Abstract
In Indonesia, most cases of violence against women occur as domestic and dating violence, that is, intimate partner violence or IPV. Such cases report relatively more prevalent, severe posttraumatic stress symptoms (PTSS), but studies on protective factors are limited. Therefore, this study examined whether forgiveness and perceived social support among young women who have experienced IPV by former partners negatively predicted PTSS. We used the Posttraumatic Stress Disorder Checklist-5, the Heartland Forgiveness Scale, and the Multidimensional Scale of Perceived Social Support. The study analyzed data from 60 young women (Mage= 22.4) who had experienced IPV that lasted an average of nearly 2 years. Multiple regression analysis showed that forgiveness (r = −0.41, p < 0.01) and perceived social support (r = −0.29, p < 0.05) negatively predicted PTSS. Further results suggested that forgiving the perpetrator and receiving support from a significant other did not predict lower PTSS symptoms (r = 0.20, p > 0.05; r = −0.02, p > 0.05). Thus, fostering forgiveness and social support, but not with the perpetrator, is linked to lessened PTSS for young women.
References
American Psychiatric Association. (2022). Diagnostic and statistical manual of mental disorders-5-TR. Washington, DC: Author.
Baldry, A. C., Cinquegrana, V., Regalia, C., & Crapolicchio, E. (2017). The complex link between forgiveness, PTSD symptoms and well-being in female victims of intimate partner stalking. Journal of Aggression, Conflict and Peace Research. DOI: 10.1108/JACPR-08-2016-0247.
Banyard, V., & Cross, C. (2008). Consequences of Teen Dating Violence. Violence Against Women, 14(9), 998-1013. DOI: 10.1177/1077801208322058.
Bono, G., McCullough, M., & Root, L. (2007). Forgiveness, Feeling Connected to Others, and Well-Being: Two Longitudinal Studies. Personality and Social Psychology Bulletin, 34(2), 182-195. DOI: 10.1177/0146167207310025.
Bryant, R. A., et al. (2013). The role of estrogen in the development of posttraumatic stress disorder in women. Clinical Psychology Review, 33(3), 328-335. DOI: 10.1016/j.cpr.2012.12.006
Bryant, R. A., et al. (2017). The role of acute stress disorder in the development of post-traumatic stress disorder. Psychological Medicine, 47(12), 2043-2051. DOI: 10.1017/S0033291717000363.
Caldwell, J. E., Swan, S. C., & Woodbrown, V. D. (2012). Gender differences in intimate partner violence outcomes. Psychology of Violence, 2(1), 42–57. DOI: 10.1037/a0026296.
Cardoso, L. F., Gupta, J., Shuman, S., Cole, H., Kpebo, D., & Falb, K. L. (2016). What Factors Contribute to Intimate Partner Violence Against Women in Urban, Conflict-Affected Settings? Qualitative Findings from Abidjan, Côte d'Ivoire. Journal of urban health : bulletin of the New York Academy of Medicine, 93(2), 364–378. DOI: DOI: 10.1007/s11524-016-0029-x.
Centers of Disease Control and Preventions (2018). Intimate partner violence. U.S Department of Health & Human Services. Accessed from https://www.cdc.gov/violenceprevention/intimatepartnerviolence/index.html.
Coker, A. L., Davis, K. E., Arias, I., Desai, S., Sanderson, M., Brandt, H. M., & Smith, P. H. (2002). Physical and mental health effects of intimate partner violence for men and women. American Journal of Preventive Medicine, 23(4), 260-268. DOI: 10.1016/S0749-3797(02)00514-7.
Coker, A. L., Smith, P. H., Thompson, M. P., McKeown, R. E., Bethea, L., & Davis, K. E. (2002). Social support protects against the negative effects of partner violence on mental health. Journal of Women's Health & Gender-Based Medicine, 11(5), 465-476. DOI: 10.1089/15246090260137644.
Cowden, R. G., Worthington, Jr., E. L., Griffin, B. J., & Garthe, R. C. (2019). Forgiveness moderates relations between psychological abuse and indicators of psychological distress among women in romantic relationships. South African Journal of Science, 115(11/12). https://doi.org/10.17159/sajs.2019/6353.
