PMID: 9443694Jan 27, 1998Paper

Validating the concept of abuse: women's perceptions of defining behaviors and the effects of emotional abuse on health indicators

Archives of Family Medicine
P J Wagner, P Mongan

Abstract

To validate the construct of abuse in 2 ways: first, to examine female patients' perceptions of abusive behaviors that are typically used in standardized abuse scales; and second, to determine health status symptom and medical utilization differences between women who report emotional abuse and women who are not abused. Cross-sectional interviews and medical record reviews. Modified directions to the Conflict Tactics Scale were used to identify women's perceptions of abusive behaviors. Personal history of abuse was determined by self-report. Health status was measured using the Medical Outcomes Study Short-Form Health Survey-36 and medical services utilization was determined from medical records. The Wahler Physical Symptom Inventory was used to measure symptom experience. Patients were interviewed in either a rural primary care practice or an urban medical university practice. Four hundred seven women older than 18 years were interviewed. Half were from an urban and half from a rural setting. Sixty-four percent of the sample was black. Women saw more behaviors as abusive than are typically identified by the Conflict Tactics Scale and abused women identified more abusive behaviors than nonabused women. Significant health status...Continue Reading

Citations

Aug 9, 2006·Health Care for Women International·Ilene HymanMarsha M Cohen
Dec 5, 2000·Journal of Women's Health & Gender-based Medicine·A L CokerL Pirisi
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