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Published in: Journal of Family Violence 7/2022

21-10-2021 | Original Article

Psychometric Evaluation of the Healing After Gender-Based Violence Scale: An Instrument for Cross-Sectional and Longitudinal Assessment of Recovery Progress for Women-Identifying Survivors

Authors: Laura Sinko, Zeynep Zonp Özaslan, Chris Schaitkin, Denise Saint Arnault

Published in: Journal of Family Violence | Issue 7/2022

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Abstract

Purpose

The Healing after Gender-based Violence Scale (GBV-Heal) was developed to measure the holistic recovery processes of woman-identifying survivors of gender-based violence (GBV). The GBV-Heal asks survivors to evaluate a series of statements based on perceptions of one’s lowest point and how they currently feel. These scale response options create lowest point, current feelings, and difference scores to evaluate the healing outcome cross-sectionally. This manuscript aims to evaluate the psychometric properties of the GBV-Heal to understand its usefulness for research and practice.

Method

Instrument evaluation consisted of two phases analyzing online survey data from two GBV survivor samples recruited from online health research portals in the United States. In Phase One (N = 236), we conducted factor analyses and evaluated convergent/discriminant validity using depression, anxiety, posttraumatic stress, posttraumatic growth, and wellbeing measures. In Phase Two (N = 47), we evaluated GBV-Heal response consistency via test–retest within two weeks.

Results

Results showed that the scale’s final model included 4 components with 18 items, explaining 61.2% and 65% of the overall scale variances for “at my lowest point” and “my current feelings,” respectively. The GBV-Heal difference score showed a weak positive correlation with wellbeing and posttraumatic growth scores and a weak negative correlation with depression, anxiety, and PTSD scores. Test–retest revealed Pearson r correlations of 0.82, 0.82, and 0.69 for the lowest point, current feelings, and difference scores respectively.

