Partner violence and psychological well-being: buffer or indirect effect of social support

Psychosom Med. 2010 May;72(4):383-9. doi: 10.1097/PSY.0b013e3181d2f0dd. Epub 2010 Apr 5.

Abstract

Objectives: To determine the effect of two kinds of intimate partner violence (IPV) (physical and psychological) in the previous 12 months (current) and before the previous 12 months (past) on psychological well-being among women aged 18 to 70 years who attend primary healthcare centers in Spain; and to analyze the effect of the duration of lifetime IPV and social support on psychological well-being.

Methods: A cross-sectional survey was carried out among 10,322 women randomly recruited in primary healthcare centers in Spain. Outcome variables were three indicators of psychological well-being (psychological distress, psychotropic drug use, and self-perceived health). Predictor variables were the different types of IPV, IPV timing (current and past), duration of lifetime IPV, and social support. Logistic regression models were fitted.

Results: Both types of IPV increased the probability of worse psychological well-being in both IPV timings (current and past). Longer duration of lifetime IPV, friends network size, and tangible support were independently associated with worse psychological well-being. However, an interaction between current IPV and family network size was found. The probability of poor self-perceived health status was reduced by 29% among women exposed to current IPV who had a large family network (odds ratio, 0.71; 95% confidence interval, 0.54-0.94).

Conclusions: Psychological well-being was independently affected by IPV (types and duration) and social support (friends network size, tangible support). Only family network size mitigates the negative consequences of IPV on self-perceived health status.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Attitude to Health
  • Battered Women / psychology
  • Battered Women / statistics & numerical data
  • Cross-Sectional Studies
  • Female
  • Health Status*
  • Health Surveys
  • Humans
  • Logistic Models
  • Male
  • Mental Health*
  • Middle Aged
  • Poverty
  • Sexual Partners / psychology*
  • Social Support*
  • Socioeconomic Factors
  • Spain / epidemiology
  • Spouse Abuse / psychology*
  • Spouse Abuse / statistics & numerical data
  • Surveys and Questionnaires
  • Violence / psychology*
  • Violence / statistics & numerical data