Continuing Education|Articles in Press

Intimate Partner Violence and Children: Essentials for the Pediatric Nurse Practitioner

Published:January 20, 2023DOI:
      Intimate partner violence (IPV) is a public health problem of epidemic proportions. IPV often starts early in adolescence and continues throughout an individual’s lifespan. IPV is defined as abuse or aggression occurring in the context of a romantic relationship that is perpetrated by a current or former partner. IPV victims often experience severe psychological trauma, physical injury, and even death. The direct recipient of the violence is often not the only individual impacted. Children are often peripheral victims of IPV. It is vital that pediatric health care providers, including pediatric nurse practitioners, recognize that IPV is indeed a pediatric health care crisis requiring strategies for both identification and intervention. This continuing education article will discuss IPV and its impact on children from conception to adolescence while exploring implications for practice.


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        • Adhia A.
        • DeCou C.
        • Huppert T.
        • Ayyagari R.
        Murder suicides perpetrated by adolescents: Findings from the National Volent Death Reporting System.
        Suicide Life Threatening Behavior. 2020; 50: 534-544
      1. Adhia, A., Austin, S., Fitzmaurice, G., & Hemenway, D. (2019a). The role of intimate partner violence in homicides of children aged 2–14 years. 56(1),38–46. 10.1016/j.amepre.2018.08.028

        • Adhia A.
        • Kernic M.
        • Hemenway D.
        • Vavilala M.
        • Rivara F.
        Intimate partner homicide of adolescents.
        JAMA Pediatrics. 2019; 173: 571-577
        • Alink J.
        • Mesman J.
        • Van Zeijl J.
        • Stolk M.
        • Juffer F.
        • Koot H.
        • Bakermans-Kranenburg M.J.
        • Van Ijzendoorn M
        The early childhood aggression curve: Development of physical aggression in 10- to 50-month children.
        Child Development. 2006; 77: 954-966
        • Alvarez C.
        • Perrin N.
        • Lamelras-Fernandez M.
        • Rodrigues R.
        • Glass N.
        Adverse childhood experiences among Latina women and its association with mastery of stress and health.
        Child Abuse and Neglect. 2019; 93: 139-148
      2. American Academy of Family Physicians. (2018). Social needs screening tool.

