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M1442 Major professor William 5. Davidson, II Date July 13, 1995 MSU is an Affirmative Action/Equal Opportunity Institution 0- 12771 LIBRARY Michigan State University PLACE IN RETURN BOX to romovo this chockout from your rocord. TO AVOID FINES rotum on or Moro duo duo. DATE DUE DATE DUE DATE DUE THE IMPACT OF ECONOMIC RESOURCES ON FEMALE SURVIVORS OF INTIMATE MALE VIOLENCE By Maureen Hilary Rumptz A DISSERTATION Submitted to Michigan State University in partial fulfillment of the requirements for the degree of DOCTOR OF PHILOSOPHY Department of Psychology 1995 ABSTRACT THE IMPACT OF ECONOMIC RESOURCES ON FEMALE SURVIVORS OF INTIMATE MALE VIOLENCE By Maureen Hilary Rumptz Many women turn to domestic violence shelters for safe housing and support after being physically abused by an intimate partner because they do not have any other economic or social resources, yet there is a lack of research examining the combined impact of abuse and economic resources on women’s lives after their shelter stay. The present longitudinal study examined the impact of abuse and economic resources on 225 women who stayed at a battered women’s shelter. Participants were interviewed at three, nine, and fifteen months post-shelter. Descriptive, correlational, and hierarchical and logistic regression analyses were employed to develop a model for understanding two interrelated sets of relationships over time: 1) the relationship between abuse, economic resources, and women’s overall psychological well-being, and 2) the relationship between women’s level of economic resources, dependence on others for their economic resources, and assailant involvement. The results showed that women who were economically independent had lower economic resources than women who were economically dependent. However, women who were economically independent were also less likely to be involved with their assailants. The results indicated that women who were involved with their assailants experienced higher levels of continued abuse than women who were no longer involved with their assailants. Further, results showed that women who experienced further abuse reported greater dissatisfaction with their overall psychological well-being. The concurrent and over time hypotheses that predicted women with fewer economic resources would report greater dissatisfaction with their overall psychological well-being were not supported. Further, women’s level of economic resources did not mediate the relationship between abuse and psychological well-being. Economic dependence on others did, however, moderate the relationship between women’s level of economic resources and involvement with their assailants at nine and fifteen months post-shelter, and across these two time periods suggesting that economic dependence was an important factor that kept women trapped in abusive relationships. Feminist theory is presented as perspective that provides a rationale for exploring the interconnectedness of gender and economic oppression in woman battering research. Implications of the findings for future research, intervention, and policy are discussed. ACKNOWLEDGEMENTS I consider myself extremely fortunate to have been involved in the mother study, the Community Advocacy Project, from its beginning in 1989 through the completion of my dissertation in 1995. I was moved, in large part, to conduct this study based on my experiences with the Community Advocacy Project and all of the incredible people I worked with. First and foremost, I am truly grateful to and inspired by the strength, honesty, and generosity of the many women who shared their experiences with our interviewers. Thank you to Cris Sullivan for ”knowing I was the right person for the job” and for teaching me so many things, both academic and non-academic, throughout our years as coworkers and fi'iends. I was also inspired, encouraged, and supported in this work by my other colleagues on the Community Advocacy Project. My deepest appreciation to the many interviewers and advocates whose dedication, intelligence, loyalty, and openness to change made the project what it was and my life so much easier and happier. Without them, this work would not have been possible. These friends and work partners continually influenced the path to this study. In addition, many other individuals significantly contributed to the development of this research study. I cannot express enough my appreciation and thanks to William Davidson, the chair of my committee, for teaching me so much including how to believe iv in myself. Cris Sullivan, Deb Bybee, Ellen Strommen, and Bob Caldwell were also invaluable members of my committee. Thanks, also, to Tom Reischl who earlier was extremely influential in teaching me about community psychology, research methods, and how to write a research paper. As is commonly true with all dissertations, this process was often very emotionally and intellectually difficult, accompanied by moments of true inspiration and success. Many people were close in my heart and in physical proximity throughout the years that I worked on my dissertation. Words will fail to express how I feel about each of these people but I believe that each of them know what is in my heart already. The love and support I received from Tim throughout my entire graduate career, but most especially these last couple of years, holds a large part of my heart and mind and will affect me forever. I have never known such an unselfish, giving person in my life and feel very lucky that we have shared our lives together over the last eight years. Members of my dissertation support group, Barb Schillo, Madeline Wordes, and Kurt Ribisl, were all extremely important in my life and in the development of this study. Barb has been the truest definition of a friend over the last seven years. Without her love and support I can honestly say I would not have finished my dissertation at this time. For all her “all I can say”’s and “trust me”’s I will always be truly grateful. Kim - visionary, commited, feminist, coworker, and friend - perhaps the most dedicated woman I know and the best listener and problem solver I have ever met. Without our many talks about woman battering and our support of one another in our commitment to keep on working I would not be at the point I am at today. And who would I rather walk, talk, and have coffee and V sweets with than my sister and friend, Susan Jackson-Walker. And to Madeline, who is a part of almost every single memory I have of graduate school and East Lansing, Michigan, I can only say I am thankful every day that our paths crossed and we were able to spend those years together. Finally, thank you to my family for giving me, early on, an appreciation for education, a desire to learn, and for providing me with an environment and opportunities for developing myself. vi TABLE OF CONTENTS LIST OF TABLES ............................................................................................................... x LIST OF FIGURES ............................................................................................................ xi INTRODUCTION ................................................................................................................ 1 Review of the Literature ........................................................................................... 2 Overview .................................................................................................................. 3 Physical Consequences of Woman Abuse ............................................................... 5 Psychological Consequences of Woman Abuse ...................................................... 7 The Impact of Economic Resources and Economic Dependence on Womens’ Decisions About Leaving An Abusive Relationship and Overall Well-Being ...... 11 Contemporary Explanations of the Etiology of Woman Abuse ............................. 16 Individual/psychological perspective on woman abuse ............................. l8 Sociological/family systems perspective on woman abuse ........................ 20 Feminist perspective on woman abuse ....................................................... 22 Rationale for the Present Study .............................................................................. 25 The Present Study ................................................................................................... 30 Research Objectives and Hypotheses ..................................................................... 31 METHOD ........................................................................................................................... 41 Design ..................................................................................................................... 41 Research Participants ............................................................................................. 42 Demographic and economic characteristics of participants ....................... 44 Procedure ................................................................................................................ 47 Interviewer training .................................................................................... 47 Advocacy Intervention ........................................................................................... 48 Measures ................................................................................................................. 49 Economic resources .................................................................................... 51 Abuse .......................................................................................................... 51 Psychological well-being ........................................................................... 61 Economic dependence ................................................................................ 62 Involvement with assailant ......................................................................... 63 Experimental condition .............................................................................. 63 Data Analysis Strategy ........................................................................................... 64 vii RESULTS .......................................................................................................................... 68 Descriptive Information ......................................................................................... 68 Women’s psychological well-being over time ........................................... 69 Women’s experience of abuse over time .................................................. .70 Women’s level of economic resources over time ...................................... 74 Women’s level of economic dependence on others over time ................... 74 Involvement with the assailant over time ................................................... 76 Summary of descriptive information .......................................................... 76 Intercorrelations Among Psychological Well-Being, Involvement With Assailant, Abuse, Economic Resources, and Experimental Condition .................. 79 Summary of the intercorrelations among psychological well-being, involvement with assailant, abuse, economic resources, economic dependence, and experimental condition ................................................... 83 Regressions With Psychological Well-Being as the Dependent Variable ............. 85 Abuse as the predictor ................................................................................ 86 Economic resources as the predictor .......................................................... 91 Economic resources as the mediator .......................................................... 96 Regressions With Assailant Involvement as the Dependent Variable ................. 111 DISCUSSION .................................................................................................................. 123 The Experience of Abuse and Women’s Psychological Well-Being ................... 124 Level of Economic Resources and Women’s Psychological Well-Being ........... 125 Economic Resources as a Mediator of the Relationship Between Experience of Abuse and Women’s Psychological Well-Being ............................................. 127 The Impact of Economic Resources and Economic Dependence on Women’s Decisions About Remaining Involved With Their Assailant .............. 129 Limitations of the Current Study .......................................................................... 133 Implications for Future Work ............................................................................... 135 Intervention ............................................................................................. -136 Research .................................................................................................. .138 Theory ..................................................................................................... .141 APPENDIX A Items That Compose the Economic Resources Scale ......................................... 143 APPENDIX B Revised Conflict-Tactics Scale ............................................................................ 144 APPENDIX C Injuries Measure .................................................................................................. 145 viii APPENDIX D Threats Measure ................................................................................................... 146 APPENDIX E Index of Psychological Abuse .............................................................................. 147 APPENDIX F Revised Quality of Life Measure .......................................................................... 149 APPENDIX G Revised CES-D (Depression Measure) ................................................................ 150 APPENDIX H Economic Dependence Item ................................................................................. 151 APPENDIX I Involvement With Assailant Item ......................................................................... 152 LIST OF REFERENCES ................................................................................................. 153 ix PE” wsav 10. 11. 12. 13. 14. 15. LIST OF TABLES Methodological Limitations of Research Investigating the Impact of Economic Resources and Economic Dependence on Women Who Have Been Battered ......................................................................................................... 27 Demographic and Economic Characteristics of Participants at Time 1, Time 2, and Time 3 (N=225) .................................................................................. 4 5 Measurement Model ............................................................................................... 50 Corrected Item-Total Correlations for the Original Assailant and New Relationship Physical Abuse Scales ....................................................................... 53 Corrected Item-Total Correlations for the Overall Abuse Scale ............................ 58 Descriptive Information on Psychological Well-Being Over Time ....................... 70 Descriptive Information on Abuse Over Time ....................................................... 72 Zero-Order Correlations of the Predictor and Outcome Variables in the Regression Analyses at Time 1, Time 2, and Time 3 ............................................. 80 Summary of the Hierarchical Regression Analyses to Test Hypothesis 1: Extent of Abuse Predicting Psychological Well-Being, Controlling for Experimental Condition and Prior Level of Psychological Well-Being ................ 87 Summary of the Hierarchical Regression Analyses to Test Hypothesis 2: Economic Resources Predicting Psychological Well-Being, Controlling for Experimental Condition and Prior Level of Psychological Well-Being .......... 93 Summary of the Hierarchical Regression Analyses to Test Hypothesis 3: Economic Resources at Time 1 Mediating the Effect Extent of Abuse at Time 1 has on Psychological Well-Being at Time 1 ............................................ 100 Summary of the Hierarchical Regression Analyses to Test Hypothesis 3: Economic Resources at Time 2 Mediating the Effect Extent of Abuse at Time 2 has on Psychological Well-Being at Time 2 ............................................ 102 Summary of the Hierarchical Regression Analyses to Test Hypothesis 3: Economic Resources at Time 3 Mediating the Effect Extent of Abuse at Time 3 has on Psychological Well-Being at Time 3 ............................................ 104 Summary of the Hierarchical Regression Analyses to Test Hypothesis 3: Economic Resources at Time 1 Mediating the Effect Extent of Abuse at Time 1 has on Psychological Well-Being at Time 2 ............................................ 106 Summary of the Hierarchical Regression Analyses to Test Hypothesis 3: Economic Resources at Time 2 Mediating the Effect Extent of Abuse at Time 2 has on Psychological Well-Being at Time 3 ............................................ 