Marital Aggression

TLDR

The study aims to assess the prevalence, impact, and health correlates of marital aggression among couples seeking psychological treatment. The study recruited 93 clinic couples and 16 matched community controls. Seventy‑one percent of clinic couples reported aggression, largely reciprocal, yet wives were more likely to suffer severe injuries, negative effects, and clinical depression, prompting the authors to propose risk markers for physician detection. Published in Archives of Internal Medicine, 1992;152:1178‑1184.

Abstract

The overall aim of the current study was to comprehensively evaluate the prevalence, impact, and health correlates of marital aggression in a clinic sample of maritally discordant couples seeking psychological treatment. Participants were 93 consecutively presenting clinic couples and 16 maritally satisfied matched control couples from the community. Overall, 71% of clinic couples reported at least one act of marital aggression during the past year. Although 86% of the aggression reported was reciprocal between husbands and wives, impact and injuries sustained as a function of this aggression differed between husbands and wives. Specifically, wives were more likely than husbands to be negatively affected and to sustain severe injuries (eg, broken bones, broken teeth, or injury to sensory organs). Additionally, wives who experienced marital aggression reported clinical levels of depressive symptomatology. Recommendations are offered and risk markers are identified to improve detection by physicians of patients who may be involved in violent marriages. (<i>Arch Intern Med.</i>1992;152:1178-1184)