      3. American College of Obstetricians & Gynecologists. (2012). Intimatepartner violence.

        • Archer J.
        Sex differences in physically aggressive acts between heterosexual partners: A meta-analytic review.
        Aggression and Violent Behavior. 2002; 7: 313-352
        • Bair-Merritt M.
        • Zuckerman B.
        • Augustyn M.
        • Cronhelm P.
        Silent victims: An epidemic of childhood exposure to domestic violence.
        The New England Journal of Medicine. 2013; 369: 1673-1675
        • Basile K.
        • Smith S.
        • Brelding M.
        • Black M.
        • Mahendra R.
        Sexual violence surveillance uniform definitions and recommended data elements, version 2.0. National Center for Injury Prevention and Control.
        Centers for Disease Control and Prevention. 2014;
        • Bearak J.
        • Popinchalk A.
        • Aikema L.
        • Sedgh G.
        Global, regional, and subregional trends in unintended pregnancy and its outcomes from 1990 to 2014: Estimates from a Bayesian hierarchical model.
        Lancet Global Health. 2018; 6: e380-e389
        • Beck A.
        • Klein M.
        • Kahn R.
        Identifying social risk via a clinical social history embedded in the electronic health record.
        Clinical Pediatrics. 2012; 51: 972-977
        • Bernard N.
        • Bogat A.
        • Kashy D.
        • Lonstein J.
        • Levendosky A.
        Prenatal and postnatal intimated partner violence, depression, and infant–mother touch.
        Infant Behavior and Development. 2022; 67: 1-14
        • Boeckel M.
        • Wendt T.
        • Daruy-Filgo L.
        • Martinez M.
        • Grassel-Oliviera R.
        Intimate partner violence is associated with increased maternal hair cortisol in mother–child dyads.
        Comprehensive Psychiatry. 2017; 72: 18-24
        • Boserup B.
        • McKenney M.
        • Elkbuli A.
        Alarming trends in US domestic violence during the COVID-19 pandemic.
        American Journal of Emergency Medicine. 2020; 28: 2753-2755
        • Brown J.
        • Lent B.
        • Schmidt G.
        • Sas S.
        Application of the woman abuse screening tool (WAST) and WAST-short in the family practice setting.
        Journal of Family Practice. 2000; 49: 896-903
        • Brown S.
        • Rhoades G.
        • Marti N.
        • Lewis T.
        The co-occurrence of child maltreatment and intimate partner violence in families: Effects on children's externalizing behavior problems.
        Child Maltreatment. 2021; 26 (10.1177.1077559520985934): 363-375
        • Brunst K.
        • Ross M.
        • Jara C.
        • Lipton L.
        • Coull B.
        • Wright R.
        Impact of maternal lifetime interpersonal trauma on children's asthma: Mediation through maternal active asthma during pregnancy.
        Psychosomatic Medicine. 2017; 79: 91-100
        • Buffarini R.
        • Hammerton G.
        • Coll C.
        • Cruz S.
        • da Silverira M.
        • Murray J.
        Maternal adverse childhood experiences and their associations with intimate partner violence and child maltreatment: Results from a Brazilian birth cohort.
        Preventive Medicine. 2022; 155: 1-8
        • Cameranesi M.
        • Shooshtari S.
        • Piotrowski C.
        Investigating adjustment profiles in children exposed to intimate partner violence using a biopsychosocial resilience framework: A Canadian population-based study.
        Child Abuse and Neglect. 2022; 125: 1-13
        • Cannon C.
        • Ferreira R.
        • Buttell F.
        Critical race theory, parenting, and intimate partner violence: Analyzing race and gender.
        Research and Social Work Practice. 2019; 29 (10.1177.10497315184181): 590-602
        • Caponnetto P.
        • Maglia M.
        • Piatritto L.
        • Ferlito S.
        • Cannella M.
        Family violence and its psychological management in the emergency department: A review.
        Health Psychological Research. 2019; 7: 48-53,209.8558
      4. Centers for Disease Control and Prevention. (2021). Fast facts: Preventing intimate partner violence.

      5. Centers for Disease Control and Prevention (2022). Fast facts: Preventing teen dating violence.

      6. Centers for Medicare & Medicaid Services. (2017). Accountable Health Communities Screening Tool.

        • Charles P.
        • Perreira K.
        Intimate partner violence during pregnancy and 1-year postpartum.
        Journal of Family Violence. 2007; 22: 609-619
      7. National Coalition Against Domestic Violence. (2023). Domestic violence and pregnancy fact sheet.

      8. Child Welfare Information Gateway. (2022). State statutes witnessing domestic violence.

      9. Children's Hospital Association. (2018). Pediatric intake form.

        • Chiu Y.
        • Coull B.
        • Sternthal M.
        • Kloog L.
        • Schwartz J.
        • Cohen S.
        • Wright R.
        Effects of prenatal community violence and ambient air pollution on childhood wheeze in an urban population.
        Journal of Allergy and Clinical Immunology. 2014; 133: 713-722
        • Christian C.
        • Scribano P.
        • Seidl T.
        • Pinto-Martin J.
        Pediatric injury resulting from family violence.
        Pediatrics. 1997; 99: E8
        • Christie D.
        • Viner R.
        Adolescent development.
        BMJ. 2005; 330: 301-304
        • Chung G.
        • Jensen T.
        • Parisi A.
        • Macy R.
        • Lanier P.
        Impact of intimate partner violence on parenting and children's externalizing behaviors: Transactional processes over time.
        Violence Against Women. 2021; 27: 2576-2599
        • Ciaunica A.
        • Crucianelli I.
        Minimal self-awareness from within a developmental perspective.
        Journal of Consciousness Studies. 2019; 26: 207-226
        • Claessens A.
        • Engel M.
        • Curran F.
        The effects of maternal depression on child outcomes during the first years of formal schooling.
        Early Childhood Research Quarterly. 2015; 32: 80-93
        • Clay C.
        • Chandrika P.
        • Senecal C.
        Envision women in world history, Prehistory-1500.
        McGraw Hill, 2009
        • Cohen J.
        • Mannarino A.
        • Iyenogar S.
        Community treatment of posttraumatic stress disorder for children exposed to intimate partner violence: A randomized controlled trial.
        Archives of Pediatric & Adolescent Medicine. 2011; 165: 16-21
        • Coker A.
        • Sanderson M.
        • Dong B.
        Partner violence during pregnancy and risk of adverse pregnancy outcomes.
        Paedatric Perinatal Epidemiology. 2004; 18: 260-269
      10. Cooper, A. & Smith, E. (2011). Homicide trends in the United States, 1980–2008. Bureau of Justice 2011.

