Psychological interventions for common mental disorders in women experiencing intimate partner violence in low-income and middle-income countries: a systematic review and meta-analysis.
Keynejad RC; Hanlon C; Howard LM · The lancet. Psychiatry · 2020 · Systematic review and meta-analysis
Original publication · Original publication · Original publication · Original publication
Recorded summary
IPV exposure did not predict a smaller treatment response. Anxiety response was larger in IPV-exposed women; differences for depression, PTSD and distress were uncertain.
Recorded limitations
These are subgroup differences in treatment effects, not direct pooled effects of therapy versus no therapy in IPV survivors. Trials were not necessarily tailored to IPV.
Evidence and provenance
Chapter Trust Factor uses a minimum of three distinct qualifying studies. Publication records retain their own evidence and assessment.
Study design and assessment
- design
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- is Randomized Controlled Trial
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https://europepmc.org/article/MED/31981539 · https://api.crossref.org/works/10.1016%2Fs2215-0366%2819%2930510-3
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https://europepmc.org/article/MED/31981539 · https://api.crossref.org/works/10.1016%2Fs2215-0366%2819%2930510-3
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- jadad
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- intervention
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- comparator
- Differences in treatment response between IPV-exposed and non-exposed women
- sample
- 15 RCTs provided subgroup data from 21 eligible trials. Outcome samples overlap.
- measurement
- Anxiety response modification by IPV; Depression response modification by IPV
- timing
- Trial-specific
- trial Id
- PROSPERO CRD42017078611
- relationship Note
- Direct evidence concerning therapeutic or psychosocial responses to IPV, with survivor and perpetrator findings kept distinct. These are subgroup differences in treatment effects, not direct pooled effects of therapy versus no therapy in IPV survivors. Trials were not necessarily tailored to IPV.
- measured Genes
- None recorded
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- None recorded
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- source URLs
https://europepmc.org/article/MED/31981539 · https://pubmed.ncbi.nlm.nih.gov/31981539/
- retrieved At
- 2026-10-30T07:25:20.171273+00:00
- outcomes
- name
- Anxiety response modification by IPV
- follow Up
- Trial-specific
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- Greater response in exposed subgroup
- effect Estimate
- Difference in SMD 0.31
- uncertainty
- 95% CI 0.04 to 0.57; five interventions, n=728
- primary Status
- Not established from accessed abstract.
- name
- Depression response modification by IPV
- follow Up
- Trial-specific
- result
- No clear subgroup difference
- effect Estimate
- Difference in SMD 0.10
- uncertainty
- 95% CI -0.04 to 0.25; 12 interventions, n=2940
- primary Status
- Not established from accessed abstract.
- quality
- risk Of Bias
- These are subgroup differences in treatment effects, not direct pooled effects of therapy versus no therapy in IPV survivors. Trials were not necessarily tailored to IPV.
- attrition
- Not established from accessed abstract.
- confounding
- Study-design heterogeneity, overlapping trials and review-specific eligibility limit pooling across reviews.
- adverse Findings
- Not established from accessed abstract.
- transfer Limits
- These are subgroup differences in treatment effects, not direct pooled effects of therapy versus no therapy in IPV survivors. Trials were not necessarily tailored to IPV.
- jadad
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- masking Roles
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- analysts
- Not established from accessed abstract.
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- relation
- direct
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- Women with common mental disorders in LMIC trials, with measured IPV exposure
- exposure Evidence
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- rationale
- Direct evidence concerning therapeutic or psychosocial responses to IPV, with survivor and perpetrator findings kept distinct.
- transfer Limit
- These are subgroup differences in treatment effects, not direct pooled effects of therapy versus no therapy in IPV survivors. Trials were not necessarily tailored to IPV.