Conclusion

These findings substantiate the reliability and validity of our instrument as an outcome measure that can be used both cross-sectionally and longitudinally with survivors of GBV.
Literature
go back to reference Blevins, C. A., Weathers, F. W., Davis, M. T., Witte, T. K., & Domino, J. L. (2015). The posttraumatic stress disorder checklist for DSM-5 (PCL-5): Development and initial psychometric evaluation. Journal of Traumatic Stress, 28(6), 489–498. PubMedCrossRef Blevins, C. A., Weathers, F. W., Davis, M. T., Witte, T. K., & Domino, J. L. (2015). The posttraumatic stress disorder checklist for DSM-5 (PCL-5): Development and initial psychometric evaluation. Journal of Traumatic Stress, 28(6), 489–498. PubMedCrossRef
go back to reference Bovin, M. J., Marx, B. P., Weathers, F. W., Gallagher, M. W., Rodriguez, P., Schnurr, P. P., & Keane, T. M. (2016). Psychometric properties of the PTSD checklist for diagnostic and statistical manual of mental disorders–fifth edition (PCL-5) in veterans. Psychological assessment, 28(11), 1379. Bovin, M. J., Marx, B. P., Weathers, F. W., Gallagher, M. W., Rodriguez, P., Schnurr, P. P., & Keane, T. M. (2016). Psychometric properties of the PTSD checklist for diagnostic and statistical manual of mental disorders–fifth edition (PCL-5) in veterans. Psychological assessment, 28(11), 1379.
go back to reference Browne, M. W., & Cudeck, R. (1992). Alternative ways of assessing model fit. Sociological Methods & Research, 21(2), 230–258. CrossRef Browne, M. W., & Cudeck, R. (1992). Alternative ways of assessing model fit. Sociological Methods & Research, 21(2), 230–258. CrossRef
go back to reference Cerny, B. A., & Kaiser, H. F. (1977). A study of a measure of sampling adequacy for factor-analytic correlation matrices. Multivariate Behavioral Research, 12(1), 43–47. PubMedCrossRef Cerny, B. A., & Kaiser, H. F. (1977). A study of a measure of sampling adequacy for factor-analytic correlation matrices. Multivariate Behavioral Research, 12(1), 43–47. PubMedCrossRef
go back to reference Connor, K. M., & Davidson, J. R. (2003). Development of a new resilience scale: The Connor-Davidson resilience scale (CD-RISC). Depression and Anxiety, 18(2), 76–82. PubMedCrossRef Connor, K. M., & Davidson, J. R. (2003). Development of a new resilience scale: The Connor-Davidson resilience scale (CD-RISC). Depression and Anxiety, 18(2), 76–82. PubMedCrossRef
go back to reference Drennan, J. (2003). Cognitive interviewing: Verbal data in the design and pretesting of questionnaires. Journal of Advanced Nursing, 42(1), 57–63. PubMedCrossRef Drennan, J. (2003). Cognitive interviewing: Verbal data in the design and pretesting of questionnaires. Journal of Advanced Nursing, 42(1), 57–63. PubMedCrossRef
go back to reference Flasch, P., Murray, C. E., & Crowe, A. (2017). Overcoming abuse: A phenomenological investigation of the journey to recovery from past intimate partner violence. Journal of interpersonal violence, 32(22), 3373–3401. PubMedCrossRef Flasch, P., Murray, C. E., & Crowe, A. (2017). Overcoming abuse: A phenomenological investigation of the journey to recovery from past intimate partner violence. Journal of interpersonal violence, 32(22), 3373–3401. PubMedCrossRef
go back to reference Freyd, J. J., Klest, B., & Allard, C. B. (2005). Betrayal trauma: Relationship to physical health, psychological distress, and a written disclosure intervention. Journal of Trauma & Dissociation, 6(3), 83–104. CrossRef Freyd, J. J., Klest, B., & Allard, C. B. (2005). Betrayal trauma: Relationship to physical health, psychological distress, and a written disclosure intervention. Journal of Trauma & Dissociation, 6(3), 83–104. CrossRef
go back to reference Gallagher, M. W., Lopez, S. J., & Preacher, K. J. (2009). The hierarchical structure of well-being. Journal of Personality, 77(4), 1025–1050. PubMedCrossRef Gallagher, M. W., Lopez, S. J., & Preacher, K. J. (2009). The hierarchical structure of well-being. Journal of Personality, 77(4), 1025–1050. PubMedCrossRef
