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Post-Traumatic Stress Disorder and Employment in Women Reporting Abuse: 5-Year Data from a Longitudinal Study

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Abstract

Intimate partner violence (IPV) is a common public health problem that has serious consequences for women in terms of health and functioning. Post-traumatic stress disorder (PTSD) is one of the major health issues that women face after experiencing intimate partner violence. There is evidence that sufficient and sustainable employment might decrease risk for PTSD in women who have experienced violence. The purpose of this study is to investigate if variables related to employment (i.e., income, hours worked per week, job benefits) affect risk for PTSD over 5 years after women left abusive relationships. Data collection took place between 2010 and 2016. To test the hypothesis that present employment variables predict the woman’s PTSD in the future, a series of conditional latent growth curve (LGC) models were conducted. The overall models indicated that there appears to be a consistent impact of economic factors on PTSD symptoms; however, the variable with the greatest impact was the number of hours worked. Women who had full-time or near full-time employment were at less risk to have PTSD in the future. These findings support efforts to increase access to full time work for women who have experienced intimate violence.

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References

  • Anda, R. F., Felitti, V. J., Bremner, J. D., Walker, J. D., Whitfield, C. H., Perry, B. D., et al. (2006). The enduring effects of abuse and related adverse experiences in childhood. European Archives of Psychiatry and Clinical Neuroscience, 256(3), 174–186.

    Article  PubMed  Google Scholar 

  • Bokszczanin, A. (2007). PTSD symptoms in children and adolescents 28 months after a flood: Age and gender differences. Journal of Traumatic Stress, 20(3), 347–351.

    Article  PubMed  Google Scholar 

  • Bohnert, K. M., & Breslau, N. (2011). Assessing the performance of the short screening scale for post‐traumatic stress disorder in a large nationallyrepresentative survey. International Journal of Methods in Psychiatric Research, 20(1), e1-e5.

  • Breslau, N., Peterson, E. L., Kessler, R. C., & Schultz, L. R. (1999). Short screening scale for DSM-IV posttraumatic stress disorder. American Journal of Psychiatry, 156(6), 908-911.

  • Browne, M. W., & Cudeck, R. (1992). Alternative ways of assessing model fit. Sociological methods & research, 21(2), 230-258.

  • Bubriski-McKenzie, A., & Jasinski, J. L. (2013). Mental health effects of intimate terrorism and situational couple violence among black and Hispanic women. Violence Against Women, 19(12), 1429–1448.

    Article  PubMed  Google Scholar 

  • Campbell, R., Greeson, M. R., Bybee, D., & Raja, S. (2008). The co-occurrence of childhood sexual abuse, adult sexual assault, intimate partner violence, and sexual harassment: A mediational model of posttraumatic stress disorder and physical health outcomes. Journal of Consulting and Clinical Psychology, 76(2), 194–207.

    Article  PubMed  Google Scholar 

  • Capaldi, D. M., Knoble, N. B., Shortt, J. W., & Kim, H. K. (2012). A systematic review of risk factors for intimate partner violence. Partner Abuse, 3(2), 231–280.

    Article  PubMed  PubMed Central  Google Scholar 

  • C'de Baca, J., Castillo, D., & Qualls, C. (2012). Ethnic differences in symptoms among female veterans diagnosed with PTSD. Journal of Traumatic Stress, 25(3), 353–357.

    Article  PubMed  Google Scholar 

  • Coker, A. L., Weston, R., Creson, D. L., Justice, B., & Blakeney, P. (2005). PTSD symptoms among men and women survivors of intimate partner violence: The role of risk and protective factors. Violence and Victims, 20(6), 625–643.

    Article  PubMed  Google Scholar 

  • Crowne, S. S., Juon, H. S., Ensminger, M., Burrell, L., McFarlane, E., & Duggan, A. (2011). Concurrent and long-term impact of intimate partner violence on employment stability. Journal of Interpersonal Violence, 26(6), 1282–1304.

    Article  PubMed  Google Scholar 

  • Davidson, J. R. T., & Connor, K. M. (2001). Natural course of PTSD and its long-term treatment. European Neuropsychopharmacology, 11, S148–S149.

    Article  Google Scholar 

  • Dillon, G., Hussain, R., Loxton, D., & Rahman, S. (2013). Mental and physical health and intimate partner violence against women: A review of the literature. International Journal of Family Medicine.

  • Daoud, N., Matheson, F. I., Pedersen, C., Hamilton-Wright, S., Minh, A., Zhang, J., & O’Campo, P. (2016). Pathways and trajectories linking housing instability and poor health among low-income women experiencing intimate partner violence (IPV): Toward a conceptual framework. Women & Health, 56(2), 208–225.

    Article  Google Scholar 

  • Duncan, T. E., & Duncan, S. C. (2009). The ABC’s of LGM: An introductory guide to latent variable growth curve modeling. Social and Personality Psychology Compass, 3(6), 979–991.

