The Relationship Between Marginalization and Mental Health Symptoms in Abused Women

2.50
Hdl Handle:
http://hdl.handle.net/10755/622067
Category:
Full-text
Format:
Text-based Document
Type:
Presentation
Level of Evidence:
N/A
Research Approach:
N/A
Title:
The Relationship Between Marginalization and Mental Health Symptoms in Abused Women
Other Titles:
Domestic Violence and the Promotion of Mental Health
Author(s):
Koci, Anne; McFarlane, Judith M.; Maddoux, John A.
Lead Author STTI Affiliation:
Beta Beta (Houston)
Author Details:
Anne Koci, PhD, RN, FNP-BC, WHNP, Professional Experience: Dr. Koci has 38 years as a Family Nurse Practitioner and more than 15 years as a Women’s Health researcher focusing on marginalization and health outcomes of abuse. Dr. Koci has developed the Koci Marginality Index (reliability .84-.96), a measure of marginalization, which has been used in multiple research studies and translated into six languages (Spanish, Tagalog, Russian, Ukrainian, Japanese, and French-Creole). Author Summary: Dr. Koci, a Women’s Health researcher, with a special interest in marginality issues and health outcomes of women with a history of abuse. She developed and psychometrically tested the Koci Marginality Index which has been translated into Spanish, Tagalog, French-Creole, Japanese, Ukrainian, Russian, and Omani for use in international research. She presents regularly at national and international conferences regarding marginalization and health outcomes of abuse. She integrates trauma informed care into her NP clinical practice.
Abstract:

Background: Globally intimate partner violence (IPV) affects 1 in 3 women (WHO, 2013). One important factor that may be associated with the increased vulnerability to abuse is marginality which brings about social isolation as well as psychological isolation of individuals. This isolation has negative consequences for emotional health (Koci, 2012; Symes, McFarlane, Nava, Gilroy, Maddoux, 2013) Anxiety, depression and PTSD are adverse mental health symptoms that increase the risk for suicide. The World Health Organization’s Sustainable Development Goal 3 is to ensure healthy lives and promote well-being for all at all ages and to reduce premature mortality from suicide.

 Purpose: The purpose of this study was to examine the link between marginalization and mental health symptoms among women with known histories of intimate partner violence.

Methods: Data utilized in this study included five-year data from a prospective seven-year study examining the clinical outcomes of women seeking support through either a safe shelter or the DA’s office for the first time following a violent relationship (n=279). Women were surveyed every four months for five years. Key measures utilized for this sub-analysis included the Koci Marginalization Index, Brief Symptom Inventory, and a PTSD screening measure.

Results: A series of multiple linear regressions were conducted to predict mental health outcomes (depression, somatization, anxiety, PTSD) from current levels of marginalization, controlling for entry levels of marginalization. Results indicated that marginalization was significantly associated with higher levels of Global Distress (Beta = .319), Depression (Beta = .349), Anxiety (Beta = .294), Somatization (Beta = .197), and PTSD symptoms (Beta = .366). Results consistently demonstrated that higher levels of marginalization were associated with higher levels of mental health symptoms.

Conclusions: Our findings revealed a positive relationship between marginality and adverse mental health outcomes of depression, anxiety, somatization, and PTSD symptoms indicating that the more marginalized woman suffers more deeply with mental health symptoms which may put her at higher risk for suicide. These findings concur with previous research (Koci, 2004) that marginality of women contributes to social isolation and deterioration of mental health. This longitudinal study in the 5th year serves as an alert to healthcare providers to the possibility of long-term abuse-related sequelae in their practice. This research contributes to the knowledge of marginality, a social determinant of health. Understanding marginality and its impact on mental health may aid in reducing mortality from suicide. Policymakers need to be cognizant of the role of marginality in females and its potential adverse impact on their mental health which may aid in the development of healthcare agendas at all levels of government.

