Mental health factors and intimate partner violence perpetration and victimization: A meta-analysis.
Abstract
Objectives: This meta-analysis aimed to explore the relationship between mental health disorders and symptoms of mental health disorders (depression, anxiety, posttraumatic stress disorder [PTSD], antisocial personality disorder [PD], and borderline PD) and physical intimate partner violence (IPV) perpetration and victimization for males and females. Method: Data from 207 studies, yielding 511 effect sizes, were analyzed. The overall strength of each correlate for IPV perpetration and victimization was examined. Moderator analyses were used to compare the strength of correlates for IPV victimization versus perpetration, as well as for males versus females. Results: Depression, anxiety, PTSD, antisocial PD, and borderline PD were all significant correlates for both IPV victimization and perpetration. Anxiety and PTSD were significantly stronger correlates for victimization than for perpetration, and borderline PD and antisocial PD were significantly stronger correlates for perpetration than for victimization. For women, borderline PD was a significantly stronger correlate for IPV perpetration than for victimization, and PTSD was a significantly stronger correlate for IPV victimization than perpetration. Depression was a significantly stronger correlate for IPV victimization for women than for men. Conclusions: This study provides a comprehensive examination of mental health disorders and their link to IPV perpetration and victimization. The results suggest that clinicians work…
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Previous meta-analyses have revealed small to moderate mean correlations between physical or combined IPV and PTSD, depression, anxiety, suicidality, and drug and alcohol use, with the most robust evidence for PTSD and depression.
“These previous meta-analyses have revealed small to moderate mean correlations between physical or combined IPV and PTSD, depression, anxiety, suicidality, and drug and alcohol use, with the most robust evidence with PTSD and with depression (Devries et al., 2013; Golding, 1999; Spencer et al. 2019; Stith et al., 2004).”
From The Trauma and Mental Health Impacts of Coercive Control: A Systematic Review and Meta-Analysis (2024) · cites this paper as Spencer et al. 2019
Most meta-analyses to date have not focused on psychological IPV and have either solely focused on physical IPV exposure or combined different types of IPV.
“Most meta-analyses to date have not focused on psychological IPV and have either solely focused on the mental health implications of physical IPV exposure (e.g., Golding, 1999; Spencer et al., 2019; Stith et al., 2004), or have combined different types of IPV (e.g., Beydoun et al., 2012; Devries et al., 2013; Trevillion et al., 2012).”
From The Trauma and Mental Health Impacts of Coercive Control: A Systematic Review and Meta-Analysis (2024) · cites this paper as Spencer et al., 2019
Spencer et al.'s (2019) large meta-analysis found small to moderate correlations between physical IPV and PTSD (r = .34), as well as depression (r = .25).
“For instance, Spencer et al.’s (2019) large meta-analysis found small to moderate correlations between physical IPV and PTSD (r = .34), as well as depression (r = .25).”
From The Trauma and Mental Health Impacts of Coercive Control: A Systematic Review and Meta-Analysis (2024) · cites this paper as Spencer et al.’s (2019)
The strength of associations of coercive control with PTSD and depression was comparable to those for physical IPV and combined IPV found in previous meta-analyses.
“Furthermore, the strength of the associations were comparable to those for physical IPV and combined IPV found in previous meta-analyses.”
From The Trauma and Mental Health Impacts of Coercive Control: A Systematic Review and Meta-Analysis (2024) · cites this paper as Spencer et al.’s (2019)
Research has established an association between depression symptoms and IPV victimization and perpetration, but the temporal relationship remains unclear.
“While research has established an association between depression symptoms and IPV victimization and perpetration (S. Oram et al., 2014; Spencer et al., 2019; K. Trevillion et al., 2012), the temporal relationship between these two experiences remains unclear.”
From Global Prevalence and Mental Health Outcomes of Intimate Partner Violence Among Women: A Systematic Review and Meta-Analysis (2024) · cites this paper as Spencer et al., 2019
PTSD is more strongly associated with IPV victimization, whereas antisocial traits are more strongly associated with IPV perpetration.
