Intimate Partner Violence Victimization Influences Suicidal Ideation via Interpersonal Dependency and Anger
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Abstract
Background: Intimate partner violence is a serious global social problem. While intimate partner violence is highly prevalent, few studies have examined its negative outcomes among victims in South Korea. The aim was to clarify the mediating roles of interpersonal dependency and anger on the relationship between intimate partner violence victimization and suicidal ideation.
Methods: In this descriptive, cross-sectional study, 301 participants (203 women and 98 men) aged 18–65 yr completed an online questionnaire on a social networking site. Data were collected between Feb and Mar 2017 in South Korea. Structural equation modeling was used to test the fitness of the conceptual model of this study.
Results: We found significant correlations between intimate partner violence victimization, interpersonal dependency, state-trait anger, and suicidal ideation. Intimate partner violence victimization influenced anger and suicidal ideation only when the victims had high interpersonal dependency.
Conclusion: It is necessary to develop programs for reducing interpersonal dependency and improving anger management that are specifically targeted at intimate partner violence victims to prevent suicidal ideation.
1. García-Moreno C, Pallitto C, Devries K, Stöckl H, Watts C, Abrahams N (2013). Global and regional estimates of violence against women: prevalence and health ef-fects of intimate partner violence and non-partner sexual violence: World Health Organization; 2013. https://apps.who.int/iris/handle/10665/85239
2. Renner LM, Whitney SD (2012). Risk fac-tors for unidirectional and bidirectional intimate partner violence among young adults. Child Abuse Negl, 36(1):40-52.
3. Costa D, Soares J, Lindert J, et al (2015). In-timate partner violence: a study in men and women from six European coun-tries. Int J Public Health, 60(4):467-78.
4. Khalifeh H, Hargreaves J, Howard LM, Birdthistle I (2013). Intimate partner vio-lence and socioeconomic deprivation in England: findings from a national cross-sectional survey. Am J Public Health, 103(3):462-72.
5. Jonas S, Khalifeh H, Bebbington PE, McManus S, Brugha T, Meltzer H, How-ard LM (2014). Gender differences in in-timate partner violence and psychiatric disorders in England: results from the 2007 adult psychiatric morbidity survey. Epidemiol Psychiatric Sci, 23(2):189-99.
6. Black M, Basile K, Breiding M, Smith S, Walters M, Merrick M. & Stevens, MR (2011). The national intimate partner and sexual violence survey (NISVS): 2010 summary report. Atlanta, GA: National Center for Injury Prevention and Con-trol, Centers for Disease Control and Prevention. 25. Available from: https://www.cdc.gov/violenceprevention/pdf/nisvs_report2010-a.pdf
7. Bonomi AE, Anderson ML, Nemeth J, Bartle-Haring S, Buettner C, Schipper D (2012). Dating violence victimization across the teen years: abuse frequency, number of abusive partners, and age at first occurrence. BMC Public Health, 12(1):637.
8. Bonomi AE, Anderson ML, Nemeth J, Rivara FP, Buettner C (2013). History of dating violence and the association with late adolescent health. BMC Public Health, 13(1):821.
9. McMahon K, Hoertel N, Wall MM, Okuda M, Limosin F, Blanco C (2015). Child-hood maltreatment and risk of intimate partner violence: a national study. J Psychi-atric Res, 69:42-9.
10. Steel AL, Watkins LE, DiLillo D (2017). Physical abuse in childhood as a predic-tor of intimate partner violence perpetra-tion among dating couples: the role of negative affect during conflict. Partner Abuse, 8(2):204-20.
11. Afe TO, Emedoh TC, Ogunsemi O, Adeg-bohun AA (2016). Intimate partner vio-lence, psychopathology and the women with schizophrenia in an outpatient clinic South-South, Nigeria. BMC Psychiatry, 16(1):197.
