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BMC Women's Health
Published in: BMC Women's Health 1/2018

Open Access 01-12-2018 | Research article

Factors mediating the impacts of child abuse and intimate partner violence on chronic pain: a cross-sectional study

Authors: Eman Alhalal, Marilyn Ford-Gilboe, Carol Wong, Fadia AlBuhairan

Published in: BMC Women's Health | Issue 1/2018

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Abstract

Background

Most research on the health impacts of intimate partner violence (IPV) and child abuse has been conducted in Western countries and may not be generalizable to women living in different contexts, such as Saudi Arabia. Chronic pain, a disabling health issue associated with experiences of both child abuse and IPV among women, negatively impacts women’s well-being, quality of life, and level of functioning. Yet, the psychosocial mechanisms that explain how abuse relates to chronic pain are poorly understood. We developed and tested a theoretical model that explains how both IPV and child abuse are related to chronic pain.

Methods

We recruited a convenience sample of 299 Saudi women, who had experienced IPV in the past 12 months, from nine primary health care centers in Saudi Arabia between June and August 2015. Women completed a structured interview comprised of self-report measures of IPV, child abuse, PTSD, depressive symptoms, chronic pain, and social support. Using Structural equation modeling (SEM), we analyzed the proposed model twice with different mental health indicators as mediators: PTSD symptoms (Model 1) and depressive symptoms (Model 2).

Results

Both models were found to fit the data, accounting for 31.6% (Model 1) and 32.4% (Model 2) of the variance in chronic pain severity. In both models, mental health problems (PTSD and depressive symptoms) fully mediated the relationship between severity of IPV and child abuse and chronic pain severity. Perceived family support partially mediated the relationship between abuse severity and depressive symptoms.

Conclusions

These results underscore the significance of considering lifetime abuse, women’s mental health (depressive and PTSD symptoms) and their social resources in chronic pain management and treatment.
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Metadata
Title
Factors mediating the impacts of child abuse and intimate partner violence on chronic pain: a cross-sectional study
Authors
Eman Alhalal
Marilyn Ford-Gilboe
Carol Wong
Fadia AlBuhairan
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Women's Health / Issue 1/2018
Electronic ISSN: 1472-6874
DOI
https://doi.org/10.1186/s12905-018-0642-9

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