“research has found that while PTSD is more strongly associated with IPV victimization, AS traits are more strongly associated with IPV perpetration (Spencer et al., 2019).”
From Childhood Physical Abuse and Antisocial Traits: Mediating Role of Posttraumatic Stress Symptom Clusters (2022) · cites this paper as Spencer et al., 2019
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“While research has established an association between depression symptoms and IPV victimization and perpetration (S. Oram et al., 2014; Spencer et al., 2019; K. Trevillion et al., 2012), the temporal relationship between these two experiences remains unclear.”
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“…has been a growing body of research that examines risk markers for IPV perpetration and victimization (e.g., Cafferky, Mendez, Anderson, & Stith, 2018; Spencer, Cafferky, & Stith, 2016; Spencer et al., 2017; Stith, Smith, Penn, Ward, & Tritt, 2004), yet less is known about the risk factors for IPH.”
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“However, some of these studies only focus on physical IPV and do not examine emotional IPV (e.g., Golding, 1999; Spencer et al., 2019).”
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“…have revealed small to moderate mean correlations between physical or combined IPV and PTSD, depression, anxiety, suicidality, and drug and alcohol use, with the most robust evidence with PTSD and with depression (Devries et al., 2013; Golding, 1999; Spencer et al. 2019; Stith et al., 2004).”
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“…to synthesize research on IPV risk markers (e.g., Archer, 2000; Kimmes et al., 2017; Smith-Marek et al., 2015; Spencer, Cafferky, & Stith, 2016; Spencer et al., 2017; Stith, Green, Smith, & Ward, 2008; Stith, Smith, Penn, Ward, & Tritt, 2004), without the focus of sample type as a…”
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“Depression (Forgey & Badger, 2010; Spencer et al., 2019), anxiety (Spencer et al., 2019), and substance abuse (Foran & O’Leary, 2008) are linked to IPV perpetration and victimization.”
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“Consistent with research in other IPV populations, significant and positive associations were detected between IPV and each of these mental health outcomes (Spencer et al., 2019; Taft et al., 2011; Trevillion et al., 2012).”
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Su, Z., McDonnell, D., Roth, S. C., Li, Q., Šegalo, S., Shi, F., & Wagers, S. M. (2021) · Globalization and Health · doi:10.1186/s12992-021-00710-7 · Cited by 54 · see citing works
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“Abusive Behaviour Inventory Past-year & lifetime IPV perpetration and victimisation Current or ex-partner Past-year (current partner) Physical IPV = 27% Lifetime (current partner) Physical IPV = 41% Lifetime (ex-partner) Physical IPV = 43% Lifetime Physical IPV = 36% 4/9 Spouses of a random sample of veterans (Army, M…”
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“PTSD is widespread among IPV-exposed women (4) with a weighted mean prevalence rate of 64% across 11 studies (5).”
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Nesset, M. B., Gudde, C. B., Mentzoni, G. E., & Palmstierna, T. (2021) · BMC Public Health · doi:10.1186/s12889-021-12408-x · Cited by 41 · see citing works
“Other known risk factors for intimate partner violence include lack of formal and informal support from health- and social services, friends and family, mental health problems and drug use [11, 12].”
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“Although the mental health sequelae of IPV are many (e.g., Hien & Ruglass, 2009; Spencer et al., 2019), posttraumatic stress disorder (PTSD) is one of the most prevalent disorders among IPV survivors with research documenting a strong association between IPV and PTSD (Hien & Ruglass, 2009; Spencer…”
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“However, a recent meta-analysis showed that persistent mental health problems, such as antisocial personality disorder and borderline personality disorder, as well as anxiety and depression, are correlated with physical IPV perpetration among adults (Spencer et al., 2019).”
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“In addition, the feminist perspectives reported that wives who faced constant acts of violence from husbands and in-laws became psychologically depressed, emotionally abused, and cognitively helpless [54, 55].”
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“For example, household crowding might lead to stress and depression by making it difficult for women to escape negative interactions [7,33], which are associated with both IPV perpetration and victimization [8,34].”
