The association between social support and stages of change in survivors of intimate partner violence
Abstract
For survivors of intimate partner violence (IPV), it is often difficult to take steps to establish safety and obtain a violence free life. Researchers have applied stage of change theory to aid in understanding the experience of survivors, as well as, the factors that can help women who desire to make changes in or break free from a violent relationship. Social support is one factor that can be helpful to IPV survivors who are attempting to make changes in their relationship. The purpose of the current study was to examine the differences in social support experienced by women who are at varying points in the process of change. Shelter residents ( N = 191) participated in this cross-sectional non-experimental study. Analyses demonstrated five distinct clusters or profiles of change among study participants and were labeled by the authors as follows: preparticipation, decision making, engagement, ambivalent, and action. All forms of social support (i.e., structural, functional, and satisfaction) were generally higher for individuals more engaged in the process of change. More specifically, differences were noted between the action and decision-making clusters and the engagement and decision-making clusters. These findings suggest that it is vital that clinicians working with survivors of IPV not only assess but also tailor interventions to meet survivors where they are in the process of change. Further, interventions that foster survivors' abilities to develop reliable and satisfying social support networks will be beneficial for survivors of IPV.
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Lack of social support, tightly related to IPV victimization, may be very high among avoidant victims of IPV.
“lack of social support, tightly related to IPV victimization (Zapor et al., 2018), may be very high among avoidant victims of IPV (Davis et al., 2002).”
From Exploring Relationships: A Systematic Review on Intimate Partner Violence and Attachment (2018) · cites this paper as Zapor et al., 2018
Cites
Hierarchical Grouping to Optimize an Objective Function
Ward, J. H. (1963) · Journal of the American Statistical Association · doi:10.1080/01621459.1963.10500845 · Cited by 21,341 · see citing works
Social Relationships and Health.
Cohen, S. (2004) · American Psychologist · doi:10.1037/0003-066x.59.8.676 · Cited by 4,852 · see citing works
Transtheoretical therapy: Toward a more integrative model of change.
Prochaska, J. O., & DiClemente, C. C. (1982) · Psychotherapy: Theory, Research & Practice · doi:10.1037/h0088437 · Cited by 3,922 · see citing works
Assessing social support: The Social Support Questionnaire.
Sarason, I. G., Levine, H. M., Basham, R. B., & Sarason, B. R. (1983) · Journal of Personality and Social Psychology · doi:10.1037//0022-3514.44.1.127 · Cited by 3,067 · see citing works
Distinctions between social support concepts, measures, and models
Barrera, M. (1986) · American Journal of Community Psychology · doi:10.1007/bf00922627 · Cited by 2,579 · see citing works
Measuring the Functional Components of Social Support
Cohen, S., Mermelstein, R., Kamarck, T., & Hoberman, H. M. (1985) · Social Support: Theory, Research and Applications · doi:10.1007/978-94-009-5115-0_5 · Cited by 2,296 · cited 3× · see citing works
“Adequate psychometric properties have been demonstrated for the entire measure including test–retest reliability ranging from .70 to .87 and internal consistencies ranging from .60 to .86 (Cohen et al., 1985).”
BackgroundInfluentialMeasures of perceived social support from friends and from family: Three validation studies
Procidano, M. E., & Heller, K. (1983) · American Journal of Community Psychology · doi:10.1007/bf00898416 · Cited by 2,247 · see citing works
A Brief Measure of Social Support: Practical and Theoretical Implications
Sarason, I. G., Sarason, B. R., Shearin, E. N., & Pierce, G. R. (1987) · Journal of Social and Personal Relationships · doi:10.1177/0265407587044007 · Cited by 1,977 · see citing works
Norcross, J. C., Krebs, P. M., & Prochaska, J. O. (2011) · Journal of Clinical Psychology · doi:10.1002/jclp.20758 · Cited by 1,065 · see citing works
Stages of change in psychotherapy: A follow-up report.