Keywords:
Intimate Partner Violence; Marginality; Mental Health
Repository Posting Date:
24-Jul-2017
Date of Publication:
24-Jul-2017
Other Identifiers:
INRC17C02
Conference Date:
2017
Conference Name:
28th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International
Conference Location:
Dublin, Ireland
Description:
Event Theme: Influencing Global Health Through the Advancement of Nursing Scholarship

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePresentationen
dc.evidence.levelN/Aen
dc.research.approachN/Aen
dc.titleThe Relationship Between Marginalization and Mental Health Symptoms in Abused Womenen_US
dc.title.alternativeDomestic Violence and the Promotion of Mental Healthen
dc.contributor.authorKoci, Anneen
dc.contributor.authorMcFarlane, Judith M.en
dc.contributor.authorMaddoux, John A.en
dc.contributor.departmentBeta Beta (Houston)en
dc.author.detailsAnne Koci, PhD, RN, FNP-BC, WHNP, Professional Experience: Dr. Koci has 38 years as a Family Nurse Practitioner and more than 15 years as a Women’s Health researcher focusing on marginalization and health outcomes of abuse. Dr. Koci has developed the Koci Marginality Index (reliability .84-.96), a measure of marginalization, which has been used in multiple research studies and translated into six languages (Spanish, Tagalog, Russian, Ukrainian, Japanese, and French-Creole). Author Summary: Dr. Koci, a Women’s Health researcher, with a special interest in marginality issues and health outcomes of women with a history of abuse. She developed and psychometrically tested the Koci Marginality Index which has been translated into Spanish, Tagalog, French-Creole, Japanese, Ukrainian, Russian, and Omani for use in international research. She presents regularly at national and international conferences regarding marginalization and health outcomes of abuse. She integrates trauma informed care into her NP clinical practice.en
dc.identifier.urihttp://hdl.handle.net/10755/622067-
dc.description.abstract<p><strong>Background: </strong><span>Globally intimate partner violence (IPV) affects 1 in 3 women (WHO, 2013). One important factor that may be associated with the increased vulnerability to abuse is marginality which brings about social isolation as well as psychological isolation of individuals. This isolation has negative consequences for emotional health (Koci, 2012; Symes, McFarlane, Nava, Gilroy, Maddoux, 2013) Anxiety, depression and PTSD are adverse mental health symptoms that increase the risk for suicide. The World Health Organization’s Sustainable Development Goal 3 is to ensure healthy lives and promote well-being for all at all ages and to reduce premature mortality from suicide.</span></p> <p> <strong>Purpose: </strong>The purpose of this study was to examine the link between marginalization and mental health symptoms among women with known histories of intimate partner violence.</p> <p><strong>Methods: </strong>Data utilized in this study included five-year data from a prospective seven-year study examining the clinical outcomes of women seeking support through either a safe shelter or the DA’s office for the first time following a violent relationship (n=279). Women were surveyed every four months for five years. Key measures utilized for this sub-analysis included the Koci Marginalization Index, Brief Symptom Inventory, and a PTSD screening measure.</p> <p><strong>Results: </strong>A series of multiple linear regressions were conducted to predict mental health outcomes (depression, somatization, anxiety, PTSD) from current levels of marginalization, controlling for entry levels of marginalization. Results indicated that marginalization was significantly associated with higher levels of Global Distress (<em>Beta</em> = .319), Depression (<em>Beta</em> = .349), Anxiety (<em>Beta</em> = .294), Somatization (<em>Beta</em> = .197), and PTSD symptoms (<em>Beta</em> = .366). Results consistently demonstrated that higher levels of marginalization were associated with higher levels of mental health symptoms.</p> <p><strong>Conclusions: </strong>Our<strong> </strong>findings revealed a positive relationship between marginality and adverse mental health outcomes of depression, anxiety, somatization, and PTSD symptoms indicating that the more marginalized woman suffers more deeply with mental health symptoms which may put her at higher risk for suicide. These findings concur with previous research (Koci, 2004) that marginality of women contributes to social isolation and deterioration of mental health. This longitudinal study in the 5<sup>th</sup> year serves as an alert to healthcare providers to the possibility of long-term abuse-related sequelae in their practice. This research contributes to the knowledge of marginality, a social determinant of health. Understanding marginality and its impact on mental health may aid in reducing mortality from suicide. Policymakers need to be cognizant of the role of marginality in females and its potential adverse impact on their mental health which may aid in the development of healthcare agendas at all levels of government.</p>en
dc.subjectIntimate Partner Violenceen
dc.subjectMarginalityen
dc.subjectMental Healthen
dc.date.available2017-07-24T16:26:03Z-
dc.date.issued2017-07-24-
dc.date.accessioned2017-07-24T16:26:03Z-
dc.conference.date2017en
dc.conference.name28th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau Internationalen
dc.conference.locationDublin, Irelanden
dc.descriptionEvent Theme: Influencing Global Health Through the Advancement of Nursing Scholarshipen
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