CC BY-NC-ND 4.0 · Sleep Sci 2019; 12(01): 35-42
DOI: 10.5935/1984-0063.20190057
REVIEW

Sleep and women intimate partner victimization: prevalence, effects and good practices in health care settings

Marlene Matos
1   Assistant Professor, PhD, Psychology Research Center, School of Psychology, University of Minho, Braga, Portugal.
,
Mariana Gonçalves
2   Researcher, PhD, Psychology Research Center, School of Psychology, University of Minho, Braga, Portugal.
› Institutsangaben

Intimate Partner Violence is a global health issue with higher prevalence worldwide, mostly in women, higher social and economic costs and devastating physical and mental health consequences for the victims. Sleep disturbances has been associated with other mental health issues, being an important symptom when diagnosing post-traumatic stress disorder, depression or anxiety. It can also constitute an important sign to help health professionals to identify potential victims of intimate partner violence. This review paper main objectives are to address the connection between intimate partner violence and sleep disruption, the role and barriers of health professionals in screening this type of violence when sleep problems are present, and to describe good practices in order to identify these victims and to provide support. It has been found that intimate partner victims commonly experience significant sleep disturbances that include truncated sleep, nightmares and less restful sleep. Health professionals are first-line professionals with a pivot role to screen and identify women victims. However, a set of personal (e.g., lack of knowledge and inadequate perceptions about violence, cultural issues) and organizational barriers (e.g., time constraints, lack of training, absence of institutional protocols) may limit the accurate reading of those symptoms. Accordingly, health professionals must be alert not only to physical health conditions associated with violence (acute physical injuries, chronic physical injuries, obstetric and genital injuries), but also psychological problems, like depression, anxiety, post-traumatic stress disorder, alcohol or drug misuse, sleep disturbances, insomnia and nightmares. In the presence of alert symptoms related to violence, health professionals become able to screen, identify and provide ongoing care for women, promoting a trusting relationship and assuming an attentive non-judgmental listening.



Publikationsverlauf

Eingereicht: 11. Oktober 2018

Angenommen: 14. Januar 2019

Artikel online veröffentlicht:
31. Oktober 2023

© 2023. Brazilian Sleep Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

Thieme Revinter Publicações Ltda.
Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil

 
  • REFERENCES

  • 1 World Health Organization (WHO). Global consultation on violence and health. Violence: a public health priority. Geneva: World Health Organization;1996.
  • 2 Council of Europe. Convention on preventing and combating violence against women and domestic violence. Istanbul: Council of Europe;2011. 25 p. Available from: https://rm.coe.int/168008482e
  • 3 World Health Organization (WHO). Global and regional estimates of violence against women: prevalence and health effects of intimate partner violence and non-partner sexual violence. Geneva: World Health Organization; 2013.
  • 4 Sistema de Segurança Interna. Relatório Anual de Segurança Interna -2017. Available from: https://www.portugal.gov.pt/download-ficheiros/ ficheiro.aspx?v=9f0d7743-7d45-40f3-8cf2-e448600f3af6
  • 5 European Union Agency for Fundamental Rights. Violence against women: An EU-wide survey. Vienna: European Union Agency for Fundamental Rights; 2014.
  • 6 Walby S, Olive P. Estimating the costs of gender-based violence in the European Union. Vilnius: European Institute for Gender Equality; 2014.
  • 7 Black MC. Intimate Partner Violence and Adverse Health Consequences: Implications for Clinicians. Am J Lifestyle Med. 2011;5(5):428-39. DOI: https://doi.org/10.1177/1559827611410265
  • 8 Delara M. Mental Health Consequences and Risk Factors of Physical Intimate Partner Violence. Ment Health Fam Med. 2016;12:119-25.
  • 9 Rees S, Steel Z, Creamer M, Teesson M, Bryant R, McFarlane AC, et al. Onset of common mental disorders and suicidal behavior following women’s first exposure to gender based violence: a retrospective, population- based study. BMC Psychiatry. 2014;14:312. DOI: 10.1186/s12888-014-0312-x
  • 10 Ellsberg M, Jansen HA, Heise L, Watts CH, Garcia-Moreno C; WHO Multi-country Study on Women’s Health and Domestic Violence against Women Study Team. Intimate partner violence and women’s physical and mental health in the WHO multi-country study on women’s health and domestic violence: an observational study. Lancet. 2008;371(9619):1165-72. DOI: 10.1016/S0140-6736(08)60522-X.
  • 11 Dillon G, Hussain R, Loxton D, Rahman S. Mental and Physical Health and Intimate Partner Violence against Women: A Review of the Literature. Int J Family Med. 2013:313909. DOI: 10.1155/2013/313909
  • 12 Han A, Stewart DE. Maternal and fetal outcomes of intimate partner violence associated with pregnancy in the Latin American and Caribbean region. Int J Gynaecol Obstet. 2014;124(1):6-11. DOI: 10.1016/j. ijgo.2013.06.037
  • 13 Sarkar NN. The impact of intimate partner violence on women’s reproductive health and pregnancy outcome. J Obstet Gynaecol. 2008;28(3):266-71. DOI: 10.1080/01443610802042415
  • 14 Hauri P, Fisher J. Persistent psychophysiologic (learned) insomnia. Sleep. 1986;9(1):38-53.
  • 15 Pilar MM. The Psychological Impact of Domestic Violence on Spanish Women. J Appl Soc Psychol. 2005;35(11):2310-22. DOI: 10.1111/j.1559-1816.2005.tb02104.x
  • 16 Buysse DJ, Germain A, Hall M, Monk TH, Nofzinger EA. A Neurobiological Model of Insomnia. Drug Discov Today Dis Models. 2011;8(4):129-37. DOI: 10.1016/j.ddmod.2011.07.002
  • 17 Ellis JG, Gehrman P, Espie CA, Riemann D, Perlis ML. Acute insomnia: current conceptualizations and future directions. Sleep Med Rev. 2012;16(1):5-14. DOI: 10.1016/j.smrv.2011.02.002
  • 18 Mazzotta CM, Crean HF, Pigeon WR, Cerulli C. Insomnia, Posttraumatic Stress Disorder Symptoms, and Danger: Their Impact on Victims’ Return to Court for Orders of Protection. J Interpers Violence. 2018:886260518766565. DOI: 10.1177/0886260518766565
