalence of and associations between mental health status and severity of abuse at the time of recruitment. We used logistic and normal regression models for binary and continuous outcomes, respectively. The following mental health measures were used: Clinical Outcomes in Routine Evaluation - Outcome Measure (CORE-OM), Patient Health Questionnaire, Generalised Anxiety Disorder Assessment, and the Posttraumatic Diagnostic Scale to measure posttraumatic stress disorder (PTSD). The Composite Abuse Scale (CAS) measured abuse.

resultsExposure to DVA was high, with a mean CAS score of 56 (SD 34). The mean CORE-OM score was 18 (SD 8) with 76% above the clinical threshold (95% confidence interval: 70-81%). Depression and anxiety levels were high, with means close to clinical thresholds, and more than three-quarters of respondents recorded PTSD scores above the clinical threshold. Symptoms of mental illness increased stepwise with increasing severity of DVA.

conclusionsWomen DVA survivors who seek support from DVA services have recently experienced high levels of abuse, depression, anxiety, and especially PTSD. Clinicians need to be aware that patients presenting with mental health conditions or symptoms of depression or anxiety may be experiencing or have experienced DVA. The high psychological morbidity in this population means that trauma-informed psychological support is needed for survivors who seek support from DVA services.

Indexed as

Social SupportAdolescentAdultCross-Sectional StudiesDomestic ViolenceFemaleHumansMental DisordersMiddle AgedPrevalencePsychiatric Status Rating ScalesSurveys and QuestionnairesSurvivorsUnited KingdomYoung AdultadvocacyanxietyCORE-OMdepressiondomestic violence and abuseintimate partner violencemental healthposttraumatic stress disorderwomen

Identifiers

PMID26860876
PMCPMC4748088

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.