Cited by 82Intimate Partner and Family ViolenceChild Abuse and TraumaPosttraumatic Stress Disorder Research

Abuse-related injury and symptoms of posttraumatic stress disorder as mechanisms of chronic pain in survivors of intimate partner violence

Wuest, Judith, Ford-Gilboe, Marilyn, Merritt-Gray, Marilyn, Varcoe, Colleen, Lent, Barbara, Wilk, Piotr, Campbell, Jacquelyn·2009·Pain Medicine

Abstract

OBJECTIVE: To examine the role of abuse-related injury and posttraumatic stress disorder (PTSD) symptom severity in mediating the effects of assaultive intimate partner violence (IPV) severity, psychological IPV severity, and child abuse severity on chronic pain severity in women survivors of IPV. METHODS: Using data collected from a community sample of 309 women survivors of IPV, structural equation modeling was used to test a theoretical model of the relationships among the key variables. RESULTS: The theoretical model accounted for almost 38% of the variance in chronic pain severity. PTSD symptom severity was a significant mediator of the relationships of both child abuse severity (beta = 0.13) and assaultive IPV severity (beta = 0.06) with chronic pain severity. Lifetime abuse-related injury was also a significant mediator of the relationships between both child abuse severity (beta = 0.05) and assaultive IPV severity (beta = 0.06) and chronic pain severity. Child abuse severity made the largest significant contribution to the model (beta = 0.35). Assaultive IPV severity had a significant indirect effect (beta = 0.12) on chronic pain severity while psychological IPV severity had a significant direct effect (beta = 0.20). CONCLUSIONS: Management of chronic pain in IPV survivors requires attention to symptoms of PTSD, abuse-related injury, and lifetime experiences of violence. Ensuring that acute pain from injury is adequately treated and followed over time may reduce the extent of chronic pain in abused women. The results also support the importance of routine assessment for IPV and child abuse.

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Crossref · 10.1111/j.1526-4637.2009.00624.x

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Authors
Wuest, J., Ford-Gilboe, M., Merritt-Gray, M., Varcoe, C., Lent, B., Wilk, P., & Campbell, J.
Affiliations
  • University of New Brunswick (CA)
  • University of British Columbia (CA)
  • Western University (CA)
  • Middlesex London Health Unit (CA)
  • Johns Hopkins University (US)
Corresponding author
Wuest, Judith
Venue
Pain Medicine
Published
2009-05
Volume
10
Issue
4
Pages
739-747
ISSN
  • 1526-2375 (ISSN-L)
  • 1526-4637
OpenAlex
W2032613081
Cited by
82
References
51
Citations by year
2026: 1 · 2025: 4 · 2024: 1 · 2023: 4 · 2022: 3 · 2021: 7 · 2020: 8 · 2019: 5 · 2018: 6 · 2017: 2 · 2016: 5 · 2015: 6 · 2014: 4 · 2013: 7 · 2012: 8
FWCI
6.51
Type
journal article
Language
en
Open access
closed
Locations
  • Pain Medicine (publishedVersion)
  • PubMed (publishedVersion)
  • Scholarship@Western (Western University) (submittedVersion)
Funders
  • Canadian Institutes of Health Research (10605_4)
  • Institute of Gender and Health (15156, 106054)
Topics
  • Social Sciences › Health › Intimate Partner and Family Violence
  • Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
  • Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
Keywords
intimate partner violence, chronic pain, post-traumatic stress disorder, child abuse, psychological violence, assaultive violence, women survivors, mediation, pain management
MeSH terms
Adult, Aged, Chronic Disease, Female, Health Services Accessibility, Humans, Middle Aged, Intractable Pain, Severity of Illness Index, Stress Disorders, Post-Traumatic, Wounds and Injuries, Models, Statistical, Domestic Violence, Battered Women, Early Diagnosis, Adult Survivors of Child Abuse, Young Adult

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