The mediating effects of self-perception and somatoform dissociation in the relationship between domestic violence and s
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ORIGINAL ARTICLE
The mediating effects of self-perception and somatoform dissociation in the relationship between domestic violence and suicidal ideation Ali Kandeğer 1
&
Ahmet Naziroğlu 2
Received: 18 June 2020 / Accepted: 1 September 2020 # Springer-Verlag GmbH Austria, part of Springer Nature 2020
Abstract Domestic violence (DV) against women is a multidimensional public health problem that has both psychologically and socially devastating consequences, especially in patriarchal societies. The aim of this study was to investigate the mediating role of selfperception and somatoform dissociation in the relationship between DV and suicidal ideation in women living in Turkey. The sociodemographic data form, Severity of Violence Against Women Scale, Somatoform Dissociation Questionnaire, Social Comparison Scale, and Suicidal Ideation Scale were administered to 102 participants. In addition to descriptive statistics, linear and mediation regression analyses were performed. DV scores were significantly negatively correlated with self-perception and positively correlated with somatoform dissociation scores. While negative self-perception and increased somatoform dissociation were partial mediators in the relationship of threat and sexual violence with suicidal ideation and full mediators in the relationship of physical violence with suicidal ideation. Negative self-perception and increased somatoform dissociation were critical mediators in relation to DV and suicidal ideation in women. Psychotherapeutic approaches focused on self-perception and somatoform symptoms may reduce the risk of suicide in women who have been exposed to DV. Long-term clinical studies are needed to investigate the factors mediating suicidal ideation in women who have been exposed to DV. Keywords Domestic violence . Self-perception . Somatoform dissociation . Suicidal ideation
Introduction Domestic violence (DV) is a public health problem that has destructive consequences for both family and society (Oram et al. 2017). According to the World Health Organization (WHO), DV is defined as physical, psychological, or sexual violence enacted by current or ex-spouses (García-Moreno et al. 2013; Uzun and Uzunboylu 2015). In studies conducted in Turkey, it has been reported that 30–60% of women were exposed to DV (Kavak et al. 2018; Özcan et al. 2016; Sen and Bolsoy 2017). It has been suggested that violence against women is more common in patriarchal societies; moreover,
* Ali Kandeğer [email protected] 1
Department of Psychiatry, Faculty of Medicine, Selcuk University, Konya, Turkey
2
Department of Forensic Medicine, Kartal Dr. Lütfi Kırdar City Hospital, Istanbul, Turkey
it was argued that violence against women is a symptom and an expression of patriarchal society such as Turkish society (Ökten 2017). DV against women causes psychological as well as physical problems (Ellsberg et al. 2008; WHO 2017). Depression, posttraumatic stress disorder, and anxiety disorders are the most common psychiatric disorders in women exposed to DV (Cengiz
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