108 X 16. 17. Summary of the Hierarchical Regression Analyses to Test Hypothesis 3: Economic Resources at Time 2 Mediating the Effect Extent of Abuse at Time 1 has on Psychological Well-Being at Time 3 ............................................ 110 Summary of Logistic Regression Analyses to Test Hypothesis 4: Economic Dependence as a Moderator of Economic Resources on Psychological Well-Being ............................................................................................................ 113 xi LIST OF FIGURES Heuristic Model of the Hypothesized Relationships Between Abuse and Psychological Well-Being Within and Across Time ............................................. 34 Heuristic Model of the Hypothesized Relationships Between Economic Resources and Psychological Well-Being Within and Across Time ..................... 35 Heuristic Model of the Hypothesized Relationships of Economic Resources Mediating the Effect Extent of Abuse Has on Psychological Well-Being Within and Across Time ..................................................................... 37 Heuristic Model of the Hypothesized Relationships of Economic Dependence Moderating the Effect of Economic Resources on Assailant Involvement ............................................................................................................ 39 Economic Dependence at Time 2 as a Moderator of the Relationship Between Level of Economic Resources at Time 2 and the Log Odds of Involvement With the Assailant at Time 2 ........................................................... 116 Economic Dependence at Time 3 as a Moderator of the Relationship Between Level of Economic Reosurces at Time 3 and the Log Odds of Involvement With the Assailant at Time 3 ........................................................... 118 Economic Dependence at Time 2 as a Moderator of the Relationship Between Level of Economic Resources at Time 2 and the Log Odds of Involvement With the Assailant at Time 3 ........................................................... 121 xii INTRODUCTION Many women who turn to domestic violence shelters for safe housing and support after being physically abused by an intimate partner do so because they do not have any other economic or social resources to utilize (Okun, 1986; Sullivan & Rumptz, 1994). Many studies on the consequences of woman battering have been conducted with convenient samples found at battered women's shelters or other community agencies (i.e., women with few resources). None of these, however, have empirically examined the impact that level of economic resources, in addition to abuse, had on women's overall psychological well-being over time. Additionally, there is a dearth of empirical, longitudinal research on the relationship between battered women's level of economic resources, economic dependence, and consequential involvement with the assailant. Feminist theory provides a rationale for research that examines the complexities of women with abusive partners’ lives which, for the majority of women who have stayed at a battered women’s shelter, includes not only abuse but economic hardships. The purpose of this study is twofold: to longitudinally investigate how both abuse and economic resources affect women's overall psychological well-being and to longitudinally examine how women’s level of economic resources and level of economic dependence affects their ability to leave an abusive relationship. Review of the Literature The purpose of this review is to examine the literature that documents the frequency and seriousness of male violence against female partners in the United States, establishes the physical and psychological consequences of battering on women's lives, and documents the strong relationship between level of economic resources and battered women's psychological well-being and ability to leave an abusive relationship. This literature review is organized into five major sections. The first three sections provide the background for understanding the prevalence and effects of woman battering. Specifically, the first section of this review provides an overview of the scope of the problem of woman battering and the critical nature of intimate male violence against women. The second section of this review demonstrates the serious physical consequences of intimate male violence. The third section of this review details the equally serious psychological consequences of intimate male violence. The fourth and fifth sections of this review provide the empirical and theoretical rationale for examining the impact level of economic resources and economic dependence have on women’s lives. Specifically, the fourth section of this review focuses on the role that economic resources play in understanding and predicting women's ability to leave an abusive relationship as well as the role that economic resources play in predicting women's overall psychological well-being over time. The fifth section of this review focuses on the application of theory to this area of research and examines the major perspectives on the etiology of woman battering, suggesting 3 feminist theory as a perspective that provides a rationale for exploring the interconnectedness of gender and economic oppression in woman battering research. Overview Woman battering is pandemic. Many women are battered by men they are, or once were, involved in a relationship with. Estimates suggest that at least 2 to 4 million women are assaulted by their male partners or ex-partners each year in the United States alone (Browne, 1993; Straus & Gelles, 1990; Straus, Gelles, & Steinmetz, 1980), and between 21% and 34% of all women in the United States will be physically abused by an intimate adult partner in their lifetime (Browne, 1993; Frieze, Knoble, Washbum, & Zomnir, 1980; Koss, 1990; Stark & Flitcraft, 1988). In a nationally representative survey of couples in 1985, Straus and Gelles (1990) reported that nearly one-eighth of the husbands had carried out one or more acts of physical violence against their wives in the past year. Other research estimates that up to 50% of all wives are physically abused by their husbands (Stark & Flitcrafi, 1988). As a society we have come to understand that intimate male violence against women is common; it is by no means an unusual or exceptional "family" problem, but a form of danger that is familiar, frequent, typical, and ordinary for many women. These statistics, widely recognized to be conservative estimates (Browne, 1993; Straus & Gelles, 1988), make it clear that many women are battered by an intimate partner in their lifetime. In fact, women are more likely to be assaulted, killed, or raped by a male partner or ex-partner than by all other categories of assailants combined 4 (Browne & Williams, 1989; Finkelhor & Yllo, 1985; Goodman, Koss, & Russo, 1993; Koss, 1985). An additional alarming aspect of intimate male violence against women is the substantial percentage of women who are abused and forced to remain in, or return to, violent relationships. Many women attempt to leave their assailants numerous times before being successful in escaping them permanently (Dobash & Dobash, 1979; Gelles, 1979; Gondolf, 1988; Hofeller, 1982; Strube & Barbour, 1983). A critical reason why so many women remain with or return to their assailants is lack of economic and community resources (Aguirre, 1985; Gondolf, 1988; Hofeller, 1982; Hilbert & Hilbert, 1984; Horton, Simonidis, & Simonidis, 1987; Mitchell & Hodson, 1983; Sidel, 1986; Strube & Barbour, 1986). In addition to these factors, women who are battered report many other reasons for staying with abusive men such as fear of further or worse violence, concern for their children's well-being, and assailants' promise of love and change (Dobash & Dobash, 1979; Hofeller, 1982; Strube & Barbour, 1984). Women also stay because the very agencies designed to help people in need (e.g., criminal justice, social services, health care) are largely unresponsive to requests for protection and assistance that would enable women to leave and remain free from their assailants (Dobash, Dobash, & Cavanagh, 1985; Dutton, 1987; Gelles, 1979; Stark & Flitcraft, 1988). As a result of male violence and inappropriate helping response, women's options are cut off and they become entrapped in violent homes (Stark & Flitcrafi, 1988). Remaining with an assailant or returning to an assailant can be very dangerous for women. Research indicates that violence in intimate relationships increases in severity 5 and frequency over time (Hilbert & Hilbert, 1984; Okun, 1986; Walker, 1985). Although women who return to their abusers are considered to be at higher risk for further violence than women who do not return, violence does not necessarily end when women are able to leave abusive relationships. Data indicate that separated and divorced women are also vulnerable to battering by their ex-partners (Stark & Flitcraft, 1988). Physical Consequences of Woman Abuse Evidence is convincing that many women experience abuse in intimate relationships and are often trapped in these relationships because of a range of individual and societal barriers to leaving. The definition of abuse will be important to the subsequent discussion of how intimate male violence negatively impacts women's lives as well as how other factors, such as economic resources and economic dependence, also affect women's lives. Over the last three decades there has been a near exclusive focus on physical violence in defining woman abuse (Campbell & Fischer, under review). Campbell & Fischer (under review) argue that for any definition to be inclusive of women's experiences it must include not only physical behaviors of the assailant, but also a discussion of resulting injuries, psychological violence, and sexual violence. For this study, abuse is defined as any act that is harmful to its victim and includes physical, sexual, and psychological battering. However, most of the literature reviewed herein is primarily based on the consequences of physical abuse because there has not been much research conducted on the consequences of psychological abuse. The literature strongly supports the hypothesis that physical abuse negatively affects women's overall physical health (Browne, 1993; Dobash & Dobash, 1979, 6 Randall, 1990; Sullivan, Basta, Tan, & Davidson, 1992). Physical battering takes many forms ranging from pushing, grabbing, slapping, hitting with a fist or object, kicking, choking, burning, physically restraining, to stabbing and shooting (Binney, Harkell, & Nixon, 1981; Bowker, 1983; Browne, 1987, 1993; Dobash & Dobash, 1979, 1984; Hilberman & Munson, 1977-78; Sullivan et al., 1992). Research suggests that sexual abuse also occurs in at least 40% of all cases of battering (Campbell, 1989a; Finkelhor & Yllo, 1985; Hanneke, Shields, & McCall, 1986). Injuries resulting from physical and or sexual violence may include (but are not limited to) cuts, scrapes, or bruises, black eyes, soreness without bruises, torn hair, burns, loose or broken teeth, broken bones or fractures, concussions, hearing or vision impairments, internal injuries, strains, sprains, or torn ligaments, dislocated joints, pregnancy complications or miscarriage, permanent scarring, and knife or gunshot wounds (Browne, 1993; Dobash & Dobash, 1979, 1984; Sullivan et al., 1992). Women who are abused when they are pregnant face the risk of especially severe outcomes because they are less able to maneuver to escape attacks and are at risk for injuries to the fetus as well as injuries to themselves (Goodman, Koss, Fitzgerald, Russo, & Keita, 1993; Goodman, Koss, & Russo, 1993; Saltzrnan, 1990). Being beaten by a male partner or ex-partner is the number one cause of serious physical injury to women in the United States (Stark & Flitcrafi, 1987, 1988). A review of the medical records of 3,676 randomly selected patients seen at an urban area emergency room during a one-year period disclosed the seriousness of intimate male violence against women; Twenty-one percent of all women using emergency surgical services were there because they were abused by a male partner and over one half of all 7 rapes to women over the age of 30 were partner rapes (Stark, Flitcrafi, Zuckerrnan, Grey, Robison, & Frazier, 1981). Other researchers concur that as high as 25% of emergency room visits by women are made because they have been battered by a male partner (Pagelow, 1992). Pagelow (1992) suggests that these statistics are almost certainly underestimates due to inaccurate detection or incorrect reporting by health care professionals. Tragically, many women are injured to the point of being killed by the men who sought to control them. Browne (1993) concluded that women are more likely to be killed by their partners than by all other categories of persons combined. Browne & Williams (1993) found that more than half of all women murdered in the United States during the first half of the 1980's were killed by their male partners. Browne & Williams (1993) analyzed all criminally negligent homicides from 1976 through 1987 and found that the deaths of approximately 38,648 individuals aged 16 and above resulted when one partner killed another - 61 % were females killed by male partners and 39 % were males killed by female partners. It is important to point out, however, that most women who kill their male partners do so in self-defense (Browne, 1993). Pachological Consequences of Woman Abuse The literature also maintains that there is a negative relationship between physical abuse and women's overall psychological well-being (Gelles & Harrop, 1989; Goodman, Koss, Russo, 1993; Koss, 1990). Symptoms include memory loss, cognitive dissociations, sleep and appetite disturbances, chronic fatigue and tension, listlessness, somatic problems, re-experiencing of the traumatic event when exposed to associated 8 stimuli, thoughts of suicide, and suicide attempts (Browne, 1987; Dobash & Dobash, 1979; Dutton, 1992; Hilberman, 1980; Hilberman & Munson, 1977-78; Hoff, 1990; Jaffe, Wolfe, Wilson, & Zak, 1986; Stark & Flitcrafi, 1987, 1988; Walker, 1979, 1983, 1984). Researchers further have been able to document a positive relationship between the frequency and severity of the abuse and the frequency and severity of the psychological symptoms women experience as a result (F ollingstaad, Brennan, Hause, Polek, & Rutledge, 1991; Mitchell & Hodson, 1983). Gelles & Harrop (1989) conducted a random survey of 6,002 households which yielded a nationally representative sample of battered and non-battered women. They found that women who had been physically abused reported higher levels of moderate and severe psychological distress than women who had not been physically abused. In reviewing several surveys, Koss (1990) also concluded that women who were physically abused showed higher degrees of mental health problems when compared with women who had not been physically battered. Specifically, she noted that battered women were more likely to be diagnosed with depression, alcohol and drug dependence or abuse, generalized anxiety, obsessive-compulsive disorder, eating disorders, posttraumatic stress disorder, and other psychological diagnoses than non-battered women (Koss, 1990). Other researchers have reached similar conclusions. Sato & Heiby (1992) found that almost half of their sample (47%) reported clinically significant levels of symptoms associated with depression, leading them to conclude that women who have been physically abused may be at higher risk for depression and other symptoms of psychological distress. Gleason (1993) reported a higher prevalence of depression, 9 posttraumatic stress disorder, generalized anxiety disorder, psychosexual dysfunction, and obsessive compulsive disorder among 62 battered women receiving assistance from a community agency than in a national study of 10,953 randomly sampled women. Of all of the psychological symptoms associated with battering, depression is one of the most prominent (Hilberman & Munson, 1977-78; Walker, 1984). Consistently, studies suggest that women who have been physically battered report higher rates of depression than either the general population or samples of women who have not been physically abused (American Psychiatric Association, 1987; Campbell, 1989b; Gleason, 1993; Walker, 1984). Sato & Heiby (1992) found that approximately half of their sample (47%) of women involved in battered women's groups, staying at shelters, or presenting for help at a community agency reported clinically significant rates of depression. A longitudinal study examining the relationship between physical abuse and depression on a sample of women who had stayed at a shelter for women with abusive partners found further evidence that physical and emotional abuse are correlated with depression (Campbell, Sullivan, & Davidson, 1995). Campbell et a1. (1995) found that 83% of their sample reported