go back to reference Girden, E. R., & Kabacoff, R. (Eds.). (2010). Evaluating research articles from start to finish. Sage. Girden, E. R., & Kabacoff, R. (Eds.). (2010). Evaluating research articles from start to finish. Sage.
go back to reference Gómez, J. M., Lewis, J. K., Noll, L. K., Smidt, A. M., & Birrell, P. J. (2016). Shifting the focus: Nonpathologizing approaches to healing from betrayal trauma through an emphasis on relational care. Journal of Trauma & Dissociation, 17(2), 165–185. CrossRef Gómez, J. M., Lewis, J. K., Noll, L. K., Smidt, A. M., & Birrell, P. J. (2016). Shifting the focus: Nonpathologizing approaches to healing from betrayal trauma through an emphasis on relational care. Journal of Trauma & Dissociation, 17(2), 165–185. CrossRef
go back to reference Grubaugh, A. L., & Resick, P. A. (2007). Posttraumatic growth in treatment-seeking female assault victims. Psychiatric Quarterly, 78(2), 145–155. PubMedCrossRef Grubaugh, A. L., & Resick, P. A. (2007). Posttraumatic growth in treatment-seeking female assault victims. Psychiatric Quarterly, 78(2), 145–155. PubMedCrossRef
go back to reference Hair, J. F., Jr., Hult, G. T. M., Ringle, C., & Sarstedt, M. (2016). A primer on partial least squares structural equation modeling (PLS-SEM). Sage publications. Hair, J. F., Jr., Hult, G. T. M., Ringle, C., & Sarstedt, M. (2016). A primer on partial least squares structural equation modeling (PLS-SEM). Sage publications.
go back to reference Heise, L., Ellsberg, M., & Gottmoeller, M. (2002). A global overview of gender-based violence. International Journal of Gynecology & Obstetrics, 78, S5–S14. CrossRef Heise, L., Ellsberg, M., & Gottmoeller, M. (2002). A global overview of gender-based violence. International Journal of Gynecology & Obstetrics, 78, S5–S14. CrossRef
go back to reference Heywood, I., Sammut, D., & Bradbury-Jones, C. (2019). A qualitative exploration of ‘thrivership’among women who have experienced domestic violence and abuse: Development of a new model. BMC women’s health, 19(1), 1–15. Heywood, I., Sammut, D., & Bradbury-Jones, C. (2019). A qualitative exploration of ‘thrivership’among women who have experienced domestic violence and abuse: Development of a new model. BMC women’s health, 19(1), 1–15.
go back to reference Hooper, D., Coughlan, J., & Mullen, M. (2008). Structural equation modelling: Guidelines for determining model fit. Electronic Journal of Business Research Methods, 6(1), 53–60. Hooper, D., Coughlan, J., & Mullen, M. (2008). Structural equation modelling: Guidelines for determining model fit. Electronic Journal of Business Research Methods, 6(1), 53–60.
go back to reference Kleim, B., & Ehlers, A. (2009). Evidence for a curvilinear relationship between posttraumatic growth and posttrauma depression and PTSD in assault survivors. Journal of Traumatic Stress: Official Publication of The International Society for Traumatic Stress Studies, 22(1), 45–52. CrossRef Kleim, B., & Ehlers, A. (2009). Evidence for a curvilinear relationship between posttraumatic growth and posttrauma depression and PTSD in assault survivors. Journal of Traumatic Stress: Official Publication of The International Society for Traumatic Stress Studies, 22(1), 45–52. CrossRef
go back to reference Kroenke, K., Spitzer, R. L., Williams, J. B., Monahan, P. O., & Löwe, B. (2007). Anxiety disorders in primary care: Prevalence, impairment, comorbidity, and detection. Annals of Internal Medicine, 146(5), 317–325. PubMedCrossRef Kroenke, K., Spitzer, R. L., Williams, J. B., Monahan, P. O., & Löwe, B. (2007). Anxiety disorders in primary care: Prevalence, impairment, comorbidity, and detection. Annals of Internal Medicine, 146(5), 317–325. PubMedCrossRef
go back to reference Kroenke, K., Strine, T. W., Spitzer, R. L., Williams, J. B., Berry, J. T., & Mokdad, A. H. (2009). The PHQ-8 as a measure of current depression in the general population. Journal of Affective Disorders, 114(1–3), 163–173. PubMedCrossRef Kroenke, K., Strine, T. W., Spitzer, R. L., Williams, J. B., Berry, J. T., & Mokdad, A. H. (2009). The PHQ-8 as a measure of current depression in the general population. Journal of Affective Disorders, 114(1–3), 163–173. PubMedCrossRef