        • DeJonghe E.
        • Bogat G.
        • Levendosky A.
        • von Eye A.
        • Davidson W.
        Infant exposure to domestic violence predicts heightened sensitivity to adult verbal conflict.
        Infant Mental Health. 2005; 26: 268-281
        • Devessa N.
        • Berhane Y.
        • Emmelin M.
        • Kullgren G.
        • Hogberg U.
        Joint effect of maternal depression and intimate partner violence on increased child death in rural Ethiopia.
        Archives of Diseases in Childhood. 2010; 95: 771-775
        • Drexler K.
        • Quist-Nelson J.
        • Weil A.
        Intimate partner violence and trauma-informed care in pregnancy.
        American Journal of Obstetrics Gynecology Maternal Fetal Medicine. 2022; 4: 1-8
        • Dubowitz H.
        • Lane W.
        • Semiatin J.
        • Magdor L.
        • Venepally M.
        • Jans M.
        The safe environment for every kid model: Impact on pediatric primary care professionals.
        Pediatrics. 2011; 127 (10.1542.peds.2010-1845): e962-e970
        • Easterbrooks M.
        • Katz R.
        • Korake C.
        • Stelmach N.
        • Chaudhuri J.
        Intimate partner violence in the first 2 years of life: Implications for toddlers’ behavior regulation.
        Journal of Interpersonal Violence. 2015; 33: 1192-1214
        • El Kady D.
        • Gilbert W.
        • Xing G.
        • Smith L.
        Maternal and neonatal outcomes of assaults during pregnancy.
        Obstetrics & Gynecology. 2005; 105: 357-363
        • Engebakken-Flaathen E.
        • Lukasse M.
        • Smastuen M.
        • Garnweidner-Holme L.
        • Henriksen L.
        Intimate partner violence and the association of pregnancy intendedness- A cross-sectional study in southeastern Norway.
        Sexual & Reproductive Healthcare. 2021; 29: 1-6
        • Felitti V.
        • Anda R.
        • Nordenberg D.
        • Williamson D.
        • Spitz A.
        • Edwards V.
        • Koss M.
        • Marks J.
        Relationship of childhood abuse household dysfunction to many of the leading causes of death in adults: The adverse childhood experiences study.
        American Journal of Preventive Medicine. 1998; 14: 245-258
        • Fellenzer J.
        • Cibula D.
        Intendedness of pregnancy and other predictive factors for symptoms of prenatal depression in a population-based study.
        Maternal Child Health Journal. 2014; 18: 426-436
        • Ferrara P.
        • Franceschini G.
        • Corsello G.
        • Mestrovic J.
        • Giardino I.
        • Vural M.
        • Pop T.
        • Namazove-Baranova L.
        • Somekh E.
        • Indrio F.
        • Pettoello-Mantovani M.
        Children witnessing domestic and family violence: A widespread occurrence during the Coronavirus disease 2019 pandemic.
        Journal of Pediatrics. 2021; 235: 305-307
        • Finkelhor D.
        • Turner H.
        • Hamby S.
        • Ormrod R.
        Polyvictimization: children's exposure to multiple types of violence, crime, and abuse.
        U.S. Department of Justice, Office of Justice Programs, Office of Juvenile Justice and Delinquency Prevention, 2011
        • Flaherty E.
        • Stirling J.
        • The Committee on Child Abuse and Neglect
        The pediatrician's role in child maltreatment prevention.
        Pediatrics. 2011; 126: 833-841
        • Flannery D.
        • Huff C.
        Youth violence: Prevention, intervention, and social policy.
        American Psychiatric Press, 1998
        • Fonagy P.
        Attachment theory and psychoanalysis.
        Other Press, LLC, 2010
        • Fraiser L.
        • Kelly P.
        • Al-Eissa M.
        • Otterman G.
        International issues in abusive head trauma.
        Pediatric Radiology. 2014; 44: S647-S653
        • Frye V.
        • Galea S.
        • Tracy M.
        • Bucciarelli A.
        • Putnam S.
        • Wilt S.
        The role of neighborhood environment and risk of intimate partner femicide in a large urban area.
        American Journal of Public Health. 2008; 98: 1473-1479
      11. Futures Without Violence. (2022). Domestic violence and health care protocols.