feelings of depression immediately after exiting the shelter and only 58% reported feelings of depression 10 weeks later. At a 6-month follow-up, 59% reported feelings of depression. Recently, the literature on the psychological consequences of woman abuse has reported posttraumatic stress disorder (PTSD) as a diagnosis for the psychological symptoms women report after being abused. The most common trauma suggested as a necessary precursor to PTSD is very applicable to a battered woman's situation; that is, a 10 serious threat or harm to a person's life or physical integrity including that of their children (American Psychiatric Association, 1987). Some researchers suggest that PTSD more adequately describes the range of psychological symptoms many women who have been battered experience than other diagnoses such as depression (Browne, 1993; Goodman, Koss, Fitzgerald, Russo, & Keita, 1993; Koss, 1990; Walker, 1984). Commonly reported symptoms by women such as fear and anxiety, agitation, memory loss, reexperiencing the trauma, nightmares, and sleep disturbances can be explained within a PTSD diagnosis (Browne, 1993). The prevalence of PTSD in women who have been physically abused range from 33% (using a conservative estimate of PTSD) (Astin, Lawrence, & Foy, 1993) to 84% (Kemp, Rawlings, & Green, 1991). In both of these studies, the level of PTSD significantly correlated with the extent and severity of exposure to violence. Another serious psychological consequence for many women who have been abused by an intimate male partner are suicidal thoughts and attempts (Gleason, 1993; Hilberman & Munson, 1977-78; King, 1981; Koss, 1990; Stark & Flitcraft, 1982, 1987; Straus & Gelles, 1987). Estimates suggest that 26% of the women who attempt suicide are victims of domestic violence (Randall, 1990). Gayford (1975) reported that 50% of a sample of women who had been battered had tried to commit suicide at least once. Although the bulk of evidence has led researchers to conclude that a history of victimization is a strong risk factor for the development of psychological problems (Kilpatrick, Saunders, Veronen, Best, & Von, 1987), the longitudinal study of depression in women who have been battered by Campbell et al. (1995) suggests the importance of 11 examining the relationships over time in order to adequately understand the phenomena. For example, it is unclear whether women who have been battered suffer from actual clinical depression or whether their level of depression represents a healthy, temporary, and/or normal response to a stressful and negative life event such as physical abuse by an intimate male partner. The findings of Campbell et al. (1995) suggest that the latter may be true. Further longitudinal research is necessary to document the exact nature of the relationship (Campbell et al., 1995; Sato & Heiby, 1992). The Impact of Economic Resources and Economic Demndence on Womens’ Decisions About Leaving an Abusive Relationship and Overall Well-Being. It is clear from a review of the literature that experiences of woman battering result in both primary and secondary psychological and physical problems and have serious detrimental effects on women's overall well-being. Of particular interest in this study is the additional impact that women’s level of economic resources and economic dependence has on their psychological adjustment and decisions about staying with the assailant. Prior research on woman battering suggests that lack of economic and community resources and economic dependence impacts womens’ decision process about whether to remain with an assailant thereby often serving to trap them in relationships where they are further abused (Aguirre, 1985; Carlson, 1977; Dobash & Dobash, 1979; Gelles, 1976; Greaves, Heapy, & Wylie, 1988; Hofeller, 1982; McDonald, 1989; Pagelow, 1981; Roy, 1977; Strube & Barbour, 1983, 1984). There is also a strong literature which documents that lack of economic resources has a negative impact on women’s overall well-being. To further understand the relevance of economic resources 12 on battered women’s lives, following is a review of the literature documenting the relationship between economic resources and womens' decisions about continued involvement with their assailants and a review of the literature on the significant impact level of economic resources can have on womens' overall psychological well-being. In further trying to understand the full range of consequences of woman abuse and the process involved in ending the abuse, researchers have established that many women continue to endure physical attacks fi'om their male partners because the alternative of separating often means living in poverty or living with considerably fewer economic resources than before the separation (Aguirre, 1985; Carlson, 1977; Dobash & Dobash, 1979; Gelles, 1976; Greaves, Heapy, & Wylie, 1988; Hofeller, 1982; McDonald, 1989; Pagelow, 1981; Roy, 1977; Strube & Barbour, 1983, 1984). The sexist economic and occupational structure in the United States limits women's alternatives when trying to escape an abusive partner (Straus, 1977). In the United States, women are more likely than men to be poor, more likely to remain poor once they enter poverty, and are increasingly likely to be left with the responsibility for children without access to the resources of the other parent (Wilson, 1987). Wilson (1987) also documented that women who were the sole provider in their homes were nearly five times as likely to be poor as men who were the sole provider in their households. Without access to good, decent paying jobs with adequate child care and health care, women are often forced to be dependent on their male partners. Many researchers have pointed out that economic dependence on male partners is a major obstacle that prevents women from leaving abusive relationships (Aguirre, 1985; 13 Carlson, 1977; Dobash & Dobash, 1979; Gelles, 1976; Greaves, Heapy, & Wylie, 1988; Hofeller, 1982; McDonald, 1989; Pagelow, 1981; Roy, 1977; Strube & Barbour, 1983, 1984). Lack of money and/or employment was one of three main factors which Gelles (1976) found associated with abused women remaining with their partners. McDonald (1989) suggested that lack of employment and inadequate finances limited the alternatives available to women and increased their entrapment in abusive relationships. Hofeller (1982) found that 58% of a sample of women who had been abused remained with their assailants because of economic reasons; that is, they felt that they could not support themselves (and their children, if applicable) on their own. Strube & Barbour (1983) also found that employment and economic hardship contributed to the decision of whether to stay or leave an abusive partner. Aguirre (1985) examined four antecedent variables (previous experiences with violence, number of injuries, issues experienced during abuse, and economic dependence on husband) and determined that the only variable that influenced womens' decision whether to return to an abuser was economic dependence on him. It is important to also consider that batterers often purposefully increase this dependence by successfully keeping many women unemployed (Shepard & Pence, 1988) and isolated from their family and friends (Mitchell & Hodson, 1983). Many batterers also threaten economic and physical reprisal against women and their children if they attempt to leave (Dobash, Dobash, & Cavanagh, 1985). Research also suggests that the more economic resources women have (such as employment, income, material goods and services that money can buy, and level of 14 education), the more likely they are to seek outside intervention (Carlson, 1977), and the better their chances of leaving their assailant (Sullivan, 1991). Women with more resources can more easily afford to move or stay in a hotel, are more likely to have a number of friends or family who also have more financial resources and can assist in some way, and are more likely to have cars to leave the area if necessary. For women without many economic resources a domestic violence shelter may be the only safe, available, and accessible place to go to when escaping an abusive man. Although battering cuts across all socioeconomic, racial, ethnic, and religious lines, women who utilize domestic violence shelters tend to be more economically impoverished than the general population (Okun, 1986; Sullivan & Rumptz, 1994). In addition to needing economic or financial resources, women who use domestic violence shelters have been found to need a variety of community resources such as housing, legal services, health care, material goods and services, and childcare (Sullivan et al., 1992). For women who escape violence to seek refuge in a domestic violence shelter, limited economic resources are often a significant factor that not only influences whether they return to their assailants (Aguirre, 1985; Strube & Barbour, 1983), but may generally influence their overall psychological well-being as well. Research has established the strong relationship between poverty and women's psychosocial well- being. Generally, individuals with economic resources fare much better than those without, as economic resources increase the coping options in many stressful situations, including intimate male violence against women. As Dohrenwend (1978) pointed out, "other things being equal, an individual whose financial or other material resources are 15 strained by the demands of a stressful life event is likely to have a worse outcome than a person with adequate material resources" (p. 5). Individuals who live under high stress and have few coping resources - including women living in poverty (Belle, 1990) - are at especially high risk for negative psychological sequelae (Goodman, Koss, Russo, 1993). Reviewing the epidemiological and ecological literature on the relationship of economic factors to psychosocial dysfunction, Seidman & Rapkin (1983) found that at both the macro- and the microlevel, indices of economic conditions (e.g., unemployment rates, social class status, common stock prices, business indicators, individual job loss, etc.) are correlated with rates of numerous psychosocial maladaptations (suicide rates, hospital admissions, outpatient treatment, etc.). As they pointed out, "economic stressors function as precursors of preconditions contributing to the prevalence and incidence of any number of psychosocial maladaptations" (Seidman & Rapkin, 1983). Research on women and poverty suggest that lack of economic resources has both long and short term consequences for women's lives including placing them at risk for psychological and physical health problems. Belle, et al. (1982) found that low-income women have higher rates of depression and other psychological problems compared to population base rates. Studies reviewed by Belle (1990) found high levels of depressive symptoms among unemployed and socially isolated women, among poor women with responsibility for young children, and among women experiencing economic difficulties. Belle (1990) pointed out that the association between low income with psychological problems is not surprising given that poverty itself is a stressor, bringing with it persistent 16 undesirable chronic conditions such as inadequate housing, inadequate nutrition, dangerous neighborhoods, poor medical care, and financial uncertainties. At the same time that poverty is a source of stress, it also undermines the social support system of the individual (Belle, 1990). Relatives and fi'iends of poor women are themselves likely to have economic problems and to be stressed. Furthermore, poor women have to depend largely on overburdened and unresponsive societal institutions for financial, legal, health, and social services that may contribute to their diminished psychological well-being (Belle, 1990). Because the bulk of research on woman battering is conducted with women who utilize domestic violence shelters, it seems especially relevant to decipher the relationship that level of economic resources has on women’s lives as they cope with the abuse and make decisions about their future. To understand the complicated process and outcomes for women surviving abuse from their partner or ex-partner, it is necessary to examine not only the impact of abuse on women’s lives, but the impact of other relevant factors such as level of economic resources and economic dependence. The feminist perspective on the etiology of woman battering provides a conceptual basis for such an analysis. Contemmm Explanations of the Etiology of Woman Abuse The preceding sections of this literature review documented the frequency and seriousness of male violence against female partners in the United States, established the physical and psychological consequences of battering on women's lives, and documented the strong relationship between economic resources, economic dependence, l7 psychological well-being, and assailant involvement. To best understand the relationship between abuse, economic resources, involvement with assailant, and psychological well- being, it is important to examine them in some theoretical context. As woman battering has gained more attention over the past three decades there has been an evolution of sorts in terms of the theories social scientists use to understand this social problem. The most popular theories of woman battering have emerged from psychological/individual, sociological/family systems, and/or sociocultural/feminist perspectives. These three theoretical perspectives have not necessarily evolved chronologically, but have evolved out of different perspectives on the root causes of social problems. The basic tenets of each of the three primary perspectives on woman battering focuses on a different level of conceptualization regarding the etiology of woman battering and society's response to it. To better understand the relevance of studying the impact of economic resources and economic dependence on battered women's lives over time, all three theories are reviewed below. Each theoretical perspective is reviewed for the evidence it has to support that women’s level of economic resources and economic dependence influences women’s psychological well-being and decisions about leaving their assailant after exiting a battered women’s shelter. It is important to note that some researchers have chosen to work within a fourth perspective, or ecological perspective, which integrates what has been learned within each of the abovementioned three frameworks and suggests that the only way to more fully understand how individuals, families, institutions, and culture are involved in woman battering is to explore the interactions of each of these systems (Carlson, 1984; 18 Dutton, 1985; Sullivan, 1989). As this perspective is an integration of the primary three theoretical perspectives, it will not be reviewed here. Individual/psychological pgrspective on woman abuse. Much of the early research literature on woman abuse focused on individual level variables, especially individual characteristics of women that were hypothesized to make them particularly vulnerable to and responsible for abuse. There are three major analyses within this perspective. The first analyses, and one of the earliest theories to arise in the area of woman battering, was that men batter their female partners when their female partners provoke them to do so. Gelles (1972) differentiated between victim-precipitated violence and non-victim-precipitated violence and argued that victim-precipitated violence occurs when women contribute to their assault through actions that provoke their assailant. Gayford (1978) elaborated on this theory and suggested that women are at least partially responsible for the abuse through nagging, being too quiet, being careless with money, or through doing nothing at all. This theory has been widely criticized for focusing on the victim's behavior instead of the assailants (Martin, 1979), and for ignoring the fact that often there aren’t any precipitating factors to woman abuse (Dobash & Dobash, 1979; Martin, 1976; Okun, 1986). A second analysis within the psychological or individual level theory of woman battering is that men who batter and women who are battered hold more traditional views of gender roles than men who do not batter and women who are not battered. The hypothesis is that men who batter women and women who are abused come from violent families of origin and therefore consider abuse normal, common, and unavoidable (Roy, 19 1977). To date, the most widely agreed upon cause of family violence cited in the woman battering literature is witnessing parental violence in one's family of origin (Carlson, 1984; Straus, 1977). Aside from being female, Hotaling and Sugarman (1986) found witnessing violence in women's family of origin to be the only consistent risk marker that predicted abuse for women. For men, three primary risk markers were identified as witnessing violence as a child, violence toward one's