Lortkipanidze Maka, Javakhishvili Nino, Schwartz Seth J
School of Arts and Sciences, Ilia State University, Tbilisi, Georgia.
College of Education, University of Texas at Austin, Austin, TX, United States.
Front Psychol. 2025 Aug 11;16:1531783. doi: 10.3389/fpsyg.2025.1531783. eCollection 2025.
Most research on intimate partner violence emphasizes physical and sexual abuse, often overlooking the distinct impacts of different forms of violence on mental health. Psychological abuse is often treated as a single category, overlooking important subtypes like verbal-emotional abuse and controlling behaviors, while economic abuse remains understudied despite its potential impact on well-being. Additionally, life satisfaction-a key indicator of psychological health-is rarely examined alongside depression and anxiety, and the distinction between depressive symptoms and anxiety is often unclear in studies on intimate partner violence. This study addresses these gaps by examining the specific effects of five forms of abuse-physical, sexual, economic, dominance-isolation, and emotional-verbal-on depression, anxiety, and life satisfaction among 293 women survivors of intimate partner violence in Georgia. It also investigates the mediating role of anxiety in the relationship between intimate partner violence and depressive symptoms, thereby focusing on the distinct and unique characteristics of these two mental health outcomes.
The findings revealed that participants commonly experienced at least four forms of intimate partner violence simultaneously, which was associated with adverse mental health outcomes. The impact of intimate partner violence varied by type: physical and sexual abuse were linked to reduced life satisfaction and increased anxiety but were not significant predictors of depressive symptoms. In contrast, dominance-isolation-one form of psychological abuse-predicted depressive symptoms and anxiety but did not affect life satisfaction. Furthermore, anxiety functioned as a mediator in the relationship between physical and sexual intimate partner violence and depressive symptoms, offering insights into the mechanisms underlying the development of depression in abused women.
In conclusion, this study emphasizes the complex relationship between various forms of intimate partner violence and mental health, particularly focusing on the mediating role of anxiety in the development of depressive symptoms. The findings highlight the critical need for the development of comprehensive, culturally sensitive intervention strategies aimed at intimate partner violence victim women, especially those who have endured multiple types of abuse. These interventions should be designed to address the specific mental health challenges associated with diverse forms of interpersonal partner violence, as well as the socio-cultural contexts in which victims reside.
大多数关于亲密伴侣暴力的研究都强调身体虐待和性虐待,常常忽视不同形式的暴力对心理健康的独特影响。心理虐待通常被视为一个单一类别,忽视了言语-情感虐待和控制行为等重要子类型,而经济虐待尽管对幸福有潜在影响,但仍未得到充分研究。此外,生活满意度——心理健康的一个关键指标——很少与抑郁和焦虑一起被研究,并且在亲密伴侣暴力的研究中,抑郁症状和焦虑之间的区别往往不明确。本研究通过考察五种虐待形式——身体、性、经济、支配-孤立和情感-言语——对佐治亚州293名亲密伴侣暴力女性幸存者的抑郁、焦虑和生活满意度的具体影响,填补了这些空白。它还调查了焦虑在亲密伴侣暴力与抑郁症状之间关系中的中介作用,从而关注这两种心理健康结果的独特特征。
研究结果显示,参与者通常同时经历至少四种形式的亲密伴侣暴力,这与不良心理健康结果相关。亲密伴侣暴力的影响因类型而异:身体虐待和性虐待与生活满意度降低和焦虑增加有关,但不是抑郁症状的显著预测因素。相比之下,支配-孤立——一种心理虐待形式——预测了抑郁症状和焦虑,但不影响生活满意度。此外,焦虑在身体和性亲密伴侣暴力与抑郁症状之间的关系中起中介作用,为受虐女性抑郁发展的潜在机制提供了见解。
总之,本研究强调了各种形式的亲密伴侣暴力与心理健康之间复杂的关系,尤其关注焦虑在抑郁症状发展中的中介作用。研究结果凸显了迫切需要制定全面的、对文化敏感的干预策略,以帮助亲密伴侣暴力受害女性,特别是那些遭受多种虐待的女性。这些干预措施应旨在应对与不同形式的人际伴侣暴力相关的特定心理健康挑战,以及受害者所处的社会文化背景。