{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,18]],"date-time":"2026-07-18T20:49:28Z","timestamp":1784407768183,"version":"3.55.0"},"reference-count":54,"publisher":"MDPI AG","issue":"21","license":[{"start":{"date-parts":[[2022,10,27]],"date-time":"2022-10-27T00:00:00Z","timestamp":1666828800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Department of Veterans Affairs (VA) Center for Integrated Healthcare Internal Pilot Grant","award":["IK2 HX002107"],"award-info":[{"award-number":["IK2 HX002107"]}]},{"name":"VA Health Services Research &amp; Development Career Development","award":["IK2 HX002107"],"award-info":[{"award-number":["IK2 HX002107"]}]},{"name":"VA Office of Academic Affiliations Advanced Fellowship in Mental Illness Research and Treatment","award":["IK2 HX002107"],"award-info":[{"award-number":["IK2 HX002107"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>This study explores differences in characteristics and relationship treatment preferences across different levels of intimate partner violence (IPV) among Veterans Affairs (VA) primary care patients. In Fall 2019, we sent a mail-in survey assessing relationship healthcare needs to N = 299 Veterans randomly sampled from 20 northeastern VA primary care clinics (oversampling female and younger Veterans). We compared those reporting past year use or experience of physical\/sexual aggression, threats\/coercion, or injury (Severe IPV; 21%), to those only reporting yelling and screaming (Verbal Conflict; 51%), and denying any IPV (No IPV; 28%). Participants across groups desired 2\u20136 sessions of face-to-face support for couples\u2019 health and communication. No IPV participants were older and had preferred treatment in primary care. The Verbal Conflict and Severe IPV groups were both flagged by IPV screens and had similar interest in couple treatment and relationship evaluation. The Severe IPV group had higher rates of harms (e.g., depression, alcohol use disorder, relationship dissatisfaction, fear of partner) and higher interest in addressing safety outside of VA. Exploratory analyses suggested differences based on use vs. experience of Severe IPV. Findings highlight ways integrated primary care teams can differentiate services to address dissatisfaction and conflict while facilitating referrals for Severe IPV.<\/jats:p>","DOI":"10.3390\/ijerph192113984","type":"journal-article","created":{"date-parts":[[2022,10,27]],"date-time":"2022-10-27T20:37:58Z","timestamp":1666903078000},"page":"13984","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Relationship Health and Intimate Partner Violence in Integrated Primary Care: Individual Characteristics and Preferences for Relationship Support across Risk Levels"],"prefix":"10.3390","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6304-8544","authenticated-orcid":false,"given":"Dev","family":"Crasta","sequence":"first","affiliation":[{"name":"Center of Excellence for Suicide Prevention, Department of Veterans Affairs, Canandaigua, NY 14424, USA"},{"name":"Department of Psychiatry, University of Rochester Medical Center, Rochester, NY 14642, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cory A.","family":"Crane","sequence":"additional","affiliation":[{"name":"College of Health Science and Technology, Rochester Institute of Technology, Rochester, NY 14623, USA"},{"name":"Center for Integrated Healthcare, Syracuse VA Medical Center, Syracuse, NY 13210, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8480-9592","authenticated-orcid":false,"given":"Nicole","family":"Trabold","sequence":"additional","affiliation":[{"name":"College of Health Science and Technology, Rochester Institute of Technology, Rochester, NY 14623, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6954-5920","authenticated-orcid":false,"given":"Robyn L.","family":"Shepardson","sequence":"additional","affiliation":[{"name":"Center for Integrated Healthcare, Syracuse VA Medical Center, Syracuse, NY 13210, USA"},{"name":"Department of Psychology, Syracuse University, Syracuse, NY 13244, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kyle","family":"Possemato","sequence":"additional","affiliation":[{"name":"Center for Integrated Healthcare, Syracuse VA Medical Center, Syracuse, NY 13210, USA"},{"name":"Department of Psychology, Syracuse University, Syracuse, NY 13244, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer S.","family":"Funderburk","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, University of Rochester Medical Center, Rochester, NY 14642, USA"},{"name":"Center for Integrated Healthcare, Syracuse VA Medical Center, Syracuse, NY 13210, USA"},{"name":"Department of Psychology, Syracuse University, Syracuse, NY 13244, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2022,10,27]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"207","DOI":"10.1037\/0278-6133.23.2.207","article-title":"Social support and patient adherence to medical treatment: A meta-analysis","volume":"23","author":"DiMatteo","year":"2004","journal-title":"Health Psychol."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"55","DOI":"10.1037\/a0025061","article-title":"Marriage and long-term survival after coronary artery bypass grafting","volume":"31","author":"King","year":"2012","journal-title":"Health Psychol."},{"key":"ref_3","unstructured":"National Domestic Violence Hotline (2022, October 11). 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