children, and sexually abusing one's wife. Caution should be taken, however, in interpreting these results. Some researchers suggest that witnessing abuse as a child should be viewed cautiously as a vulnerability, not a causal factor. For example, Stark and F litcraft (1979) suggested that for every one boy who witnesses abuse and grows up to be abusive, two boys who witness abuse will not grow up to be abusive. Hotaling and Sugannan (1986) found additional risk markers for men included occupation, education, income, lack of assertiveness, and alcoholism. Other research also concluded that alcoholism was an individual level cause of family violence and also mentioned status incompatibility (women having more personal resources than men and thereby threatening their dominant position in the family) and stress as contributors (Carlson, 1984; Dutton, 1985). A third psychological or individual level analysis for why men batter women is that women learn to be helpless in their assaultive relationship thereby allowing the abuse to continue. Walker's (1977-78, 1979) theory of learned helplessness purports that battered women develop poor self-concepts from having been abused and consequently believe they are powerless to end or escape from their partners violence. Carlson (1984) 20 also suggested that women with abusive partners exhibit low self-esteem. However, other researchers have pointed out that low self-esteem was not necessarily the cause of battering but the result of battering (Campbell, 1992). Walker (1977-78, 1979) suggested that women with abusive partners need to change their cognitive set to believe their competent actions can change their life situation. As with the other individual or psychological level theories, the learned helplessness analysis puts the blame on the victim. The barriers that women face when attempting to leave their assailants are ignored. All three analyses within this perspective fail to address how economic resources, economic dependence, lack of housing, fear for their lives and the lives of their children, lack of employment and/or education, and social pressure all contribute to a woman's entrapment in an abusive relationship. Given the societal barriers facing women such as employment discrimination, lack of adequate and affordable child care, and inadequate police protection from the abuser, it is very reasonable for a battered woman to believe that her competent actions are not enough to end the abuse. Sociological/family systems persmctive on woman abuse. The psychological or individual focus shifted in the early 1980's as the research was influenced by a large national random sample survey conducted by Straus, Gelles, and Steinmetz (1980). Their research suggested that woman battering by male partners and ex-partners was only a part of a larger problem of societal norms and mores that work to perpetuate violence in the family and should be viewed in an environmental context rather than as an individual problem. Within this perspective, generalized violence in society, using parental 21 violence to discipline children, violence among siblings, women's subordination, and the increasing social isolation of families are all acknowledged as contributing factors in family violence and responsible for transmitting violence from one generation to another (Carlson, 1984; Dutton, 1985; Kurz, 1993; Straus, 1977; Straus, et al., 1980). While there is some validity to the argument that social factors contribute to violence within the family, they can only be a partial explanation for woman battering. For instance, although it is true that many cultural norms support violence within families, there also exist cultural norms that condemn such behavior (e.g., there are certainly societal expectations that violence against one's wife is unacceptable and that families should be safe, respectful, and free from violence). The sociological or family systems perspective does not adequately explain the interrelationship between these contradictory norms or how one may come to dominate over the other. Another shortcoming with this perspective is that it focuses on violence as a result of family conflict but does not explain why so many more men than women are violent, since both are subjected to a great deal of stress at home and at work. Nor does it take into account that a great deal of battering is not precipitated by the level of conflict within the family (Dobash & Dobash, 1979; Hofeller, 1982; Okun, 1986). Another sociological argument about the causes of woman battering is the personal resources analysis of battering. This analysis contends that men use violence to maintain power in relationships (Allen & Straus, 1980). Allen & Straus (1980) found a correlation between resources and power for working class men; that is, working class men who scored very low in resources also scored higher on the use of violence against 22 their partners. This suggests that in families where men have a lower level of power and resources, they will be more prone to violence in order to gain additional power. A problem with this theory is the definition of power. In this study, Allen and Straus (1980) asked couples questions pertaining to who decides what they will eat for dinner or what they will watch on television rather than about which partner had more access to actual societal resources such as a job, an income, status in the community, and various other advantages. Viewing power in this manner minimizes the very real disadvantages that the vast majority of women face in contemporary marriages compared to their husbands. The sociological/family systems perspective on woman abuse comes closer to addressing the importance of looking at the problem of woman battering from a broader perspective, thereby including multiple forces (e.g., women’s subordination, economic resources) as potentially relevant factors in causing men to batter women. But, as with the individual level perspective, the sociological/family systems theory does not adequately address the societal barriers battered women face (e.g., economic resources, economic dependence, lack of housing, fear for their lives and the lives of their children, lack of employment and/or education, and social pressure) and how these barriers impact their lives. Feminist pgrsp_ective on woman abuse. Feminist theorists and researchers who have studied woman abuse for three decades agree that violence against women belongs in a larger social context than the individual or the family (Davis, 1985; King & Bohom, 1993; Schechter, 1982). The feminist perspective on woman abuse argues that the norm 23 of male dominance within our broader culture and incorporated into our formal institutions are the roots of woman battering. Men batter women because they are socialized within a patriarchal social structure in which institutional sexism contributes to the denigration and abuse of women in society (Schechter, 1982). Proponents of this perspective cite such factors as women's subordinate role in society, institutionalized sexism, traditional sex role stereotyping, and a history of male domination as reasons for why men use violence to control women and assert power in their relationships. Further, feminist theorists suggest that intimate male violence is legitimized and perpetuated by major societal institutions such as the health care, criminal justice, and social service systems through their failure to identify, help, and protect female survivors (Bowker, 1987; Kurz, 1993; Okun, 1986). The feminist perspective is most relevant to this study in that it seeks to understand and explain the relationship between abuse and economic resources. The feminist perspective supposes that women have less power in society than men do and are economically disadvantaged and, therefore, often forced to be economically dependent on men. Feminist theory on woman battering argues that this inequitable distribution of economic resources between men and women contributes to women's economic dependence on men, limiting women's options and often forcing them to remain in abusive relationships (Corcoran, Duncan, & Hill, 1984; Dobash & Dobash, 1992; Edwards, 1985; Hofeller, 1982; Okun, 1986). Cross cultural research supports the argument that battering is related to the economic oppression of women. Levinson (1989) found that wife-beating is more likely 2 4 in societies in which men control the family wealth. In their cross cultural research on woman abuse, Counts, Brown, & Campbell (1992) found that in most cultures, women are oppressed by men and intimate male violence against women is common. However, in cultures where women had more power, they found intimate male violence against women to be less common. The feminist perspective further suggests that woman abuse should be categorized with other types of violence against women such as rape, incest, and pornography. Feminist theory further proposes that intimate male violence against women in the United States should be categorized with other forms of violence under capitalism such as racism and classism (Williams, 1981). Therefore, it is essential to see woman battering within the framework of misogyny, the feminization of poverty, forced homelessness, and racial discrimination. Feminist theory contends that because multiple oppressions influence womens's lives and all are rooted in the patriarchal social structure (e.g., women are oppressed because they are women but also may be oppressed because they are poor or women of color), any analyses of social problems affecting womens lives would benefit by analyzing multiple factors. Feminist theory is more applicable to the problem of intimate male violence against women than other theoretical perspectives that address inequalities, such as conflict theory or social structuralism, because it places gender as the basis for such inequalities. Domestic violence is overwhelmingly a crime commited by men against their intimate female partners and, as such, must be understood within the context of gender. 2 5 Rationale for the Present Study There is a considerable body of knowledge within the woman battering literature that documents the pervasiveness and seriousness of intimate male violence against women and the various negative physical and psychological outcomes that abuse (whether physical, sexual, or psychological) has on women's lives. The literature also contends that women's level of economic resources and whether they are dependent on another person for those resources plays a central role in influencing their: 1) decision about continuing involvement with their assailants (Aguirre, 1985; Carlson, 1977; Dobash & Dobash, 1979; Gelles, 1979; Greaves, Heapy, & Wylie, 1988; Hofeller, 1982; McDonald, 1989; Pagelow, 1981; Roy, 1977; Strube & Barbour, 1983, 1984), and 2) psychological well-being over time (Belle, 1990; Belle, Dill, Feld, Greywolf, Reese, & Steele, 1982; Dohrenwend, 1978; Goodman, Koss, Russo, 1993; Seidman & Rapkin, 1983) As the literature review suggested, women who stay at domestic violence shelters tend to have fewer resources to begin with than women who do not turn to domestic violence shelters after being battered (Okun, 1986; Sullivan & Rumptz, 1994). Much of the research in the area of woman battering has been conducted with women at domestic violence shelters but has not incorporated an analysis of the impact of economic resources and economic dependence on women’s lives. Therefore, the relationships researchers currently suggest between abuse and other constructs like involvement with assailant or psychological well-being may be confounded by level of economic resources or economic dependence. Russo (1990) suggests the importance of future research that 26 examines what variables mitigate the impact of abuse on women's lives in order to understand the factors that influence the differential outcomes of woman abuse. For example, to understand what factors affect women’s psychological well-being and decisions about staying involved with the assailant. The present study contributes to the literature by empirically exploring these relationships over time in order to begin to conceptualize a model for how level of economic resources and economic dependence impacts women who have been battered by their partners or ex-partners. Research on these factors could have important implications for future theory building, intervention strategies, research, and policy decisions. In addition to beginning to develop a model to explain the role of economic resources and economic dependence in predicting women’s psychological well-being and involvement with their assailants, the present study contributes to the literature on woman battering by remedying several common methodological weaknesses that limit the causal inferences and definitive conclusions of past research. Table 1 provides a summary of the methodological limitations of the research reviewed herein that has investigated the impact of economic resources and economic dependence on women who have been battered. To date, much of the existing research has been descriptive or anecdotal in nature. That is, results are often limited to simple tabulation of frequencies and percentages. The present study employed correlational and regression analyses to further explore the relationships among key variables in this area of research. 27 95328:. 533-5 0: o: 3; 3» $3: 53:3,. 5036.5 2.23 on cocoaé o: o: .3 8» A33: 3.5m $3235 0:23 a. $33.5 o: o: «a 8» Anna: 3.5m .333 costs 8» 8% 2.2- _ 3 porn.» no» 333 2325 83 32:03 no.» no» of mo» :3 3 .81 San Ecouutcmoo ”32235 .883 -5 R033 55.? we» 8» p23.» 8» Ema 3 sac—$5 >955 52.5, me.» o: 8 no» G: S =ono=2 Burr—85 83$ cow—oi mo» 8» vmm 8» Anna: 8320 303.52: gangs: mo.» 8» on 33:3 GS: 8:00 3033:: 5.4395 no» we» 3. 8» Am; C .8280 zeta 59.5 8» o: N. m 8% Anna C oE=w< amasé 8:83... an; E52 :3 on»... zeta—m .mcouoom $.20 0331080 325 35 295m 29:5 252—350 35.2. DEE _ use. 28 Most of the research to date has also been cross-sectional, and therefore limits the conclusions about the stability of the relationship between major outcome variables. Interviewing women at only one point in time while they are in shelters or immediately upon shelter exit provides only limited information about the effects of battering on women's overall well-being (Campbell et al., 1995; Sullivan, Campbell, Angelique, Eby, & Davidson, 1994). For example, the information cross-sectional studies provides can be very misleading regarding the psychological well-being of women with abusive partners. Campbell et al. (1995) and Sullivan et al. (1994) found that in a sample of shelter users, women reported much higher levels of depression immediately post-shelter than they did six months later. Although interviewing women during a crisis period can be important to our understanding of critical life events, care must be taken not to overgeneralize these findings to battered women's long-term psychological well-being. Currently, there is an insufficient amount of information known about the process women undergo over time as they attempt to escape abusive men with whom they are or have been involved with. The present study included multiple data collection points (3 months post-shelter, 9 months post-shelter, and 15 months post-shelter) to help sort out what factors influence women's decisions and psychological well-being over time. Another weakness throughout the woman abuse literature is a lack of agreement on a single definition of abuse and differential emphasis on the dimensions of abuse (Campbell & Fischer, under review). Most often, physical battering is examined to the near exclusion of psychological and sexual battering as part of woman abuse (F inkelhor & Yllo, 1983; Follingstad et al., 1990; Russell, 1990). As there is ample evidence that 29 psychological and/or sexual abuse oflen accompany physical violence and are at least as damaging as physical violence, the definition of abuse must be expanded in our research (Browne, 1987; Campbell, 1989; Campbell & Fischer, under review; Follingstad, Brennan, Hause, Polek & Rutledge, 1991; F ollingstad, Rutledge, Berg, Hause, & Polek, 1990; Frieze, 1983; Hanneke, Shields, & McCall, 1986; Hilberman & Munson, 1977-78; Pagelow, 1984; Walker, 1984). The present study incorporated physical (including one item assessing sexual abuse) and psychological abuse in the measure of abuse and documented the conceptual and empirical rationales behind the development of the scale. In addition to the failure to longitudinally and empirically examine the impact of abuse and economic resources on women's psychological well-being and return to the assailant, there are also wide gaps in our knowledge because theory is rarely integrated with research. Becerra and Zambrana (1985) concluded that data and a research agenda are meaningless without a context in which to interpret them. To date, there is a lack of theory-informed research on the actual relationship between shelter users' economic resources, economic