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“…incidence of cluster-B personality profile, which includes narcissistic, antisocial, histrionic, and borderline personality, have been associated with IPV (Cascardi et al., 2018; Fernández-Suárez et al., 2018; JuarrosBasterretxea et al., 2018; López-Ossorio et al., 2018; Spencer et al., 2019).”
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“A meta-analysis found that men’s physical assault perpetration was associated with depression, anxiety, and post-traumatic stress disorder (PTSD) [24].”
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“Two meta-analyses of research in this area have supported a relationship between PTSD and IPV perpetration (Spencer et al., 2019; Taft et al., 2011).”
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“Therefore, alexithymia can be considered a risk factor for IPV perpetration and victimization along with other psychological characteristics identified by previous meta-analytic studies (i.e., emotional regulation, mental health disorders, and symptoms) (Maloney et al., 2023; Spencer et al., 2019).”
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“Given the emergence of predictive policing in recent years (10) and the growth in the availability of “big data,” the possibility of applying sophisticated methods to administrative data collections from law enforcement and health to prevent FDV events has become possible.”
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“Initial work examining civil POs has revealed mixed findings for post-traumatic stress disorder (PTSD) and depression, the two most prevalent mental health problems among victims (Golding, 1999; Spencer et al., 2019).”
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“Some of these factors associated with lower levels of education include increased mental health symptoms and lower levels of income (Araya et al., 2003; Spencer et al., 2019; Hout, 2012).”
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“Firstly, IPV victimization is associated with PTSD (54, 55).”
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“…in an abusive relationship, mean levels of symptoms indicated moderate-to-severe levels of depression, anxiety, and PTSD, re fl ecting other studies cross-culturally (e.g., Lagdon et al., 2014) and the long-term effects of IPV on women found in recent metanalyses (Spencer, Mallory, et al., 2019).”
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Lesbian Intimate Partner Violence and Perceived Social Support
Furukawa, L. Y. D. A., Pessoa, A. S. G., & Komatsu, A. V. (2022) · Paidéia (Ribeirão Preto) · doi:10.1590/1982-4327e3206 · Cited by 18 · see citing works
Audet, A., Brassard, A., Dugal, C., Claing, A., Daspe, M., Savard, C., Lafontaine, M., Péloquin, K., & Godbout, N. (2022) · Journal of Interpersonal Violence · doi:10.1177/08862605211072174 · Cited by 17 · see citing works
“This high occurrence is especially troublesome in view of its deleterious consequences, including psychological and physical distress among victims (Spencer et al., 2019), suffering in the families of the victims, and substantial costs for society (Peterson et al., 2018).”
BackgroundMethodInfluentialSuggestions to improve outcomes for male victims of domestic abuse: a review of the literature
Moore, T. (2021) · SN Social Sciences · doi:10.1007/s43545-021-00263-x · Cited by 17 · see citing works
Krause-Utz, A., Černáková, R., Hoogenboom, W., Schulze, A., Büttner, S., Demirelli, Z., Mouthaan, J., van Schie, C. C., Garnefski, N., & Kraaij, V. (2023) · Journal of Interpersonal Violence · doi:10.1177/08862605231181377 · Cited by 17 · see citing works
“Numerous studies found that individuals with BPD show higher rates of IPV perpetration (e.g., González et al., 2016; Maneta et al., 2013; Peters et al., 2017; Spencer et al., 2019), while both forms of IPV have been associated with (subclinical) features of BPD (Krause-Utz et al.”
BackgroundHine, B. A., & Bates, E. A. (2023) · Partner Abuse · doi:10.1891/pa-2022-0058 · Cited by 16 · see citing works
Meléndez‐Torres, G. J., Dowdell, E. B., Kelley, S. J., & Lewis-O’Connor, A. (2022) · Journal of Family Violence · doi:10.1007/s10896-022-00463-w · Cited by 16 · see citing works
“The impact of violence on an individual’s wellbeing includes consequences for physical, mental, and behavioral health that are both acute and chronic (Spencer et al., 2017) and, for too many victims of IPV, fatal (Dawson & Piscitelli, 2017).”