go back to reference Lamers, S. M., Westerhof, G. J., Bohlmeijer, E. T., ten Klooster, P. M., & Keyes, C. L. (2011). Evaluating the psychometric properties of the mental health continuum-short form (MHC-SF). Journal of Clinical Psychology, 67(1), 99–110. PubMedCrossRef Lamers, S. M., Westerhof, G. J., Bohlmeijer, E. T., ten Klooster, P. M., & Keyes, C. L. (2011). Evaluating the psychometric properties of the mental health continuum-short form (MHC-SF). Journal of Clinical Psychology, 67(1), 99–110. PubMedCrossRef
go back to reference Martin, C. G., Cromer, L. D., DePrince, A. P., & Freyd, J. J. (2013). The role of cumulative trauma, betrayal, and appraisals in understanding trauma symptomatology. Psychological Trauma: Theory, Research, Practice, and Policy, 5(2), 110. CrossRef Martin, C. G., Cromer, L. D., DePrince, A. P., & Freyd, J. J. (2013). The role of cumulative trauma, betrayal, and appraisals in understanding trauma symptomatology. Psychological Trauma: Theory, Research, Practice, and Policy, 5(2), 110. CrossRef
go back to reference Park, C. L., Cohen, L. H., & Murch, R. L. (1996). Assessment and prediction of stress-related growth. Journal of personality, 64(1), 71–105. PubMedCrossRef Park, C. L., Cohen, L. H., & Murch, R. L. (1996). Assessment and prediction of stress-related growth. Journal of personality, 64(1), 71–105. PubMedCrossRef
go back to reference R Core Team. (2020). R: A Language and Environment for Statistical Computing. Vienna, Austria. Retrieved from https://​www.​R-project.​org/​ R Core Team. (2020). R: A Language and Environment for Statistical Computing. Vienna, Austria. Retrieved from https://​www.​R-project.​org/​
go back to reference Rodelli, M., Koutra, K., Thorvaldsdottir, K. B., Bilgin, H., Ratsika, N., Testoni, I., & Saint Arnault, D. M. (2021). Conceptual development and content validation of a multicultural instrument to assess the normalization of gender-based violence against women. Sexuality & Culture, 1–22. Rodelli, M., Koutra, K., Thorvaldsdottir, K. B., Bilgin, H., Ratsika, N., Testoni, I., & Saint Arnault, D. M. (2021). Conceptual development and content validation of a multicultural instrument to assess the normalization of gender-based violence against women. Sexuality & Culture, 1–22.
go back to reference Saint Arnault, D. M. (2017). The use of the clinical ethnographic narrative interview to understand and support help seeking after gender-based violence. TPM. Testing, Psychometrics, Methodology in Applied Psychology, 24(3), 423. PubMedPubMedCentral Saint Arnault, D. M. (2017). The use of the clinical ethnographic narrative interview to understand and support help seeking after gender-based violence. TPM. Testing, Psychometrics, Methodology in Applied Psychology, 24(3), 423. PubMedPubMedCentral
go back to reference Schaefer, L. M., Howell, K. H., Schwartz, L. E., Bottomley, J. S., & Crossnine, C. B. (2018). A concurrent examination of protective factors associated with resilience and posttraumatic growth following childhood victimization. Child Abuse & Neglect, 85, 17–27. Schaefer, L. M., Howell, K. H., Schwartz, L. E., Bottomley, J. S., & Crossnine, C. B. (2018). A concurrent examination of protective factors associated with resilience and posttraumatic growth following childhood victimization. Child Abuse & Neglect, 85, 17–27.
go back to reference Shakespeare-Finch, J., & Armstrong, D. (2010). Trauma type and posttrauma outcomes: Differences between survivors of motor vehicle accidents, sexual assault, and bereavement. Journal of Loss and Trauma, 15(2), 69–82. CrossRef Shakespeare-Finch, J., & Armstrong, D. (2010). Trauma type and posttrauma outcomes: Differences between survivors of motor vehicle accidents, sexual assault, and bereavement. Journal of Loss and Trauma, 15(2), 69–82. CrossRef