        • Gazmararian J.
        • Lazorick S.
        • Spitz A.
        • Ballard T.
        • Saltzman L.
        • Marks J.
        Prevalence of violence against pregnant women.
        JAMA. 1995; 275: 1915-1920
        • Gee R.
        • Mitra N.
        • Wan F.
        • Chavkin D.
        • Long J.
        Power over parity: Intimate partner violence and issues of fertility control.
        American Journal of Obstetrics & Gynecology. 2009; 201: e1-e7
        • Gilbert B.
        • Stewart A.
        • Hurren E.
        • Little S.
        • Allard T.
        Exploring dual-system involvement for domestic violence victimization and child maltreatment perpetration: An exploration by gender and race/ethnicity.
        Child Abuse & Neglect. 2022; 124: 1-12
        • Gillies D.
        • Maiocchi L.
        • Bhandari A.
        • Taylor F.
        • Gray C.
        • O'Brien L
        Psychological therapies for children and adolescents exposed to trauma.
        Cochrane Database Systematic Review. 2016; 10: 1-185
        • Graham L.
        • Kafka J.
        • AbiNader M.
        • Lawler S.
        • Gover-Chamlow A.
        • Messing J.
        • Moracco K.
        Intimate partner violence- Related fatalities among U.S. youth aged 0–24 years, 2014–2018.
        Journal of Preventive Medicine. 2022; 62: 529-537
        • Hayes L.
        • Goodman S.
        • Carlson E.
        Maternal antenatal depression and infant disorganized attachment at 12 months.
        Attachment & Human Development. 2013; 15: 133-153
        • Herba C.
        • Glover V.
        • Ramchandani P.
        • Rondon M.
        Maternal depression and mental health in early childhood: An examination of underlying mechanisms in low income and middle income countries.
        The Lancet Psychiatry. 2016; 3: 983-992
        • Holland K.
        • Brown S.
        • Hall J.
        • Logan J.
        Circumstances preceding homicide-suicides involving child victims: A qualitative analysis.
        Journal of Interpersonal Violence. 2018; 33 (10.1177.0886260515605124): 379-401
        • Holmes M.
        • Yoon S.
        • Berg K.
        Maternal depression and intimate partner violence exposure: Longitudinal analyses of the development of aggressive behavior in an at-risk sample.
        Aggressive Behavior. 2017; 43: 375-385
        • Hornor G.
        Child maltreatment prevention: Essentials for the pediatric nurse practitioner.
        Journal of Pediatric Health Care. 2022; 36: 193-201
        • Hornor G.
        Genital exam of the prepubertal female: Essentials for pediatric nurse practitioners.
        Journal of Pediatric Health Care. 2022; 36: 489-499
        • Hornor G.
        Child maltreatment: Screening and anticipatory guidance.
        Journal of Pediatric Health Care. 2013; 27 (10.1016.j.pedhc.2013.02.001): 242-252
        • Howard L.
        • Oram S.
        • Galley H.
        • Trevillion K.
        • Feder G.
        Domestic violence and perinatal mental disorders: A systemic review and meta-analysis.
        Plos Medicine. 2013; 10e10011452
        • Howell K.
        • Barnes S.
        • Miller L.
        • Graham-Bermann S.
        Developmental variations in the impact of intimate partner violence exposure during childhood.
        Journal of Injury and Violence Research. 2016; 8: 43-57
        • Hughes J.
        Psychological and behavioral correlates of family violence in child witness and victims.
        American Journal of Orthopsychiatry. 1998; 58: 77-90
        • Hughes H.
        • Graham-Bermann S.
        • Gruber G.
        Resilience in children exposed to domestic violence.
        in: Graham-Bermann S. Edleson J. Domestic violence in the lives of children: The future of research, intervention, and social policy. American Psychological Association, 2001: 67-90
        • Jack S.
        • Petrosky E.
        • Lyons B.
        • Blair J.
        • Ertl A.
        • Sheats K.
        • Betz C.
        Surveillance for violent deaths- National violent death reporting system, 27 states, 2015.
        MMWR Surveillance Summary. 2018; 67: 1-32
        • Janssen P.
        • Holt V.
        • Sugg N.
        • Emmanuel I.
        • Critchow C.
        • Henderson A.
        Intimate partner violence and adverse pregnancy outcomes: A population-based study.
        American Journal of Obstetrics & Gynecology. 2003; 188: 1341-1347
        • Jouriles E.
        • Norwood W.
        • McDonald W.
        • Peters B.
        Domestic Violence and Child Adjustment: Interparental conflict and child development. Interpersonal conflict and child development: Theory, research and applications. University Press, Cambridge2001: 315
        • Jouriles E.
        • Rosenfield D.
        • McDonald R.
        • Vu N.
        • Rancher C.
        • Mueller V.
        Children exposed to intimate partner violence: Conduct problem, interventions, and partner contact with the child.
        Journal of Clinical Child & Adolescent Psychology. 2018; 47: 397-409
        • Karadag M.
        • Gokcen C.
        • Sarp A.
        EMDR therapy in children and adolescents who have post-traumatic stress disorder: A six-week follow-up study.
        International Journal of Psychiatry Clinical Practice. 2020; 24: 77-82
        • Karch D.
        • Logan J.
        • McDaniel D.
        • Floyd C.
        • Vagi K.
        Precipitating circumstances of suicide among youth aged 10–17 years by sex: data from the National Violent Death Reporting System, 16 states, 2005–2008.
        Journal of Adolescent Health. 2013; 53: 551-553
        • Karlsson M.
        • Calvert M.
        • Hernandez-Rodriguez J.
        • Weston R.
        • Temple I.
        Changes in acceptance of dating violence and physical dating violence victimization in a longitudinal study with teens.
        Child Abuse & Neglect. 2018; 86: 123-135
        • Kiesel L.
        • Piescher K.
        • Edleson J.
        The relationship between child maltreatment, intimate partner violence exposures, and academic performance.
        Journal of Public Child Welfare. 2016; 10
      12. Kingsdale, T. (2020). Police see rise in domestic violence calls amidcoronavirus lockdown.

