Comorbidity of Psychiatric Disorders in the Domestic Abusers (A Qualitative Study)
Subject Areas : Woman and family
Keywords: Domestic abuser, Comorbidity, Psychiatric disorder,
Abstract :
Violence against women is a very important problem for family mental health. According to researches; domestic abusers suffer from mulitple psychiatric disorders. This study aimed to investigate the comorbidity of psychiatric disorders in domestic abuser husbands in Tehran. According to available sampling method and diagnostic criteria, 100 domestic abuser husbands and 100 non-domestic abuser husbands were selected and assessed by SCID tools and other indices. The results showed that the ranking of ten psychiatric problems concurrent with domestic violence include: Substance abuse 39.9 %, Impulse control disorder 35.3%, Sexual problems or dysfunction 31.6%, Sadistic personality disorder 29.8%, chronic depression 27.67%, Paranoid personality disorder 24.9%, Alcohol abuse 21.6%, antisocial personality disorder 22.2%, Anxiety disorder 19.39%, and Borderline personality disorder 18.2%. The results of the present study have great preventive, diagnostic, clinical, research and educational implications in controlling domestic abuse disorder.
- احمدیان، علیرضا؛ نظری، علی‌محمد؛ حاتمی، محمد؛ حسن‌آبادی، حمیدرضا و میرزایی، جعفر (1391)، اثربخشی طرح‌واره‌درمانی تمثیلی بر افسرده‌خویی جانبازان دچار استرس پس از سانحه جنگی مزمن، فصلنامه روانشناسی نظامی، سال سوم، شماره یازدهم؛21-40.
- بختیاری، مریم (1379)، بررسی اختلالات روانی در مبتلایان به اختلال بدشکلی بدن. پایان‌نامه کارشناسی ارشد روانشناسی بالینی، دانشگاه علوم پزشکی ایران (انستیتو روان‌پزشکی تهران).
- رفیعی‌فر، شهرام (1380)، پارسی نیا سعید، خشونت علیه زنان. تهران، انتشارات مرکز مدیریت بیماری ها.
- نصر، مجید (1378)، بررسی برخی از ویژگیهای شخصیتی و زناشویی مردان همسر آزار از دید همسران مراجعه کننده به مرکز پزشکی قانونی اصفهان در مرداد و شهریور، پایان نامه دکترای حرفه ای دانشگاه علوم پزشکی اصفهان.
- American Psychiatric Association (2000), Diagnostic and Statistical Manual of Psychiatric Disorders, 4th edition, Text Revision, DSM-IV-TRWashington DC: American Psychiatric Association.
- Armstrong, I. (1999), ‘Women and their “uncontrollable impulses”: the medicalisation of women’s crime and differential gender sentencing, Psychiatry, Psychology and Law, 6, 67–77.
- Bogat G. A, Leahy K, von E. A, Maxwell C, Levendosky A. A, Davidson W. S, et al. The influence of community violence on the functioning of women experiencing domestic violence. Am J Community Psychol, 36, 123-32.
- Carmen, E. H., Reiker, P. P., & Mills, T. (1984), Victims of violence and psychiatric illness.American Journal of Psychiatry, 141, 378–379.
- Coker, A. L., Hopenhayn, C., DeSimone, C. P., Bush, H. M., & Clifford, L. (2009), Violence against women raises risk of cervical cancer. Journal of Women’s Health, 18, 1179–1185.
- Copel, L. (2006), Partner abuse in physically disabled women: A proposed model for understanding intimate partner violence. Perspectives in Psychiatric Care, 42, 114–128.
- Corstorphine, E., Waller, G., Lawson, R., & Ganis, C.(2007), Trauma and multi-impulsivity in the eating disorders. Eating Behaviors, 8, 23–30.
- D’Ardenne, P., & Balakrishma, J. (2001), Domestic violence and intimacy: What the therapist needs to know. Sexual and Relationship Therapy, 16, 229–246.
- Dattilio, F. M., & Sadoff, R. L. (2007), mental health experts: Roles and qualifications for court (2nd Ed.). Mechanicsburg, PA: Pennsylvania Bar Institute.
- Douglas, K. S., Ogloff, J. R. P., & Hart, S. D. (2003), Evaluation of a model of violence risk assessment among forensic psychiatric patients. Psychiatric Services,54, 1372–1379.
- Dutton, D. G. (2002), Psychiatric explanation of intimate abusiveness. Journal of Psychiatric Practice, 8, 216–228.
- Dutton, M. A., Goodman, L. A., & Bennett, L. (2001), Court-involved battered women’s responses to violence: The role of psychological, physical and sexual abuse. Psychological abuse in violent relations, New York: Springer.177–195.
