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Intimate Partner Violence in Male Survivors of Childhood Maltreatment: Review of the Research Noémie Bigras, Ph.D. Student, UQAM Marie-Pier Vaillancourt-Morel, Ph.D. Student, Université Laval Natacha Godbout, Ph.D., UQAM Don Dutton, Ph.D., University of British Columbia Marsha Runtz, Ph.D., University of Victoria Caroline Dugal, Ph.D Student, UQAM Stéphane Sabourin, Ph.D, Université Laval Martine Hébert, Ph.D, UQAM 1

Intimate Partner Violence in Male Survivors of Childhood Maltreatment: Review of the Research

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Intimate Partner Violence in Male Survivors of

Childhood Maltreatment: Review of the Research

Noémie Bigras, Ph.D. Student, UQAM

Marie-Pier Vaillancourt-Morel, Ph.D. Student, Université Laval

Natacha Godbout, Ph.D., UQAM

Don Dutton, Ph.D., University of British Columbia

Marsha Runtz, Ph.D., University of Victoria

Caroline Dugal, Ph.D Student, UQAM

Stéphane Sabourin, Ph.D, Université Laval

Martine Hébert, Ph.D, UQAM 1

Introduction • Beginning in childhood and extending across the

lifespan, some men may experience violence inside and outside the home.

• Male survivors of childhood violence share similarities with women but also demonstrate differences in the consequences of victimization (Godbout et al., 2006).

o For example, men are less likely to disclose victimization and to access psychological and health services (Hébert et al., 2009).

• Untreated effects of child maltreatment (CM) may contribute to various psychosocial difficulties including Intimate Partner Violence (IPV) o IPV victimization and perpetration is more prevalent among survivors of

CM (Dardis, Edwards, Kelley, & Gidycz, 2013; DiLillo, 2001; DiLillo, Lewis, & Loreto-Colgan, 2007; Godbout et al., 2009)

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Introduction • IPV is a major public health concern affecting numerous

families each year and generating huge costs annually

in Canada and USA (Statistics Canada, 2013; National Center for Injury

Prevention and Control, 2003)

Prevalence rates:

• Physical:

• 22-25% (Desmarais et al., 2012a,b)

• Psychological:

• 50-83% (Black et al., 2011; Godbout et al., 2009)

• Sexual:

• 3% physically forced sex

• 17-22% report verbal sexual coercion or being sexually violent

toward their partner (Hines, 2007; Lafontaine & Lussier, 2005).

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Introduction

• Yet, despite the extensive literature on interpersonal

violence, research on male victims of IPV remain sparse

and the strength of the associations linking child

maltreatment to IPV among men is either unknown or

inconsistent (e.g., Hines & Douglas, 2009)

• Considering that IPV is a heterogeneous and complex

phenomenon (Langhinrichsen-Rohling, 2009), and that studies

examining IPV as an outcome of child maltreatment in

men remain scarce, a review of the literature of the past

decade was performed.

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Goals Main objective: Examine the strength and nature of

the associations between CM and IPV in men.

Objectives briefly discussed:

1. Identify gaps in the current scientific literature on the

association between CM and IPV in men.

2. Highlight the major findings and main conclusions of the

studies available thus far.

3. Put forward the needs for future research and propose

avenues for prevention and intervention.

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Method Literature search: First step

• Articles initially selected using:

o APA PsycNET (psycINFO, PsycARTICLES, PsycBOOKS) o PubMed

• Keywords: o Child* + abuse + men

o Child* + neglect + men

o Child* + maltreatment + men

o Child* + trauma + men

o Sexual + abuse + men

o Child* + violence + men (or boy*)

o Intimate Partner Violence

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Selection of Articles • Language: English or French

• Published between 2003 and 2014 (last decade)

• Including data about the relationship between: o Childhood maltreatment and;

o Adolescent or Adult IPV

• Only men or results presented separately for men

• Including a comparison group (no-trauma group)

After reading study titles we retained: N = 1470 articles

After reading abstracts we retained: N = 268 articles

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Search Results Organisation of articles by outcome:

o Physical health

o Psychological health

o Sexual health

o Couple adjustment

o Intimate Partner Violence (IPV)

o Alcohol/drug problems

• Further reading of each article led to: o IPV: 15 articles

• Reasons of exclusion were either because there were (1)

no comparison group in the articles or (2) no statistics on

the association between trauma and the outcome in men.