McConnaughy, E. A., DiClemente, C. C., Prochaska, J. O., & Velicer, W. F. (1989) · Psychotherapy · doi:10.1037/h0085468 · Cited by 555 · see citing works
Costs of Intimate Partner Violence Against Women in the United States
(2003) · PsycEXTRA Dataset · doi:10.1037/e721242007-001 · Cited by 549 · see citing works
Reducing violence using community-based advocacy for women with abusive partners
Sullivan, C. M., & Bybee, D. I. (1999) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.67.1.43 · Cited by 500 · see citing works
Anderson, D. K., & Saunders, D. G. (2003) · Trauma, Violence, & Abuse · doi:10.1177/1524838002250769 · Cited by 462 · see citing works
Sylaska, K. M., & Edwards, K. M. (2014) · Trauma, Violence, & Abuse · doi:10.1177/1524838013496335 · Cited by 456 · see citing works
Can We Improve Our Physical Health by Altering Our Social Networks?
Cohen, S., & Janicki‐Deverts, D. (2009) · Perspectives on Psychological Science · doi:10.1111/j.1745-6924.2009.01141.x · Cited by 372 · see citing works
Beeble, M. L., Bybee, D. I., Sullivan, C. M., & Adams, A. E. (2009) · Journal of Consulting and Clinical Psychology · doi:10.1037/a0016140 · Cited by 305 · see citing works
Coker, A. L., Watkins, K. W., Smith, P. H., & Brandt, H. M. (2003) · Preventive Medicine · doi:10.1016/s0091-7435(03)00122-1 · Cited by 274 · see citing works
Why Battered Women Do Not Leave, Part 2
Barnett, O. W. (2001) · Trauma Violence & Abuse · doi:10.1177/1524838001002001001 · Cited by 224 · see citing works
Bennett, L. W., Riger, S., Schewe, P. A., Howard, A., & Wasco, S. M. (2004) · Journal of Interpersonal Violence · doi:10.1177/0886260504265687 · Cited by 220 · see citing works
The Social Networks of Women Experiencing Domestic Violence
Levendosky, A. A., Bogat, G. A., Theran, S. A., Trotter, J. S., Eye, A. V., & Davidson, W. S. (2004) · American Journal of Community Psychology · doi:10.1023/b:ajcp.0000040149.58847.10 · Cited by 206 · see citing works
Working Toward Freedom from Violence: The Process of Change in Battered Women
BROWN, J. (1997) · Violence Against Women · doi:10.1177/1077801297003001002 · Cited by 180 · see citing works
Johnson, D. M., Zlotnick, C., & Perez, S. (2011) · Journal of Consulting and Clinical Psychology · doi:10.1037/a0023822 · Cited by 173 · see citing works
Self-citationZink, T. (2004) · The Annals of Family Medicine · doi:10.1370/afm.74 · Cited by 157 · see citing works
The self-efficacy of family caregivers for helping cancer patients manage pain at end-of-life
Keefe, F. J., Ahles, T. A., Porter, L. S., Sutton, L., McBride, C. M., Pope, M. S., McKinstry, E., Furstenberg, C. P., Dalton, J., & Baucom, D. H. (2003) · Pain · doi:10.1016/s0304-3959(02)00448-7 · Cited by 152 · see citing works
Petersen, R., Moracco, K. E., Goldstein, K. M., & Clark, K. A. (2005) · Women & Health · doi:10.1300/j013v40n03_05 · Cited by 134 · see citing works
The process of change for victims of intimate partner violence
Cluss, P. A., Chang, J. C., Hawker, L., Hudson Scholle, S., Dado, D., Buranosky, R., & Goldstrohm, S. (2006) · Women's Health Issues · doi:10.1016/j.whi.2006.06.006 · Cited by 128 · see citing works
Chang, J. C., Dado, D., Ashton, S., Hawker, L., Cluss, P. A., Buranosky, R., & Scholle, S. H. (2006) · Patient Education and Counseling · doi:10.1016/j.pec.2006.06.009 · Cited by 112 · see citing works
Short, L. M., MCMAHON, P. M., Chervin, D. D., Shelley, G. A., Lezin, N. A., SLOOP, K. S., & Dawkins, N. (2000) · Violence Against Women · doi:10.1177/10778010022181840 · Cited by 111 · see citing works
Reisenhofer, S., & Taft, A. (2013) · Patient Education and Counseling · doi:10.1016/j.pec.2013.08.004 · Cited by 108 · see citing works
Thapar‐Björkert, S., & Morgan, K. (2009) · Violence Against Women · doi:10.1177/1077801209354374 · Cited by 108 · see citing works
Bell, M. E., Goodman, L. A., & Dutton, M. A. (2007) · Journal of Family Violence · doi:10.1007/s10896-007-9096-9 · Cited by 107 · see citing works
Differences in Social Network Structure and Support Among Women in Violent Relationships
Katerndahl, D., Burge, S., Ferrer, R., Becho, J., & Wood, R. (2013) · Journal of Interpersonal Violence · doi:10.1177/0886260512469103 · Cited by 94 · see citing works
HOPE for battered women with PTSD in domestic violence shelters.
