Psychosocial Impact of Gender-Based Violence Exposure on Children: A Mixed-Methods Analysis of Strengths and Difficulties

Authors

Keywords:

Gender-Based Violence, Child Health, Emotional Abuse, Affective Symptoms, Child Behavior, Psychosocial Intervention, Psychological Resilience, Minors

Abstract

Background: Gender-based violence is a global public health issue with profound social, health, and epidemiological implications. This phenomenon severely affects the physical, psychological, and social well-being of women and their families, particularly children exposed to such violence, who are at increased risk of developing emotional, behavioral, and social problems.

Objective: To analyze the psychosocial consequences of gender-based violence exposure to children, focusing on their prosocial strengths as well as their emotional and behavioral difficulties.

Methods: A mixed-methods design was employed, combining quantitative and qualitative approaches. Quantitative assessment was conducted using the Strengths and Difficulties Questionnaire, administered to children exposed to Gender-based violence contexts. Qualitative analysis followed a phenomenological-hermeneutic approach, exploring mothers’ narratives about the impact of violence on their children. The sample included nine mothers and their children attending the Women’s Unit of Concello de Ames.

Results: Children demonstrated significant prosocial strengths, such as empathy and cooperation (100%), but also exhibited emotional and behavioral difficulties. A total of 66.7% reported physical symptoms associated with stress, such as headaches or nausea, and a similar percentage displayed hyperactivity or inattention. Additionally, 66.7% experienced tantrums and feelings of loneliness, although no severe antisocial behaviors were identified. Qualitative findings highlighted the presence of hypervigilance, anxiety, and parental roles assumed by older siblings.

Conclusion: This exploratory study highlights the multidimensional impact of Gender-based violence exposure on children, who develop prosocial skills as adaptive mechanisms but face significant emotional and behavioral challenges. Interventions should focus on strengthening socioemotional skills, fostering resilience, and addressing the underlying causes of emotional distress. Including caregivers in intervention strategies is essential to ensure a safer and more stable family environment.

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References

Bacchus LJ, Ranganathan M, Watts C, Devries K. Recent intimate partner violence against women and health: A systematic review and meta-analysis of cohort studies. BMJ Open. 2018;8(e019995). https://doi.org/10.1136/bmjopen-2017-019995

Iverson KM, Dardis CM, Grillo AR, Galovski TE, Pogoda TK. Associations between traumatic brain injury from intimate partner violence and future psychosocial health risks in women. Comprehensive Psychiatry. 2019;92:13-21. https://doi.org/10.1016/j.comppsych.2019.152167

Mittal M, Gilroy H, Sullivan TP. Examining associations between strangulation and depressive symptoms in women with intimate partner violence histories. Journal of Interpersonal Violence. 2020. https://doi.org/10.1177/0886260518798353

Holt S, Buckley H, Whelan S. The impact of exposure to domestic violence on children and young people: A review of the literature. Child abuse & neglect. 2008;32(8):797-810. https://doi.org/10.1016/j.chiabu.2008.02.004

Nguyen KA, Abrahams N, Jewkes R, Mhlongo S, Seedat S, Myers B, et al. The associations of intimate partner violence and non-partner sexual violence with hypertension in South African women. International journal of environmental research and public health. 2022;19(7). https://doi.org/10.3390/ijerph1904026

Howell KH, Barnes SE, Miller LE, Graham-Bermann SA. Developmental variations in the impact of intimate partner violence exposure during childhood. Journal of injury and violence research. 2016;8(1):43. https://doi.org/10.5249/jivr.v8i1.663

Vu NL, Jouriles EN, McDonald R, Rosenfield D. Children's exposure to intimate partner violence: A meta-analysis of longitudinal associations with child adjustment problems. Clinical psychology review. 2016;46:25-33. https://doi.org/10.1016/j.cpr.2016.04.003

Fong VC, Hawes D, Allen JL. A systematic review of risk and protective factors for externalizing problems in children exposed to intimate partner violence. Trauma, Violence, & Abuse. 2019;20(2):149-167. https://doi.org/10.1177/1524838017692383

Schulz P. Towards inclusive gender in transitional justice: gaps, blind-spots and opportunities. Journal of Intervention and Statebuilding. 2020;14(5):691-710. https://doi.org/10.1080/17502977.2019.1663984

Sediri S, Zgueb Y, Ouanes S, Ouanes I, Jaouadi S. Commentary: COVID-19, lockdown, and intimate partner violence. Journal of Women’s Health. 2020. https://doi.org/10.1089/jwh.2020.8590

Howell KH, Miller-Graff LE. Protective factors associated with resilient functioning in young adulthood after childhood exposure to violence. Child abuse & neglect. 2014;38(12):1985-1994. https://doi.org/10.1016/j.chiabu.2014.10.010

Goodman R. The Strengths and Difficulties Questionnaire: a research note. Journal of child psychology and psychiatry. 1997;38(5):581-586. https://doi.org/10.1111/j.1469-7610.1997.tb01545.x

Rodríguez-Hernández PJ, Betancort M, Ramírez-Santana GM, García R, Sanz-Álvarez EJ, De las Cuevas-Castresana C. Psychometric properties of the parent and teacher versions of the Strength and Difficulties Questionnaire (SDQ) in a Spanish sample. International journal of clinical and health psychology. 2012;12(2):265-279. Disponible en: https://www.redalyc.org/pdf/337/33723643006.pdf

Evans SE, Davies C, DiLillo D. Exposure to domestic violence: A meta-analysis of child and adolescent outcomes. Aggression and violent behavior. 2008;13(2):131-140. https://doi.org/10.1016/j.avb.2008.02.005

Margolin G, Gordis EB. The effects of family and community violence on children. Annual review of psychology. 2011;51(1):445-479. https://doi.org/10.1146/annurev.psych.51.1.445

Howell KH, Miller LE, Barnes SE, Graham-Bermann SA. Promoting resilience in children exposed to intimate partner violence through a developmentally informed intervention: A case study. Clinical case studies. 2015;14(1):31-46. https://doi.org/10.1177/1534650114535841

Crooks CV, Jaffe PG, Bala N. Factoring in the effects of children's exposure to domestic violence in determining appropriate postseparation parenting plans. Domestic Violence, Abuse, and Child Custody: Legal Strategies and Policy Issues. Kingston, NJ: Civic Research Institute. 2010;22-1. https://www.csmh.uwo.ca/docs/publications/Crooks,%20Jaffe,%20and%20Bala%202010%20chapter.pdf

Gautam N, Rahman MM, Khanam R. