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Jul 2017, Vol 5, Issue 3
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Original Article
Accuracy of an Intimate Partner Violence Screening Tool for Women with Mental Disorders
Behan Salahi1, Saline Mohammad-Alizadeh-Charandabi2, Fatimah Ranjbar3, Insofar Sattarzadeh-Jahdi4, Solmaz Abdollahi5, Fariba Nikan6
1Students Research Committee, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran
1Department of Midwifery, Social Determinants of Health Research Center, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran
3Research center of psychiatry and behavioral sciences, Faculty of medical, Tabriz University of Medical Sciences, Tabriz, Iran
4Social Determinants of Health Research Center, Department of Midwifery, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran
5Payam Noor University of Tabriz, Iran
6Students Research Committee, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, IR Iran


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Keywords : Intimate partner violence, Mental disorders, Screening
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Abstract
Objective: Quick recognition of intimate partner violence (IPV) victimization is important in women with mental disorders. Therefore, we assessed the accuracy of the brief and comprehensive eight-item women abuse screening tool (WAST) and its two-item short form (WAST-SF) compared to the reference standard for past-year IPV, the 39-item revised conflict tactics scale (CTS-2) at this population.

Materials and Methods: In this cross-sectional study, 400 women with mental disorders aged 19-49 years were interviewed using the WAST and CTS-2 at a psychiatric hospital in Tabriz-Iran. Receiver operating characteristic (ROC) was used to determine characteristics of the screening tools.

Results: All types of IPV were very common in the past year; 90% overall, 86% psychological aggression, 62% physical assault, 53% sexual coercion and 53% injury. The highest diagnostic accuracy of WAST was at the cutoff score of 12 (AUC 0.90, 95%CI 0.83 to 0.96) with 96% (93% to 98%) sensitivity and 84% (67% to 93%) specificity. Predictive values of the optimal score were 99% (97% to 99.4%) for victims and 64% (48% to 77%) for non-victims. Its agreement with CTS2 was good (r=0.69). The highest diagnostic accuracy of WAST-SF was at the cutoff score of 3 (AUC 84%, 95%CI 0.77 to 0.91) withsensitivity 93%, specificity 71%, positive predictive value 97.5%, negative predictive value 47%.

Conclusion: The WAST at cutoff score of 12 and WAST-SF at cutoff score of 3 have good accuracy in diagnosis of the past year IPV among women with mental disorders. Healthcare providers at psychiatric facilities should use these tools for IPV screening.

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