Johnson, D. M., & Zlotnick, C. (2009) · Professional Psychology Research and Practice · doi:10.1037/a0012519 · Cited by 87 · see citing works
Self-citationCognitive-Affective Predictors of Women’s Readiness to End Domestic Violence Relationships
Shurman, L. A., & Rodriguez, C. M. (2006) · Journal of Interpersonal Violence · doi:10.1177/0886260506292993 · Cited by 70 · see citing works
Estrellado, A. F., & Loh, J. M. I. (2013) · Journal of Interpersonal Violence · doi:10.1177/0886260513505709 · Cited by 48 · see citing works
Battered Women: Stages of Change and Other Treatment Models That Instigate and Sustain Leaving
Burman, S. (2003) · Brief Treatment and Crisis Intervention · doi:10.1093/brief-treatment/mhg004 · Cited by 43 · see citing works
Stay/leave decision‐making processes in abusive dating relationships
Choice, P., & Lamke, L. K. (1999) · Personal Relationships · doi:10.1111/j.1475-6811.1999.tb00197.x · Cited by 43 · see citing works
Evolving Out of Violence: An Application of the Transtheoretical Model of Behavioral Change
Anderson, C. L. (2003) · Research and theory for nursing practice · doi:10.1891/rtnp.17.3.225.53182 · Cited by 34 · see citing works
African American Women’s Readiness to Change Abusive Relationships
Bliss, M. J., Ogley‐Oliver, E., Jackson, E., Harp, S. E., & Kaslow, N. J. (2007) · Journal of Family Violence · doi:10.1007/s10896-007-9138-3 · Cited by 33 · see citing works
Predicting Stages of Change in Battered Women
Alexander, P. C., Tracy, A. J., Radek, M., & Koverola, C. (2009) · Journal of Interpersonal Violence · doi:10.1177/0886260509331494 · Cited by 31 · see citing works
Shorey, R. C., Tirone, V., Nathanson, A. M., Handsel, V. A., & Rhatigan, D. L. (2012) · Journal of Interpersonal Violence · doi:10.1177/0886260512455520 · Cited by 28 · see citing works
Correlates of Readiness to Change in Victims of Intimate Partner Violence
Johnson, N. L., & Johnson, D. M. (2013) · Journal of Aggression Maltreatment & Trauma · doi:10.1080/10926771.2013.743939 · Cited by 12 · see citing works
Self-citationMotivational profiles of clients seeking methadone maintenance therapy in China
Li, L., Ding, Y., Lai, W., Lin, C., & Luo, W. (2011) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2011.04.014 · Cited by 10 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
COVID-19: Reducing the risk of infection might increase the risk of intimate partner violence
van Gelder, N., Peterman, A., Potts, A., O'Donnell, M., Thompson, K., Shah, N., & Oertelt-Prigione, S. (2020) · EClinicalMedicine · doi:10.1016/j.eclinm.2020.100348 · Cited by 488 · see citing works
“Social networks, both formal and informal, can help decrease isolation and provide support in case of IPV [8].”