        • Landeo-Guiterrez J.
        • Forno E.
        • Miller G.
        • Celedo J.
        Exposure to violence, psychosocial stress, and asthma.
        American Journal of Respiratory Critical Care Medicine. 2020; 201 (10.1164.rccm.201905.1073PP): 917-922
        • Lane W.
        Prevention of child maltreatment.
        Pediatric Clinics of North America. 2014; 61: 873-888
        • Levendosky A.
        • Lanmert B.
        • Yalch M.
        The effects of intimate partner violence on women and child survivors: An attachment perspective.
        Psychodynamic Psychiatry. 2012; 45 (10.1521.pdps.2012.40.3.397): 397-434
        • Lutgendorf M.
        Intimate partner violence and women's health.
        Obstetrics & Gynecology. 2019; 134: 470-480
        • Martin-de-las-Heras S.
        • Velasco C.
        • Cano A.
        • de Dios Luna-del-Castillo J.
        • Khan K.
        Poor antenatal care attendance is associated with intimate partner violence: Multivariate analysis of a pregnancy cohort.
        European Journal of Obstetrics & Gynecology and Reproductive Biology. 2019; 237: 204-208
        • McCrary J.
        • Sanga S.
        The impact of the coronavirus lockdown on domestic violence.
        American Law and Economics Review. 2021; 23: 137-163
        • McGuire A.
        • Steele R.
        • Singh M.
        Systematic review on the application of trauma-focused cognitive behavioral therapy for preschool-aged children.
        Clinical Child & Family Psychology Review. 2021; 24: 20-37
        • Mechanic M.
        Beyond PTSD: Mental health consequences of violence against women: A response to Briere and Jordan.
        Journal of Interpersonal Violence. 2014; 19: 1283-1289
        • Mennicke A.
        • Bush H.
        • Brancato C.
        • Coker A.
        Bystander program to reduce sexual violence by witnessing parental intimate partner violence status.
        American Journal of Preventative Medicine. 2022; 63: 262-272
      13. National Coalition Against Domestic Violence. (2021). Statistics.