    Article  PubMed  PubMed Central  Google Scholar 

  • Dutton, M. A. (2009). Pathways linking intimate partner violence and posttraumatic disorder. Trauma, Violence, & Abuse, 10(3), 211–224.

    Article  Google Scholar 

  • García-Moreno, C., Hegarty, K., d'Oliveira, A. F. L., Koziol-McLain, J., Colombini, M., & Feder, G. (2015). The health-systems response to violence against women. The Lancet, 385(9977), 1567–1579.

    Article  Google Scholar 

  • Gilroy, H., Symes, L., & McFarlane, J. (2015). Economic solvency in the context of violence against women: a concept analysis. Health & social care in the community, 23(2), 97-106.

  • Gilroy, H., McFarlane, J., Maddoux, J., & Sullivan, C. (2016). Homelessness, housing instability, intimate partner violence, mental health, and functioning: A multi-year cohort study of IPV survivors and their children. Journal of Social Distress and the Homeless, 25(2), 86–94.

    Article  Google Scholar 

  • Gilroy, H., Nava, A., & McFarlane, J. (2019). Developing a theory of economic solvency for women who have experienced intimate partner violence. Violence against women, 1077801219853366.

  • Goodman, L. A., Smyth, K. F., Borges, A. M., & Singer, R. (2009). When crises collide: How intimate partner violence and poverty intersect to shape women’s mental health and coping? Trauma, Violence, & Abuse, 10(4), 306–329.

    Article  Google Scholar 

  • Hu L, Bentler P. (1999) Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives.

  • Lindquist, C. H., McKay, T., Clinton-Sherrod, A. M., Pollack, K. M., Lasater, B. M., & Walters, J. L. H. (2010). The role of employee assistance programs in workplace-based intimate partner violence intervention and prevention activities. Journal of Workplace Behavioral Health, 25(1), 46–64.

    Article  Google Scholar 

  • Ogle, C. M., Rubin, D. C., & Siegler, I. C. (2013). The impact of the developmental timing of trauma exposure on PTSD symptoms and psychosocial functioning among older adults. Developmental Psychology, 49(11), 2191–2200.

    Article  PubMed  Google Scholar 

  • Karam, E. G., Friedman, M. J., Hill, E. D., Kessler, R. C., McLaughlin, K. A., Petukhova, M., et al. (2014). Cumulative traumas and risk thresholds: 12-month PTSD in the world mental health (WMH) surveys. Depression and Anxiety, 31(2), 130–142.

    Article  PubMed  Google Scholar 

  • Kimerling, R., Alvarez, J., Pavao, J., Mack, K. P., Smith, M. W., & Baumrind, N. (2009). Unemployment among women: Examining the relationship of physical and psychological intimate partner violence and posttraumatic stress disorder. Journal of Interpersonal Violence, 24(3), 450–463.

    Article  PubMed  Google Scholar 

  • Krause, E. D., Kaltman, S., Goodman, L. A., & Dutton, M. A. (2008). Avoidant coping and PTSD symptoms related to domestic violence exposure: A longitudinal study. Journal of Traumatic Stress, 21(1), 83–90.

    Article  PubMed  Google Scholar 

  • Lindhorst, T., Oxford, M., & Gillmore-Rogers, M. (2007). Longitudinal effects of domestic violence on employment and welfare outcomes. Journal of Interpersonal Violence, 22(7), 812–828.

    Article  PubMed  PubMed Central  Google Scholar 

  • Maddoux, J., Symes, L., McFarlane, J., Koci, A., Gilroy, H., & Fredland, N. (2014). Problem-solving and mental health outcomes of women and children in the wake of intimate partner violence. Journal of Environmental and Public Health, 2014.

  • Marshall, L. L. (1992). Development of the severity of violence against women scales. Journal of Family Violence, 7(2), 103–121.

    Article  Google Scholar 

  • May, C. L., & Wisco, B. E. (2015). Defining trauma: How level of exposure and proximity affect risk for posttraumatic stress disorder. Psychological Trauma: Theory, Research, Practice, and Policy. https://doi.org/10.1037/tra0000077.

    Book  Google Scholar 

  • McFarlane, J., Nava, A., Gilroy, H., & Maddoux, J. (2015). Risk of behaviors associated with lethal violence and functional outcomes for abused women who do and do not return to the abuser following a community-based intervention. Journal of Women's Health, 24(4), 272-280.

  • Rivara, F. P., Anderson, M. L., Fishman, P., Bonomi, A. E., Reid, R. J., Carrell, D., & Thompson, R. S. (2007). Healthcare utilization and costs for women with a history of intimate partner violence. American Journal of Preventive Medicine, 32(2), 89–96.