BackgroundExploring Relationships: A Systematic Review on Intimate Partner Violence and Attachment
Velotti, P., Beomonte Zobel, S., Rogier, G., & Tambelli, R. (2018) · Frontiers in Psychology · doi:10.3389/fpsyg.2018.01166 · Cited by 142 · see citing works
Velotti, P., Rogier, G., Zobel, S. B., Chirumbolo, A., & Zavattini, G. (2020) · Trauma, Violence, & Abuse · doi:10.1177/1524838020933864 · Cited by 83 · see citing works
Cataudella, S., Rogier, G., Zobel, S. B., & Velotti, P. (2021) · Trauma Violence & Abuse · doi:10.1177/15248380211050595 · Cited by 38 · see citing works
A systematic review of community-based research interventions for domestic violence survivors.
Ragavan, M. I., Thomas, K. A., Medzhitova, J., Brewer, N. Q., Goodman, L. A., & Bair‐Merritt, M. H. (2018) · Psychology of Violence · doi:10.1037/vio0000183 · Cited by 30 · see citing works
Tullio, V., Lanzarone, A., Scalici, E., Vella, M., Argo, A., & Zerbo, S. (2021) · Medicine Science and the Law · doi:10.1177/0025802420936081 · Cited by 21 · see citing works
Scoglio, A. A. J., Zhu, Y., Lawn, R. B., Murchland, A. R., Sampson, L., Rich-Edwards, J. W., Jha, S. C., Kang, J. H., & Koenen, K. C. (2023) · JAMA Network Open · doi:10.1001/jamanetworkopen.2023.2977 · Cited by 19 · see citing works
Brunton, R., & Dryer, R. (2021) · Social Science & Medicine · doi:10.1016/j.socscimed.2021.114334 · Cited by 19 · see citing works
Bird, K. S., Stokes, N., Rivas, C. A., Tomlinson, M., Delve, M., Gordon, L., Gregory, A. C., Lawrence, K., & O'Reilly, N. (2023) · Trauma Violence & Abuse · doi:10.1177/15248380231189191 · Cited by 18 · see citing works
Problem-Focused Coping Strategies Used by Victims of Gender Violence Across the Stages of Change
Puente-Martínez, A., Landa, S. U., & Páez, D. (2021) · Violence Against Women · doi:10.1177/10778012211054866 · Cited by 16 · see citing works
Rebollo-Catalán, Á., Santos-Martínez, P. D. L., & Cortés, R. J. (2022) · Revista de Investigación Educativa · doi:10.6018/rie.463081 · Cited by 15 · see citing works
Djikanović, B., Stamenković, Ž., Bjegovic-Mikanovic, V. M., Vuković, D., Gordeev, V. S., & Maksimović, N. (2017) · International Journal of Public Health · doi:10.1007/s00038-017-1033-y · Cited by 13 · see citing works
Basilio, D. D., Guglielmucci, F., & Livanou, M. (2022) · Frontiers in Psychology · doi:10.3389/fpsyg.2022.919943 · Cited by 15 · see citing works
Badenes-Sastre, M., Medinilla-Tena, P., Spencer, C. M., & Expósito, F. (2025) · Psychosocial Intervention · doi:10.5093/pi2025a3 · Cited by 16 · see citing works
Messages to New Survivors by Longer-Term Survivors of Intimate Partner Violence
Flasch, P., Fall, K. A., Stice, B. L., Easley, R., Murray, C. E., & Crowe, A. (2019) · Journal of Family Violence · doi:10.1007/s10896-019-00078-8 · Cited by 11 · see citing works
Symes, L., McFarlane, J., Maddoux, J., & Fredland, N. (2020) · Violence Against Women · doi:10.1177/1077801219841444 · Cited by 10 · see citing works
Ragavan, M. I., Bruce, J. S., Bair‐Merritt, M. H., Lucha, S., Maya-Silva, J., Stebbins, E. L., & Chamberlain, L. J. (2017) · Violence Against Women · doi:10.1177/1077801217697206 · Cited by 10 · see citing works
Entrapment, Escape, and Elevation from Relationship Violence
Goodfriend, W., & Lassiter, P. S. (2022) · Cambridge University Press eBooks · doi:10.1017/9781108981545 · Cited by 8 · see citing works