Topics and recorded topic scores
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Citation snapshot and identifiers
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Complete approved library record
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- Ben Korbel
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- assessment
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- sources
https://europepmc.org/article/MED/31981539 · https://api.crossref.org/works/10.1016%2Fs2215-0366%2819%2930510-3
- applied Proposals
- None recorded
- method
- AI editorial assessment of all 130 publication records: compare identity, headline finding, design, relevance and limitations with indexed abstracts or available primary material; adjudicate retained source-supported methods amendments. This is a source-limited publication audit, not an independent full-text systematic review or a clinical guideline.
- limitations
Abstract-only records do not establish allocation concealment, complete harms reporting or full risk of bias. · No formal independent RoB 2, GRADE appraisal or numerical reconstruction of every effect was performed. · Source-access labels describe retained appraisal evidence; fuller prior appraisals were checked through their source ledgers and selected material, not independently repeated in full. · Publication counts are not independent trial or participant counts; cohort links and overlapping review evidence remain provisional. · A randomized design cross does not indicate benefit, low risk of bias or human approval. No double-blind trial is verified in this release. · No professional clinical peer review is claimed. Recommended content is limited to accurately qualified research summaries.
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- title
- Psychological interventions for common mental disorders in women experiencing intimate partner violence in low-income and middle-income countries: a systematic review and meta-analysis.
- journal
- The lancet. Psychiatry
- neurotransmitters
- None recorded
- year
- 2020
- authors
- Keynejad RC; Hanlon C; Howard LM
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language
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Clinical & self-report · Methods & context
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- None recorded
- summary
- IPV exposure did not predict a smaller treatment response. Anxiety response was larger in IPV-exposed women; differences for depression, PTSD and distress were uncertain.
- limitation
- These are subgroup differences in treatment effects, not direct pooled effects of therapy versus no therapy in IPV survivors. Trials were not necessarily tailored to IPV.
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https://europepmc.org/article/MED/31981539 · https://api.crossref.org/works/10.1016%2Fs2215-0366%2819%2930510-3
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- Psychological interventions for common mental disorders in women experiencing intimate partner violence in low-income and middle-income countries: a systematic review and meta-analysis.
- authors
- Keynejad RC; Hanlon C; Howard LM
- year
- 2020
- journal
- The lancet. Psychiatry
- doi
- 10.1016/s2215-0366(19)30510-3
- pmid
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https://doi.org/10.1016/s2215-0366(19)30510-3 · https://pubmed.ncbi.nlm.nih.gov/31981539/ · https://europepmc.org/article/MED/31981539 · https://api.crossref.org/works/10.1016%2Fs2215-0366%2819%2930510-3
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- finding
- IPV exposure did not predict a smaller treatment response. Anxiety response was larger in IPV-exposed women; differences for depression, PTSD and distress were uncertain.
- summary
- IPV exposure did not predict a smaller treatment response. Anxiety response was larger in IPV-exposed women; differences for depression, PTSD and distress were uncertain.
- limitation
- These are subgroup differences in treatment effects, not direct pooled effects of therapy versus no therapy in IPV survivors. Trials were not necessarily tailored to IPV.
- evidence
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- intervention
- Psychological interventions for common mental disorders Not established from accessed abstract.
- comparator
- Differences in treatment response between IPV-exposed and non-exposed women
- sample
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- measurement
- Anxiety response modification by IPV; Depression response modification by IPV
- timing
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- trial Id
- PROSPERO CRD42017078611
- relationship Note
- Direct evidence concerning therapeutic or psychosocial responses to IPV, with survivor and perpetrator findings kept distinct. These are subgroup differences in treatment effects, not direct pooled effects of therapy versus no therapy in IPV survivors. Trials were not necessarily tailored to IPV.
- measured Genes
- None recorded
- pathways
- None recorded
- source Access
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- source URLs
https://europepmc.org/article/MED/31981539 · https://pubmed.ncbi.nlm.nih.gov/31981539/
- retrieved At
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- Greater response in exposed subgroup
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- 95% CI 0.04 to 0.57; five interventions, n=728
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- name
- Depression response modification by IPV
- follow Up
- Trial-specific
- result
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- effect Estimate
- Difference in SMD 0.10
- uncertainty
- 95% CI -0.04 to 0.25; 12 interventions, n=2940
- primary Status
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- quality
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- These are subgroup differences in treatment effects, not direct pooled effects of therapy versus no therapy in IPV survivors. Trials were not necessarily tailored to IPV.