12. Roberts LT (2015). Associations between community support, exposure to vio-lence, and well-being across the lifespan. Bowling Green State University, the Ohi-oLINK Electronic Theses and Disserta-tions Center. Available from: http://rave.ohiolink.edu/etdc/view?acc_num=bgsu1442918156
13. Berthelot N, Hébert M, Godbout N, Goulet M, Bergeron S, Boucher S (2014). Child-hood maltreatment increases the risk of intimate partner violence via PTSD and anger personality traits in individuals con-sulting for sexual problems. J Aggress Mal-treat Trauma, 23(9):982-98.
14. Doyle L, Treacy MP, Sheridan A (2015). Self‐harm in young people: prevalence, associated factors, and help‐seeking in school‐going adolescents. Int J Ment Health Nurs, 24(6):485-94.
15. Birkley EL, Eckhardt CI (2015). Anger, hos-tility, internalizing negative emotions, and intimate partner violence perpetration: a meta-analytic review. Clin Psychol Rev, 37:40-56.
16. Haynie DL, Farhat T, Brooks-Russell A, Wang J, Barbieri B, Iannotti RJ (2013). Dating violence perpetration and victimi-zation among US adolescents: prevalence, patterns, and associations with health complaints and substance use. J Adolesc Health, 53(2):194-201.
17. Adjei SB (2015). Partner dependency and in-timate partner abuse: a sociocultural grounding of spousal abuse in Ghana. Psychol Stud, 60(4):422-7.
18. Kane FA, Bornstein RF (2018). Unhealthy dependency in victims and perpetrators of child maltreatment: a meta‐analytic re-view. J Clin Psychol, 74(6):867-82.
19. Falgares G, Marchetti D, De Santis S, Car-rozzino D, Kopala-Sibley DC, Fulcheri M, Verrocchio MC (2017). Attachment styles and suicide-related behaviors in adolescence: the mediating role of self-criticism and dependency. Front Psychiatry, 8:36.
20. Valor‐Segura I, Expósito F, Moya M, Kluwer E (2014). Don't leave me: the ef-fect of dependency and emotions in rela-tionship conflict. J App Soc Psychol, 44(9):579-87.
21. Baptista I, Silva A, Carrilho P (2015). IPV victims’ needs and rights: a brief over-view across five EU countries’ justice sys-tems. Available from: https://www.ikf.ac.at/pdf/INASC_Comparative_Report_legal_frame.pdf
22. Goodmark L (2013). A troubled marriage: domestic violence and the legal system: NYU Press. Available from: https://nyupress.org/9780814732229/a-troubled-marriage/
23. Kuijpers KF, van der Knaap LM, Winkel FW (2016). Risk of revictimization of in-timate partner violence: the role of at-tachment, anger and violent behavior of the victim. J Fam Violence, 27(1):33-44.
24. Onyando LA, Odero-Wanga DA, Mwonya RA (2016). Influence of intimate partner violence (IPV) on women's productive work in the informal sector in Nakuru municipality, Kenya. Int J Innov Appl Stud, 14(3):677.
25. Stöckl H, Penhale B (2015). Intimate partner violence and its association with physical and mental health symptoms among old-er women in Germany. J Interpers Violence, 30(17):3089-111.
26. Bosch J, Weaver TL, Arnold LD, Clark EM (2017). The impact of intimate partner vi-olence on women’s physical health: Find-ings from the Missouri behavioral risk factor surveillance system. J Interpers Vio-lence, 32(22):3402-19.
27. Lagdon S, Armour C, Stringer M (2014). Adult experience of mental health out-comes as a result of intimate partner vio-lence victimisation: a systematic review. Eur J Psychotraumatol, 5(1):24794.
28. Lee E, Enright R, Kim J (2015). Forgiveness postvention with a survivor of suicide following a loved one suicide: a case study. Soc Sci, 4(3):688-99.
29. Charak R, Byllesby BM, Roley ME, Clay-comb MA, Durham TA, Ross J, Armour C, Elhai JD, (2016). Latent classes of childhood poly-victimization and associa-tions with suicidal behavior among adult trauma victims: moderating role of anger. Child Abuse Negl, 62:19-28.
30. McKinney JM, Hirsch JK, Britton PC (2017). PTSD symptoms and suicide risk in veterans: Serial indirect effects via de-pression and anger. J Affect Disord, 214:100-7.
