Research project approved by Faculdade de Medicina da Universidade de São Paulo (FMUSP) ethical comitee, under revision nº 1937994.
The authors declares that there is no conflict of interest.
TRANSTORNO MENTAL COMUM NÃO PSICÓTICO EM MULHERES VÍTIMAS DE VIOLÊNCIA POR PARCEIRO ÍNTIMO
Cinthia Emy Endo Amemiya (1)
Lattes: http://lattes.cnpq.br/0486184208028212– ORCID: https://orcid.org/0000-0003-0841-7794
Luan Salguero de Aguiar (1)
lattes: http://lattes.cnpq.br/4780070112183042– ORCID: https://orcid.org/0000-0002-2676-8494
Carmen Silvia Molleis Galego Miziara (1)
Lattes: http://lattes.cnpq.br/6916238042273197– ORCID: https://orcid.org/0000-0002-4266-0117
Mário Ivo Serinolli (2)
Lattes: http://lattes.cnpq.br/0403872913808157– ORCID: https://orcid.org/0000-0002-2137-7814
Ivan Dieb Miziara (1)
Lattes: http://lattes.cnpq.br/3120760745952876– ORCID: https://orcid.org/0000-0001-7180-8873
(1) Faculdade de Medicina do ABC, São Paulo,
Brasil. (Main Author)
(2) Universidade Nove de Julho, São Paulo, Brasil.
(Main Author)
E-mail: cinthia.ea@gmail.com
ABSTRACT
Introduction: Intimate partner violence (IPV) is a serious public health problem of epidemic proportions. IPV involves psychosocial disorders that have a negative impact on victims’ mental health. Objective: To describe the impacts of IPV on women’s mental health, comparing the results with a control group. Methods: Cross sectional descriptive study. Validated questionnaires were used to study and control group. They evaluate common mental health, type of violence, and sociodemographic characteristics. Results: No difference between the groups: age (p=0.051); self-declared skin color (p=0.316); years of education (p=0.212); and abortion (p=0.096). With differences: socioeconomic classification (p<0,001); pregnancy (p=0.0013); childbirth (p=0.004), children (p=0.0009), dependents (p=0.0372). Skin color was not a risk factor for IPV (p=0.296) but it was to common mental health (p=0.016). Non-white has 4.25 greater chances to develop common mental health; psychological violence is most frequent (100%), isolated (27.9%) or associated with other types of violence. IPV increases 12.64 times the chance of mental disorder Discussion: IPV predisposes to mental illness with serious consequences. Psychological abuse, the most common type of violence that aims to maintain control over the victim and the physical abuse, used to humiliate and to cause suffer, were the most cited types of violence. Conclusion: IPV is associated with higher rates of common mental health. Non-white skin color was not a risk factor for IPV, but for the development of common mental health.
Keywords: intimate partner violence, domestic violence, mental disorders.
Bibliographical references
- Organização Mundial da Saúde (OMS). Prevenção da violência sexual e da violência pelo parceiro íntimo contra a mulher: ação e produção de evidência. Washington: OMS; 2010. [Citado 1 fev. 2019]. Disponível em: http://apps.who.int/iris/bitstream/10665/44350/3/9789275716359_por.pdf
- Lindner SR, Coelho EB, Bolsoni CC, Rojas PF, Boing AF. Prevalência de violência física por parceiro íntimo em homens e mulheres de Florianópolis, Santa Catarina, Brasil: estudo de base populacional. Cad Saúde Púb. 2015;31(4):815-826. org/10.1590/0102-311X00159913
- Garcia-Moreno C, Jansen HAFM, Ellsberg M, Heise L. On behalf of the WHO Multi-country Study on Women’s Health and Domestic Violence against Women Study Team. Prevalence of intimate partner violence: findings from the WHO multi-country study on women’s health and domestic violence. Lancet 2006; 368:1260-1269. org/10.1016/S0140-6736(06)69523-8.