dependence, involvement with the assailant, further abuse, and psychological well-being over time. Women in shelters are often both poor and battered. Their situation symbolizes the complexity of the broader patterns of institutionalized economic and sexual exploitation, political discrimination, and male domination against women which serves as the basis for woman battering. Although all women who have been abused by a male partner would share the experience of intimate male battering in common, differing 30 levels of economic resources or economic dependence might be factors that influence differential outcomes. The present study contributes to the literature by presenting feminist theory as support for the importance of looking at economic resources and economic dependence within the context of woman abuse. To date, researchers have maintained a narrow definition of violence against women. In the struggle to end intimate male violence against women, many researchers focus only on male violence instead of the broader system of capitalism and its institutions that perpetuate both sexism and classism in their very structure (Williams, 1981). It is important, however, to understand abuse of impoverished women in relation to both their economic resources and gender, for each interpenetrate one another. The present study investigated woman abuse within the context of economic oppression facing women who have resided at a domestic violence shelter. The Present Study The present study was part of a larger ongoing study. Feminist theory and previous research findings suggest that when women leave a domestic violence shelter, both abuse and economic resources/dependence may play important roles in predicting their overall psychological well-being over time (Belle, 1990; Belle, Dill, Feld, Greywolf, Reese, & Steele, 1982; Dohrenwend, 1978; Gelles & Harrop, 1989; Goodman, Koss, Russo, 1993; Koss, 1990; Seidman & Rapkin, 1983). Research also suggests that economic resources or economic dependence on the assailant play a prominent role in predicting return to the assailant (Aguirre, 1985; Carlson, 1977; Dobash & Dobash, 1979; 31 Gelles, 1976; Greaves, Heapy, & Wylie, 1988; Hofeller, 1982; Pagelow, 1981; Roy, 1977; Strube & Barbour, 1983, 1984) . Feminist theory supports that to more clearly understand the dynamic process involved for women post—shelter and to gain further insight into the multiple factors impacting women's psychological well-being, we must begin to examine the complexities of women's lives and examine the multiple oppressions that impact them over time (Corcoran, Duncan, & Hill, 1984; Davis, 1985; Dill, 1983; Dobash & Dobash, 1992; Edwards, 1985; Hofeller, 1982; Okun, 1986). This research was designed to explore the complex relationships between abuse, economic resources, economic dependence, involvement with the assailant, and overall psychological well-being as described by the following three objectives and specific hypotheses. Information was collected through face-to-face interviews with women at three time points: 3, 9, and 15 months after leaving a domestic violence shelter. Research Objectives and Hypotheses Given the lack of agreement on definitions of abuse and psychological well-being in the woman abuse literature, and the lack of measures of economic resources, the first objective was to conceptually and empirically create meaningful scales to measure these constructs. With regard to measuring abuse, the literature suggests that both physical abuse by the original assailant or any new relationship and psychological abuse by a current partner (either the original assailant or a new relationship) may contribute to an overall abuse score. Therefore, items measuring physical abuse (including physical abuse, sexual abuse, and injuries) by the original assailant or new relationship, threats, and psychological abuse by whoever women were currently in a relationship with were 32 combined in the present study to create an overall abuse measure. Overall quality of life and depression have been suggested as indices of overall psychological well-being and items assessing both of these constructs were combined in the present study to create an overall psychological well-being measure. Items assessing level of economic resources were combined to create an economic resources measure. Given the lack of empirical, longitudinal studies on the relationship between abuse, level of economic resources and economic dependence, involvement with the assailant, and psychological well-being of women who were battered and resided at a domestic violence shelter, the second objective was to provide a descriptive account of abuse, women's economic resources, economic dependence, involvement with assailant, and psychological well-being. The descriptive information provides the contextual background for this exploratory model development study. The third, and primary, objective was to examine the relationships between abuse, economic resources, economic dependence, involvement with the assailant, and psychological well-being. As the first step in examining these relationships, this research determined the correlations between the five primary variables within each time point (Time 1 = 3 months post-shelter, Time 2 = 9 months post-shelter, and Time 3 = 15 months post-shelter) and across all three time points. As the second step in examining these relationships, the present study predicted relationships between abuse, economic resources, and psychological well-being within each of the three time periods and across time. Of particular interest were the relative strength of abuse and economic resources in predicting women's psychological well- 33 being and whether economic resources mediated the relationship between abuse and psychological well-being. The present study also explored the relationships between economic resources, economic dependence, and involvement with the assailant within Time 1, Time 2, and Time 3 and across time. Of particular interest in these analyses was whether economic dependence moderated the relationship between economic resources and involvement with the assailant. The following specific hypotheses were tested: Hypothesis 1: The literature and previous research suggest that abuse from intimate male partners is a major stressor that affects women's overall psychological well-being. The more severe the abuse, the lower women's psychological well-being. Figure 1 shows a heuristic model of the hypothesized relationships between abuse and psychological ‘well- being within and across time. 34 Figure 1 ammmmnmmmmmmmmrmmmnmmm andAcrosinme [ __ .———— _ 1 Abuse T1 Psychological Well-Being T1 1 . 5 Abuse T2 Psychological Well-Being T2 . i ! 1 Abuse T3 Psychological Well-Being T3 L______.' l E 1. The experience of abuse at Time 1 has a direct negative effect on the psychological well-being of women at Time 1. 2. The experience of abuse at Time 2 has a direct negative effect on the psychological well-being of women at Time 2. 3. The experience of abuse at Time 3 has a direct negative effect on the psychological well-being of women at Time 3. 4. The experience of abuse at Time 1 has a direct negative effect on the psychological well-being of women at Time 2. 5. The experience of abuse at Time 2 has a direct negative effect on the psychological well-being of women at Time 3. Hypothesis 2: The literature and previous research suggest that level of economic resources impacts women's overall psychological well-being. The lower the economic 35 resources, the lower women's psychological well-being. Figure 2 displays a heuristic model of the hypothesized relationships between economic resources and psychological well-being within and across time. Figure 2 HeufisficMcxleLofjheprchesizedRelationshipsBeMeenficonomic Resourcesandllsxchological ll! ll-B . Till I g I' E 1' j E Economic Resources Tl " Psychological Well-Being T1 1 l i : EconomicResourcesIZ Psychological Well-Being T2 . L %___ , _,,_.. lmmxgsgmm.‘ Psychological Wen-Being 1'3 i l l l I L____ __ ___.,___-.z _ _._‘_ l. The level of economic resources at Time 1 has a direct positive effect on the psychological well-being of women at Time 1. 2. The level of economic resources at Time 2 has a direct positive effect on the psychological well-being of women at Time 2. 3. The level of economic resources at Time 3 has a direct positive effect on the psychological well-being of women at Time 3. 4. The level of economic resources at Time 1 has a direct positive effect on the psychological well-being of women at Time 2. 36 5. The level of economic resources at Time 2 has a direct positive effect on the psychological well-being of women at Time 3. Hypothesis 3: It is hypothesized that economic resources mediate the relationship between abuse and psychological well-being. First, abuse has a direct negative impact on economic resources such that the higher the level of abuse that women experience, the fewer the economic resources they will have. Second, abuse has a direct negative impact on psychological well-being such that the higher the level of abuse that women experience, the lower their psychological well-being. Third, economic resources has a direct positive effect on psychological well-being such that the more economic resources women have, the higher their psychological well-being. Figure 3 is heuristic model of the hypothesized relationships of economic resources mediating the effect extent of abuse has on psychological well-being within and across time. 37 Figure3 mmmmmmmmcmmmmmof !l H I! ll . lll’ll-E' lM'l' l! I' 1 Abusell l_.,L Economic Resources Tl j__, Psychological Well-Being rim I 1 _ ‘ l Abyss-J2 j__,[ EconomicResourcesIZ j -—-) E Psychological Well-Being T2: | 1 ! AhuseTZi 7 _., L EeonomicResomesfl 4 —-+l Psychological Well-Being 13*: l T 1. The level of economic resources at Time 1 mediates the relationship between abuse at Time 1 and psychological well-being at Time 1. 2. The level of economic resources at Time 2 mediates the relationship between abuse at Time 2 and psychological well-being at Time 2. 3. The level of economic resources at Time 3 mediates the relationship between abuse at Time 3 and psychological well-being at Time 3. 4. The level of economic resources at Time 1 mediates the relationship between abuse at Time 1 and psychological well-being at Time 2. 5. The level of economic resources at Time 2 mediates the relationship between abuse at Time 2 and psychological well-being at Time 3. 38 6. The level of economic resources at Time 2 mediates the relationship between abuse at Time 1 and psychological well-being at Time 3. Hmthesis 4: The literature and previous research suggest that level of economic resources is related to concurrent and future involvement with assailant. Given the amount of literature that supports the contention that women report economic dependence as a primary reason for returning to their abusive partners, the relationship between economic resources and involvement with assailant is hypothesized to be moderated by whether women are economically dependent. That is, women's level of economic resources will affect whether they are involved with their assailant only if they are economically dependent for those resources. Figure 4 illustrates a heuristic model of the hypothesized relationships of economic dependence moderating the effect of economic resources on assailant involvement within and across time. 39 Figure 4 WW . B ! 'l I l W!MW rmgkgmfl : T :Tfl- Assailant Involvement Tl . « LEconomic Dependence Tl _l W ' 1. t 3 Assailantlnvolvemenm F liEcmiomiclkpendenceTZ I I Ecunorniellependencefi l (Economiukesourcefll 1, r L Afimgflgmggw f EconomicDependenceIl J { W| T i ; W131} (EconomicDependencezTZ l 1. Economic dependence at Time 1 moderates the relationship between level of economic resources at Time 1 and involvement with assailant at Time 1. 2. Economic dependence at Time 2 moderates the relationship between level of economic resources at Time 2 and involvement with assailant at Time 2. 3. Economic dependence at Time 3 moderates the relationship between level of economic resources at Time 3 and involvement with assailant at Time 40 Economic dependence at Time 1 moderates the relationship between level of economic resources at Time 1 and involvement with assailant at Time 2. Economic dependence at Time 2 moderates the relationship between level of economic resources at Time 2 and involvement with assailant at Time METHOD DLsign The current study is part of a larger ongoing study that is the first to utilize a longitudinal, experimental design to examine the effects of an advocacy intervention on battered women's overall psychological well-being and ability to remain free from abuse over a two-year period. The larger study employed a longitudinal design with six interviews over time (pre-intervention/immediately upon shelter exit, post-intervention, and 6, 12, 18, and 24 month follow-up periods). The current study focuses on women’s psychological well-being and involvement with their assailant afler having been abused and staying at a shelter for women with abusive partners and not on the intervention in the larger study. Three time periods of post-shelter information were used in the present study corresponding with the post-intervention, 6 month follow-up, and 12 month follow- up interviews in the larger study. For the purposes of this study, however, these three interviews reflect women’s experiences 3 months post-shelter (Time 1), 9 months post-shelter (Time 2), and 15 months post-shelter (Time 3). Because the purpose of the present study was to begin to formulate a model for the relationship between economic resources, economic dependence, abuse, psychological well-being, and assailant involvement, it was important to interview women and measure these dimensions when the women were not in crisis. Three months post-shelter was long enough after the crisis that precipitated 41 42 their shelter stay to gain stable information on continued abuse, level of economic resources, economic dependence, and involvement with assailant. Furthermore, having a reasonably short time between leaving the shelter and this interview helped the project maintain contact with the participants, thereby improving the retention rate. Because the present study was exploratory, two follow-up time periods were chosen in order to examine the stability of the relationships and in order to determine if there were predictive relationships across time. A period of six months between interview one and interview two and between interview two and interview three was chosen because it was an adequate length of time to expect changes in the variables of interest (if there were changes across time). Research Participants Research participants were recruited from the Council Against Domestic Assault, a shelter for women with abusive partners located in a medium-sized Midwestem city. Women who stayed at the shelter for at least one night and who did not move out of the metropolitan area were eligible for participation in the study. Potential participants were informed that participation involved being interviewed three times after their shelter exit: 3 months post-shelter, 9 months post-shelter, and 15 months post-shelter and that they would be paid $40.00 for the first interview, $60.00 for the second interview, and $80.00 for the third interview. Potential participants were also informed that half of the women recruited for interviews would be randomly chosen to receive the free services of a trained advocate for 4-6 hours per week over ten weeks after they left the shelter to help them access needed community resources. 43 Of 244 women who were recruited and interviewed by the larger study immediately upon exiting the domestic violence shelter, four women refused to continue participation with the project, two were suspected to have been murdered, and three could not be located (despite intensive tracking efforts), leaving a total sample of 235 interviewed 3 months post-shelter. By the next interview 6 months later (9 months post- shelter) four more women could not be located (N =23 1). At the 15 month post-shelter interview, four additional women could not be located, and two were in substance abuse treatment programs and could not be interviewed (N =225). Therefore, the retention rate for the first interview (3 months post-shelter) was 96%, the retention rate for the next interview (9 months post-shelter) was 95%, and the retention rate for the 15 month post- shelter interview was 92%. Because of the longitudinal nature of this research design and the regression analyses used to test the hypotheses, the nineteen participants discussed above who were not interviewed at every time period were dropped fiom the study (N = 225). On all of the demographic variables and scale scores, the nineteen participants who were not included in the final sample did not significantly differ from the 225 participants who had full data at all three time points any more than would be expected by chance. In addition, data from one woman who exhibited signs of psychological dysfunction which could have invalidated her answers to some questions was dropped as an outlier in the correlational and regression analyses (for a final N=224) but is included in descriptive reports. 