BackgroundBurghart, M., & Backhaus, S. (2024) · Journal of Family Violence · doi:10.1007/s10896-024-00768-y · Cited by 19 · see citing works
Gennari, M. L., Tamanza, G., & Molgora, S. (2018) · Frontiers in Psychology · doi:10.3389/fpsyg.2018.01471 · Cited by 15 · see citing works
Victim and Perpetrator Acknowledgement of Intimate Partner Violence and Victim Psychopathology
Clements, C. M., Moore, B. C., Laajala, A., & Casanave, K. (2021) · Journal of Interpersonal Violence · doi:10.1177/08862605211028289 · Cited by 15 · see citing works
“Depression, PTSD, and substance use disorders are the most common (Spencer et al., 2019).”
BackgroundAn Experimental Study of a Peer-Facilitated Violence Prevention Program for Women in Prison
Messina, N. P., & Calhoun, S. (2021) · Journal of Interpersonal Violence · doi:10.1177/08862605211022063 · Cited by 14 · see citing works
“Mental health issues (e.g., depression, anxiety, PTSD) have also been found to be strongly correlated with both IPV victimization and perpetration, particularly in criminal justice samples (Goldenson et al., 2007; Leisring et al., 2003; Logan & Blackburn, 2009; Spencer et al., 2019).”
BackgroundGibbs, A., Mkhwanazi, S., & Sikweyiya, Y. M. (2021) · Journal of Clinical Psychology · doi:10.1002/jclp.23293 · Cited by 16 · see citing works
“, 2018), the acceptability of violence in everyday social relationships, men's own experiences of violence, and adverse events in childhood and later life, and poor mental health, including substance use (Gibbs et al., 2018; Gibbs, Dunkle, Ramsoomar, et al., 2020; Jewkes, 2002; Spencer et al., 2019).”
BackgroundSchokkenbroek, J. M., Ponnet, K. S., & Hardyns, W. (2022) · Journal of Aggression Maltreatment & Trauma · doi:10.1080/10926771.2022.2055513 · Cited by 14 · see citing works
“Further, to the best of our knowledge no study has yet examined men’s polyperpetration experiences of IPV in relation to mental health, despite existing scientific evidence linking IPV perpetration to mental health problems (Shorey et al., 2012; Spencer et al., 2019).”
BackgroundCunha, O. S., Caridade, S., Rodrigues, A. D. C., Cruz, A. R., & Peixoto, M. M. (2023) · Journal of Family Violence · doi:10.1007/s10896-023-00498-7 · Cited by 15 · see citing works
“In fact, it should be noted that when individuals suffer from psychological distress, stress, and depression, they are at higher risk of perpetrate IPV (Spencer et al., 2019a, 2019b; Spencer et al., 2021).”
InfluentialSlakoff, D. C. (2023) · Feminist Media Studies · doi:10.1080/14680777.2023.2171086 · Cited by 13 · see citing works
“The impact of mental health on IPV is important to note: Depression, anxiety, post-traumatic stress disorder, antisocial personality disorder, and borderline personality disorder all significantly predict IPV perpetration and victimization (Spencer et al. 2019).”
BackgroundHelping families help themselves: The (Un)intended impacts of a digital parenting program
Amaral, S., Dinarte-Diaz, L., Domínguez, P., & Perez-Vincent, S. M. (2023) · Journal of Development Economics · doi:10.1016/j.jdeveco.2023.103181 · Cited by 10 · see citing works
Juarros‐Basterretxea, J., Herrero, J., Escoda-Menéndez, P., & Rodríguez‐Díaz, F. J. (2020) · Journal of Interpersonal Violence · doi:10.1177/0886260520922351 · Cited by 13 · see citing works
“In the same way that psychologists should focus part of the intervention on aspects related to antisocial and borderline personality traits (e.g., emotional regulation problems, impulsivity, or aggressiveness; Spencer et al., 2019), professionals should pay attention to how these aspects predict more alcohol use and a…”
BackgroundCollison, K. L., & Lynam, D. R. (2022) · Journal of Psychopathology and Behavioral Assessment · doi:10.1007/s10862-022-10001-z · Cited by 13 · see citing works
“In addition, meta-analytic work examining BPD and ASPD in the context of IPV have found both to be significant correlates of IPV perpetration and victimization (Spencer et al., 2019).”