        • Oram S.
        • Khalifeh H.
        • Howard L.
        Violence against women and mental health.
        Lancet Psychiatry. 2017; 4: 159-170
        • Oram S.
        • Trevillion K.
        • Feder G.
        • Howard L.
        Prevalence of experiences of domestic violence among psychiatric patients: Systematic review.
        British Journal of Psychiatry. 2013; 202: 94-99
        • Palmwoodk B.
        • Valadez E.
        • Zajac L.
        • Griffith A.
        • Simons R.
        • Dozier M.
        Early exposure to parent-perpetrated intimate partner violence predicts hypervigilant error monitoring.
        International Journal of Psychophysiology. 2022; 173: 58-68
        • Paranjape A.
        • Liebschutz J.
        STaT: a three-question screen for intimate partner violence.
        Journal of Women's Health. 2003; 12: 233-239
        • Park S.
        • Kim S.
        The power of family and community factors in predicting dating violence: A meta-analysis.
        Aggression & Violent Behavior. 2018; 40: 19-28
        • Parsons L.
        • Goodwin M.
        • Peterson R.
        Violence against women and reproductive health toward defining a role for reproductive health care services.
        Maternal and Child Health Journal. 2000; 4: 135-140
        • Pastor-Moreno G.
        • Ruiz-Perez I.
        • Henares-Montiel J.
        • Petrova D.
        Intimate partner violence during pregnancy and risk of fetal and neonatal death: A meta-analysis with socioeconomic context indicators.
        American Journal of Obstetrics & Gynecology. 2020; 222: 123-133
        • Porter C.
        • Favara M.
        • Sanchez A.
        • Scott D.
        The impact of COVID-19 lockdown on physical domestic violence: Evidence from a randomization experiment.
        SSM – Population Health. 2021; 14: 1-10
        • Ragavan M.
        • Skinner C.
        • Killough E.
        • Henderson C.
        • Eichman A.
        • Randell K.
        Child protective services reports in the contect of intimate partner violence: A Delphi process examining best practices.
        Academic Pediatrics. 2022; 22: 833-841
        • Reif K.
        • Jaffe P.
        • Dawson M.
        • Straatman A.
        Provision of specialized services for children exposed to domestic violence: Barriers encountered in Violence Against Women services.
        Children and Youth Services Review. 2020; 109: 1-10
        • Rome E.
        • Miller E.
        Intimate partner violence in the adolescent.
        Pediatrics in Review. 2020; 41: 73-80
        • Rossman B.
        Longer term effects of children's exposure to domestic violence.
        in: Graham-Bermann S. Edleson J. Domestic violence in the lives of children: The future of research, intervention, and social policy. American Psychological Association, 2001: 35-65
        • Sherin J.
        • Sinacore J.
        • Li X.
        • Zitter R.
        • Shakil A.
        HITS: a short domestic violence screening tool for use in a family practice setting.
        Family Medicine. 1998; 30: 508-512
        • Shields G.
        • Spahr C.
        • Slavich G.
        Psychosocial interventions and immune system function: A systematic review and meta-analysis of randomized critical trials.
        JAMA Psychiatry. 2020; 77: 1037-1043
        • Silva E.
        • Emond A.
        • Ludermir A.
        Depression in childhood: The role of children's exposure to intimae partner violence and maternal mental disorders.
        Child Abuse & Neglect. 2021; 122: 1-15
        • Slavich G.
        Psychoneuroimmunology of stress and mental health.
        in: Harkness K. Hayden E. The Oxford handbook of stress and mental health. Oxford University Press, 2020: 519-546
        • Slep A.
        • O'Leary S
        Parent and partner violence in families with young children: Rates, patterns, and connections.
        Journal of Consultive Clinical Psychology. 2005; 73: 435-444
        • Smedberg J.
        • Lupattelli A.
        • Mardby A.
        • Nordeng H.