Davis, J. W., Parks, S. N., Kaups, K. L., Bennink, L. D., & Bilello, J. F. (2003). Victims of domestic violence on the trauma service: Unrecognized and underreported. Journal of Trauma, 54, 352-55. DOI: 10.1097/01.TA.0000042021.47579.B6.
de Silva, P. (1999). Cultural aspects of post-traumatic stress disorder. In W. Yule (Ed.), Wiley series in clinical psychology. Post-traumatic stress disorders: Concepts and therapy (pp. 116-138). New York, NY, US: John Wiley & Sons Ltd.
Dworkin, E., Mota, N., Schumacher, J., Vinci, C., & Coffey, S. (2017). The unique associations of sexual assault and intimate partner violence with PTSD symptom clusters in a traumatized substance-abusing sample. Psychological Trauma: Theory, Research, Practice, And Policy, 9(4), 500-508. DOI: 10.1037/tra0000212.
Dworkin, E., Ojalehto, H., Bedard-Gilligan, M., Cadigan, J., & Kaysen, D. (2018). Social support predicts reductions in PTSD symptoms when substances are not used to cope: A longitudinal study of sexual assault survivors. Journal of Affective Disorders, 229, 135-140. DOI: 10.1016/j.jad.2017.12.042.
Eckenrode, A. (2018). Patriarchal norms, bargaining, and gendered attitudes on intimate partner violence. Master’s Theses. https://repository.usfca.edu/thes/1073.
Fedina, L., Mushonga, D. R., Bessaha, M. L., Jun, H.-J., Narita, Z., & DeVylder, J. (2019). Moderating Effects of Perceived Neighborhood Factors on Intimate Partner Violence, Psychological Distress, and Suicide Risk. Journal of Interpersonal Violence, 36(21–22), 10546–10563. DOI: 10.1177/0886260519884687.
Flasch, P., Murray, C., & Crowe, A. (2015). Overcoming Abuse: A Phenomenological Investigation of the Journey to Recovery From Past Intimate Partner Violence. Journal Of Interpersonal Violence, 32(22), 3373-3401. DOI: 10.1177/0886260515599161.
Fergusson, D. M., et al. (2016). Urban versus rural residence and the risk of intimate partner violence: A longitudinal study. BMC Public Health.
Forbes, D., Lockwood, E., Phelps, A., Wade, D., Creamer, M., Bryant, R. A., … O’Donnell, M. (2014). Trauma at the hands of another: Distinguishing PTSD patterns following intimate and nonintimate interpersonal and noninterpersonal trauma in a nationally representative sample. Journal of Clinical Psychiatry, 75, 147–153. DOI: 10.4088/JCP.13m08374.
Freedman, S. A., Gilad, M., Ankri, Y., Roziner, I., & Shalev, A. Y. (2015). Social relationship satisfaction and PTSD: which is the chicken and which is the egg?. European journal of psychotraumatology, 6, 28864. DOI: 10.3402/ejpt.v6.28864.
Freedman, S. R., & Enright, R. D. (1996). Forgiveness as an Intervention Goal with Sexual Abuse Survivors. Journal of Consulting and Clinical Psychology, 64(5), 983-992. DOI: 10.1037/0022-006X.64.5.983
Friedman, M. J., et al. (2007). Posttraumatic stress disorder: The need for a comprehensive approach. Journal of Traumatic Stress, 20(6), 505-514. DOI: 10.1002/jts.20238.
García-Moreno, C., et al. (2015). Addressing violence against women in urban settings: Challenges and opportunities. Global Health Action. DOI: 10.3402/gha.v8.30021.
Gençoğlu, C., Şahin, E., & Topkaya, N. (2018). General self-efficacy and forgiveness of self, others, and situations as predictors of depression, anxiety, and stress in university students. Educational Sciences: Theory & Practice, 18(3). DOI: 10.12738/estp.2018.3.0128.
Gilbert, P. & Gordon, K. C. (2017). The doormat effect: The role of forgiveness in maintaining harmful relationships. Journal of Social and Personal Relationships, 34(2), 181-198. DOI: 10.1177/0265407516648681.
Goodwin, R., & Plaza, H. S. (2000). Perceived and received social support in two cultures: Collectivism and support among British and Spanish students. Journal of Social and Personal Relationships, 17(2), 282-291. DOI: 10.1177/0265407500172007.
