Anger’s moderating influence on the relationship between victimization and perpetration of domestic violence and abuse in patients suffering from severe mental illness. Insights from a cross sectional study using moderated mediation analysis
2024

Anger's Role in Domestic Violence Among Patients with Severe Mental Illness

Sample size: 942 publication 10 minutes Evidence: moderate

Author Information

Author(s): Ruijne Roos Eva, Zarchev Milan, Henrichs Jens, Garofalo Carlo, Bogaerts Stefan, Mulder Cornelis Lambert, Kamperman Astrid

Primary Institution: Erasmus Medical Center

Hypothesis

Victimization operates on perpetration through both a direct and an indirect pathway via anger.

Conclusion

The study reveals high rates of domestic violence and abuse among patients with severe mental illness, with anger mediating the link between psychological aggression victimization and physical assault perpetration.

Supporting Evidence

  • 22% of patients perpetrated physical assault, while 27% were victims of physical assault.
  • 52% of patients were both victims and perpetrators of physical assault.
  • Anger mediated the link between victimization of psychological aggression and perpetration of domestic violence.

Takeaway

This study shows that many people with severe mental illness experience and commit domestic violence, and feeling angry can sometimes lead to more violence.

Methodology

A nation-wide survey assessed domestic violence victimization and perpetration in 942 patients with severe mental illness using the revised Conflict Tactics Scale and the dispositional anger reactions scale.

Potential Biases

Potential underreporting of violence due to stigma and the reliance on self-reported measures.

Limitations

The study's cross-sectional design limits the ability to establish causality, and the context of violence was not fully explored.

Participant Demographics

The sample consisted mainly of men (63.5%), with a mean age of 45 years, and most were diagnosed with psychotic disorders.

Statistical Information

P-Value

p<0.001

Confidence Interval

95% CI

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.3389/fpsyt.2024.1509982

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