        Characteristics of women who continue smoking during pregnancy: A cross-sectional study of pregnant women and new mothers in 15 European countries.
        BMC Pregnancy Childbirth. 2014; 14: 213
        • Soeken K.
        • McFarlane J.
        • Parker B.
        • Lominack M.
        The Abuse Assessment Screen: A clinical instrument to measure frequency, severity, and perpetrators of abuse against women.
        in: Campbell J.C. Empowering survivors of abuse: Health care for battered women and their children. Sage Publications, Inc., Thousand Oaks, CA1998: 195-203
        • Sohal H.
        • Eldridge S.
        • Feder G.
        The sensitivity and specificity of four questions (HARK) to identify intimate partner violence: A diagnostic accuracy study in general practice.
        BMC Family Practice. 2007; 8 (10.1186.1471-2296-8-49): 8-49
        • Song H.
        • Fang F.
        • Tomasson G.
        • Amberg F.
        • Mataix-Cols D.
        • Fernandez de la Cruz L.
        • Almqvist C.
        • Fall K.
        • Valdimarsdottir U.
        Association of stress-related disorders with subsequent autoimmune disease.
        JAMA. 2018; 319: 2388-2400
        • Stein A.
        • Pearson R.
        • Goodman S.
        • Rapa E.
        • Rahman A.
        • McCallum M.
        • Howard L.M.
        • Pariante C.
        Effects of perinatal mental disorders on the fetus and child.
        Lancet. 2014; 384: 1800-1819
        • Stemple H.
        • Federico M.
        • Szefler S.
        Applying a biopsychosocial model to inner city asthma: Recent approaches to address pediatric asthma health disparities.
        Paediatric Respiratory Reviews. 2019; 32
        • Suglia S.
        • Duarte C.
        • Chambers E.
        • Boynton-Jarrett R.
        Cumulative social risk and obesity in early childhood.
        Pediatrics. 2012; 129: e1173-e1179
        • Terplan M.
        • Cheng D.
        • Chisolm M.
        The relationship between pregnancy intention and alcohol use behavior: An analysis of PRAMS data.
        Journal of Substance Abuse Treatment. 2014; 46: 506-510
        • Thackeray J.
        • Hibbard R.
        • Dowd D.
        • The Committee on Child Abuse and Neglect, & the Committee on Injury, Violence, and Poison Prevention
        Intimate partner violence: The role of the pediatrician.
        Pediatrics. 2010; 125: 1094-1100
        • Udo I.
        • Sharpe P.
        • Bromner Y.
        • Hossain M.
        Maternal intimate partner violence relationships with language and neurological development of infants and toddlers.
        Maternal Child Health Journal. 2016; 20: 1424-1431
        • Vitanza S.
        • Vogel L.
        • Marshall L.
        Distress and symptoms of posttraumatic stress disorder in abused women.
        Violence Victims. 1995; 10: 23-34
        • Wadman M.
        • Muellerman R.
        Domestic violence homicides: Emergency department use before victimization.
        American Journal of Emergency Medicine. 1999; 17: 689-691
        • Walker-Descartes I.
        • Mineo M.
        • Condado L.
        • Agrawal N.
        Domestic violence and its effects on women, children, and families.
        Pediatric Clinics of North America. 2021; 68: 455-464
        • Waltermaurer E.
        • Watson C.
        • McNutt L.
        Black women's health: The effect of perceived racism and intimate partner violence.
        Violence Against Women. 2006; 12: 1214-1222
        • Wilkins N.
        • Tsao B.
        • Hertz M.
        • Davis R.
        • Klevens J.
        Connecting the dots: An overview of the links among multiple forms of violence.
        National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, 2014
        • Wolfe D.
        • Jaffe P.
        Prevention of domestic violence: Emerging initiatives.
        in: Graham-Bermann S. Edleson J. Domestic violence in the lives of children: The future of research, intervention, and social policy. American Psychological Association, 2001: 283-298
      14. World Health Organization. (2012). Multi-country study of women's health and domestic violence against women.