  • 19 Lalley-Chareczko L, Segal A, Perlis ML, Nowakowski S, Tal JZ, Grandner MA. Sleep Disturbance Partially Mediates the Relationship Between Intimate Partner Violence and Physical/Mental Health in Women and Men. J Interpers Violence. 2017;32(16):2471-95.
  • 20 Belleville G, Guay S, Marchand A. Impact of sleep disturbances on PTSD symptoms and perceived health. J Nerv Ment Dis. 2009;197(2):126-32. DOI: 10.1097/NMD.0b013e3181961d8e
  • 21 Pigeon WR, Cerulli C, Richards H, He H, Perlis M, Caine E. Sleep disturbances and their association with mental health among women exposed to intimate partner violence. J Womens Health (Larchmt). 2011;20(12):1923-9. DOI: 10.1089/jwh.2011.2781
  • 22 Ratner PA. The incidence of wife abuse and mental health status in abused wives in Edmonton, Alberta. Can J Public Health. 1993;84(4):246-9.
  • 23 Walker R, Shannon L, Logan TK. Sleep loss and partner violence victimization. J Interpers Violence. 2011;26(10):2004-24. DOI: 10.1177/0886260510372932
  • 24 Campbell JC. Health consequences of intimate partner violence. Lancet. 2002;359(9314):1331-6. DOI: 10.1016/S0140-6736(02)08336-8
  • 25 Campbell JC, Lewandowski LA. Mental and physical health effects of intimate partner violence on women and children. Psychiatr Clin North Am. 1997;20(2):353-74.
  • 26 Hurwitz EJ, Gupta J, Liu R, Silverman JG, Raj A. Intimate Partner Violence Associated with Poor Health Outcomes in U.S. South Asian Women. J Immigr Minor Heal. 2006;8(3):251-61. DOI: 10.1007/s10903-006-9330-1
  • 27 Hernandez-Ruiz E. Effect of music therapy on the anxiety levels and sleep patterns of abused women in shelters. J Music Ther. 2005;42(2):140-58.
  • 28 Lowe P, Humphreys C, Williams SJ. Night terrors: women’s experiences of (not) sleeping where there is domestic violence. Violence Against Women. 2007;13(6):549-61. DOI: 10.1177/1077801207301556
  • 29 Newton TL, Fernandez-Botran R. Promoting Health by Improving Subjective Sleep Quality? Reduction in Depressive Symptoms and Inflammation as Potential Mechanisms and Implications for Trauma-Exposed Persons. Front Psychiatry. 2016;7:76. DOI: 10.3389/fpsyt.2016.00076
  • 30 Escobar-Córdoba F, Folino JO, Schmalbach JE. Alteraciones del sueño y estrés postraumático en mujeres víctimas de asalto sexual. MedUNAB. 2006;9(1):28-33.
  • 31 Steine IM, Harvey AG, Krystal JH, Milde AM, Grønli J, Bjorvatn B, et al. Sleep disturbances in sexual abuse victims: a systematic review. Sleep Med Rev. 2012;16(1):15-25. DOI: 10.1016/j.smrv.2011.01.006
  • 32 Romans SE, Cohen MM, Forte T, Du Mont J, Hyman I. Gender and psychotropic medication use: the role of intimate partner violence. Prev Med. 2008;46(6):615-21. DOI: 10.1016/j.ypmed.2007.07.019
  • 33 Sanchez SE, Islam S, Zhong QY, Gelaye B, Williams MA. Intimate Partner Violence Is Associated with Stress-Related Sleep Disturbance and Poor Sleep Quality during Early Pregnancy. PLoS One. 2016;11(3):e0152199. DOI: 10.1371/journal.pone.0152199
  • 34 Hoshino K, Pasqualini JC, D’Oliveira EP, Silva CP, Modesto AE, Silveira RSM. Is sleep deprivation involved in domestic violence? Sleep Sci. 2009;2(1):14-20.
  • 35 Nappi CM, Drummond SPA, Hall JM. Treating nightmares and insomnia in posttraumatic stress disorder: a review of current evidence. Neuropharmacology. 2012;62(2):576-85. DOI: 10.1016/j.neuropharm.2011.02.029
  • 36 Ohayon MM, Shapiro CM. Sleep disturbances and psychiatric disorders associated with posttraumatic stress disorder in the general population. Compr Psychiatry. 2000;41(6):469-78. DOI: 10.1053/comp.2000.16568