Bird, K. S., Stokes, N., Rivas, C. A., & Tomlinson, M. (2022) · Campbell Systematic Reviews · doi:10.1002/cl2.1263 · Cited by 9 · see citing works
Conceptual Factors That Support Safety Behaviors Among Abuse Survivors: A Literature Review
Burke, J. G., O’Malley, T. L., Folb, B. L., Hagen, C. A., & Rabinovich, B. A. (2019) · Partner Abuse · doi:10.1891/1946-6560.10.4.452 · Cited by 9 · see citing works
Bird, K. L. S., Stokes, N., & Rivas, C. A. (2025) · Campbell Systematic Reviews · doi:10.1002/cl2.70026 · Cited by 9 · see citing works
Help-Seeking Among Women of Haitian Descent in the Dominican Bateyes
Tull, P., & Salusky, I. (2021) · Journal of Interpersonal Violence · doi:10.1177/08862605211016334 · Cited by 9 · see citing works
Predictive Factors of Mental Health in Survivors of Intimate Partner Violence in Chile
Labra-Valerdi, P., Moscoso, S. C., & Sanduvete‐Chaves, S. (2021) · Journal of Interpersonal Violence · doi:10.1177/08862605211042810 · Cited by 7 · see citing works
Leal, J., Cunha, C. A. C., Santos, A., & Salgado, J. (2020) · Journal of Contemporary Psychotherapy · doi:10.1007/s10879-020-09474-4 · Cited by 7 · see citing works
Choden, P., Armstrong, K. A., & Sendall, M. C. (2021) · Journal of Interpersonal Violence · doi:10.1177/08862605211035878 · Cited by 6 · see citing works
Kita, S., Kamibeppu, K., & Arnault, D. S. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph191912504 · Cited by 5 · see citing works
Habilidades Sociais e Violência Contra a Mulher por Parceiro Íntimo: Um estudo teórico
Cardoso, B. L. A., & Costa, N. (2019) · Interação em Psicologia · doi:10.5380/psi.v23i1.53789 · Cited by 5 · see citing works
Fávero, M., de Oliveira, R. F. F., Sánchez, A. D. C., Fernandes, A., Moreira, D. N., Lanzarote-Fernández, M. D., & Sousa‐Gomes, V. (2025) · Journal of Clinical Medicine · doi:10.3390/jcm14020517 · Cited by 4 · see citing works
Frew, E., & Forsdike, K. (2021) · Event Management · doi:10.3727/152599521x16192004803692 · Cited by 3 · see citing works
Partner Violence Help-Seeking in Couples Affected by Incarceration: Overcoming Barriers
McKay, T. E., Comfort, M. L., Landwehr, J., Kennedy, E. K., & Williams, O. J. (2020) · doi:10.3768/rtipress.2020.pb.0021.2004 · Cited by 3 · see citing works
Panisch, L. S., Patterson, D., Resko, S. M., Valdovinos, D., & Patrick, S. (2024) · Victims & Offenders · doi:10.1080/15564886.2024.2367464 · Cited by 2 · see citing works
Bird, K. S., Stokes, N., & Rivas, C. A. (2024) · Health & Social Care in the Community · doi:10.1155/2024/3965227 · Cited by 3 · see citing works
Evaluation of Coach-Based Technical Assistance: An Evolving Focus on Coachability and Goal Setting
McCarthy, K. J., Perkins, D. F., Roberts, M. A., Potter, S., Guin, A., Carroll, J. B., Deringer, N. C., Ballard, J. E., & Borden, L. M. (2020) · Journal of Human Sciences and Extension · doi:10.54718/qccm1853 · Cited by 2 · see citing works
Yıldırım, N., & Toraman, A. U. (2023) · Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi · doi:10.37989/gumussagbil.946784 · Cited by 1 · see citing works
Gustafsson, I., Palmér, L., Karlsson, K., & Jarling, A. (2025) · International Journal of Qualitative Studies on Health and Well-Being · doi:10.1080/17482631.2025.2568022 · Cited by 1 · see citing works
