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Differences in Physical and Mental Health Symptoms and Mental Health Utilization Associated With Intimate-Partner Violence Versus Childhood Abuse

Received July 3, 2007; revised October 11, 2007; accepted October 23, 2007. From the Dept. of Medicine, Oregon Health & Science University; the Dept. of Public Health & Preventive Medicine, Oregon Health & Science University; the Dept. of Psychiatry, Oregon Health & Science University; the School of Nursing, Oregon Health & Science University; and the Portland VA Medical Center. Send correspondence and reprint requests to Christina Nicolaidis, M.D., M.P.H., Division of General Internal Medicine, Oregon Health & Science University, 3181 SW Sam Jackson Park Rd., L475, Portland, OR 97239. e-mail: nicolaid{at}ohsu.edu
© 2009 The Academy of Psychosomatic Medicine

BACKGROUND: There is ample evidence that both intimate-partner violence (IPV) and childhood abuse adversely affect the physical and mental health of adult women over the long term. OBJECTIVE: The authors assessed the associations between abuse, symptoms, and mental health utilization. METHOD: The authors performed a cross-sectional survey of 380 adult female, internal-medicine patients. RESULTS: Although both IPV and childhood abuse were associated with depressive and physical symptoms, IPV was independently associated with physical symptoms, and childhood abuse was independently associated with depression. Women with a history of childhood abuse had higher odds, whereas women with IPV had lower odds, of receiving care from mental health providers. CONCLUSION: IPV and childhood abuse may have different effects on women’s symptoms and mental health utilization.

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