  • 37 Lazarus RS, Folkman S. Cognitive Theories of Stress and the Issue of Circularity. In: Appley MH, Trumbull R, eds. Dynamics of Stress: Physiological, Psychological, and Social Perspectives. New York: Plenum; 1986.
  • 38 Vatnar SKB, Bjørkly S. An interactional perspective on coping with intimate partner violence: Counterattack, call for help, or give in and obey him? J Aggress Maltreat Trauma. 2014;23(9):881-900. DOI: 10.1080/10926771.2014.953716
  • 39 Weissman MM, Bland RC, Canino GJ, Faravelli C, Greenwald S, Hwu HG, et al. Cross-national epidemiology of major depression and bipolar disorder. JAMA. 1996;276(4):293-9.
  • 40 Sullivan TP, Ashare RL, Jaquier V, Tennen H. Risk factors for alcoholrelated problems among victims of partner violence. Subst Use Misuse. 2012;47(6):673-85. DOI: 10.3109/10826084.2012.658132
  • 41 Sullivan TP, Flanagan JC, Dudley DN, Holt LJ, Mazure CM, McKee SA. Correlates of smoking status among women experiencing intimate partner violence: Substance use, posttraumatic stress, and coping. Am J Addict. 2015;24(6):546-53. DOI: 10.1111/ajad.12261
  • 42 Crane CA, Hawes SW, Devine S, Easton CJ. Axis I psychopathology and the perpetration of intimate partner violence. J Clin Psychol. 2014;70(3):238-47. DOI: 10.1002/jclp.22013
  • 43 Liang B, Goodman L, Tummala-Narra P, Weintraub S. A theoretical framework for understanding help-seeking processes among survivors of intimate partner violence. Am J Community Psychol. 2005;36(1-2):71-84. DOI: 10.1007/s10464-005-6233-6
  • 44 McCart MR, Smith DW, Sawyer GK. Help seeking among victims of crime: a review of the empirical literature. J Trauma Stress. 2010;23(2):198-206. DOI: 10.1002/jts.20509
  • 45 Garcia-Moreno C, Jansen HAFM, Ellsberg M, Heise L, Watts CH. WHO Multi-Country Study on Women’s Health and Domestic Initial results on prevalence. Geneva: World Health Organization, 2005;151(1):277-83.
  • 46 Tenkorang EY, Owusu AY, Kundhi G. Help-Seeking Behavior of Female Victims of Intimate Partner Violence in Ghana: The Role of Trust and Perceived Risk of Injury. J Fam Violence. 2018;33(5):341-53. DOI: 10.1007/s10896-018-9959-2
  • 47 Silva FP, Oliveira FAP, Varela S, Batista RA, Rodrigues-Barbosa L. The Biopsychosocial Sphere of Women Victims of Violence: A Systematic Review. Aquichan. 2017;17(4):390-400. DOI: 10.5294/aqui.2017.17.4.3
  • 48 Overstreet NM, Quinn DM. The Intimate Partner Violence Stigmatization Model and Barriers to Help-Seeking. Basic Appl Soc Psych. 2013;35(1):109-22. DOI: 10.1080/01973533.2012.746599
  • 49 Ansara DL, Hindin MJ. Formal and informal help-seeking associated with women’s and men’s experiences of intimate partner violence in Canada. Soc Sci Med. 2010;70(7):1011-8. DOI: 10.1016/j.socscimed.2009.12.00
  • 50 Schrier MW, Rougas SC, Schrier EW, Elisseou S, Warrie S. Intimate Partner Violence Screening and Counseling: An Introductory Session for Health Care Professionals. MedEdPORTAL. 2017;13:10622. DOI: 10.15766/mep_2374-8265.10622
  • 51 World Health Organization (WHO). Global Status Report on Violence Prevention 2014. Luxembourg: WHO; 2014.
  • 52 Davies JA, Todahl J, Reichard AE. Creating a Trauma-Sensitive Practice: A Health Care Response to Interpersonal Violence. Am J Lifestyle Med. 2017;11(6):451-65. DOI: 10.1177/1559827615609546
  • 53 O’Doherty L, Hegarty K, Ramsay J, Davidson LL, Feder G, Taft A. Screening women for intimate partner violence in healthcare settings. Cochrane Database Syst Rev. 2015;(7):CD007007. DOI: 10.1002/14651858. CD007007.pub3
  • 54 Walton LM, Aerts F, Burkhart H, Terry T. Intimate Partner Violence Screening and Implications for Health Care Providers. Online J Health Ethics. 2015;11(1). DOI: 10.18785/ojhe.1101.05
