ArticleInternational journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics2026
Mental health issues in survivors of domestic violence during the COVID-19 pandemic: A multicentric cross-sectional study from India.
Article in International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
objectiveFrequency, intensity, and manifestations of domestic violence during COVID remain undetermined in a large country like India. The study aimed to determine the mental health and coping mechanisms of women facing domestic violence during the COVID-19 pandemic.
methodsA World Health Organization-funded, multicentric, cross-sectional analytical study was undertaken in rural and urban health centers of seven institutions spanning major regions of India. Mental health was assessed using the Depression Anxiety Stress Scale (DASS). The Impact of Event Scale-Revised (IES-R) was used to assess post-traumatic stress disorder (PTSD) symptoms, the Kansas Marital Satisfaction Scale (KMSS) was used to measure marital quality, and the Brief COPE inventory scale was used to assess coping responses upon reaction to specific stressors.
resultsWomen faced different types of domestic violence, with 70.7% reporting physical, 33.7% sexual, 74.9% emotional, and 74.4% financial violence. Common physical symptoms included headache (63.6%) and sleep disturbances (49.1%), while psychological symptoms included unhappiness (66.9%) and tiredness (62.8%). Overall, 57.6% of women exhibited psychological distress based on the DASS. Extremely severe anxiety and depression were reported in 29.2% and 23.6%, respectively. PTSD was detected in 7.9% using the IES-R, and 40.3% had extreme PTSD symptoms. Physical, sexual, and emotional violence were associated with heightened stress, anxiety, and depression (P < 0.001). Coping assessments revealed a highly avoidant (27.9%), problem-focused (27.6%), and emotion-focused (30.6%) coping styles. Emotional and sexual violence were significantly associated with a highly avoidant and emotion-focused coping (P < 0.001).
conclusionsDomestic violence was frequent during the COVID-19 pandemic and was associated with several somatic symptoms, stress, anxiety, and depression. Preventive measures and early intervention are crucial to decrease the incidence of violence.
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