- attrition
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- confounding
- Study-design heterogeneity, overlapping trials and review-specific eligibility limit pooling across reviews.
- adverse Findings
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- transfer Limits
- These are subgroup differences in treatment effects, not direct pooled effects of therapy versus no therapy in IPV survivors. Trials were not necessarily tailored to IPV.
- jadad
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- masking Roles
- participants
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- assessors
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- analysts
- Not established from accessed abstract.
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- relation
- direct
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- Women with common mental disorders in LMIC trials, with measured IPV exposure
- exposure Evidence
- The accessed publication explicitly identifies women with common mental disorders in lmic trials, with measured ipv exposure.
- rationale
- Direct evidence concerning therapeutic or psychosocial responses to IPV, with survivor and perpetrator findings kept distinct.
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- method
- AI editorial assessment of all 130 publication records: compare identity, headline finding, design, relevance and limitations with indexed abstracts or available primary material; adjudicate retained source-supported methods amendments. This is a source-limited publication audit, not an independent full-text systematic review or a clinical guideline.
- limitations
Abstract-only records do not establish allocation concealment, complete harms reporting or full risk of bias. · No formal independent RoB 2, GRADE appraisal or numerical reconstruction of every effect was performed. · Source-access labels describe retained appraisal evidence; fuller prior appraisals were checked through their source ledgers and selected material, not independently repeated in full. · Publication counts are not independent trial or participant counts; cohort links and overlapping review evidence remain provisional. · A randomized design cross does not indicate benefit, low risk of bias or human approval. No double-blind trial is verified in this release. · No professional clinical peer review is claimed. Recommended content is limited to accurately qualified research summaries.
- assessment Record
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- title
- Psychological interventions for common mental disorders in women experiencing intimate partner violence in low-income and middle-income countries: a systematic review and meta-analysis.
- authors
Keynejad RC · Hanlon C · Howard LM
- year
- 2020
- journal
- The lancet. Psychiatry
- doi
- 10.1016/s2215-0366(19)30510-3
- pmid
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PROSPERO CRD42017078611
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- transfer Limit
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adults
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- dose
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- comparator
- Differences in treatment response between IPV-exposed and non-exposed women
- outcomes
- name
- Anxiety response modification by IPV
- follow Up
- Trial-specific
- result
- Greater response in exposed subgroup
- effect Estimate
- Difference in SMD 0.31
- uncertainty
- 95% CI 0.04 to 0.57; five interventions, n=728
- primary Status
- Not established from accessed abstract.
- name
- Depression response modification by IPV
- follow Up
- Trial-specific
- result
- No clear subgroup difference
- effect Estimate
- Difference in SMD 0.10
- uncertainty
- 95% CI -0.04 to 0.25; 12 interventions, n=2940
- primary Status
- Not established from accessed abstract.
- finding
- IPV exposure did not predict a smaller treatment response. Anxiety response was larger in IPV-exposed women; differences for depression, PTSD and distress were uncertain.
- limitation
- These are subgroup differences in treatment effects, not direct pooled effects of therapy versus no therapy in IPV survivors. Trials were not necessarily tailored to IPV.
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- attrition
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- Study-design heterogeneity, overlapping trials and review-specific eligibility limit pooling across reviews.
- adverse Findings
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- transfer Limits
- These are subgroup differences in treatment effects, not direct pooled effects of therapy versus no therapy in IPV survivors. Trials were not necessarily tailored to IPV.
- jadad
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https://europepmc.org/article/MED/31981539 · https://pubmed.ncbi.nlm.nih.gov/31981539/
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- metadata Retrieved
- true
- metadata SHA256
- 1435cb0d7843ff9dd77d3c97c35f435375209ac268b944c95b4339dc88e13212
- claim Check
- Headline finding/design/limitations compared with indexed abstract or accessible primary evidence; retained methods amendments separately adjudicated.