    Article  PubMed  Google Scholar 

  • Rodriguez, M. A., Heilemann, M. V., Fielder, E., Ang, A., Nevarez, F., & Mangione, C. M. (2008). Intimate partner violence, depression, and PTSD among pregnant Latina women. The Annals of Family Medicine, 6(1), 44–52.

    Article  PubMed  Google Scholar 

  • Rosenthal, L., Carroll-Scott, A., Earnshaw, V. A., Santilli, A., & Ickovics, J. R. (2012). The importance of full-time work for urban adults' mental and physical health. Social Science & Medicine, 75(9), 1692–1696.

    Article  Google Scholar 

  • Rothman, E. F., Hathaway, J., Stidsen, A., & de Vries, H. F. (2007). How employment helps female victims of intimate partner violence: A qualitative study. Journal of Occupational Health Psychology, 12(2), 136–143.

    Article  PubMed  Google Scholar 

  • Showalter, K. (2016). Women’s employment and domestic violence: A review of the literature. Aggression and Violent Behavior, 31, 37–47.

    Article  Google Scholar 

  • Sonis, J., & Langer, M. (2008). Risk and protective factors for recurrent intimate partner violence in a cohort of low-income inner-city women. Journal of Family Violence, 23(7), 529–538.

    Article  Google Scholar 

  • Staggs, S. L., Long, S. M., Mason, G. E., Krishnan, S., & Riger, S. (2007). Intimate partner violence, social support, and employment in the post-welfare reform era. Journal of Interpersonal Violence, 22(3), 345–367.

    Article  PubMed  Google Scholar 

  • Straus, H., Cerulli, C., McNutt, L. A., Rhodes, K. V., Conner, K. R., Kemball, R. S., et al. (2009). Intimate partner violence and functional health status: Associations with severity, danger, and self-advocacy behaviors. Journal of Women's Health, 18(5), 625–631.

    Article  PubMed  PubMed Central  Google Scholar 

  • Sullivan, T. P., McPartland, T., Price, C., Cruza-Guet, M. C., & Swan, S. C. (2013). Relationship self-efficacy protects against mental health problems among women in bidirectionally aggressive intimate relationships with men. Journal of Counseling Psychology, 60(4), 641–647.

    Article  PubMed  PubMed Central  Google Scholar 

  • Swanberg, J. E., Logan, T. K., & Macke, C. (2005). Intimate partner violence, employment, and the workplace: Consequences and future directions. Trauma, Violence, & Abuse, 6(4), 286–312.

    Article  Google Scholar 

  • Symes, L., McFarlane, J., Fredland, N., Maddoux, J., & Zhou, W. (2016). Parenting in the wake of abuse: Exploring the mediating role of PTSD symptoms on the relationship between parenting and child functioning. Archives of Psychiatric Nursing, 30(1), 90–95.

    Article  PubMed  Google Scholar 

  • Symes, L., McFarlane, J., Maddoux, J., Levine, L. B., Landrum, K. S., & McFarlane, C. D. (2018). Establishing concurrent validity for a brief PTSD screen among women in a domestic violence shelter. Journal of interpersonal violence, 0886260518779595.

  • Twamley, E. W., Allard, C. B., Thorp, S. R., Norman, S. B., Cissell, S. H., Berardi, K. H., et al. (2009). Cognitive impairment and functioning in PTSD related to intimate partner violence. Journal of the International Neuropsychological Society, 15(6), 879–887.

    Article  PubMed  Google Scholar 

  • van Ee, E., Kleber, R. J., Jongmans, M. J., Mooren, T. T., & Out, D. (2016). Parental PTSD, adverse parenting and child attachment in a refugee sample. Attachment & Human Development, 18(3), 273–291.

    Article  Google Scholar 

  • World Health Organization. (2013). Global and regional estimates of violence against women: Prevalence and health effects of intimate partner violence and non-partner sexual violence: Executive summary. In Global and regional estimates of violence against women: prevalence and health effects of intimate partner violence and non-partner sexual violence: executive summary.

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Authors and Affiliations

  1. Memorial Hermann Hospital-Texas Medical Center, 6411 Fannin St, Houston, TX, 77030, USA

    Heidi Gilroy

  2. Texas Woman’s University, 6700 Fannin St, Houston, TX, 77030, USA

    John Maddoux

  3. Elite Research, 9901 Valley Ranch Pkwy, Irving, TX, 75063, USA

    Judith McFarlane

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  1. Heidi Gilroy
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  2. John Maddoux
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  3. Judith McFarlane
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Correspondence to Heidi Gilroy.

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Gilroy, H., Maddoux, J. & McFarlane, J. Post-Traumatic Stress Disorder and Employment in Women Reporting Abuse: 5-Year Data from a Longitudinal Study. J Fam Viol 36, 131–141 (2021). https://doi.org/10.1007/s10896-020-00154-4

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