go back to reference Sharma, S. (1996). Applied multivariate techniques. John Wiley and Sons Inc. Sharma, S. (1996). Applied multivariate techniques. John Wiley and Sons Inc.
go back to reference Shrout, P. E., & Fleiss, J. L. (1979). Intraclass correlations: Uses in assessing rater reliability. Psychological Bulletin, 86(2), 420. PubMedCrossRef Shrout, P. E., & Fleiss, J. L. (1979). Intraclass correlations: Uses in assessing rater reliability. Psychological Bulletin, 86(2), 420. PubMedCrossRef
go back to reference Sinko, L., & Saint Arnault, D. (2020a). Finding the strength to heal: Understanding recovery after gender-based violence. Violence against women, 26(12–13), 1616–1635. Sinko, L., & Saint Arnault, D. (2020a). Finding the strength to heal: Understanding recovery after gender-based violence. Violence against women, 26(12–13), 1616–1635.
go back to reference Sinko, L., Munro-Kramer, M., Conley, T., Burns, C. J., & Arnault, D. M. S. (2020b). Healing is not linear: Using photography to describe the day-to-day healing journeys of undergraduate women survivors of sexual violence. Journal of community Psychology, 48(3), 658–674. Sinko, L., Munro-Kramer, M., Conley, T., Burns, C. J., & Arnault, D. M. S. (2020b). Healing is not linear: Using photography to describe the day-to-day healing journeys of undergraduate women survivors of sexual violence. Journal of community Psychology, 48(3), 658–674.
go back to reference Sinko, L., James, R., & Hughesdon, K. (2021a). Healing after gender-based violence: a qualitative metasynthesis using meta-ethnography. Trauma, Violence, & Abuse, 1524838021991305. Sinko, L., James, R., & Hughesdon, K. (2021a). Healing after gender-based violence: a qualitative metasynthesis using meta-ethnography. Trauma, Violence, & Abuse, 1524838021991305.
go back to reference Sinko, L., Munro-Kramer, M., Conley, T., & Saint Arnault, D. (2021b). Internalized messages: The role of sexual violence normalization on meaning-making after campus sexual violence. Journal of Aggression, Maltreatment & Trauma, 30(5), 565–585. Sinko, L., Munro-Kramer, M., Conley, T., & Saint Arnault, D. (2021b). Internalized messages: The role of sexual violence normalization on meaning-making after campus sexual violence. Journal of Aggression, Maltreatment & Trauma, 30(5), 565–585.
go back to reference Smith, M. E. (2003). Recovery from intimate partner violence: A difficult journey. Issues in Mental Health Nursing, 24(5), 543–573. PubMedCrossRef Smith, M. E. (2003). Recovery from intimate partner violence: A difficult journey. Issues in Mental Health Nursing, 24(5), 543–573. PubMedCrossRef
go back to reference Smith, B. W., Dalen, J., Wiggins, K., Tooley, E., Christopher, P., & Bernard, J. (2008). The brief resilience scale: assessing the ability to bounce back. International journal of behavioral medicine, 15(3), 194–200. PubMedCrossRef Smith, B. W., Dalen, J., Wiggins, K., Tooley, E., Christopher, P., & Bernard, J. (2008). The brief resilience scale: assessing the ability to bounce back. International journal of behavioral medicine, 15(3), 194–200. PubMedCrossRef
go back to reference Spitzer, R. L., Kroenke, K., Williams, J. B., & Löwe, B. (2006). A brief measure for assessing generalized anxiety disorder: The GAD-7. Archives of Internal Medicine, 166(10), 1092–1097. PubMedCrossRef Spitzer, R. L., Kroenke, K., Williams, J. B., & Löwe, B. (2006). A brief measure for assessing generalized anxiety disorder: The GAD-7. Archives of Internal Medicine, 166(10), 1092–1097. PubMedCrossRef
go back to reference Substance Abuse and Mental Health Services Administration. (2014). SAMHSA’s Concept of Trauma and Guidance for a Trauma-Informed Approach. Rockville, MD: HHS Publication No. (SMA) 14–4884. Substance Abuse and Mental Health Services Administration. (2014). SAMHSA’s Concept of Trauma and Guidance for a Trauma-Informed Approach. Rockville, MD: HHS Publication No. (SMA) 14–4884.