Working Pattern of Women Farmers In Increasing Family Income
Mustadjar, M., & Ismail, A. (2018) · Proceedings of the 1st International Conference on Social Sciences (ICSS 2018) · doi:10.2991/icss-18.2018.231 · Cited by 1 · see citing works
Help-Seeking Behaviours of Bhutanesse Women Subjected to Intimate Partner Violence (IPV)
Choden, P. (2019) · Queensland University of Technology · doi:10.5204/thesis.eprints.133983 · Cited by 1 · see citing works
Intimate Partner Violence Concerns During COVID-19 Pandemic
Zarghami, M., Lye, M. S., Charati, J. Y., & Abdollahi, F. (2020) · Iranian Journal of Psychiatry and Behavioral Sciences · doi:10.5812/ijpbs.105872 · Cited by 1 · see citing works
Restivo, F. S., Corson Keogh, A. J., Lawrie, F. A., Treharne, G. J., & Clifford, A. E. (2026) · Feminism & Psychology · doi:10.1177/09593535261459645
Brown, M. M. (2016) · UKnowledge (University of Kentucky)
Gagnon‐Tremblay, J., Labonté, T., Saint-Jacques, M., Brassard, A., & Péloquin, K. (2024) · Partner Abuse · doi:10.1891/pa-2022-0010 · Cited by 1 · see citing works
Different Deeds, Different Needs—Types of Violence Against Women and Social Support Sought Online
Mrevlje, T. P., & Erčulj, V. I. (2024) · Behavioral Sciences · doi:10.3390/bs14111066
Frowijn, I., Caluwé, E. D., & Bogaerts, S. (2025) · Journal of Interpersonal Violence · doi:10.1177/08862605251375396
Badenes-Sastre, M., Medinilla-Tena, P., & Expósito, F. (2025) · The Spanish Journal of Psychology · doi:10.1017/sjp.2025.10009
Public Health Theories of Violence
Camphausen, L. C., & Horney, J. A. (2026) · Advances in preventing and treating violence and aggression · doi:10.1007/978-3-032-17095-8_6
Yıldırım, N., & Toraman, A. U. (2026) · Public Health Nursing · doi:10.1111/phn.70149
Panisch, L. S., Kollin, R., Resko, S. M., & Patterson, D. (2026) · Violence Against Women · doi:10.1177/10778012261465659
- Authors
- Zapor, H., Wolford-Clevenger, C., & Johnson, D. M.
- Affiliations
- University of Tennessee at Knoxville (US)
- University of Tennessee, Knoxville, TN, USA
- University of Akron (US)
- Corresponding author
- Zapor, Heather
- ORCID
- Johnson, Dawn M.
- Venue
- Journal of Interpersonal Violence
- Publisher
- SAGE Publications
- Published
- 2015-12-02
- Volume
- 33
- Issue
- 7
- Pages
- 1051-1070
- ISSN
- 0886-2605 (ISSN-L)
- 1552-6518
- OpenAlex
- W2189430462
- Cited by
- 47
- References
- 43
- Citations by year
- 2026: 4 · 2025: 6 · 2024: 4 · 2023: 3 · 2022: 5 · 2021: 8 · 2020: 6 · 2019: 5 · 2018: 3 · 2017: 2 · 2016: 1
- FWCI
- 2.49
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Interpersonal Violence (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Health › Intimate Partner and Family Violence
- Social Sciences › Psychology › Social Psychology › Attachment and Relationship Dynamics
- Social Sciences › Demography › Elder Abuse and Neglect
- Keywords
- intimate partner violence, social support, stages of change, IPV survivors, shelter residents, structural social support, functional social support, social support satisfaction, ambivalence, decision-making, intervention tailoring
- MeSH terms
- Intimate Partner Violence, Adult, Cross-Sectional Studies, Decision Making, Female, Humans, Personal Satisfaction, Social Support, Survivors
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