Identifying intimate terrorism and situational couple violence in abused Chinese women

Introduction: Intimate partner violence (IPV) is a prevalent public health problem that brings many adverse outcomes to individuals and societies. Understanding, preventing, and reducing IPV is important to minimize the consequences. Instead of studying IPV as a single phenomenon, Johnson’s typology of domestic violence suggests that there are four types of IPV which have differential effects on survivors’ health. Violence and coercive control used by individuals in the relationship are the key components to categorizing the types of IPV. Hence before applying this categorization to the Chinese context, it is first essential to examine the coercive control. Aims: This study aimed (a) to examine pattern of coercive control in Chinese intimate relationships, (b) to establish a cut-off score on the Chinese version of the Revised Controlling Behaviors Scale (C-CBS-R) to differentiate the use of coercive control, and (c) to identify Intimate Terrorism (IT) and Situational Couple Violence (SCV) in Johnson’s typology and their impact on the mental health of women survivors. Methods: A cross-sectional, mixed-methods design study was conducted. Chinese women aged 18 or above who reported being physically abused by an intimate partner in the past 12 months were recruited from shelter and community settings. The study consisted of three parts: (a) semi-structured, in-depth individual interviews to examine the coercive control used in Chinese intimate relationships, (b) qualitative and quantitative data to establish a cut-off score on C-CBS-R, and (c) a survey using a researcher-administered questionnaire to categorize types of IPV and examine their mental health effects. A set of questionnaires was used to elicit participants’ experiences of IPV, frequency of physical violence used, controlling behaviors, depressive symptoms, post-traumatic stress disorder (PTSD) symptoms, and demographic characteristics. Results: In Part 1 of the study, a pattern of coercive control was identified in the abusive intimate relationships ...