Hamberger, L. K., & Hastings, J. E. (2010). The role of violence in intimate relationships: A theoretical framework for understanding gender differences. Violence Against Women, 16(7), 753-770. DOI: 10.1177/1077801210371705
Harris, A. & Thoresen, C. (2006). Extending the influence of positive psychology interventions into health care settings: Lessons from self-efficacy and forgiveness. The Journal of Positive Psychology. 1. 27-36. DOI: 10.1080/17439760500380930.
Hirschel, M., & Schulenberg, S. (2009). Hurricane Katrina’s impact on the Mississippi Gulf Coast: General self-efficacy’s relationship to PTSD prevalence and severity. Psychological Services, 6(4), 293-303. DOI: 10.1037/a0017467.
Hofstede, G.H. (1980). Culture’s consequences. Beverly Hills: Sage Publications.
Holt, M., et al. (2020). Isolation in urban settings: A factor in intimate partner violence. Journal of Interpersonal Violence. DOI: 10.1177/0886260518790908.
Hong J.J. (2012). Anxiety disorders in Asians. In Chang, E.C. (Ed.), Handbook of Adult Psychopathology in Asians (pp 143-178). USA: Oxford.
Johnson, D. M., Zlotnick, C., & Perez, S. (2011). Cognitive behavioral treatment of PTSD in residents of battered women's shelters: Results of a randomized clinical trial. Journal of Consulting and Clinical Psychology, 79(4), 542. DOI: /10.1037/a0023822.
Jonas, S., Khalifeh, H., Bebbington, P. E., McManus, S., Brugha, T., Meltzer, H., & Howard, L. M. (2014). Gender differences in intimate partner violence and psychiatric disorders in England: results from the 2007 adult psychiatric morbidity survey. Epidemiology and Psychiatric Sciences, 23(2), 189-199. DOI: 10.1017/S2045796013000292.
Knickmeyer, N., Levitt, H., & Horne, S. G. (2010). Putting on Sunday best: The silencing of battered women within Christian faith communities. Feminism & Psychology, 20(1), 94-113. DOI: 10.1177/0959353509347470.
Ko, Y., & Park, S. (2020). Building a New Intimate Relationship After Experiencing Intimate Partner Violence in Victim-Survivors of South Korea. Journal of Interpersonal Violence, 35(1–2), 3–24. https://doi.org/10.1177/0886260518814265
Komnas Perempuan Indonesia. (2022). Lembar Fakta Catatan Tahunan (CATAHU) Komnas Perempuan Tahun 2018. Accessed fromhttps://komnasperempuan.go.id/download-file/816.
Krause, K. H., et al. (2017). The impact of intimate partner violence on PTSD symptoms among women: A longitudinal study. Journal of Interpersonal Violence, 32(18), 2753-2774. DOI: 10.1177/0886260515609006
Leen, E., Sorbring, E., Mawer, M., Holdsworth, E., Helsing, B., & Bowen, E. (2013). Prevalence, dynamic risk factors and the efficacy of primary interventions for adolescent dating violence: An international review. Aggression and Violent Behavior, 18(1), 159-174. DOI: 10.1016/j.avb.2012.11.015.
Luchies, L. B., et al. (2010). The influence of forgiveness on relationship satisfaction: A longitudinal study. Journal of Family Psychology, 24(2), 164-174. DOI: 10.1037/a0019145
Loke, A. Y., Wan, M. L. E., & Hayter, M. (2012). The lived experience of women victims of intimate partner violence. Journal of Clinical Nursing, 21(15‐16), 2336-2346. DOI: 10.1111/j.1365-2702.2012.04159.x.
Lynch, M. E., & Kearney, P. (2005). The role of social support in the relationship between forgiveness and well-being. Journal of Counseling Psychology, 52(4), 363-371. DOI: 10.1037/0022-0167.52.4.363
Maretzki, T. W. (1980). Culture and psychopathology in Indonesia. Transcultural Psychiatric Research Review, 18(4), 237-256. DOI: 10.1177/136346158101800401.
Maltby, J., et al. (2005). The role of social support in the relationship between forgiveness and mental health. Psychology & Health, 20(3), 323-340. DOI: 10.1080/08870440410001714567
Matlow, R., & DePrince, A. (2013). The influence of victimization history on PTSD symptom expression in women exposed to intimate partner violence. Psychological Trauma: Theory, Research, Practice, And Policy, 5(3), 241-250. DOI: 10.1037/a0027655.