31. Nemeth JM, Bonomi AE, Lee MA, Ludwin JM (2012). Sexual infidelity as trigger for intimate partner violence. J Womens Health, 21(9):942-9.
32. Lacey KK, McPherson MD, Samuel PS, Powell Sears K, Head D (2013). The im-pact of different types of intimate partner violence on the mental and physical health of women in different ethnic groups. J Interpers Violence, 28(2):359-85.
33. Devries KM, Mak JY, Bacchus LJ, Child JC, Falder G, Petzold M, Astbury J, Watts CH (2013). Intimate partner violence and incident depressive symptoms and sui-cide attempts: a systematic review of lon-gitudinal studies. PLoS Med, 10(5):e1001439.
34. Exner-Cortens D, Eckenrode J, Rothman E (2013). Longitudinal associations between teen dating violence victimization and ad-verse health outcomes. Pediatrics. 131(1):71-8.
35. Hamby S (2016). Self-report measures that do not produce gender parity in intimate partner violence: a multi-study investiga-tion. Psychol Violence. 6(2):323.
36. Lee S. Relationship of interaction anxious-ness, relationship style & romantic at-tachment in relationship addiction among female university students [master’s the-sis]. Ewha University Seoul, South Korea; 2009
37. Peabody S (2005). Addiction to love: Overcoming obsession and dependency. Celestial Arts. Can-ada, pp.: 25-71.
38. Spielberger C (1988). Manual for the state-trait anger expression scale (STAXI). Odessa, FL: Psychological Assessment Resources.
39. Chon K-K, Hahn D-W, Lee C-H, Spiel-berger C (1997). Korean adaptation of the state-trait anger expression inventory: anger and blood pressure. Korean J Health Psychol, 2(1):60-78.
40. Harlow LL, Newcomb MD, Bentler PM (1986). Depression, self‐derogation, sub-stance use, and suicide ideation: lack of purpose in life as a mediational factor. J Clin Psychol, 42(1):5-21.
41. MacKinnon DP, Dwyer JH (1993). Estimat-ing mediated effects in prevention stud-ies. Eval Rev, 17(2):144-58.
42. Peabody S (2013). Recovery workbook for love addicts and love avoidants. Brighter Tomor-row Publishing. California, pp.: 13-16.
43. Schaeffer B (2009). Is it love or is it addiction: the book that changed the way we think about ro-mance and intimacy. Simon and Schuster, USA, pp.: 13-15.
44. McClintock AS, Anderson T (2015). The application of mindfulness for interper-sonal dependency: effects of a brief in-tervention. Mindfulness, 6(2):243-52.
45. Stöckl H, March L, Pallitto C, Garcia-Moreno C (2014). Intimate partner vio-lence among adolescents and young women: prevalence and associated fac-tors in nine countries: a cross-sectional study. BMC Public Health, 14(1):751.
46. Fang S, Chung MC, Watson C (2018). The impact of posttraumatic stress symp-toms, posttraumatic stress cognitions and interpersonal dependency on psychologi-cal co-morbidities following relationship dissolution among college students. J Ment Health, 27(5):424-31.
47. Cattaneo LB, Goodman LA (2012). What is empowerment anyway? A model for domestic violence practice, research, and evaluation. Psychol Violence, 2015; 5(1):84.
48. Eshelman L, Levendosky AA. Dating vio-lence: mental health consequences based on type of abuse. Violence Vict, 27(2):215-28.
49. Gibbs A, Dunkle K, Jewkes R (2018). Emo-tional and economic intimate partner vio-lence as key drivers of depression and suicidal ideation: A cross-sectional study among young women in informal settle-ments in South Africa. PLoS One, 13(4):e0194885.
50. Wong JY-H, Fong DY-T, Choi AW-M, Ti-wari A, Chan KL, Logan T (2016). Prob-lem-focused coping mediates the impact of intimate partner violence on mental health among Chinese women. Psychol Violence, 6(2):313.
