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. 2014 Dec;23(4):361-76.
doi: 10.1017/S2045796013000450. Epub 2013 Aug 20.

Systematic review and meta-analysis of psychiatric disorder and the perpetration of partner violence

S Oram  1 , K Trevillion  1 , H Khalifeh  2 , G Feder  3 , L M Howard  1
Affiliations

Systematic review and meta-analysis of psychiatric disorder and the perpetration of partner violence

S Oram et al. Epidemiol Psychiatr Sci. 2014 Dec.

Abstract

Backgrounds. The extent to which psychiatric disorders are associated with an increased risk of violence to partners is unclear. This review aimed to establish risk of violence against partners among men and women with diagnosed psychiatric disorders. Methods. Systematic review and meta-analysis. Searches of eleven electronic databases were supplemented by hand searching, reference screening and citation tracking of included articles, and expert recommendations. Results. Seventeen studies were included, reporting on 72 585 participants, but only three reported on past year violence. Pooled risk estimates could not be calculated for past year violence against a partner and the three studies did not consistently report increased risk for any diagnosis. Pooled estimates showed an increased risk of having ever been physically violent towards a partner among men with depression (odds ratio (OR) 2.8, 95% confidence intervals (CI) 2.5-3.3), generalized anxiety disorder (GAD) (OR 3.2, 95% CI 2.3-4.4) and panic disorder (OR 2.5, 95% CI C% 1.7-3.6). Increased risk was also found among women with depression (OR 2.4, 95% CI 2.1-2.8), GAD (OR 2.4, 95% CI 1.9-3.0) and panic disorder (OR 1.9, 95% CI 1.4-2.5). Conclusions. Psychiatric disorders are associated with high prevalence and increased odds of having ever been physically violent against a partner. As history of violence is a predictor of current violence, mental health professionals should ask about previous partner violence when assessing risk.

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Figures

Fig. 1.
Fig. 1.
Flow diagram of screened and included papers.
Fig. 2.
Fig. 2.
Forest plot displaying DerSimonian and Laird weighted random-effect pooled odds estimates for lifetime physical violence against a partner by men with diagnosed psychiatric disorders.
Fig. 3.
Fig. 3.
Forest plot displaying DerSimonian and Laird weighted random-effect pooled odds estimates for lifetime physical violence against a partner by women with diagnosed psychiatric disorders.
See this image and copyright information in PMC

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