go back to reference Taylor, J. Y. (2004). Moving from surviving to thriving: African American women recovering from intimate male partner abuse. Research and Theory for Nursing Practice, 18(1), 35–50. PubMedCrossRef Taylor, J. Y. (2004). Moving from surviving to thriving: African American women recovering from intimate male partner abuse. Research and Theory for Nursing Practice, 18(1), 35–50. PubMedCrossRef
go back to reference T , B. G., & Fidell, L. S. (2013). Using multivariate statistics: International edition. Pearson 2012. T , B. G., & Fidell, L. S. (2013). Using multivariate statistics: International edition. Pearson 2012.
go back to reference Tedeschi, R. G., & Calhoun, L. G. (1996). The Posttraumatic Growth Inventory: Measuring the positive legacy of trauma. Journal of Traumatic Stress, 9(3), 455–471. PubMedCrossRef Tedeschi, R. G., & Calhoun, L. G. (1996). The Posttraumatic Growth Inventory: Measuring the positive legacy of trauma. Journal of Traumatic Stress, 9(3), 455–471. PubMedCrossRef
go back to reference Ungar, M. (2012). Social ecologies and their contribution to resilience. In The social ecology of resilience (pp. 13–31). Springer, New York, NY. Ungar, M. (2012). Social ecologies and their contribution to resilience. In The social ecology of resilience (pp. 13–31). Springer, New York, NY.
go back to reference Van der Kolk, B. A., McFarlane, A. C., & van der Hart, O. (1996). A general approach to treatment of posttraumatic stress disorder. In B. A. van der Kolk, A. C. McFarlane, & L. Weisaeth (Eds.), Traumatic stress: The effects of overwhelming experience on mind, body, and society (pp. 417–440). The Guilford Press. Van der Kolk, B. A., McFarlane, A. C., & van der Hart, O. (1996). A general approach to treatment of posttraumatic stress disorder. In B. A. van der Kolk, A. C. McFarlane, & L. Weisaeth (Eds.), Traumatic stress: The effects of overwhelming experience on mind, body, and society (pp. 417–440). The Guilford Press.
go back to reference Weathers, F. W., Litz, B. T., Keane, T. M., Palmieri, P. A., Marx, B. P., & Schnurr, P. P. (2013). The PTSD checklist for DSM-5 (PCL-5). Scale available from the National Center for PTSD at www. PTSD. Va. gov, 10 Weathers, F. W., Litz, B. T., Keane, T. M., Palmieri, P. A., Marx, B. P., & Schnurr, P. P. (2013). The PTSD checklist for DSM-5 (PCL-5). Scale available from the National Center for PTSD at www. PTSD. Va. gov, 10
go back to reference Weissman, M. M., & Bothwell, S. (1976). Assessment of social adjustment by patient self-report. Archives of general psychiatry, 33(9), 1111–1115. PubMedCrossRef Weissman, M. M., & Bothwell, S. (1976). Assessment of social adjustment by patient self-report. Archives of general psychiatry, 33(9), 1111–1115. PubMedCrossRef
go back to reference Westerhof, G. J., & Keyes, C. L. (2010). Mental illness and mental health: The two continua model across the lifespan. Journal of Adult Development, 17(2), 110–119. PubMedCrossRef Westerhof, G. J., & Keyes, C. L. (2010). Mental illness and mental health: The two continua model across the lifespan. Journal of Adult Development, 17(2), 110–119. PubMedCrossRef
go back to reference World Health Organization. (2013). Global and regional estimates of violence against women: prevalence and health effects of intimate partner violence and non-partner sexual violence. World Health Organization. World Health Organization. (2013). Global and regional estimates of violence against women: prevalence and health effects of intimate partner violence and non-partner sexual violence. World Health Organization.
Metadata
Title
Psychometric Evaluation of the Healing After Gender-Based Violence Scale: An Instrument for Cross-Sectional and Longitudinal Assessment of Recovery Progress for Women-Identifying Survivors
Authors
Laura Sinko
Zeynep Zonp Özaslan
Chris Schaitkin
Denise Saint Arnault
Publication date
21-10-2021
Publisher
Springer US
Published in
Journal of Family Violence / Issue 7/2022
Print ISSN: 0885-7482
Electronic ISSN: 1573-2851
DOI
https://doi.org/10.1007/s10896-021-00333-x

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