        • Yakubovich A.
        • Stockl H.
        • Murray J.
        • Melendez-Torres G.
        • Steinert J.
        • Glavin C.
        • Humphreys D.
        Risk and protective factors for intimate partner violence against women: Systematic review and meta-analyses of prospective longitudinal studies.
        American Journal of Public Health. 2018; 108: e1-e11
        • Zolotar A.
        • Denham A.
        • Well A.
        Intimate partner violence.
        Primary Care. 2009; 36: 167-179
        • Zolotar A.
        • Runyan D.
        Social capital, family violence, and neglect.
        Pediatrics. 2006; 117: e124-e131

      Posttest Questions and Answers

      • 1.
        Intimate partner violence can include which of the following?
        • a.
          Physical violence
        • b.
          Sexual violence
        • c.
          Psychological aggression
        • d.
        • e.
          All the above
      • 2.
        Which is the most significant risk factor for intimate partner victimization and perpetration?
        • a.
        • b.
          Living in a violent neighborhood
        • c.
          Childhood exposure to parental intimate partner violence
        • d.
          Mental illness
      • 3.
        All of these are true regarding the co-occurrence of intimate partner violence and child maltreatment EXCEPT:
        • a.
          26% to 73% of children experiencing child maltreatment are living in families in which intimate partner violence (IPV) is present
        • b.
          Mothers who are victims of IPV are more likely to endorse the use of harsh child discipline than mothers who are not victims of IPV
        • c.
          In about 30%–60% of homes in which IPV is present, the children are also victims of child maltreatment
        • d.
          Research evidence shows that adults raised in homes in which they were exposed to IPV as a child are less likely to have been physically or emotionally abused as a child but more likely to be the partner in a relationship who invokes IPV
      • 4.
        What is the most significant predictor of resilience among children exposed to intimate partner violence?
        • a.
          Socioeconomic status
        • b.
          Maternal physical and mental health
        • c.
        • d.
          High child cognitive functioning
      • 5.
        What is the greatest risk factor for intimate partner violence escalating to homicide?
        • a.
          Frequency of the violence
        • b.
          Violence involving stalking
        • c.
          Having a gun in the home
        • d.
          Lesbian, gay, bisexual, transgender, and questioning relationship
      • 6.
        intimate partner violence can result in unintended pregnancy via which of the following?
        • a.
          Forced sexual intercourse
        • b.
          Fear of discussing contraception use with a partner
        • c.
          Partner interference with contraception use
        • d.
          All the above
      • 7.
        The following are true regarding teen dating violence EXCEPT:
        • a.
          Childhood exposure to IPV increases the risk of adolescent IPV victimization and perpetration
        • b.
          Romantic relationship problems can be a precipitating factor in adolescent suicide
        • c.
          Adolescent IPV never results in death
        • d.
          About 6.5% of all violent deaths in youth are IPV-related
      • 8.
        Adolescent primary care should include the following:
        • a.
          Discussion of healthy relationships
        • b.
          Screening for teen dating violence
        • c.
          Assessing lethality risk related to any reported violence
        • d.
          All the above
      • 9.
        The following statements are true regarding parental/caregiver screening for intimate partner violence
        • a.
          Only high-risk families should be screened
        • b.
          Face-to-face screening may be more effective than electronic screening
        • c.
          Before the screening, identify local evidence-based, accessible, affordable community resources
        • d.
          The use of an evidence-based screening tool is not necessary
      • 10.
        What is true regarding reporting of intimate partner violence to law enforcement and/or Child Protective Services?
        • a.
          All states require reporting of intimate partner violence in the presence of a child
        • b.
          State law varies regarding the reporting of intimate partner violence
        • c.
          Health care providers should consider the lethality of intimate partner violence when deciding to report
        • d.
          Children who suffer collateral physical injuries during intimate partner violence are victims of physical abuse
        • e.
          All but A
      Answers available online at