- Violence against women (2017 Nov. 29 ) [cited 2019 June 10]. Available from: https://www.who.int/news-room/fact-sheets/detail/violence-against-women
- Ministério da Saúde. Sistema de Informações de agravos e notificações (Sinan). Violência doméstica, sexual e/ou outras violências – Brasil [cited 2019 May 12]. Disponível em: http://portalsinan.saude.gov.br/violencia-interpessoal-autoprovocada/57-doencas-e-agravos.
- Instituto de Pesquisa Econômica Aplicada (Ipea), Fórum Brasileiro de Segurança Pública (FBSP). Atlas da Violência, 2018 [citado 12 jun. 2019]. Disponível em: http://www.forumseguranca.org.br/wp-content/uploads/2018/06/FBSP_Atlas_da_Violencia_2018_Relatorio.pdf
- Arosarena OA, Fritsch TA, Hsueh Y, Aynehchim B, Haug R. Maxillofacial Injuries and Violence against Women. Arch Facial Plast Surg. 2009;11(1):48-52. doi:10.1001/archfacial.2008.507.
- Centers for Disease Control and Prevention. Intimate partner violence: definitions. 2017 [cited 2019 June 14]. Available from: https://www.cdc.gov/violenceprevention/intimatepartnerviolence/ definitions.html
- Smith SG, Zhang X, Basile KC, Merrick MT, Wang J, Kresnow M et al. The National Intimate Partner and Sexual Violence Survey (NISVS): 2015 Data Brief. Atlanta, GA: National Center for Injury Prevention and Control, Centers for Disease Control and Prevention; 2018 [cited 2019 May 30]. Available from: https://www.cdc.gov/violenceprevention/pdf/2015data-brief508.pdf
- Bagwell-Gray ME, Messing JT, Baldwin-White A. Intimate partner sexual violence: A review of terms, definitions, and prevalence. Trauma Violence Abuse. 2015;16:316-335. doi: 10.1177/1524838014557290
- Ellsberg M, Jansen HAFM, Heise L, Watts CH, García-Moreno C. On behalf of the WHO Multi-country Study on Women’s Health and Domestic Violence against Women Study Team. Intimate partner violence and women’s physical and mental health in the WHO multi-country study on women’s health and domestic violence: an observational study. Lancet 2008;371:1165-1172. org/10.1016/S0140-6736(08)60522-X
- Beydoun HA, Beydoun MA, Kaufman JS, Lo B, Zonderman AB. Intimate partner violence against adult women and its association with major depressive disorder, depressive symptoms and postpartum depression: a systematic review and meta-analysis. Soc Sci Med 2012;75:959-975. doi:10.1016/j.socscimed.2012.04.025
- Peek-Asa C, Saftlas AF, Wallis AB, Harland K, Dickey P. Presence of children in the home and intimate partner violence among women seeking elective pregnancy termination. PLoS ONE. 2017;12(10):e0186389. doi.org/ 10.1371/journal.pone.0186389
- Trevillion K, Oram S, Feder G, Howard LM. Experiences of domestic violence and mental disorders: A systematic review and meta-analysis. PLoS ONE. 2012;7(12):e51740. org/10.1371/journal.pone.0051740.
- D’Oliveira AF, Schraiber LB, França-Junior I, Ludermir AB, Portella AP, Diniz CS et al. Fatores associados à violência por parceiro íntimo em mulheres brasileiras. Rev Saúde Púb. 2009;43(2):299-311. org/10.1590/S0034-89102009005000013
- Schraiber LB, Latorre MR, França I , Segri NJ, D’Oliveira AF. Validity of the WHO VAW study instrument for estimating gender-based violence against women. Rev Saúde Púb. 2010;44(4):658-666. doi.org/10.1590/S0034-89102010000400009
- Mari JJ, Williams P. A validity study of a psychiatric screening questionnaire (SRQ-20) in primary care in the city of São Paulo. Br J Psychiatry. 1986;148:23-26. org/10.1192/bjp.148.1.23
- OPAS Brasil. Atualizado em 7/12/2018. Quase 60% das mulheres em países das Américas sofrem violência por parte de seus parceiros [citado 23 maio 2019]. Disponível em: https://www.paho.org/bra/index.php?option=com_content&view=article&id=5812:quase-60-das-mulheres-em-paises-das-americas-sofrem-violencia-por-parte-de-seus-parceiros&Itemid=820
- Ruiz-Pérez I, Escribà-Agüir V, Montero-Piñar I, Vives-Cases C, Rodríguez-Barranco M. G6 for the Study of Gender Violence in Spain. Prevalence of intimate partner violence in Spain: A national cross-sectional survey in primary care. Aten Primaria. 2017;49(2):93-101. org/10.1016/j.aprim.2016.03.006
- Gilroy H, Nava A, McFarlane J. Developing a Theory of Economic Solvency for Women Who Have Experienced Intimate Partner Violence. Violence against Women. 2019:1-17. doi: 10.1177/1077801219853366
- Ministério dos Direitos Humanos. Central de Atendimento à Mulher Ligue 180 realizou mais de um milhão de atendimentos a mulheres em 2016 [citado 24 mar. 2019]. Disponível em: http://www.brasil.gov.br/cidadania-e-justica/2017/03/ligue-180-realizou-mais-de-um-milhao-de-atendimentos-a-mulheres-em-2016.
