Armed conflict exposure and mental health: examining the role of imperceptible violence.

Armed conflict exposure is associated with multiple mental health problems. However, more needs to be known about the differential effects of particular modalities of armed conflict violence and war methods on mental health. This study a) examined the modalities of violence employed in the Colombian armed conflict and b) assessed their association with mental health problems in armed conflict survivors. Using armed conflict data from the Colombian Armed Conflict Events Information System, we identified three violence modalities: armed confrontations, indiscriminate attacks, and selective violence. Descriptive statistics showed that selective violence generated most (86%) of the 333,219 victims of the Colombian armed conflict between 1996 and 2016. A subsample of armed conflict survivors (n = 551) from the 2015 Colombian Mental Health Survey was used to assess the association of each modality of violence with depression and anxiety, Post Traumatic Stress Disorder (PTSD), and substance abuse. Adjusted Odds Ratios (aOR) (p < .05, 95% CI) showed that survivors of selective violence crimes such as forced disappearance of loved ones, kidnapping, sexual violence, and massacres were at increased risk of experiencing Common Mental Health Disorders, PTSD symptoms, and hazardous drinking. Identifying those at elevated risk for developing mental health problems and substance misuse among survivors of armed conflict may help to use limited resources more effectively.

Exploring Help-Seeking Predictors Among Colombian Victims of Intimate Partner Violence in Different Age Groups.

This study examined the extent, source, and individual, microsystem, exosystem, and macrosystem-level (Heise's Ecological Model) predictors of help-seeking behaviors among women of different age groups in Colombia. Data on 12,915 married or cohabitating women who had experienced diverse forms of intimate partner violence (IPV) were obtained from the Colombia Demographic Health Survey 2015. More than half of the Colombian women who reported some form of IPV experience did not seek any help. Women aged 25-39 were less likely to seek help. Type of violence and experience of IPV and education were the strongest predictors of help-seeking among women in all age groups. Implications for research and programming are discussed.

Development of a Questionnaire on Intentions to Engage in Dating Violence Among Puerto Rican Residents.

This mixed-methods paper describes the development and preliminary validation of the Behavioral Intentions Questionnaire (BIQ), a multi-scale questionnaire developed to assess determinants influencing Puerto Rican adolescents' intentions to engage in abusive behaviors in dating relationships. Items were developed qualitatively, and face and content validity were established by expert and target population judges via semi-structured interviews (n = 48), discussions, and four focus groups (n = 6 each). The questionnaire was pilot tested twice. An initial pilot test was conducted with students aged 13 to 17 from a private alternative education program in San Juan, Puerto Rico (n = 32). A second pilot test was conducted with a sample of students from the same site (n = 22), in addition to students in the same age range from a private school (n = 88) in San Juan. Confirmatory and Exploratory factor analysis was used to determine construct validity and Cronbach's coefficient alpha determined the subscales internal consistency reliability. Correlations between subscales were examined. Thematic content analysis was used to analyze qualitative data. Qualitative data suggested the need to revise or eliminate items and instructions and incorporate a social desirability measure. Factor analyses yielded a unidimensional structure for each subscale and each subscale demonstrated high internal consistency. Preliminary analysis on the factor structure, internal reliability, and validity of the BIQ were encouraging. However, further psychometric testing is needed before this measure can be considered a useful tool for measuring intentions to engage in abusive behaviors in dating relationships. Supplementary Information: The online version contains supplementary material available at 10.1007/s10896-021-00341-x.

Teen Dating Violence Help-Seeking Intentions and Behaviors Among Ethnically and Racially Diverse Youth: A Systematic Review.

