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Complex PTSD in Women with Domestic Violence Experiences in Portugal: Higher Psychological Comorbidity and Lower Maternal Attachment Perceptions

Fri, September 5, 3:30 to 4:45pm, Deree | Classrooms, DC 601

Abstract

Background: Domestic violence significantly impacts women's mental health, often leading to severe psychological distress and disrupted attachment patterns. However, research on these issues in Portugal remains scarce.

Objective: This study aimed to examine the association between domestic violence, psychological disturbance, and attachment difficulties, with a focus on women diagnosed with Complex Post-Traumatic Stress Disorder (Complex PTSD).

Methods: A total of 280 participants, predominantly cisgender heterosexual (72.5%) and cisgender homosexual (25.3%) women aged 18–72 years with a history of DV, were assessed in community institutions across Portugal. Most participants were of Portuguese nationality (54.9%). Validated scales measured PTSD, Complex PTSD, anxiety, depression, psychological distress, and maternal attachment perceptions.

Results: Among participants, 62.5% met the criteria for PTSD and 19.2% for Complex PTSD. Complex PTSD showed strong correlations with anxiety (r = .61, p < .001), depression (r = .72, p < .001), and overall psychological distress (r = .68, p < .001). Additionally, Complex PTSD was negatively correlated with attachment variables, including maternal affective interaction (r = –.35, p = .009), maternal bonding perception (r = –.34, p = .010), and overall attachment quality (r = –.36, p = .008).

Conclusion: These findings highlight the severe psychological impact of Complex PTSD and its adverse effects on maternal attachment perceptions in women with domestic violence experiences in Portugal. The results emphasize the need for trauma-informed, attachment-focused interventions tailored to DV survivors. Future research should consider Portugal’s cultural and systemic context to enhance care and recovery.

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