- sources
https://europepmc.org/article/MED/31981539 · https://api.crossref.org/works/10.1016%2Fs2215-0366%2819%2930510-3
- applied Proposals
- None recorded
- method
- AI editorial assessment of all 130 publication records: compare identity, headline finding, design, relevance and limitations with indexed abstracts or available primary material; adjudicate retained source-supported methods amendments. This is a source-limited publication audit, not an independent full-text systematic review or a clinical guideline.
- limitations
Abstract-only records do not establish allocation concealment, complete harms reporting or full risk of bias. · No formal independent RoB 2, GRADE appraisal or numerical reconstruction of every effect was performed. · Source-access labels describe retained appraisal evidence; fuller prior appraisals were checked through their source ledgers and selected material, not independently repeated in full. · Publication counts are not independent trial or participant counts; cohort links and overlapping review evidence remain provisional. · A randomized design cross does not indicate benefit, low risk of bias or human approval. No double-blind trial is verified in this release. · No professional clinical peer review is claimed. Recommended content is limited to accurately qualified research summaries.
- study Design Assessment
- category
- review
- is Randomized Controlled Trial
- false
- basis
- Evidence synthesis; not a participant-randomized experiment.
- sources
https://europepmc.org/article/MED/31981539 · https://api.crossref.org/works/10.1016%2Fs2215-0366%2819%2930510-3
- review Scope
- abstract
- paper Trust Assessment
- scope
- Paper
- status
- assessed
- score
- 1
- randomized Controlled Trial
- false
- peer Reviewed
- true
- blinding
- not-applicable
- basis
- Evidence synthesis receives no trial-design crosses.
- sources
https://europepmc.org/article/MED/31981539 · https://api.crossref.org/works/10.1016%2Fs2215-0366%2819%2930510-3
- review Scope
- abstract
- human Approval
- false
- display Crosses
- 0
- masking Roles
- participants
- Not established from accessed abstract.
- providers
- Not established from accessed abstract.
- assessors
- Not established from accessed abstract.
- analysts
- Not established from accessed abstract.
- jadad
- status
- not-applicable
- score
- Not recorded
- evidence
- population
- relation
- direct
- population
- Women with common mental disorders in LMIC trials, with measured IPV exposure
- exposure Evidence
- The accessed publication explicitly identifies women with common mental disorders in lmic trials, with measured ipv exposure.
- rationale
- Direct evidence concerning therapeutic or psychosocial responses to IPV, with survivor and perpetrator findings kept distinct.
- transfer Limit
- These are subgroup differences in treatment effects, not direct pooled effects of therapy versus no therapy in IPV survivors. Trials were not necessarily tailored to IPV.
- intervention
- description
- Psychological interventions for common mental disorders
- dose
- Not established from accessed abstract.
- provider
- Not established from accessed abstract.
- comparator
- Differences in treatment response between IPV-exposed and non-exposed women
- outcomes
- name
- Anxiety response modification by IPV
- follow Up
- Trial-specific
- result
- Greater response in exposed subgroup
- effect Estimate
- Difference in SMD 0.31
- uncertainty
- 95% CI 0.04 to 0.57; five interventions, n=728
- primary Status
- Not established from accessed abstract.
- name
- Depression response modification by IPV
- follow Up
- Trial-specific
- result
- No clear subgroup difference
- effect Estimate
- Difference in SMD 0.10
- uncertainty
- 95% CI -0.04 to 0.25; 12 interventions, n=2940
- primary Status
- Not established from accessed abstract.
