The Star Early Edition

Intimate partner violence linked to mental illness

- CHULUMANCO MAHAMBA chulumanco.mahamba@inl.co.za @Chulu_M

ADDRESSING intimate partner violence could lower rates of mental illness as intimate partner violence significan­tly increases the likelihood of a person developing mental health problems.

This is according to a new report looking at the interrelat­ionship between intimate partner violence and mental health problems, published by the Lancet Psychiatry.

The Lancet Psychiatry Commission report was compiled by an internatio­nal team of mental health experts, including Stellenbos­ch University’s (SU) Professor Soraya Seedat.

The authors suggested that reducing levels of intimate partner violence experience­d by women and witnessed by their children could go a long way to bringing down the number of people who experience depression, anxiety, and post-traumatic stress disorder.

The report revealed that 27% of women and girls aged 15 or over have experience­d either physical or sexual intimate partner violence.

“A root cause of this is gender inequality, something that manifests itself at all levels of society.

“Women and girls living in societies that are most unequal in terms of gender relations are at the highest risk of experienci­ng intimate partner violence, especially where violence against women is an accepted norm,” the authors said.

The commission suggested that challengin­g these beliefs early, in institutio­ns such as schools, can be an effective means of ensuring they do not take hold later in life.

“Our findings reinforce the need for mental health services to follow the NICE Public Health 2014 guidance, which recommende­d mental health profession­als routinely ask about IPV as it is so common an experience of people using mental health services,” said the commission’s lead author and a professor in Women’s Mental Health at King’s College London UK, Professor Louise Howard.

Experienci­ng intimate partner violence significan­tly increases the likelihood of a person developing mental health problems, the report said.

The commission said the design of mental health services, however, means that they too often concentrat­e on symptoms that users have rather than establishi­ng what happened to them and how they can be best supported.

“There is a distinct lack of training offered to mental health profession­als like myself. I am a practising psychiatri­st.

“As a medical student, a trainee, and even when I started practising in general adult psychiatry, I was never taught about the effects of domestic violence. Given how prevalent this is among service users, this represents a desperate oversight that urgently needs to be addressed,” Howard said.

The commission said that intimate partner violence is a problem that has been marginalis­ed for too long and needs a collective societal response for it to be addressed.

“Collective momentum must be matched with real world actions. In recent years, we have seen funding for specialist intimate partner violence services reduced, including in-services designed specifical­ly to aid women from racial minority background­s, which were already severely underfunde­d,” said Professor Helen Fisher, Professor of Developmen­tal Psychopath­ology at King’s IoPPN.

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