title: Breaking the cycle of family violence: understanding the perceptions of battered women.
abstract: BACKGROUND
  Domestic violence screening recommendations that guide pediatric care providers exist but screening remains low. Many providers do not understand the linkages between aversive childhood experiences and adult abuse experiences.
  
  
  OBJECTIVE
  To describe the childhood abuse experiences in 40 battered women. Research questions How prevalent is childhood abuse in a sample of battered women? How do these women describe their childhood abuse experiences?
  
  
  METHODS
  Women who had left or were currently in abusive relationships were recruited by posting advertisements in public areas. Each woman participated in a semi-structured individual interview that included open-ended questions and administration of standardized measures.
  
  
  RESULTS
  Most women described abuse during their childhood, reported high depressive symptoms, and indicated a high potential risk for child abuse. Content analysis of descriptions of childhood abuse experiences yielded five themes: socialization not to tell, normalcy of events, abandonment, escape, and shame. Women reported limited assistance during their childhood and adult abuse experiences from health care providers who lacked a family focus.
  
  
  CONCLUSIONS
  Mothers' experiences with childhood and adult abuse challenge their ability to develop healthy family relationships. Pediatric health care providers must routinely screen for abuse in mothers and children within a family-centered approach.
authors.affiliation: Vanderbilt University School of Nursing, 461 21st Ave South 503 GH, Nashville, TN 37240, USA. melanie.lutenbacher@vanderbuilt.edu
authors.forename: Melanie
authors.initials: M
authors.lastname: Lutenbacher
authors.forename: Alison
authors.initials: A
authors.lastname: Cohen
authors.forename: Nichole M
authors.initials: NM
authors.lastname: Conner
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D018585:Battered Women / Q000523:psychology* / Q000706:statistics & numerical data*; D002649:Child Abuse / Q000706:statistics & numerical data; D003863:Depression / Q000453:epidemiology; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008875:Middle Aged; D016487:Parenting; D012307:Risk Factors; D012951:Socialization; D013179:Spouse Abuse / Q000517:prevention & control* / Q000706:statistics & numerical data*; D013714:Tennessee / Q000453:epidemiology