44 Demographic and economic characteristics of participants. Table 2 shows the demographic and economic characteristics of the sample. The mean age of the sample was 28 years. Women’s ages ranged fi'om 17 years old to 61 years old. Forty-five percent of the participants were Non-Hispanic White, 44% were African American, 6% were Hispanic, and the remainder were Asian American, Native American, Arab American, or of mixed heritage. At all three time periods, three-quarters of the women had children who were currently living with them. Women reported having anywhere from one child living with them to having 7 children living with them. On average, women had two children who were currently living with them at the time of each interview. 45 Table 2 Demo hic and Economic Characteristics of Partici ants at Time 1 Time 2 and Time 3 =225 Demographic and Economic Characteristics Time 1 Time 2 Time 3 Age in years (mean) 28.3 (SD 7.7) Race/Ethnicity Non-Hispanic White 45% African-American 44% Hispanic 6% Asian American 1% Other 4% Educational level Less than high school 36% High school grad/GED 25% Some college 28% College graduate 6% Trade school 4% Professional degree 1% Children living with them 76% 75% 75% Number of children living with participant (mean) 2 (SD 1.4) 2 (SD 1.4) 2 (SD 1.5) Annual income (mean) $10,317 $10,162 $10,098 (SD 9460.9) (SD 8082.1) (SD 7083.5) Living in poverty 72% 72% 70% Currently employed 26% 33% 32% Receiving governmental assistance 80% 71% 71% Currently a student 16% 20% 20% Type of living situation Rent an apartment, home, or room 81% 73% 79% Own a home 5% 7% 5% Stay with friends or relatives 9% 12% 9% Other (including homeless or in an institution) 5% 8% 7% Regular access to a car 40% 46% 51% 46 Upon exiting the shelter, women were asked about their educational level. Over one-third of the sample did not complete high school and did not obtain their GED. Twenty-five percent did have a high school diploma or obtain their GED. Only 6% graduated from college, but 28% had attended college for some period of time. One percent of the women pursued higher education and obtained a professional degree. Four percent of the women completed trade school. Table 2 illustrates that participants’ economic characteristics (that were measured at every time period) were very stable across all three time periods of this study. Most of the women were living below the federal poverty line with an annual income averaging just over ten thousand dollars. Less than one-third of the sample were employed, while over 71% needed to rely on governmental assistance. Few of the participants reported currently being students at any of the interviews (16% - 20%). The majority of women (73% - 81%) were renting a place to live (a room, apartment, or home), only 5% - 7% owned their own home, 9% - 12% were staying with fiiends or relatives, and 5% - 8% were either homeless or in an institution (e.g., jail, prison, psychiatric hospital) at any of the time periods. Between 49% and 60% of the women did not have consistent access to a car if they needed it at any time period. The participants were demographically similar to the samples of comparable studies (e.g., Astin et al., 1993; Firm, 1985; Gondolf, 1988; Kemp et al., 1991; Mitchell & Hodson, 1983; Okun, 1986; Pagelow, 1981; Sato & Heiby, 1992). Thus, they are generally representative of women who utilize domestic violence shelters. 47 Procedure Interviewer training. Interviews were conducted by highly trained undergraduate students at a large Midwestem university (Michigan State University) in exchange for college credits. Students enrolled for two consecutive terms in small groups of four to eight persons and received an average of nine weeks (the length of training remained flexible depending on the performance of the group of interviewers) of intensive training in interviewing techniques and the tenets of community research from an ecological and feminist perspective. Training was very interactive and included reading articles on woman battering and training manuals of interviewing techniques, learning and role- playing the interviews, films, and discussion of community research skills such as techniques for tracking participants. At the conclusion of training and before interviewers were permitted to conduct actual interviews with research participants, inter-rater reliability was calculated. This involved the four to eight interviewers and supervisor(s) watching, listening to, and coding the same mock-interview (performed by two group members who simultaneously acted as interviewer/interviewee and coded). Inter-rater reliability was calculated using percent agreement. The total number of possible correct responses was totaled as the denominator (as determined by one supervisors' coding checked against an oral tape of the interview). The numerator represented the total number of responses each interviewer coded correctly. The two were divided and multiplied by 100 to determine a percent agreement score for each individual student. Due to the rigorous interviewer 48 training and repeated practice interviews, percent agreement scores averaged 97% across all of the terms of training and was never below 94% in any given term. After training was complete, interviewers were assigned one or two interviews per week and they were responsible for locating the participant, setting up the interview, conducting the interview (always in the community, usually at the participant's home), coding the interview, and listening to the tape of the interview to make sure it was coded correctly. Interviewers continued to meet weekly in their small groups with one or two supervisors to discuss the interviews they completed, ask any questions, hand those interviews in, and receive new interviews to complete the next week. Weekly meetings were designed to be very interactive and supportive and were an effective way to make sure all of the interviews were done well and on time. To further ensure accuracy, interview supervisors (trained graduate students in Ecological-Community Psychology) listened to the tape recording of every interview, corrected any coding mistakes, and gave both positive and corrective feedback to the interviewers on a weekly basis. Advocacy Intervention Although not a focus of the present study, the larger investigation employed a randomized experimental design to evaluate the impact of an advocacy program for women with abusive partners. Because this intervention may have implications for the present study, a brief description follows. At the recruitment phase of the study, project staff administered a baseline interview and then randomly assigned women to either the experimental intervention, the Community Advocacy Project, or to the control group. Women assigned to the experimental condition worked with a trained paraprofessional 49 advocate 6-8 hours per week for a period of 10 weeks. Each intervention was based on the needs and circumstances of the women and all advocates were instructed to help assess the women’s unmet needs, and tailor their interventions to help women access community resources that would fulfill those needs (e.g., housing, employment, legal assistance, transportation, childcare, health care, etc.). Measures In-person interviews were conducted with the participants in the community 3 months after women left a domestic violence shelter, and then again 6 months later (9 months post-shelter), and then again 6 months later (15 months post-shelter). In order to gain the most accurate information possible regarding the effects of abuse and economic resources on womens' overall psychological well-being and involvement with the assailant research participants were administered extensive verbal and written interviews. Table 3 describes the measurement model used in the present study. Participants were asked questions regarding: 1) level of economic resources, 2) experience of abuse, 3) psychological well-being, 4) involvement with assailant, and 5) economic dependence. All questions were asked in an oral interview except where noted. Table 3 Measurement Model Construct Economic Resources Abuse Psychological Well-Being Involvement With Assailant Economic Dependence 50 Description of Construct level of economic resources including annual income, poverty status, access to a car, & employment status frequency of threats by original assailant and/or new relationship extent of injuries by original assailant and/or new relationship frequency of being pushed, grabbed, slapped, punched, kicked, hit with an object, choked, tied up, stabbed, shot by original assailant and/or new relationship frequency of psychological abuse including ridicule, criticism, & harassment by whoever woman is currently in a relationship with perceived quality of life depression involvement with assailant economic dependence on others Measure Study Interview Study Interview Study Interview Straus' (I 979) Conflict-Tactics Scale Sullivan, Parisian, & Davidson's Index of Psychological Abuse (1991) revised version of Andrew & Withey's (1976) Quality of Life Measure Radlofl‘s (1977) CES-D Study Interview Study Interview 5 1 Economic resources. Economic resources were assessed using a 4-item scale developed for this study. Items assessed total annual income, whether the participant was classified as living in poverty (U .8. Bureau of the Census, 1990), employment status, and access to an automobile (see Appendix A). All four items were originally measured with different response categories. Three of the four variables (poverty status, employment status, and access to a car) were dichotomous and reverse coded so that a higher value indicated more resources. Annual income was a continuous variable that was already consistent with this coding direction. All of the items were standardized (z-scored), summed, and averaged to determine an economic resources scale score. Internal consistency of this scale was .63 at Time 1 (3 months post-shelter), .65 at Time 2 (9 months post-shelter), and .70 at Time 3 (15 months post-shelter) with item-total correlations ranging from .29 to .60. A concern with using economic resource information from a shelter sample was that there would not be enough variance within the sample because many women use shelters as a result of not having many other resources; i.e., most of the women are poor. However, preliminary analyses indicated that this sample was normally distributed. Abuse. Originally, several dimensions of abuse were assessed as separate constructs. Three unique measures assessing various aspects of abuse fi'om the original assailant or a new relationship and one unique measure assessing abuse from a current partner (either the original assailant or a new partner) were used in this study and their psychometric properties are presented below. Measures of physical abuse by the original assailant and a new relationship included a modified version of the Conflict-Tactics Scale 52 (CTS) (Straus, 1979) (used to assess fiequency of physical abuse) and an injuries measure used to assess types of injuries women experienced from the abuse. Frequency of psychological abuse was assessed by asking how often women were threatened by their original assailant or a new relationship and by the Index of Psychological Abuse (IPA) (Sullivan, Parisian, & Davidson, 1991) which assessed the frequency of ridicule, harassment, and criticism from a current relationship (either the original assailant or a new relationship). At the first interview, 3 months post-shelter, the time reference used for all of the abuse variables was within the last ten weeks. For the second two interviews, 9 and 15 months post-shelter, the time reference was within the previous six months. Because this study was not concerned with the effects of different types of abuse or on the differential impact of abuse by the original assailant or a new relationship, but on how any kind of abuse perpetrated by anyone women were intimately involved with affected their psychological well-being, all seven scales were eventually combined into one measure of overall abuse. The psychometric properties of the overall Abuse scale are presented at the end of this section. Physical abuse by the original assailant and physical abuse by a new relationship were each measured independently using a modified version of Straus' (1979) M Tactics Scale Violence subscale (CTS) measuring frequency and severity of violence experienced (see Appendix B). Two items were dropped fi'om this scale ("burned" and "drove recklessly so that you felt endangered") due to lack of variance. When the CTS was used to ask about the original assailant, the reliability of the scale was a = .91 at 53 Time 1, a = .89 at Time 2, and a = .92 at Time 3. When the CTS was used to ask about a new relationship, the reliability of the measure was a = .91 at Time 1, a = .89 at Time 2, and a = .89 at Time 3. The corrected item-total correlations for both the original assailant and new relationship physical abuse (CTS) scales are listed in Table 4. Table 4 Corrected Item-Total Correlations for the Original Assailant and New Relationship Physical Abuse Scales Corrected Item-Total Correlations Item Original Assailant New Relationship Time 1 Time 2 Time 3 Time 1 Time 2 Time 3 Tore clothing .55 .56 .71 .81 .53 .45 Pushed .81 .81 .78 .83 .83 .70 Grabbed .85 .81 .81 .80 .77 .73 Slapped .82 .70 .79 .32 .54 .55 Hit with fist .76 .70 .78 .80 .79 .70 Kicked .69 .61 .62 .80 .62 .58 Threw object .58 .54 .77 .70 .55 .88 Hit with object .63 .49 .52 .63 .84 .70 Tried to hit .74 .57 .53 .64 .78 .78 Choked .55 .67 .66 .55 .57 .51 Restrained .41 .52 .41 .80 .52 .58 Raped .26 .50 .66 .84 .35 .60 Threat. weapon .40 .47 .56 .74 .66 . l 9 Used weapon .41 .18 .53 .80 * * a .91 .89 .92 .91 .89 .89 * indicates item had zero variance 54 Several of the corrected item-total correlations for the physical abuse measures as well as for the overall abuse measure (discussed at the end of this section) did not clearly meet the usual requirements for item inclusion in a scale yet were kept in the scale. That is, certain items had low item-total correlations outside of the acceptable range. Because this study was longitudinal and the reliability of the measures was assessed at each time period, it was possible to determine that items with low item-total correlations at one time period did not necessarily have low item-total correlations at another time period. In order to preserve items in the scale if they had good item-total correlations within at least one time period, and therefore keep the scale consistent over time, items with low item-total correlations were not deleted. Also important to this decision was the argument that internal consistency may not be the best way to evaluate scales that tap “life event” sorts of constructs (Cleary, 1981). The problem with finding a satisfactory, comprehensive list of items is that scoring high on one does not necessarily mean that an individual would score high on another even though the items seem to measure the same construct (i.e., a woman who is slapped is not necessarily likely to have also been kicked or raped). Therefore, the item- total correlation for several items may be low. Clearly, more work needs to be done to determine how to best evaluate the reliability of woman abuse measures but that is beyond the scope of this study. Again, for this study, items that had low corrected item- total correlations at only one or two time periods and that rationally seemed to measure the construct were kept in the scale. 