Matsui, T., & Taku, K. (2016). A review of posttraumatic growth and help‐seeking behavior in cancer survivors: effects of distal and proximate culture. Japanese Psychological Research, 58(1), 142-162. DOI: 10.1111/jpr.12105.
Maynard, C., Piferi, R., & Jobe, R. (2016). Role of supportive others in the forgiveness process. Counseling and Values, 61(1), 28-43. DOI: 10.1002/cvj.12024.
McNulty, J. K. (2011). The dark side of forgiveness: The tendency to forgive predicts continued psychological and physical aggression in marriage. Personality and Social Psychology Bulletin, 37(6), 770-783. DOI: 10.1177/0146167211407077.
Neff, K. D., & Germer, C. K. (2013). A pilot study of the Mindful Self-Compassion program. Journal of Clinical Psychology, 69(1), 28-44. DOI: 10.1002/jclp.21923
Nilan, P., Demartoto, A., Broom, A., & Germov, J. (2014). Indonesian Men's Perceptions of Violence Against Women. Violence Against Women, 20(7), 869-888. DOI: 10.1177/1077801214543383.
Norris, F. H., & Slone, L. B. (2007). The epidemiology of trauma and PTSD. In Friedman, et al (Ed.). Handbook of PTSD (1st ed): Science and Practice (pp.78-98). The New York: Guildford Press.
Orcutt, H. K., Pickett, S. M., & Pope, E. B. (2008). The relationship of offense-specific forgiveness to posttraumatic stress disorder symptoms in college students. Journal of Aggression, Maltreatment & Trauma, 16(1), 72-91. DOI: 10.1080/10926770801920776
Orzeck, T. L., Rokach, A., & Chin, J. (2010). The effects of traumatic and abusive relationships. Journal of Loss and Trauma, 15(3), 167-192. DOI: 10.1080/15325020903375792.
Ozer E.J., Best, S.R., Lipsey, T. L., & Weiss, D.S. (2003). Predictors of posttraumatic stress disorder and symptoms in adults: a meta-analysis. Psychological Bulletin, 129(1):52-73. DOI: 10.1037/0033-2909.129.1.52
Putri, F. (2018). Kenapa perempuan bertahan dalam hubungan yang mengandung kekerasan? Accessed from https://www.bbc.com/indonesia/trensosial-44808843.
Sabili, Z. (2016). Hubungan forgiveness dan psychological well-being pada perempuan dari kelompok minoritas seksual (Undergraduate). Universitas Indonesia.
Seimer, B. S. (2004). Intimate violence in adolescent relationships: Recognizing and intervening. American Journal of Maternal Child Nursing, 29(2), 117- 121. DOI: 10.1097/00005721-200403000-00011
Shao, Y., & Liu, Y. (2015). Self-forgiveness as a mediator between self-esteem and PTSD symptoms among survivors of trauma. Psychological Trauma: Theory, Research, Practice, and Policy, 7(3), 239-246.DOI: 10.1037/tra0000024.
St. Vil, N. M., Carter, T., & Johnson, S. (2018). Betrayal trauma and barriers to forming new intimate relationships among survivors of intimate partner violence. Journal of Interpersonal Violence, 1-15. DOI: 10.1177/0886260518779596.
Subu MA, Holmes D, Elliot J, & Jacob JD. (2017) Persistent Taboo: Understanding Mental Illness and Stigma among Indonesian Adults through Grounded Theory. Asian Journal of Pharmacy, Nursing and Medical Sciences, 05(01): 1-11. DOI: ISSN: 2321 – 3639.
Tedeschi, R. G., Calhoun, L. G., & Groleau, J. M. (2015). Clinical Applications of Posttraumatic Growth. Positive Psychology in Practice: Promoting Human Flourishing in Work, Health, Education, and Everyday Life: Second Edition, 503–518. DOI: 10.1002/9781118996874.ch30.
Thompson, L. Y., Snyder, C. R., Hoffman, L., Scott, T. M., Rasmussen, H. N., Billing, L. H., & Roberts, D. E. (2005). Dispositional forgiveness of self, others, and situations. Journal of Personality, 73(2), 313–359. DOI: 10.1111/j.1467-6494.2005.0031.x.