51. Hawkins KA, Hames JL, Ribeiro JD, Silva C, Joiner TE, Cougle JR (2014). An ex-amination of the relationship between anger and suicide risk through the lens of the interpersonal theory of suicide. J Psy-chiatric Res, 50:59-65.
52. Ammerman BA, Kleiman EM, Uyeji LL, Knorr AC, McCloskey MS (2015). Suicid-al and violent behavior: the role of anger, emotion dysregulation, and impulsivity. Pers Ind Diff, 79:57-62.
2. Renner LM, Whitney SD (2012). Risk fac-tors for unidirectional and bidirectional intimate partner violence among young adults. Child Abuse Negl, 36(1):40-52.
3. Costa D, Soares J, Lindert J, et al (2015). In-timate partner violence: a study in men and women from six European coun-tries. Int J Public Health, 60(4):467-78.
4. Khalifeh H, Hargreaves J, Howard LM, Birdthistle I (2013). Intimate partner vio-lence and socioeconomic deprivation in England: findings from a national cross-sectional survey. Am J Public Health, 103(3):462-72.
5. Jonas S, Khalifeh H, Bebbington PE, McManus S, Brugha T, Meltzer H, How-ard LM (2014). Gender differences in in-timate partner violence and psychiatric disorders in England: results from the 2007 adult psychiatric morbidity survey. Epidemiol Psychiatric Sci, 23(2):189-99.
6. Black M, Basile K, Breiding M, Smith S, Walters M, Merrick M. & Stevens, MR (2011). The national intimate partner and sexual violence survey (NISVS): 2010 summary report. Atlanta, GA: National Center for Injury Prevention and Con-trol, Centers for Disease Control and Prevention. 25. Available from: https://www.cdc.gov/violenceprevention/pdf/nisvs_report2010-a.pdf
7. Bonomi AE, Anderson ML, Nemeth J, Bartle-Haring S, Buettner C, Schipper D (2012). Dating violence victimization across the teen years: abuse frequency, number of abusive partners, and age at first occurrence. BMC Public Health, 12(1):637.
8. Bonomi AE, Anderson ML, Nemeth J, Rivara FP, Buettner C (2013). History of dating violence and the association with late adolescent health. BMC Public Health, 13(1):821.
9. McMahon K, Hoertel N, Wall MM, Okuda M, Limosin F, Blanco C (2015). Child-hood maltreatment and risk of intimate partner violence: a national study. J Psychi-atric Res, 69:42-9.
10. Steel AL, Watkins LE, DiLillo D (2017). Physical abuse in childhood as a predic-tor of intimate partner violence perpetra-tion among dating couples: the role of negative affect during conflict. Partner Abuse, 8(2):204-20.
11. Afe TO, Emedoh TC, Ogunsemi O, Adeg-bohun AA (2016). Intimate partner vio-lence, psychopathology and the women with schizophrenia in an outpatient clinic South-South, Nigeria. BMC Psychiatry, 16(1):197.
12. Roberts LT (2015). Associations between community support, exposure to vio-lence, and well-being across the lifespan. Bowling Green State University, the Ohi-oLINK Electronic Theses and Disserta-tions Center. Available from: http://rave.ohiolink.edu/etdc/view?acc_num=bgsu1442918156
13. Berthelot N, Hébert M, Godbout N, Goulet M, Bergeron S, Boucher S (2014). Child-hood maltreatment increases the risk of intimate partner violence via PTSD and anger personality traits in individuals con-sulting for sexual problems. J Aggress Mal-treat Trauma, 23(9):982-98.
14. Doyle L, Treacy MP, Sheridan A (2015). Self‐harm in young people: prevalence, associated factors, and help‐seeking in school‐going adolescents. Int J Ment Health Nurs, 24(6):485-94.
15. Birkley EL, Eckhardt CI (2015). Anger, hos-tility, internalizing negative emotions, and intimate partner violence perpetration: a meta-analytic review. Clin Psychol Rev, 37:40-56.
16. Haynie DL, Farhat T, Brooks-Russell A, Wang J, Barbieri B, Iannotti RJ (2013). Dating violence perpetration and victimi-zation among US adolescents: prevalence, patterns, and associations with health complaints and substance use. J Adolesc Health, 53(2):194-201.