BackgroundAhinkorah, B. O., Aboagye, R. G., Seidu, A., Frimpong, J. B., Hagan, J. E., Budu, E., & Yaya, S. (2023) · BMJ Open · doi:10.1136/bmjopen-2021-059236 · Cited by 11 · see citing works
Rasmussen, V., Spangaro, J., Steel, Z., Briggs, N., & Torok, M. H. (2023) · Journal of Family Violence · doi:10.1007/s10896-023-00640-5 · Cited by 16 · see citing works
“Post-traumatic stress disorder is strongly associated with suicide and has been described as one of the most clinically significant mental health problems reported by IPV survivors, with international prevalence rates ranging between 31–84% among IPV-populations (Dutton, 2009; Spencer et al., 2019).”
Pebole, M. M., Iverson, K. M., Fortier, C. B., Werner, K. B., Fonda, J. R., Currao, A., Whitworth, J. W., McGlinchey, R. E., & Galovski, T. E. (2023) · Women s Health Issues · doi:10.1016/j.whi.2023.11.002 · Cited by 12 · see citing works
Lohmann, S., Felmingham, K., O’Donnell, M., & Cowlishaw, S. (2024) · Psychology of Women Quarterly · doi:10.1177/03616843241269941 · Cited by 14 · see citing works
“…coercive control speci fi cally is associated with posttraumatic mental health conditions including PTSD (e.g., Golding, 1999; Lohmann et al., 2024; Spencer et al., 2019; Stith et al., 2004), while some constellations of mental health reactions may also align with notions of complex PTSD (CPTSD;…”
Childhood Maltreatment, Personality Pathology, and Intimate Partner Aggression
South, S. C., Boudreaux, M. J., & Oltmanns, T. F. (2022) · Journal of Interpersonal Violence · doi:10.1177/08862605221076164 · Cited by 11 · see citing works
“This is perhaps not surprising, given the consistency of the association between borderline pathology and disrupted interpersonal relationships (e.g., Spencer et al., 2019; Whisman & Schonbrun, 2009).”
BackgroundTravers, Á., McDonagh, T., Cunningham, T., Dalsklev, M., Armour, C., & Hansen, M. (2020) · Journal of Interpersonal Violence · doi:10.1177/0886260520922355 · Cited by 10 · see citing works
“There is insufficient prospective research to determine whether a causal relationship between mental health and domestic violence exists (Spencer et al., 2019).”
BackgroundFedina, L., Hong, S. H., Rousson, A. N., Graham, L. M., Lee, J. O., & Herrenkohl, T. I. (2022) · Journal of Family Violence · doi:10.1007/s10896-022-00468-5 · Cited by 16 · see citing works
“Children who experience abuse are also more likely to experience behavior problems, suffer from depression, and to misuse drugs and alcohol, all of which can further elevate their risk for IPV perpetration (Capaldi et al., 2012; Johnson et al., 2015; Smith et al., 2015; Spencer et al., 2019).”
Risk and protective factors for revictimization from intimate partner violence: A systematic review
Pacheco, Y. J. O., Gallo-Barrera, Y. D., & Muñoz, C. P. (2024) · International Journal of Social Psychiatry · doi:10.1177/00207640241270816 · Cited by 12 · see citing works
“…established that female victims of IPV suffer severe, long-lasting effects on their physical and mental health (Cho & Wilke, 2010; Sanz-Barbero et al., 2019) and are more likely to experience repeat victimization or revic-timization over the course of their life (Spencer, Mallory, et al., 2019).”
