The health impact of intimate partner violence on adult female patients and the role of psychosomatic medicine in Japan

Abstract

Objectives:The primary aim of this study was to explore the health impact of intimate partner violence (IPV) on the physical and psychological condition of adult patients, and to clarify the pathology of IPV. The secondary aim was to clarify the role of psychosomatic medicine (PSM) doctors in IPV survivor treatment and clinical practice. Methods : We conducted a study with IPV survivors over 20 years old among patients whose first visit to our department was between January 2004 and December 2010. All patients were asked a wide range of health questions and explained their experiences of abuse. We conducted semi-structured interviews and examined their Self-rating Depression Scale (SDS) and State-Trait Anxiety Inventory (STAI) scores. Results : Survivors of IPV suffered various acute and chronic physical health problems and frequent mental distress such as depressive mood and anxiety. Patients sometimes complained of vague and incomprehensible symptoms. The four factors (physical, psychological, sexual, economical/social aspects) of IPV are often combined. Conclusions : The pathology of IPV is based on a power structure and often contains generational links and reproduction of violence. PSM doctors play an important role for IPV survivors through early intervention and coordination with multiple facilities.