- access
- level
- abstract
- source URLs
https://europepmc.org/article/MED/31981539 · https://pubmed.ncbi.nlm.nih.gov/31981539/
- retrieved At
- 2026-10-30T07:25:20.171273+00:00
- citation Snapshot
- count
- Not recorded
- source
- Not recorded
- retrieved At
- Not recorded
- status
- not-assessed
- provenance
- Discovered by AI
- content Hash
- 3a5290fd79d9fee3693507df5bee06133792ad30fdb3be5f9221215a04fae10c
- revision
- audit-r2-3a5290fd79d9
- archive Entries
- None recorded
- collection
- language
- chapter Number
- 5
- topic Id
- domestic-family-violence
- topic Title
- Domestic & Family Violence
- trust Score
- 2
- evidence
- evidence Type
- Systematic review and meta-analysis
- intervention
- Psychological interventions for common mental disorders Not established from accessed abstract.
- comparator
- Differences in treatment response between IPV-exposed and non-exposed women
- sample
- 15 RCTs provided subgroup data from 21 eligible trials. Outcome samples overlap.
- measurement
- Anxiety response modification by IPV; Depression response modification by IPV
- timing
- Trial-specific
- trial Id
- PROSPERO CRD42017078611
- relationship Note
- Direct evidence concerning therapeutic or psychosocial responses to IPV, with survivor and perpetrator findings kept distinct. These are subgroup differences in treatment effects, not direct pooled effects of therapy versus no therapy in IPV survivors. Trials were not necessarily tailored to IPV.
- measured Genes
- None recorded
- pathways
- None recorded
- source Access
- level
- abstract
- source URLs
https://europepmc.org/article/MED/31981539 · https://pubmed.ncbi.nlm.nih.gov/31981539/
- retrieved At
- 2026-10-30T07:25:20.171273+00:00
- outcomes
- name
- Anxiety response modification by IPV
- follow Up
- Trial-specific
- result
- Greater response in exposed subgroup
- effect Estimate
- Difference in SMD 0.31
- uncertainty
- 95% CI 0.04 to 0.57; five interventions, n=728
- primary Status
- Not established from accessed abstract.
- name
- Depression response modification by IPV
- follow Up
- Trial-specific
- result
- No clear subgroup difference
- effect Estimate
- Difference in SMD 0.10
- uncertainty
- 95% CI -0.04 to 0.25; 12 interventions, n=2940
- primary Status
- Not established from accessed abstract.
- quality
- risk Of Bias
- These are subgroup differences in treatment effects, not direct pooled effects of therapy versus no therapy in IPV survivors. Trials were not necessarily tailored to IPV.
- attrition
- Not established from accessed abstract.
- confounding
- Study-design heterogeneity, overlapping trials and review-specific eligibility limit pooling across reviews.
- adverse Findings
- Not established from accessed abstract.
- transfer Limits
- These are subgroup differences in treatment effects, not direct pooled effects of therapy versus no therapy in IPV survivors. Trials were not necessarily tailored to IPV.
- jadad
- not applicable
- masking Roles
- participants
- Not established from accessed abstract.
- providers
- Not established from accessed abstract.
- assessors
- Not established from accessed abstract.
- analysts
- Not established from accessed abstract.
- population
- relation
- direct
- population
- Women with common mental disorders in LMIC trials, with measured IPV exposure
- exposure Evidence
- The accessed publication explicitly identifies women with common mental disorders in lmic trials, with measured ipv exposure.
- rationale
- Direct evidence concerning therapeutic or psychosocial responses to IPV, with survivor and perpetrator findings kept distinct.
- transfer Limit
- These are subgroup differences in treatment effects, not direct pooled effects of therapy versus no therapy in IPV survivors. Trials were not necessarily tailored to IPV.
- jadad
- status
- not-applicable
- score
- Not recorded
- condition Evidence
- id
- anxiety
- evidence
- field
- outcomes
- text
- Anxiety response modification by IPV | Depression response modification by IPV
- matched Text
- Anxiety
- scope
- Study population or investigated outcome; not a diagnosis or efficacy claim.
- id
- depression
- evidence
- field
- outcomes
- text
- Anxiety response modification by IPV | Depression response modification by IPV
- matched Text
- Depression
- scope
- Study population or investigated outcome; not a diagnosis or efficacy claim.
- conditions
anxiety · depression
- topic Trust Scores
2
- full Text
- status
- not-indexed
- retrieval Available
- false