Adaptación de un programa de intervención para violencia situacional de parejas
Jaramillo-Sierra, A. L., & Ripoll‐Núñez, K. (2018) · Revista de Estudios Sociales · doi:10.7440/res66.2018.06 · Cited by 11 · see citing works
“Un metaanálisis reciente demostró que la ansiedad y el Trastorno de Estrés Postraumático (TEPT) se relacionan signiicativamente más con la victimización que con la perpetración de violencia de pareja, tanto en hombres como en mujeres (Spencer et al. 2017).”
BackgroundYalch, M. M., & Rickman, S. R. M. (2021) · Journal of Interpersonal Violence · doi:10.1177/08862605211021963 · Cited by 11 · see citing works
“This is consistent with a large body of research suggesting that IPV is associated with PTSD symptoms (for meta-analytic review see Spencer et al., 2019; Taft et al., 2011).”
BackgroundResultBattered Women Charged with Homicide: Expert Consultation, Evaluation, and Testimony
Mechanic, M. B. (2022) · Journal of Aggression Maltreatment & Trauma · doi:10.1080/10926771.2022.2068393 · Cited by 10 · see citing works
“High rates of PTSD, anxiety, depression and suicidality have been documented among IPV survivors (Spencer et al., 2019).”
BackgroundPreventing Maltreatment at Home: A Meta-Analysis Examining Outcomes From Online Programs
Spencer, C. M., Stith, S. M., & King, E. L. (2020) · Research on Social Work Practice · doi:10.1177/1049731520969978 · Cited by 11 · see citing works
“depression is significantly related to both physical and emotional IPV perpetration for both men and women (BarrosGomes et al., 2019; Spencer et al., 2019).”
BackgroundSelf-citationLane, R., Short, R., Jones, M., et al. (2022) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-022-02317-8 · Cited by 10 · see citing works
Risk Markers for Women’s Physical Intimate Partner Violence Victimization in Iran: A Meta-Analysis
Nikparvar, F., Spencer, C. M., & Stith, S. M. (2020) · Violence Against Women · doi:10.1177/1077801220965744 · Cited by 13 · see citing works
“Previous research and meta-analyses have shown that mental and physical health have been highly associated with IPV physical victimization (Ahmadzad-Asl et al., 2016; Avanci et al., 2013; Capaldi et al., 2012; Carlson et al., 2002; Hossaini & Saravani, 2016; Spencer et al., 2019).”
Self-citationAyubi, M., & Satyen, L. (2023) · Trauma Violence & Abuse · doi:10.1177/15248380231178758 · Cited by 9 · see citing works
“Such factors were previously associated with male IPV perpetration in systematic reviews and meta-analyses (Clare et al., 2021; Kimber et al., 2018; S. Li et al., 2020; C. Spencer et al., 2019; C. M. Spencer et al., 2022).”
BackgroundJarnecke, A. M., & Saraiya, T. C. (2024) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2024.1380102 · Cited by 9 · see citing works
- Authors
- Spencer, C., Mallory, A. B., Cafferky, B. M., Kimmes, J. G., Beck, A. R., & Stith, S. M.
- Affiliations
- Kansas State University (US)
- Loma Linda University (US)
- Florida State University (US)
- ORCID
- Venue
- Psychology of Violence
- Published
- 2019-01
- Volume
- 9
- Issue
- 1
- Pages
- 1-17
- ISSN
- 2152-081X (ISSN-L)
- 2152-0828
- OpenAlex
- W2770999921
- Cited by
- 327
- References
- 0
- Citations by year
- 2026: 40 · 2025: 43 · 2024: 52 · 2023: 53 · 2022: 49 · 2021: 44 · 2020: 32 · 2019: 7 · 2018: 7
- FWCI
- 13.96
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychology of Violence (publishedVersion)
- Topics
- Social Sciences › Health › Intimate Partner and Family Violence
- Social Sciences › Sociology and Political Science › Stalking, Cyberstalking, and Harassment
- Social Sciences › Gender Studies › Sexual Assault and Victimization Studies
- Keywords
- intimate partner violence, perpetration, victimization, mental health, psychological factors, domestic violence
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