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Meta-Analytic Results

Comprehensive Meta-Analysis 2.0 9

Authors N (men) Trauma IPV Outcome Type IPV

Abraham & Jewkes, 2005 1368 Witnessing childhood parental IPV Perpetration Physical

Psychological Sexual

Daigneault et al., 2009 7823 CPhyA

CSA Victimization

Physical Psychological

Dardis et al., 2013 291 CPsyA

CPsyA,CPhyN CSA

Perpetration Victimization

Physical Psychological

Sexual

DiLillo et al., 2007 57 Childhood maltreatment Perpetration Physical

Godbout, Dutton et al., 2009

315 CPsyA, CPhyA,

Witnessing childhood parental IPV Perpetration

Physical Psychological

Gomez, 2011 1932 Childhood maltreatment Perpetration Victimization

Physical

Gratz et al., 2009 96 Childhood maltreatment Perpetration Physical

Herrenkohl et al., 2004 288 CPhyA Perpetration Physical

Hines, 2007 2084 CSA Victimization Sexual

Luo et al., 2008 1475 CSA Victimization Physical

Psychological Sexual

Millet et al., 2013 2709 Childhood maltreatment Perpetration Physical

Senn et al., 2006 451 CSA Victimization Physical

Taft et al., 2006 145 CPhyA

Witnessing childhood parental IPV Perpetration Psychological

Taft et al., 2008 164 CEN, CPhyA

Witnessing childhood parental IPV Perpetration

Physical Psychological

White & Widom, 2003 446 Childhood maltreatment Perpetration Physical

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Results

Outcome No. of studies

Men population

size r

95%

z Heterogeneity

Q I2

CI Inf

CI Sup

IPV total 15 19 644 .149 .128 .171 13.56*** 12.94 ns 0.00%

IPV victimization

6 14 056 .145 .117 .172 10.22*** 1.04 ns 0.00%

IPV perpetration

11 7 811 .154 .118 .189 8.43*** 13.80 ns 27.55%

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Results by IPV Victimization or Perpetration

Outcome No. of studies

Men population

size r

95%

z Heterogeneity

Q I2

CI Inf

CI Sup

IPV Perpetration

Physical 10 7666 .154 .107 .200 6.35*** 18.87* 52.31%

Psycho 5 2283 .163 .132 .195 9.90*** 2.29 ns 0.00%

Sexual 2 1659 .119 .000 .234 1.96* 5.26* 80.99%

IPV Victimizatio

n

Physical 5 11972 .163 .127 .199 8.72*** 2.06 ns 0.00%

Psycho 3 9589 .154 .112 .195 7.11*** .10 ns 0.00%

Sexual 3 3850 .112 .029 .194 2.63** 6.94* 71.18%

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Results by Types of Childhood Trauma

Outcome No. of studie

s

Men population

size r

95%

z Heterogeneity

Q I2

CI Inf

CI Sup

Abuse Perp 5 1203 .154 .098 .209 5.334*** 5.51 ns 0.00%

Vict 2 8114 .152 .096 .208 5.213*** .36 ns 0.00%

Neglect Perp 2 436 .173 .021 .317 2.235* 2.56 ns 0.01%

Vict 1

CSA Perp 1

Vict 5 12124 .147 .103 .190 6.488*** 4.84 ns 0.00%

Witness IPV

Perp 4 1992 .133 .064 .201 3.755*** 4.04 ns 0.00%

Vict 0

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Main Conclusions • Results showed that CM contributes significantly to

increased levels of IPV victimization and perpetration among male survivors (small effect; r ranging from .13 to .17). o Neglect seems to be the type of trauma with the greater

impact on IPV perpetration but the limited number of studies on victimization prevent any conclusions at this point.

• This review highlights that most studies of interpersonal violence including men have focused on their role as perpetrators of IPV at the expense of exploring men’s experiences of victimization --except for CSA.

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Main Conclusions • Current results include general population or

student samples. They do not reflect the links between childhood trauma and IPV in clinical populations, which appear to be higher, for example: o Dutton and Hart (1992) found that 41% of the domestically violent

criminals experienced childhood physical violence

o 71% of 340 men arrested for IPV (recruited from a corrections probation department) reported child maltreatment, including witnessing IPV, physical or emotional abuse (Lee, Walters, Hall, & Basile,

2013).

o In men undergoing counseling for relationship difficulties or aggression, CSA predicted their use of psychological and physical aggression toward their partner, indirectly through attachment anxiety and more directly through anger-out(e.g., failure to express anger reasonably)(Brassard, Darveau, Péloquin, Lussier, & Shaver, 2014)

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Further research & limitations • The relatively small associations show that not all CM survivors

are revictimized in their couple relationship or become perpetrators. Thus, research needs to examine intermediate variables and to build conceptual models of the links between CM and IPV.

• Future research should: o Include systematic comparisons between men and women

o Focus on all types of child maltreatment and on both victimization and perpetration

o Explore the dynamic nature of couple relationships and reciprocal influences between the partners

o Explore different trajectories leading from CM to IPV

• Limitations of this review: o Still missing some potentially important articles

o Work in progress

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Practical Implications

• Findings highlight that male survivors might

struggle with relational difficulties in

adulthood, engage in IPV perpetration as

well as being a victim, whereas previous

literature tends to emphasize men’s role as

offenders by focusing solely or mostly on

women as victims.

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Thank you! Questions or comments?

[email protected]

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