- Epp, A. M., Dobson, K. S., & Pusch, D. (2013), Psychopathology: Diagnosis, Assessment, and Classification. In V. S. Ramachandran (Ed.), Encyclopedia of Human Behavior (2nd Ed.). Oxford: Elsevier.173-181.
- Fata, L., Birashk, B., Atef-vahid, M. K., & Dobson, K. (2005), Semiotic Structures of schemas: anxiety modes & cognitive processing of anxiety information; A comparison between two conceptual frameworks. Journal of Thought & Behavior,11, 18-30.
- Finkel, N. (2007), Insanity’s disconnect the law’s madness, and the irresistible impulses of experts. In M. Costanzo, M.Krauss, & K. Pezdek (Eds.), Expert psychological testimony for the courts.177–201.
- Friedmann, P. D., Taxman, F. S., & Henderson, C. E. (2007), Evidence-based treatment practices for drug-involved adults in the criminal justice system. Journal of Substance Abuse Treatment, 32, 267–277.
- Hines, D. A., & Saudino, K. J. (2003), Gender differences in psychological, physical and sexual aggression among college students using the revised Confl ict Tactics Scales. Violence and Victims, 18, 197–217.
- Hou W. L, Wang H. H, Chung H. H. Domestic violence against women in Taiwan; their life-threatening situations, post-traumatic responses, and psycho-physiological symptoms: an interview study. Int J Nurs Stud, 42, 629-36.
- Kahn, A. S., Jackson, J., Kully, C., Badger, K., & Halvorsen, J. (2003), calling it rape: Differences in experiences of women who do and do not label their sexual assault as rape. Psychology of Women Quarterly, 27, 233–242.
- Klein, A. (2009), Practical implications of current domestic violence research: For law enforcement, prosecutors and judges . Washington, DC: National Institute of Justice.
- Lloyd, S. A. (1991), The darkside of courtship: Violence and sexual exploitation. Family Relations: Interdisciplinary Journal of Applied Family Studies, 40, 14–20.
- Merrill, G. S., & Wolfe, V. A. (2000), Battered gay men: An exploration of abuse, help seeking and why they stay. Journal of Homosexuality, 39, 1–30.
- Resick, P. A., Williams, L. F., Suvak, M. K., Monson, C. M., & Gradus, J. L. (2012), Long-term outcomes of cognitive behavioral treatments for posttraumatic stress disorder among female rape survivors. Journal of Consulting and Clinical Psychology, 80, 201-210.
- Sinclair, H. C., & Frieze, I. H. (2005), When courtship persistence becomes intrusive pursuit:A comparison of rejecter and pursuer perspectives of unrequited attraction. Sex Roles, 52, 839–852.
- Stover, C. S., Berkman, M., Desai, R., & Marans, S. (2010), The effi cacy of a police-advocacy intervention for victims of domestic violence:12 month follow-up data. Violence against Women, 16, 410–425.
- Stover, C. S., Poole, G., & Marans, S. (2009), The Domestic Violence Home-Visit Intervention: Impact on police-reported incidents of repeat violence over 12 months. Violence and Victims, 24 , 591–606.
- Thomas C. R, Miller G, Hartshorn J. C, Speck N. C, Walker G.Telepsychiatry program for rural victims of domestic violence. Telemed J E Health, 11, 567-73.
- Tuten, M., Jones, H. E., Tran, G., & Svikis, D. S. (2004), Partner violence impacts the psychosocial and psychiatric status of pregnant, drug-dependent women. Addictive Behaviors, 29, 1029–1034.
- Tweed, R. G., & Dutton, D. G. (1998), A comparison of impulsive and instrumental subgroups of batterers. Violence and Victims, 13, 217–230.
- Walton-Moss B. J, Manganello J, Frye V, Campbell J. C. Risk factors for intimate partner violence and associated injury among urban women. Community Health, 30, 377-89.
- Walton-Moss, B., Morrison, C., Yeo, R., Woodruff, K., Woods, A., Campbell, J. C., et al. (2003), Interrelationships of violence and psychiatric symptoms in women with substance use disorders. Journal of Addictions Nursing, 14, 193–200.
- WHO. (2008b), Discussing screenings for elder abuse at primary health care level. Geneva, Switzerland: WHO.
- Wills, C. (2009), Psychiatry site visit report. In S. H. v. Stickrath, United States District Court Southern District of Ohio Eastern Division, Case No. 2:04-cv-1206.
- Wong, W. C. W., Chen, W. Q., Goggins, W. B., Tang, C. S., & Leung, P. W. (2009), Individual, familial and community determinants of child physical abuse among high school students in China. Social Science & Medicine, 68, 1819–1825.
- Woodward, L. J., Fergusson, D. M., & Horwood, L. J. (2002), Romantic relationships of young people with childhood and adolescent onset antisocial behavior problems. Journal of Abnormal Child Psychology, 30, 231-243.