17. Adjei SB (2015). Partner dependency and in-timate partner abuse: a sociocultural grounding of spousal abuse in Ghana. Psychol Stud, 60(4):422-7.
18. Kane FA, Bornstein RF (2018). Unhealthy dependency in victims and perpetrators of child maltreatment: a meta‐analytic re-view. J Clin Psychol, 74(6):867-82.
19. Falgares G, Marchetti D, De Santis S, Car-rozzino D, Kopala-Sibley DC, Fulcheri M, Verrocchio MC (2017). Attachment styles and suicide-related behaviors in adolescence: the mediating role of self-criticism and dependency. Front Psychiatry, 8:36.
20. Valor‐Segura I, Expósito F, Moya M, Kluwer E (2014). Don't leave me: the ef-fect of dependency and emotions in rela-tionship conflict. J App Soc Psychol, 44(9):579-87.
21. Baptista I, Silva A, Carrilho P (2015). IPV victims’ needs and rights: a brief over-view across five EU countries’ justice sys-tems. Available from: https://www.ikf.ac.at/pdf/INASC_Comparative_Report_legal_frame.pdf
22. Goodmark L (2013). A troubled marriage: domestic violence and the legal system: NYU Press. Available from: https://nyupress.org/9780814732229/a-troubled-marriage/
23. Kuijpers KF, van der Knaap LM, Winkel FW (2016). Risk of revictimization of in-timate partner violence: the role of at-tachment, anger and violent behavior of the victim. J Fam Violence, 27(1):33-44.
24. Onyando LA, Odero-Wanga DA, Mwonya RA (2016). Influence of intimate partner violence (IPV) on women's productive work in the informal sector in Nakuru municipality, Kenya. Int J Innov Appl Stud, 14(3):677.
25. Stöckl H, Penhale B (2015). Intimate partner violence and its association with physical and mental health symptoms among old-er women in Germany. J Interpers Violence, 30(17):3089-111.
26. Bosch J, Weaver TL, Arnold LD, Clark EM (2017). The impact of intimate partner vi-olence on women’s physical health: Find-ings from the Missouri behavioral risk factor surveillance system. J Interpers Vio-lence, 32(22):3402-19.
27. Lagdon S, Armour C, Stringer M (2014). Adult experience of mental health out-comes as a result of intimate partner vio-lence victimisation: a systematic review. Eur J Psychotraumatol, 5(1):24794.
28. Lee E, Enright R, Kim J (2015). Forgiveness postvention with a survivor of suicide following a loved one suicide: a case study. Soc Sci, 4(3):688-99.
29. Charak R, Byllesby BM, Roley ME, Clay-comb MA, Durham TA, Ross J, Armour C, Elhai JD, (2016). Latent classes of childhood poly-victimization and associa-tions with suicidal behavior among adult trauma victims: moderating role of anger. Child Abuse Negl, 62:19-28.
30. McKinney JM, Hirsch JK, Britton PC (2017). PTSD symptoms and suicide risk in veterans: Serial indirect effects via de-pression and anger. J Affect Disord, 214:100-7.
31. Nemeth JM, Bonomi AE, Lee MA, Ludwin JM (2012). Sexual infidelity as trigger for intimate partner violence. J Womens Health, 21(9):942-9.
32. Lacey KK, McPherson MD, Samuel PS, Powell Sears K, Head D (2013). The im-pact of different types of intimate partner violence on the mental and physical health of women in different ethnic groups. J Interpers Violence, 28(2):359-85.
33. Devries KM, Mak JY, Bacchus LJ, Child JC, Falder G, Petzold M, Astbury J, Watts CH (2013). Intimate partner violence and incident depressive symptoms and sui-cide attempts: a systematic review of lon-gitudinal studies. PLoS Med, 10(5):e1001439.
34. Exner-Cortens D, Eckenrode J, Rothman E (2013). Longitudinal associations between teen dating violence victimization and ad-verse health outcomes. Pediatrics. 131(1):71-8.