Tolin, L. R., & Foa, E. B. (2006). Sex differences in trauma and posttraumatic stress disorder: A quantitative review of 25 years of research. Psychological Bulletin, 132(6), 959-992. DOI: 10.1037/0033-2909.132.6.959
Torre, R. (2020). Self-forgiveness and resilience: Protective factors for trauma exposure. International Journal of Behavioral Medicine, 27(3), 302-309. DOI: 10.1007/s12529-020-09827-2
Trifilia, E., & Suleeman, J. (2013). Hubungan antara perceived social support dan self-esteem pada mahasiswa psikologi jenjang sarjana (Undergraduate). Universitas Indonesia.
Ullman, S. E., & Peter-Hagene, L. (2014). Social reactions to sexual assault disclosure, coping, perceived control, and PTSD sympms in sexual assault victims. Journal of Community Psychology, 42(4), 495–508. DOI: 10.1002/jcop.
van Rooyen, K. & Nqweni, Z. C. (2012). Culture and posttraumatic stress disorder (PTSD): a proposed conceptual framework. South African Journal of Psychology, 42(1), 51-60. DOI: 10.1177/008124631204200106.
Weathers, F. W., Litz, B. T., Keane, T. M., Palmieri, P. A., Marx, B. P., & Schnurr, P. P. (2013). The PTSD Checklist for DSM-V (PCL-5). Diakses dari www.ptsd.va.gov.
Weil, A., Elmore, J., & Sokol, H. (2016). Intimate partner violence: Epidemiology and health consequences. UpToDate. Accessed from http://www.gunviolenceresearch.org/wp-content/uploads/2016/12/Intimate-partner-violence_-Epidemiology-and-health-consequences.pdf.
Weinberg, M. (2013). The Bidirectional Dyadic Association Between Tendency to Forgive, Self-Esteem, Social Support, and PTSD Symptoms Among Terror-Attack Survivors and Their Spouses. Journal of Traumatic Stress, 26(6), 744-752. DOI: 10.1002/jts.21864.
Weinberg, M., Gil, S., & Gilbar, O. (2013). Forgiveness, Coping, and Terrorism: Do Tendency to Forgive and Coping Strategies Associate With the Level of Posttraumatic Symptoms of Injured Victims of Terror Attacks? Journal of Clinical Psychology, 70(7), 693-703. DOI:10.1002/jclp.22056.
Weinberg, M., Harel, H., Shamani, M., Or-Chen, K., Ron, P., & Gil, S. (2017). War and Well-Being: The Association between Forgiveness, Social Support, Posttraumatic Stress Disorder, and Well-Being during and after War. Social Work, 62(4), 341-348. DOI:10.1093/sw/swx043.
Whealin, J.M., Stotzer, R., Nelson, D., Li, F., Liu-Tom, H.T., & Pietrzak, R.H. (2013). Evaluating PTSD prevalence and resilience factors in a predominantly Asian American and Pacific Islander sample of Iraq and Afghanistan Veterans. Journal of Affect Disorder, 150(3), 1062-1068. DOI:10.1177/008124631204200106.
Witvliet, C. V. O., Phipps, K. A., Feldman, M. E., & Beckham, J. C. (2004). Posttraumatic mental and physical health correlates of forgiveness and religious coping in military veterans. Journal of Traumatic Stress, 17(3), 269–273. DOI: 10.1023/B:JOTS.0000029270.47848.e5
World Health Organization. (2013). Global and regional estimates of violence against women. Geneva: World Health Organization.
World Health Organization. (2018). Process of translation and adaptation of instruments. Geneva: World Health Organization.
Worthington, E. L., & Scherer, M. (2004). Forgiveness is an emotion-focused coping strategy that can reduce health risks and promote health resilience: Theory, review, and hypotheses. Psychology & Health, 19(3), 385-405. DOI: 10.1080/0887044042000196674.
Zimet, G., Dahlem, N., Zimet, S., & Farley, G. (1988). The Multidimensional Scale of Perceived Social Support. Journal of Personality Assessment, 52(1), 30-41. DOI: 10.1207/s15327752jpa5201_2.
Recommended Citation
Ednadita, Gloryka; Danastri, Monika; Ardelia, Christina; Ramandha, Kamelia; and Christia, Mellia
(2024)
"Forgiveness and Social Support as Protective Factors of Post-Traumatic Stress Symptoms among Women Victims of IPV,"
Psychological Research on Urban Society: Vol. 7:
No.
2, Article 5.
DOI: 10.7454/proust.v7i2.1146
Available at:
https://scholarhub.ui.ac.id/proust/vol7/iss2/5