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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 BMC+Womens+Health
2016 ; 16
(ä): 13
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A qualitative study exploring midlife women s stages of change from domestic
violence towards freedom
#MMPMID26957314
Keeling J
; Smith D
; Fisher C
BMC Womens Health
2016[Mar]; 16
(ä): 13
PMID26957314
show ga
BACKGROUND: Domestic Violence (DV) remains a significant global health problem
for women in contemporary society. Existing literature on midlife women's
experiences of domestic violence is limited and focuses on health implications.
Leaving a violent relationship is a dynamic process that often requires multiple
attempts and separations prior to final termination. The aim of this study was to
explore the process of leaving a violent relationship for midlife women. METHODS:
This qualitative study involved fifteen women aged between 40-55 who had accessed
residential and non-residential community support services for domestic violence
within the UK. Community-based support agencies provided these women with access
to letters of invitation and participant information sheet explaining the study.
The women notified agency staff who contacted the research team to arrange a
mutually convenient time to meet within a safe place for both the women and
researchers. It was stressed to all potential participants that no identifiable
information would be shared with the agency staff. Women were considered
survivors of DV if they defined themselves as such. Data were gathered through
semi structured interviews, transcribed verbatim and thematically analysed.
RESULTS: Midlife women appear to differ from younger women by transitioning
quickly though the stages of change, moving rapidly through the breaking free
onto the maintenance stage. This rapid transition is the resultant effect of
living with long-term violence causing a shift in the women's perception towards
the violent partner, with an associated reclamation of power from within the
violent relationship. A realisation that rapid departure from the violence may be
critical in terms of personal safety, and the realisation that there was
something 'wrong' within the relationship, a 'day of dawning' that had not been
apparent previously appears to positively affect the trajectory of leaving.
CONCLUSIONS: Midlife women appeared to navigate through the stages of change in a
rapid linear process, forging ahead and exiting the relationship with certainty
and without considering options. Whilst these findings appear to differ from
younger women's process of leaving, further research is needed to explore and
understand the optimum time for intervention and support to maximise midlife
women's opportunities to escape an abusive partner, before being reflected
appropriately in policy and practice.