35. Hamby S (2016). Self-report measures that do not produce gender parity in intimate partner violence: a multi-study investiga-tion. Psychol Violence. 6(2):323.
36. Lee S. Relationship of interaction anxious-ness, relationship style & romantic at-tachment in relationship addiction among female university students [master’s the-sis]. Ewha University Seoul, South Korea; 2009
37. Peabody S (2005). Addiction to love: Overcoming obsession and dependency. Celestial Arts. Can-ada, pp.: 25-71.
38. Spielberger C (1988). Manual for the state-trait anger expression scale (STAXI). Odessa, FL: Psychological Assessment Resources.
39. Chon K-K, Hahn D-W, Lee C-H, Spiel-berger C (1997). Korean adaptation of the state-trait anger expression inventory: anger and blood pressure. Korean J Health Psychol, 2(1):60-78.
40. Harlow LL, Newcomb MD, Bentler PM (1986). Depression, self‐derogation, sub-stance use, and suicide ideation: lack of purpose in life as a mediational factor. J Clin Psychol, 42(1):5-21.
41. MacKinnon DP, Dwyer JH (1993). Estimat-ing mediated effects in prevention stud-ies. Eval Rev, 17(2):144-58.
42. Peabody S (2013). Recovery workbook for love addicts and love avoidants. Brighter Tomor-row Publishing. California, pp.: 13-16.
43. Schaeffer B (2009). Is it love or is it addiction: the book that changed the way we think about ro-mance and intimacy. Simon and Schuster, USA, pp.: 13-15.
44. McClintock AS, Anderson T (2015). The application of mindfulness for interper-sonal dependency: effects of a brief in-tervention. Mindfulness, 6(2):243-52.
45. Stöckl H, March L, Pallitto C, Garcia-Moreno C (2014). Intimate partner vio-lence among adolescents and young women: prevalence and associated fac-tors in nine countries: a cross-sectional study. BMC Public Health, 14(1):751.
46. Fang S, Chung MC, Watson C (2018). The impact of posttraumatic stress symp-toms, posttraumatic stress cognitions and interpersonal dependency on psychologi-cal co-morbidities following relationship dissolution among college students. J Ment Health, 27(5):424-31.
47. Cattaneo LB, Goodman LA (2012). What is empowerment anyway? A model for domestic violence practice, research, and evaluation. Psychol Violence, 2015; 5(1):84.
48. Eshelman L, Levendosky AA. Dating vio-lence: mental health consequences based on type of abuse. Violence Vict, 27(2):215-28.
49. Gibbs A, Dunkle K, Jewkes R (2018). Emo-tional and economic intimate partner vio-lence as key drivers of depression and suicidal ideation: A cross-sectional study among young women in informal settle-ments in South Africa. PLoS One, 13(4):e0194885.
50. Wong JY-H, Fong DY-T, Choi AW-M, Ti-wari A, Chan KL, Logan T (2016). Prob-lem-focused coping mediates the impact of intimate partner violence on mental health among Chinese women. Psychol Violence, 6(2):313.
51. Hawkins KA, Hames JL, Ribeiro JD, Silva C, Joiner TE, Cougle JR (2014). An ex-amination of the relationship between anger and suicide risk through the lens of the interpersonal theory of suicide. J Psy-chiatric Res, 50:59-65.
52. Ammerman BA, Kleiman EM, Uyeji LL, Knorr AC, McCloskey MS (2015). Suicid-al and violent behavior: the role of anger, emotion dysregulation, and impulsivity. Pers Ind Diff, 79:57-62.
| Files | ||
| Issue | Vol 50 No 11 (2021) | |
| Section | Original Article(s) | |
| DOI | https://doi.org/10.18502/ijph.v50i11.7583 | |
| Keywords | ||
| Interpersonal dependency State anger Trait anger Mediating effect | ||
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How to Cite
1.
Ha J, Choe K, Son H, Kim J-S. Intimate Partner Violence Victimization Influences Suicidal Ideation via Interpersonal Dependency and Anger. Iran J Public Health. 2021;50(11):2274-2282.