55 The third and fourth measures of abuse were the extent of injuries caused by the original assailant and the extent of injuries caused by a new relationship. The extent of injuries was measured using the extent of injuries score derived from a checklist of 10 dichotomously coded injuries sustained by the participants from the physical abuse (see Appendix C). Ifa woman had been harmed at all, as measured by the presence of at least one violent act against her, she was asked about the injuries she sustained including ,9 66 “cuts, scrapes, or bruises, soreness without bruises,” “burns, including rug burns,” 99 6‘ “loose or broken teeth,” “broken bones or fractures,” “internal injuries, strains or ,9 6‘ sprains,” “dislocated joints, pregnancy complications or miscarriage,” and “knife or gunshot wound.” The scores ranged from 0 for no injuries to as high as 10 types of injuries sustained. The fifth and sixth indicators of abuse were the frequency of threats from the original assailant and the frequency of threats from a new relationship. Threats were measured for this study with a single item, frequency of threats. This item asked women how many times the assailant "threatened you in any way, including saying or doing things that made you feel scared or in danger, whether in person, over the phone, through the mail, or through other people" with possible responses from 1 = never to 6 = more than four times a week (see Appendix D). The seventh measure of abuse was psychological abuse from whoever the woman was currently involved with (either the original assailant or a new relationship). Psychological abuse was measured using the Index of Pachological Abuse (EA) (Sullivan, Parisian, & Davidson, 1991) which is a 33-item measure of ridicule, 56 harassment, and criticism (see Appendix E). For example, women were asked to rate how often in the referent time period whoever they were currently (at the time of the interview) involved with "refused to talk to you", "tried to control your money", and "broken or destroyed something important to you" on a 4-point Likert-type scale ranging from "never" to "often." Internal consistency of this scale was .97 at Time 1 (with item- total correlations ranging from .41 to .88), .98 at Time 2 (with item-total correlations ranging fi-om .36 to .89), and .97 at Time 3 (with item-total correlations ranging from .28 to .88). The literature supports the fact that physical abuse, injuries, threats, and psychological abuse are all harmful to a survivor of intimate male violence and that it may be meaningful to combine these constructs to assess overall level of abuse. The present study was concerned with any abuse that may influence women's psychological well-being or economic resource level after leaving a shelter for women with abusive partners. Therefore, it was conceptually and empirically relevant to combine the following items that were originally measured on separate scales: frequency of physical abuse (including one sexual violence item) by the original assailant, frequency of physical abuse (including one sexual violence item) by a new relationship, extent of injuries from the original assailant, extent of injuries from a new relationship, frequency of threats from the original assailant, frequency of threats from a new relationship, and frequency of psychological abuse from a current relationship (either the original assailant or a new relationship). Sixty-five items from each of the original measures were standardized (z-scored), summed, and averaged to form the final overall abuse scale. 57 Coefficient alpha for the overall abuse scale at Time 1 was .96, at Time 2 was .95, and at Time 3 was .95. Corrected item-total correlations for the overall abuse scale are presented in Table 5. 58 Table 5 Corrected Item-Total Correlations for th_e Overall Abuse Scale Corrected Item-Total Correlations Original Assailant New Relation_s_hip Item Time 1 Time 2 Time 3 Time 1 Time 2 Time 3 Physical Abuse Tore clothing .23 .25 .46 .34 .22 .08 Pushed .46 .46 .55 .33 .29 .16 Grabbed .51 .40 .53 .37 .26 .17 Slapped .36 .34 .48 .07 .20 .16 Hit with fist .30 .39 .48 .42 .34 .18 Kicked .25 .43 .44 .42 .20 .1 8 Threw object .43 .35 .53 .37 .16 .21 Hit with object .40 .31 .38 .34 .32 .19 Tried to hit .36 .38 .45 .31 .28 .24 Choked .33 .31 .41 .33 .17 .14 Restrained .19 .26 .3 8 .42 .19 .18 Raped .23 .38 .43 .36 .20 .18 Threat. weapon .22 .30 .44 .43 .28 .07 Used weapon .22 .17 .38 .42 * * Injuries .45 .46 .55 .40 .23 .21 Threats .32 .55 .49 .39 .35 .18 Table 5 continued Corrected Item-Total Correlations for the Overall Abuse Scale 59 Corrected Item-Total Correlations Current Relationship (either original assailant or new relationship) Item Time 1 Time 2 Time 3 Psychological Abuse Refused talk .49 .56 .51 Accused of affair .61 .67 .76 Had affair .58 .51 .50 Refused do things .60 .68 .54 Forbid leaving .60 .64 .50 Control money .61 .77 .65 Control activities .70 .78 .75 Withheld approval .74 .74 .59 Lied .68 .74 .64 Contradict. demands .76 .76 .66 Called names .73 .75 .73 Humiliated you .82 .78 .80 Ignored anger .71 .73 .68 Ignored other .73 .76 .74 feelings Ridiculed in public .65 .68 .59 Insulted beliefs .67 .72 .76 60 Table 5 continued Corrected Item-Total Correlation for the Overall Abuse Scale Corrected Item-Total Correlations Current Relationship (either original assailant or new relationship) Item Time 1 Time 2 Time 3 Insulted race .54 .62 .61 Insulted women .64 .71 .68 Criticized strengths .72 .77 .71 Criticized .73 .77 .72 intelligence Criticized looks .69 .64 .60 Criticized family .66 .73 .75 Harassed family .50 .53 .57 Discouraged .71 .70 .65 family contact Threat. family .57 .41 .52 Broke object .62 .66 .64 Abused pets .38 .32 .33 Punished kids .53 .53 .54 Threatened take kids .52 .48 .55 Left stranded .49 .52 .35 Threatened end .64 .67 .58 relationship Forced you to leave .70 .67 .57 home Threatened suicide .36 .44 .37 a .96 .95 .95 * indicates item had zero variance 61 Psychological well-being. Two measures of pSychological well-being, quality of life and depression, were used in this study and their psychometric properties are each presented below followed by a rationale for combining them into one measure of overall psychological well-being. The psychometric properties of the overall psychological well-being scale are presented at the end of this section. Quality of life was measured using a modification of Andrews & Withey's (1976) Quality of Life measure. Nine items measuring respondents’ feelings about life overall, self, personal safety, level of fim and enjoyment, responsibilities for family members, life accomplishments, independence or freedom, emotional and psychological well-being, and leisure activities were selected to predict overall quality of life (coefficient alpha = .87 at Time 1, .87 at Time 2, and .86 at Time 3 with item-total correlations ranging from .38 to .72). Response categories ranged from 1 = extremely pleased to 7 = terrible (see Appendix F). Depression was measured using a modified version of the CM (Radloff, 1977), a 16-item self-report checklist of psychological distress within the general population (coefficient alpha = .92 at Time 1, Time 2, and Time 3 with item-total correlations ranging from .36 to .80). The original scale included 20 items, four of which composed a “Happy” subscale. The item-total correlations of the four items in the “Happy” subscale did not correlate with the items from the Quality of Life scale when the CBS-D and Quality of Life scales were combined to form Psychological Well-Being. Therefore, these items were dropped. Respondents were asked to describe how often (1 = rarely or never to 4 = most or all of the time) they felt “I was bothered by things that usually don't 62 bother me,” “I did not feel like eating; my appetite was poor,” “I felt depressed,” and “I thought my life had been a failure” (see Appendix G). This measure was the only one filled out by the respondent herself in order to offer more privacy and hopefully gain more accurate information. Conceptually, this study was interested in women's overall psychological well- being after leaving a shelter for women with abusive partners. The literature suggested both overall quality of life and depression as indices of psychological well-being and preliminary analyses illustrated that as separate scales each were highly correlated with one another (.60 at 3 months post-shelter, .54 at 9 months post-shelter, and .51 at 15 months post-shelter). Therefore, the original measures of quality of life and depression were combined in the present study to form a Psychological Well-Being scale. Both scales were reverse coded first so that a higher score reflected greater satisfaction with one’s psychological well-being (a higher score on Quality of Life reflects greater satisfaction with one’s quality of life and a higher score on Depression reflects little or no depression). Responses were standardized (z-scored) and combined to form a 25-item scale with very high internal consistency and good item-total correlations (Time 1: a = .93, item-total correlations ranging from .35 to . 74; Time 2: a = .93, item-total correlations ranging from .33 to .73; and Time 3: a = .92, item-total correlations ranging from .30 to .77). Economic dependence. Economic dependence was measured using a single item that asks "How much of your income do you directly bring into the home, rather than another adult? This includes ADC or any other government aid that you may get". 63 Originally, the response categories were “none of the income,” “‘/2 of the income or less,” “over '/2 but less than all of the income,” and “all of the income” (see Appendix H). Due to lack of variance, the first three categories were collapsed to reflect “economic dependence (0).” Economic dependence refers, then, to being dependent on someone (usually the assailant) for all or part of the money that women need to live on. Women who bring in “all of the income” were coded as “economically independent (1),” meaning they were not dependent on anyone else for the money they lived on. Involvement with assailant. Involvement with assailant was measured using a single item that asks "Are you currently involved with (assailant's name)?". Women who were involved with their assailants at the time of the interview received a code of “1 " and women who were not involved with their assailants received a code of “2” (see Appendix 1). Because it was a categorical variable, the “2" was dummy coded to “0.” Experimental condition. Prior research with a sub-group of this sample (N=141) suggested that the experimental intervention that was part of the larger study did have a significant effect on women’s social support, quality of life, and effectiveness in obtaining resources 3 months post-shelter and a significant effect on women’s quality of life 9 months post-shelter (Sullivan, Tan, Basta, Rumptz, & Davidson, 1992; Sullivan, Campbell, Angelique, Eby, & Davidson, 1994). That is, women who received the services of an advocate reported being more effective in accessing resources and had higher levels of social support and overall quality of life post-intervention (3 months post-shelter) and reported continued higher quality of life six months later. Therefore, 64 although not a focus of the current study, experimental condition was controlled for in all of the analyses. Data Analysis Strategy , A review of the data analysis plan is presented here. Analyses were conducted to explore the objectives and the specific hypotheses about two sets of relationships: those between economic resources, abuse, and psychological well-being and those between economic resources, economic dependence, and involvement with assailant. Descriptive statistics were conducted first to begin to examine the percentages, means, and standard deviations of the variables of interest (psychological well-being, abuse, economic resources, economic dependence, and assailant involvement) across time. Next, correlation coefficients were computed as a summary index to describe the observed strength of the associations between psychological well-being, abuse, economic resources, economic dependence, assailant involvement, and experimental condition both within and across Time 1, Time 2, and Time 3. Hierarchical multiple regression analyses were used to examine the first set of hypotheses that stated that experience of abuse has a direct negative effect on the psychological well-being of women both within Time 1, Time 2, and Time 3 and across time (i.e., Time 1 to Time 2 and Time 2 to Time 3). In each of the five equations, experimental condition was entered first in order to control for the effects of the intervention. In the four equations where psychological well-being at Time 2 or Time 3 was the dependent variable, prior level of psychological well-being was entered next (after experimental condition). It was necessary to control for prior level of 65 psychological well-being because it was so highly correlated with psychological well- being at the next time period. Therefore, the analyses actually investigated the effect of abuse on change in psychological well-being. The primary independent variable of interest, abuse, was entered last in every equation. Hierarchical multiple regression analyses were also used to examine the second set of hypotheses that stated that level of economic resources has a direct positive effect on women's psychological well-being both within Time 1, Time 2, and Time 3 and across time (i.e., Time 1 to Time 2 and Time 2 to Time 3). The order of variable entry was identical in this set of analyses. That is, in each of the five equations, experimental condition was entered first in order to control for the effects of the intervention. In the four equations where psychological well-being at Time 2 or Time 3 was the dependent variable, prior level of psychological well-being was entered next (after experimental condition). The primary independent variable of interest, economic resources, was entered last in every equation. A series of regression models were estimated to examine the third set of hypotheses that state that women's level of economic resources mediates the relationship between extent of abuse and women's psychological well-being. Six sets of relationships were examined to understand this hypothesized relationship both within and across time. That is, within Time 1, Time 2, and Time 3 and across Time 1 and Time 2 (i.e., abuse and economic resources at Time 1 predicting psychological well-being at Time 2), across Time 2 and Time 3 (i.e., abuse and economic resources at Time 2 predicting psychological well-being at Time 3), and across all three time periods (i.e., abuse at Time 66 1, mediated by economic resources at Time 2, predicting psychological well-being at Time 3). To test for mediation, three regression equations were estimated: first, regressing the mediator (economic resources) on the independent variable (abuse); second, regressing the dependent variable (psychological well-being) on the independent variable (abuse); and third, regressing the dependent variable (psychological well-being) on both the independent variable (abuse) and on the mediator (economic resources) (Baron & Kenny, 1986). Baron & Kenny propose that to establish mediation, the following conditions must hold: First, the independent variable must affect the mediator in the first equation; second, the independent variable must be shown to affect the dependent variable in the second equation; and third, the mediator must affect the dependent variable in the third equation. If these conditions all hold in the predicted direction, then the effect of the independent variable on the dependent variable must be less in the third equation than in the second. Perfect mediation holds if the independent variable has no effect when the mediator is controlled. Lastly, logistic regression was used to examine the fourth set of hypotheses and test whether the causal relation between economic resources and involvement with assailant changed as a function of economic dependence (i.e., was moderated by economic dependence). Logistic regression was conducted rather than hierarchical regression because the dependent variable, involvement with the assailant, was dichotomous (involved/not involved). The moderational hypotheses were tested within Time 1, Time 2, and Time 3 and across Time 1 and Time 2, and across Time 2 and Time 67 3. To test these five relationships, experimental condition was entered along with the covariates for each equation. When involvement with assailant was predicted at Time 2 or Time 3, prior involvement with assailant was not controlled for because it did not seem appropriate to measure change in involvement with assailant which was a dichotomous variable. Each of the five statistical analyses must measure and test the differential effect of women's level of economic resources on involvement with the assailant as a function of being economically dependent on others (usually the assailant) (Baron & Kenny, 1986). Economic dependence moderates the relationship between economic resources and involvement with the assailant if the interaction term makes a significant contribution to the equation. RESULTS The present study was designed to examine the impact of abuse and economic resources on 225 women who had stayed at a battered women’s shelter. For purposes of organization, this chapter is divided into sections to coincide with the objectives and specific hypotheses of the study. First, to provide the contextual background for examining relationships among the variables of interest, longitudinal descriptive information on psychological well-being, extent of abuse, level of economic resources, economic dependence, and involvement with the assailant are presented and discussed. Second, in order to begin to examine the interrelationships between the 5 study variables at each of the three time points, zero order correlations are presented and discussed. Third, to examine the direct effects of abuse and the direct and mediating effects of level of economic resources on women’s psychological well-being, the results of hierarchical regression analyses are presented and discussed. Lastly, the results of logistic regression analyses are presented that examined the moderating effect of economic dependence on the relationship between economic resources and involvement with the assailant. Descriptive Information Descriptive analyses are presented here to provide the background information for understanding the hypothesized relationships about the role of economic resources in predicting women’s psychological well-being and decisions about staying with their assailants. Descriptive information at each of the three time periods (including means, 68 69 standard deviations, and percentages) are provided for women’s psychological well- being, experience of abuse, economic resources, economic dependence, and involvement with the assailant. Women's psychological well-being over time. Descriptive analyses were conducted to provide information on women’s satisfaction with their quality of life and level of depression over time. Table 6 shows the mean scores and standard deviations on the Quality of Life and Depression (C’S-D) measures at Time 1 (3 months post-shelter), Time 2 (9 months post-shelter), and Time 3 (15 months post-shelter). On average women reported having mostly satisfied to mixed feelings about their overall quality of life at all three time periods. Over time, however, women reported a slight increase in their satisfaction with their quality of life. Women reported some depression at each of the three time periods, indicating that they felt depressed 1-2 days per week. This finding was fairly consistent at every time period, although at Time 3 women’s reported level of depression decreased slightly from Time 2. 70 Table 6 Descriptive Information on chhological Well-Being Over Time Variable Means (N=224) Time 1 Time 2 Time 3 Quality of Life“ 4.82 4.97 4.98 (1.04) (1.03) (0.99) Depressionb 3.05 3.05 3.10 (0.70) (0.66) (0.69) Note: Numbers in parentheses are the standard deviations; Time 1 = 3 months post- shelter, Time 2 = 9 months post-shelter, Time 3 = 15 months post-shelter. ‘On a 7-point scale where 1 = terrible and 7 = extremely pleased. b On a 4-point scale where 1 = most or all of the time and 4 = rarely or never. Women's exmrience of abuse over time. Descriptive analyses were also conducted to provide information on the extent of abuse women experienced over time by their original assailant and by any new relationship they had been involved in since leaving the shelter. Table 7 shows the mean scores and standard deviations on the level of physical abuse, injuries, and threats fi'om the original assailant or a new relationship, and psychological abuse from whoever (original assailant or new relationship) women were currently involved with at Time 1 (3 months post-shelter), Time 2 (9 months post- shelter), and Time 3 (15 months post-shelter). The mean scores indicate that women experienced physical violence from their original assailants less than once a month at any of the three time periods and that the amount of physical abuse decreased slightly over time. At Time 1, 44% of the women experienced some level of physical abuse by their original assailants. Twelve months 71 later (at Time 3), fewer women (37%) were still experiencing physical assaults from their original assailants, although this number still represents over one-third of the sample being battered by their original assailants 15 months after leaving the shelter. Women reported very little physical abuse from a new relationship at any of the three time periods, with most women reporting no physical abuse at all from a new relationship. At 3 months post-shelter, 95% of women reported no physical abuse from a new relationship. However, the mean scores did rise slightly at each time period, indicating that women reported experiencing more physical abuse from a new relationship as time went on. Further investigation showed that at Time 2, 10% of the women reported experiencing some physical abuse and at Time 3, 18% reported experiencing some physical abuse from a new relationship. Table 7 72 Descriptive Information on Abuse Over Time Variable Original Assailant Physical abuse'l Injuries" Threats‘ New Relationship Physical abuse Injuriesb Threats“ Psychological abuse from current relationship (either original assailant or new relationship)c Means (N=224) Time 1 Time 2 Time 3 1.22 1.21 1.19 (0.43) (0.38) (0.41) 0.60 0.63 0.55 (1.17) (1.17) (1.22) 1.95 1.82 1.73 (1.23) (1.17) (1.18) 1.02 1.03 1.07 (0.09) (0.13) (0.24) 0.04 0.08 0.22 (0.29) (0.37) (0.75) 1.07 1.10 1.18 (0.44) (0.38) (0.63) 1.36 1.40 1.33 (0.57) (0.62) (0.56) Note: Numbers in parentheses are the standard deviations; Time 1 = 3 months post- shelter, Time 2 = 9 months post-shelter, Time 3 = 15 months post-shelter. 'On a 6-point scale where 1 = never and 6 = more than 4 times a week. l’Possible range is from 0 = no injuries, to 10 types of injuries. ° On a 4-point scale where 1 = never and 4 = often. At any of the three time periods, women suffered on average one type of injury (ranging fi'om 0 to 7 different types of injuries) from their assailant in the time period 73 preceding the interview. However, they suffered slightly more different types of injuries at Time 2 than at Time 1. From Time 2 to Time 3 the number of types of injuries decreased. Women reported suffering fewer, between 0 and 1, different types of injuries from their new relationships (between 0 and 5). In fact, most women (98%) reported not being injured at all by the new person that they were involved with at Time I. Not surprisingly, the number of injuries from the new relationship did increase from Time 1 to Time 3 (5 % were injured at Time 2 and 11% suffered injuries at Time 3), coinciding with the rise in level of physical abuse from the new relationship across the same time period. Women experienced threats from their original assailants on average once a month or less. Over half of the participants were still being threatened by their assailants 3 months after leaving the shelter. Twelve percent of the women reported experiencing threats at least once or twice a week. Fewer women were threatened in any way by their original assailants at Time 2 (46%), and fewer still were threatened at Time 3 (40%). Women reported that they almost never experienced threats from their new relationship. This finding was fairly consistent across time, although the percentage of women who reported being threatened by the new person they were involved with increased slightly over time (from only 4% at Time 1 to 1 1% at Time 3). The mean scores in Table 7 indicate that women reported “rarely” to “never” experiencing psychological abuse from their current partner (either the original assailant or a new relationship). However, over 46% of the participants did report some level of psychological abuse at Time 1, 54% reported being psychologically abused at Time 2, 74 and 50% reported experiencing psychological abuse at Time 3. This suggests that approximately half of the participants at each time period continued to endure ridicule, harassment, and criticism from the person they were involved with. Women's level of economic resources over time. Descriptive analyses were conducted to provide information on women’s level of economic resources as measured by total annual income, poverty status, access to a car, and employment status. Table 2 longitudinally describes these four variables (total annual income, poverty status, employment status, and access to a car) that composed the economic resources scale. From the table, it is obvious that there is little variance and little change over time in the level of economic resources of this sample. Almost three-quarters of the women were living in poverty (as defined by the US. Bureau of the Census, 1990). The mean annual income of this sample at each of the three time periods was only slightly higher than $10,000 a year. Over two-thirds of the women were unemployed at the time of the interviews. Forty percent of the women had access to a car at Time 1, 46% had access to a car at Time 2, and 51% had access to a car at Time 3. Women's level of economic dependence on others over time. Descriptive analyses were conducted to provide information about women’s level of economic dependence on others over time. Women were defined as economically independent if they were responsible for bringing in all of the income that they, and their family (if applicable), lived on. Women were defined as economically dependent if they depended on income or resources from another person (often the assailant). This could mean that another person(s) brought in all of the income or brought in a portion of it. At Time 1, 75 88% of the participants were economically independent; that is, solely responsible for financially supporting themselves and their family (if applicable). This percentage remained relatively constant across time. Six months later, at Time 2, 75% of the women were economically independent only to increase again at Time 3 to 79% who were economically independent. Less than one-quarter of the sample at any given time period was economically dependent on another adult. Many of the women who were economically independent were classified this way because they brought in all of the income in the form of government assistance (such as ADC or Food Stamps). Between 71% and 80% of the women in the sample were receiving government assistance at any of the three time points. Relatedly, between 70% and 72% of the sample were living in poverty at any of the three time points. For this sample, financial independence did not necessarily mean that women had an adequate level of economic resources with which to support themselves and their families (if applicable). In fact, many of the women in this sample were classified as economically independent, yet were financially reliant on the government and were also living below the poverty level. Of the small percentage of women who did not bring in all of the family income (between 12% and 25% of the sample at each time period), most anecdotally reported that they were economically dependent on their assailants for full or partial financial support although this was not a direct question in the interview. Other sources of income were mentioned less frequently, but included family members, friends, or a new relationship. 76 Involvement with the assailant over time. Descriptive analyses were conducted to provide information on the number of women who were involved with their assailants at each time period. As time progressed, fewer women remained involved with their assailants. At Time 1, 36% were still involved with their assailants, at Time 2 30% were involved with their assailants, and at Time 3 only 25% were still involved with their assailants. Summary of descriptive information. The following is a summary of the descriptive findings that are most important and relevant to this study and that provide the background for examining bivariate and multivariate relationships among the variables of interest. Women reported feeling mostly satisfied about their overall quality of life and did not report experiencing much depression at any of the three time periods following their shelter stay. Over time, women's psychological well-being generally improved, although the mean C’S-D scores at the later time periods still reflected some level of depression. The consistency in the findings across time (although there was a slight elevation in women's psychological well-being over time) may suggest that women’s psychological well-being had stabilized post-shelter. Women reported a decrease in physical abuse from their original assailants and an increase in physical abuse from their new relationships. However, they reported more different types of injuries from their assailants 9 months post-shelter (Time 2) than they did at 3 months post-shelter (Time 1) or 15 months post-shelter (Time 3). Women reported more injuries fi'om their new relationship with each successive time period. On average, women reported that the frequency of threats by the original assailants 77 decreased over time but that they experienced threats more often than physical abuse. The frequency of threats made by a new relationship increased over time. Finally, women experienced an increase in psychological abuse from their current partner 9 months after leaving the shelter and then reported that the emotional abuse decreased six months later (15 months post-shelter). Although the mean scores did not indicate that women were, on average, continuing to experience a high level of abuse, the percentages of women who were experiencing abuse were substantial and indicate that many women were still being battered over the twelve months of this study. With regard to women’s level of economic resources, the descriptive data indicate that most of the women were poor and that their level of economic resources did not change much across time. Three-quarters of the women were living in poverty; over two- thirds of them unemployed and reliant on the government or other people for support. Whether from employment, governmental aid, or from other people, womens’ annual income averaged only slightly more than $10,000. For a family of three (the average family size of this sample), this was barely above the poverty line. Furthering the difficulty of their lives, between 49% and 60% reported that they did not have access to a car. Although there was variance within the sample, it was relative to how the sample was defined in the first place. That is, the sample was women with abusive partners who stayed at a domestic violence shelter and typically had few economic resources. Within that group of impoverished women, there was a fairly normal distribution on economic 78 resources. However, the descriptive data support that most of the participants were still poor and had few economic resources. Most of the women (between 75% and 80% at each time period) were economically independent fiom their assailants or another adult; that is, they were responsible for bringing in all of the income. At first glance, this may seem like a positive factor. However, many of the women who were economically independent were classified this way because they brought in all of the income in the form of government assistance (such as ADC or Food Stamps). The amount of money allocated to families in the form of government aid often does not cover the cost of living and it is no coincidence that, in this sample, between 70% and 72% of the women and their families were also living in poverty. The decrease in physical abuse and threats experienced by women from their original assailants may coincide with the fact that over the twelve months of this study, more women reported no longer being involved with their original assailants. At 3 months post-shelter, many women (64%) reported not being involved with their assailants but by 15 months post-shelter, 75% of the women were not involved with their assailants. It is important to remember, however, that being uninvolved with an assailant was no guarantee that women would be safe from physical, sexual, or emotional violence. 79 Intercorrelations Among Pachological Well—Being. Involvement With Assailant Abuse Economic Resources, Economic Dependence, and Experimental Condition The intercorrelations among the six primary study variables are presented next to provide further information on the bivariate relationships between psychological well- being, involvement with assailant, abuse, economic resources, economic dependence, and experimental condition. The zero-order correlations among the six primary study variables at Time 1, Time 2, and Time 3 are featured in Table 8. The first column lists the abbreviated version of the variable names followed by a number indicating whether the variable was measured at Time 1 (3 months post-shelter), Time 2 (9 months post- shelter), or Time 3 (15 months post-shelter). The intercorrelations among these variables were examined to assess the relative strength of the relationships of the independent variables (abuse, economic resources, economic dependence, and experimental condition) to the dependent variables (psychological well-being and involvement with the assailant). The results of the zero- order correlations among variables are organized in the following way. First, the intercorrelations among variables across time are presented (i.e., correlations among abuse at Time 1, abuse at Time 2, and abuse at Time 3). Second, the outcome variables in this study (psychological well-being and involvement with assailant, respectively) and their intercorrelations with other study variables are presented. Third, intercorrelations among the independent variables are presented. 80 ._o.::8uN .325..on— :o_.:.:oU dxm 3:020:35 3.8.8880"— ..Evgnov m__ao_.:o:oooud duo doom ”329:."— .uo>_o>:_ 8:1. .23 .>:_ um. 32.: 83E? 32:920.: 05 .8 mice“. a: 8:026 2:. 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