Teen dating violence (TDV) affects millions of youth in the United States and globally each year. A systematic review was conducted to examine the help-seeking intentions and behaviors of youth between the ages of 12 and 19 based on racial and ethnic differences. Considering the high prevalence of TDV among racially and ethnically diverse youth, previous systematic reviews have recommended that future scholarship address help-seeking intentions and behaviors among racially and ethnically diverse youth. The methodologies and results of TDV and help-seeking studies published since 2000 were reviewed and analyzed. A systematic search of peer-reviewed journal articles published in English was conducted using an electronic search. The rigorous search identified 10 studies that addressed help-seeking intentions and behaviors and racial and ethnic differences in youth meeting eligibility requirements. The search yielded few studies, indicating a need to conduct future research in this area. The strength of the studies' methodologies limited generalizability and external validity. The studies primarily addressed differences among African American and Latino youth. Youth relied on informal sources of support, with youth from both groups preferring to seek help from parents and friends. Mistrust, lack of closeness, and feelings of mistrust, shame, and embarrassment informed youths' help-seeking intentions and behaviors. Racially and ethnically specific factors such as negative perceptions of father figures, familism, acculturation, and traditional gender role notions were identified as barriers to help-seeking. As part of appraising and synthesizing the evidence, recommendations for research, practice, and policy are presented.

Intimate Partner Violence Victimization and Perpetration Among U.S. Adults During the Earliest Stage of the COVID-19 Pandemic.

PURPOSE: The objective of this study was to evaluate the association between COVID-19 related conditions and the perpetration or experience of intimate partner violence (IPV) in the earliest stage of the pandemic. METHODS: This cross-sectional study analyzed data collected via an internet-based survey in the spring of 2020 from an online sample of noninstitutionalized adults in the United States (N = 2,045). More than half of the sample self-identified as being in an intimate relationship at the time of the study (58.2%, n = 1,183) and were used in the analysis. A four-item tool was used to assess IPV perpetration and victimization during the earliest stage of the pandemic. Respondents self-reported demographic data and recent health histories, including COVID-19 tests results, related symptoms, and degree of personal social distancing. We hypothesized that COVID-19 related factors would increase risks of IPV. Descriptive, correlational, and generalized linear modeling analysis techniques were employed. RESULTS: COVID-19 impacted respondents had an increased risk of IPV victimization and perpetration. Among those who reported having symptoms consistent with COVID-19 but were denied access to testing, the odds of being a victim of psychological IPV was three times more likely than those who did not have symptoms. Respondents who reported testing positive to COVID-19 were two to three times more likely to experience or perpetrate psychological and physical IPV against an intimate partner. People who lost their job due to the pandemic were three to four times more likely to perpetrate IPV compared to those who remained employed. CONCLUSIONS: Especially during this COVID-19 pandemic period, our results emphasize the need for an ongoing public-health response to IPV. Continued surveillance via effective screening, intervention development, and implementation is needed.

Brief Intimate Partner Violence Perpetration Screening Tools: A Scoping Review.

Recent research findings indicate that patients are willing to disclose their use of violence to health-care providers if asked. Health-care providers have a unique opportunity to screen their patients for intimate partner violence (IPV) perpetration; however, given the time constraints and limited personnel within medical offices and emergency-care facilities, instrument brevity is critically important. The development and evaluation of tools to screen for IPV perpetration in health-care settings, particularly brief instruments, is limited by the lack of adequate guidelines, clear institutional policies for screening, and reviews of the available literature. Given the need for validated measurement tools, we assessed the psychometric properties of measurement tools designed to quickly detect IPV perpetration by conducting a scoping review. Our search identified five measures meeting eligibility requirements. Inclusion criteria required that study information be published in a peer-reviewed journal, be published in English or Spanish languages, contain 10 or less items, report psychometric testing results, require no additional information, and be designed to detect IPV perpetration. We searched subject-specific databases and the bibliographies of relevant publications to identify studies. As part of appraising and synthesizing the evidence, we found most measures to have good reliability and validity. Most measures contained 2-5 items. Most studies were conducted in the United States and utilized an adequate sample size. There were considerable differences in how each of the measures determined a positive or negative screening. Gaps in the literature and areas for future research pertained to sample diversity, invariance testing, and practice guidelines for implementation.

Experiences With Help Seeking Among Non-Service-Engaged Survivors of IPV: Survivors' Recommendations for Service Providers.

Engaging with formal intimate partner violence (IPV) services can buffer the impacts of violence and reduce future risk. Many survivors do not access or engage with such services. However, much of our knowledge related to the experiences and perspectives of IPV survivors comes from samples drawn from those seeking formal services. Qualitative interviews with 23 survivors of violence who are not currently engaged with formal IPV services were conducted, focused on the process and outcomes of choosing to seek help. Themes emerged within the categories of formal help-seeking experiences, informal help seeking, and recommendations for providers.