ArticleBMC women's health2018
Factors mediating the impacts of child abuse and intimate partner violence on chronic pain: a cross-sectional study.
Article in BMC women's health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.
- Adverse childhood experience is associated with an increased risk of reporting chronic pain in adulthood: a stystematic review and meta-analysis.European journal of psychotraumatology · 2023Pooled it
- Do Injury, Depression, and PTSD Mediate the Relationships Between Latent Profiles of Cumulative Lifetime Violence and Chronic Pain Disability in Men?Research in nursing & health · 2026Article
- Association between intimate partner violence and child nutrition status in Rwanda: findings from recent Rwanda demographic and health survey 2019/20.BMC pediatrics · 2026Article
- Identifying Psychosocial, Self-Management, and Health Profiles Among Women With Chronic Pain Who Have Experienced Intimate Partner Violence and Those Who Have Not: Protocol for a 2-Phase Qualitative and Cross-Sectional Study Using AI Techniques.JMIR research protocols · 2025Article
- What is the association between childhood adversity and subsequent chronic pain in adulthood? A systematic review.BJA open · 2023Review
- Child maltreatment and protection in the Arab Gulf Cooperation Council countries: A scoping review.Child abuse & neglect · 2022Article
- Syndemic effects in complex humanitarian emergencies: A framework for understanding political violence and improving multi-morbidity health outcomes.Social science & medicine (1982) · 2022Article
- Perceived social support partially mediates the association between childhood abuse and pain-related characteristics.Frontiers in pain research (Lausanne, Switzerland) · 2022Article
- Exposure to Intimate Partner Violence and Hypertension Outcomes among Young Women in South Africa.International journal of hypertension · 2021Article
- Childhood Trauma, Emotion Regulation, and Pain in Individuals With Alcohol Use Disorder.Frontiers in psychiatry · 2020Article
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMost research on the health impacts of intimate partner violence (IPV) and child abuse has been conducted in Western countries and may not be generalizable to women living in different contexts, such as Saudi Arabia. Chronic pain, a disabling health issue associated with experiences of both child abuse and IPV among women, negatively impacts women's well-being, quality of life, and level of functioning. Yet, the psychosocial mechanisms that explain how abuse relates to chronic pain are poorly understood. We developed and tested a theoretical model that explains how both IPV and child abuse are related to chronic pain.
methodsWe recruited a convenience sample of 299 Saudi women, who had experienced IPV in the past 12 months, from nine primary health care centers in Saudi Arabia between June and August 2015. Women completed a structured interview comprised of self-report measures of IPV, child abuse, PTSD, depressive symptoms, chronic pain, and social support. Using Structural equation modeling (SEM), we analyzed the proposed model twice with different mental health indicators as mediators: PTSD symptoms (Model 1) and depressive symptoms (Model 2).
resultsBoth models were found to fit the data, accounting for 31.6% (Model 1) and 32.4% (Model 2) of the variance in chronic pain severity. In both models, mental health problems (PTSD and depressive symptoms) fully mediated the relationship between severity of IPV and child abuse and chronic pain severity. Perceived family support partially mediated the relationship between abuse severity and depressive symptoms.
conclusionsThese results underscore the significance of considering lifetime abuse, women's mental health (depressive and PTSD symptoms) and their social resources in chronic pain management and treatment.
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