- B Ministério dos Direitos Humanos. Central de Atendimento à Mulher – Ligue 180 [citado 24 abr 2019]. Disponível em: https://www.mdh.gov.br/informacao-ao-cidadao/ouvidoria/RelatrioGeral2017.pdf
- Wanthen NC, MacMillan LH. Children’s exposure to intimate partner violence: Impacts and interventions Paediatr Child Health. 2013;18(8):419-422. org/10.1093/pch/18.8.419
- Bair-Merritt M, Zuckerman B, Augustyn M, Cronholm PF. Silent victims – an epidemic of childhood exposure to domestic violence. N Engl J Med. 2013;369(18):1673-1675. doi: 10.1056/NEJMp1307643.).
- Kelly JB, Johnson MP. Differentiation among types of intimate partner violence: research update and implications for interventions. Family Court Review. 2008;46(3):476-499. org/10.1111/j.1744-1617.2008.00215.x.
- Sijbrandij M, Bryant RA, Schafer A, Dawson KS, Anjuri D, Ndogoni L, et al. Problem Management Plus (PM+) in the treatment of common mental disorders in women affected by gender-based violence and urban adversity in Kenya; study protocol for a randomized controlled trial. Int J Ment Health Syst. 2016;10:44. doi: 10.1186/s13033-016-0075-5.
- Golding J. Intimate Partner Violence as a Risk Factor for Mental Disorders: A Meta-Analysis. Fam Violence 1999;14:99-132. org/10.1023/A:1022079418229.
- Mendonça MFS, Ludermir AB. Intimate partner violence and incidence of common mental disorder. Rev Saúde Púb. 2017;51:32. doi: 10.1590/S1518-8787.2017051006912
- Lila M, Oliver A, Lorenzo MV, Catalá A. Recidivism risk assessment in intimate partner violence against women: Importance of social support. Rev Psicol Soc. 2013:28(2):225-236. org/10.1016/j.psi.2014.11.001).
- Bacchus LJ, Ranganathan M, Watts C, Devries K. Recent intimate partner violence against women and health: a systematic review and meta-analysis of cohort studies. BMJ Open. 2018;8:e019995. doi:10.1136/bmjopen-2017-019995.
- Campbell JC. Health consequences of intimate partner violence. Lancet. 2002;359:1331-1336. doi:10.1016/S0140-6736(02)08336-8
- Kumara A, Nizamieb SH, Srivastava NK. Violence against women and mental health. Ment Health 2013;1:4-10. doi.org/10.1016/j.mhp.2013.06.002.
- Black MC, Basile KC, BreidingMJ, Smith SG, Walters ML, Merrick MT et al. The National Intimate Partner and Sexual Violence Survey (NISVS): 2010 Summary Report. Atlanta, GA: National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, 2011 [cited 2010 June 20]. Available from:cdc. gov/violenceprevention/pdf/nisvs_report2010-a.pdf.
- Williams MT, Chapman LK, Wong J, Turkheimer E. The role of ethnic identity in symptoms of anxiety and depression in African Americans. Psychiatry Res. 2012;199:31-36. doi.org/10.1016/j.psychres.2012.03.049