  • 55 Djikanovic B, Celik H, Simic S, Matejic B, Cucic V. Health professionals’ perceptions of intimate partner violence against women in Serbia: opportunities and barriers for response improvement. Patient Educ Couns. 2010;80(1):88-93. DOI: 10.1016/j.pec.2009.09.028
  • 56 Alsafy NN, Alhendal ES, Alhawaj SH, El-Shazly MK, Kamel MI. Knowledge of primary care nurses regarding domestic violence. Alexandria J Med. 2011;47(2):173-80. DOI: 10.1016/j.ajme.2011.02.002
  • 57 Machado C, Matos M, Saavedra RMM, Cruz OFS, Antunes CMV, Pereira M, et al. Crenças e atitudes dos profissionais face à violência conjugal: Estudos com profissionais de saúde, polícias e professores. Acta Med Port. 2009;22(6):735-42.
  • 58 Cox-George C, Moffatt J, Jones K. Domestic violence: a neglected epidemic in obstetrics and gynaecology training. Obstet Gynaecol. 2017;19(3):199-203. DOI: 10.1111/tog.12374
  • 59 McGarry J, Ali P. Researching domestic violence and abuse in healthcare settings: Challenges and issues. J Res Nurs. 2016;21(5-6):465-76. DOI: 10.1177/1744987116650923
  • 60 Keeling J, Fisher C. Health Professionals’ Responses to Women’s Disclosure of Domestic Violence. J Interpers Violence. 2015;30(13):2363-78.
  • 61 Sprague S, Slobogean GP, Spurr H, McKay P, Scott T, Arseneau E, et al. A Scoping Review of Intimate Partner Violence Screening Programs for Health Care Professionals. PLoS One. 2016;11(12):e0168502. DOI: 10.1371/journal.pone.0168502
  • 62 Saletti-Cuesta L, Aizenberg L, Ricci-Cabello I. Opinions and Experiences of Primary Healthcare Providers Regarding Violence against Women: A Systematic Review of Qualitative Studies. J Fam Viol. 2018;33(6):405-20. DOI: 10.1007/s10896-018-9971-6
  • 63 Etheridge A, Gill L, McDonald J. Domestic Violence Toolkit for Health Care Providers in BC. 2014;30. Available from: https://www.kpu. ca/sites/default/files/NEVR/DV%20Toolkit%20%20PDF%20August%2024.pdf
  • 64 Gonçalves M, Matos M. Cultural Competence in Intervention with Immigrants: A Comparative Analysis Between Health Professionals, Social Workers and Police Officers. Acta Med Port. 2016;29(10):629-38.
  • 65 American Medical Association (AMA). Physicians’ Obligations in Preventing, Identifying, and Treating Violence and Abuse”. Report of The Council On Ethical and Judicial Affairs. Chicago: AMA; 2007. Available from: https://www.ama-assn.org/sites/ama-assn.org/files/corp/mediabrowser/ public/about-ama/councils/Council%20Reports/council-onethics- and-judicial-affairs/i07-ceja-violence-abuse.pdf
  • 66 Hamberger LK, Rhodes K, Brown J. Screening and intervention for intimate partner violence in healthcare settings: creating sustainable systemlevel programs. J Womens Health (Larchmt). 2015;24(1):86-91. DOI: 10.1089/jwh.2014.4861
  • 67 Swailes AL, Lehman EB, Perry AN, McCall-Hosenfeld JS. Intimate partner violence screening and counseling in the health care setting: Perception of provider-based discussions as a strategic response to IPV. Health Care Women Int. 2016;37(7):790-801. DOI: 10.1080/07399332.2016.1140172
  • 68 Oram S, Trevillion K, Feder G, Howard LM. Prevalence of experiences of domestic violence among psychiatric patients: systematic review. Br J Psychiatry. 2013;202:94-9. DOI: 10.1192/bjp.bp.112.109934
  • 69 World Health Organization (WHO). Health care for women subjected to intimate partner violence or sexual violence: A clinical handbook. 2014;100. Available from: http://apps.who.int/iris/bitstream/handle/10665/136101/WHO_RHR_14.26_eng.pdf?sequence=1