The invisible wounds: The occurrence of psychological abuse and anxiety compared with previous experience of physical abuse during the childbearing year
Abstract
The aim of this study was to measure the prevalence, effects and character of psychological abuse in women visiting antenatal clinics. A standardized questionnaire based on four different established scales (PMWI, SVAW, TSC-33, and STAI) was used to estimate the frequency of psychological, physical and sexual abuse, anxiety and depression. In the study 207 pregnant Swedish born women married to or cohabiting with Swedish born men were consecutively chosen from three different antenatal clinics from the city of Göteborg, Sweden. Personal interviews were conducted in connection to their regular visit to the antenatal clinic, ranging from the first to the third trimester. Fifty-one (24.5%) women out of 207 reported threats and/or acts of violence during the last year according to the Severity of Violence Against Women Scale (SVAW). There was 89.4% who had experienced dominance/isolation according to the Psychological Maltreatment of Women Inventory (PMWI) and 44.4% of the women reported emotional/verbal abuse. Occupational status, but not age income or education, was found to be significantly correlated to physical violence, dominance/isolation and to emotional/verbal factor according to Psychological Maltreatment of Women Inventory (PMWI). Threats of moderate violence' and 'serious violence' were strongly correlated to physical violence (correlation coefficient 0.9433 and 0.9405, respectively). Sexual abuse demonstrated a high correlation to physical violence and emotional/verbal factor. The results indicate that sexual violence is highly represented in the abusive relationship and also that depression and anxiety in the childbearing year may be caused by domestic violence. This study emphasises the importance of incorporating screening for threats and actual acts of psychological, physical and sexual abuse into routine care for women, enabling health care providers to identify high-risk patients and improve quality of care.
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Thirteen additional studies found a significant association between psychological violence and anxiety.
“Finally, thirteen studies found a significant association between psychological violence and anxiety [13, 38, 40, 49, 59, 63, 65, 68, 78, 80–83], while three studies found an insignificant association [61, 76, 84].”
From The psychological subtype of intimate partner violence and its effect on mental health: a systematic review with meta-analyses (2022) · cites this paper as [40]
In 21 additional PTSD studies not convertible to Hedges g or odds ratio, 16 demonstrated a positive association between psychological violence and PTSD, while 5 were insignificant.
“Of these, 16 studies demonstrated a positive association between psychological violence and PTSD [32–47], while the remaining five studies were insignificant [48–52].”
From The psychological subtype of intimate partner violence and its effect on mental health: a systematic review with meta-analyses (2022) · cites this paper as [40]
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- Authors
- Hedin, L. W., & Janson, P. O.
- Affiliations
- University of Gothenburg (SE)
- Corresponding author
- Hedin, L. Widding
- Venue
- Journal of Psychosomatic Obstetrics & Gynecology
- Publisher
- Informa UK Limited
- Published
- 1999-01
- Volume
- 20
- Issue
- 3
- Pages
- 136-144
- ISSN
- 0167-482X (ISSN-L)
- 1743-8942
- OpenAlex
- W2125633205
- Cited by
- 35
- References
- 33
- Citations by year
- 2024: 2 · 2023: 1 · 2022: 7 · 2018: 1 · 2017: 3 · 2014: 3 · 2012: 1
- FWCI
- 1.80
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Psychosomatic Obstetrics & Gynecology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Health › Intimate Partner and Family Violence
- Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Keywords
- psychological violence, domestic violence, intimate partner violence, sexual abuse, physical abuse, anxiety, depression, pregnancy, prenatal care, abuse screening, emotional abuse, verbal abuse, threats of violence
- MeSH terms
- Adult, Anxiety, Depression, Female, Humans, Male, Mass Screening, Pregnancy, Pregnancy Complications, Prenatal Care, Surveys and Questionnaires, Risk Factors, Severity of Illness Index, Socioeconomic Factors, Spouse Abuse, Stress, Psychological, Sweden, Urban Health, Prevalence
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