{"doi":"10.3390/ijerph20042896","title":"Changes in Mental Health, Emotional Distress, and Substance Use Affecting Women Experiencing Violence and Their Service Providers during COVID-19 in a U.S. Southern State","abstract":"<jats:p>Research conducted during the COVID-19 pandemic has revealed many unintended consequences of mandated safety precautions, including increased perpetration of intimate partner violence (IPV), increases in substance use, and worsening mental health conditions. We conducted a repeated, cross-sectional survey of survivors of IPV, a longitudinal survey of service providers working in an IPV shelter, and interviews with both. We conducted surveys at the beginning of the pandemic and nearly half a year later to assess mental health and, for clients, substance use. Results showed that two small samples of survivors living in the shelter in 2020 and 2021 experienced both mental health decline and increased use of substances. Qualitative data from in-depth interviews suggest that COVID-19-related restrictions mirrored survivors’ experiences of power and control in violent relationships. Further, IPV service providers—essential workers during COVID-19—experienced stress associated with reports of burnout and mental fatigue. This study suggests that community-based organizations can help mitigate the impacts of COVID-19 on survivors of IPV but should avoid adding additional work for staff as service providers experienced mental and emotional stress.</jats:p>","journal":"International Journal of Environmental Research and Public Health","year":2023,"id":635349,"datarank":0.20794415416798362,"base_score":1.3862943611198906,"endowment":1.3862943611198906,"self_citation_contribution":0.20794415416798362,"citation_network_contribution":0.0,"self_endowment_contribution":0.20794415416798362,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":3,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":null,"is_data_producer":false,"deposit_databanks":null,"is_oa":false,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":null,"fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":996912,"name":"Camila Aramburú","orcid":null,"position":1,"is_corresponding":false},{"id":1143871,"name":"Rachel Bauer","orcid":"0000-0002-3246-5852","position":2,"is_corresponding":false},{"id":454818,"name":"Ashley Simons‐Rudolph","orcid":"0000-0001-7690-010X","position":3,"is_corresponding":false},{"id":1648339,"name":"Katharine Atwood","orcid":null,"position":4,"is_corresponding":false},{"id":454822,"name":"Winnie K. Luseno","orcid":"0000-0002-0611-7985","position":5,"is_corresponding":false},{"id":1155095,"name":"April Schweinhart","orcid":"0000-0003-4378-6640","position":0,"is_corresponding":false}],"reference_count":0,"raw_metadata":{"has_enrichment":true,"resolved":true,"title":"Changes in Mental Health, Emotional Distress, and Substance Use Affecting Women Experiencing Violence and Their Service Providers during COVID-19 in a U.S. Southern State","abstract":"<jats:p>Research conducted during the COVID-19 pandemic has revealed many unintended consequences of mandated safety precautions, including increased perpetration of intimate partner violence (IPV), increases in substance use, and worsening mental health conditions. We conducted a repeated, cross-sectional survey of survivors of IPV, a longitudinal survey of service providers working in an IPV shelter, and interviews with both. We conducted surveys at the beginning of the pandemic and nearly half a year later to assess mental health and, for clients, substance use. Results showed that two small samples of survivors living in the shelter in 2020 and 2021 experienced both mental health decline and increased use of substances. Qualitative data from in-depth interviews suggest that COVID-19-related restrictions mirrored survivors’ experiences of power and control in violent relationships. Further, IPV service providers—essential workers during COVID-19—experienced stress associated with reports of burnout and mental fatigue. This study suggests that community-based organizations can help mitigate the impacts of COVID-19 on survivors of IPV but should avoid adding additional work for staff as service providers experienced mental and emotional stress.</jats:p>","is_dataset_classified":null,"base_score":1.3862943611198906,"endowment":1.3862943611198906,"datacite_reuse_total":0,"file_count":0,"downloads":0,"views":0,"has_version_chain":false,"is_dataset":false,"is_oa":false,"pmid":"36833591","pmcid":"PMC9957159","openalex_id":"https://openalex.org/W4319600399","authors":[],"funders":[{"funder_name":"U.S. Department of Health and Human Services, Office of Women’s Health","grant_id":"FAIN 1-ASTWH190075-01-00","title":null}],"total_grants":1,"fwci":0.757,"citation_percentile":0.67650772,"influential_citations":0,"citation_trend":[{"year":2024,"count":3}],"oa_status":"gold","license":"cc-by","oa_locations":[{"url":"https://www.mdpi.com/1660-4601/20/4/2896/pdf?version=1675761149","host_type":"journal"},{"url":"https://www.mdpi.com/1660-4601/20/4/2896/pdf?version=1675761149","host_type":"publisher"},{"url":"https://www.mdpi.com/1660-4601/20/4/2896/pdf","host_type":"publisher"},{"url":"https://doi.org/10.3390/ijerph20042896","host_type":"journal"},{"url":"https://pubmed.ncbi.nlm.nih.gov/36833591","host_type":"repository"},{"url":"https://www.ncbi.nlm.nih.gov/pmc/articles/9957159","host_type":"repository"},{"url":"https://www.mdpi.com/1660-4601/20/4/2896/","host_type":"repository"},{"url":"https://dx.doi.org/10.3390/ijerph20042896","host_type":"repository"},{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC9957159/pdf/ijerph-20-02896.pdf","host_type":"repository"},{"url":"https://europepmc.org/articles/PMC9957159","host_type":"Europe_PMC"},{"url":"https://europepmc.org/articles/PMC9957159?pdf=render","host_type":"Europe_PMC"}],"fields_of_study":["Intimate Partner and Family Violence","Homelessness and Social Issues","Migration, Health and Trauma","Humans","Female","Mental Health","Cross-Sectional Studies","Pandemics","COVID-19","Violence","Intimate Partner Violence","Substance-Related Disorders","Psychological Distress"],"mesh_terms":["Intimate Partner Violence","Psychological Distress","COVID-19","Cross-Sectional Studies","Female","Humans","Mental Health","Violence","Substance-Related Disorders","Pandemics"],"keywords":["Mental health","Domestic violence","Burnout","Service provider","Occupational safety and health","Emotional exhaustion","Psychology","Pandemic","Medicine","Poison control","Suicide prevention","Psychiatry","Nursing","Coronavirus disease 2019 (COVID-19)","Clinical psychology","Environmental health","Service (business)","Business","Substance Use","Intimate Partner Violence","Power And Control","Covid-19"],"sdg_mappings":[{"sdg_number":0,"sdg_label":"Gender equality"}],"linked_datasets":[],"clinical_trials":[],"software_tools":[],"database_accessions":[{"name":"doi"}],"source":"live","citation_network_status":"fetched"},"created_at":"2026-08-06T14:57:43.399531Z","pmid":null,"pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}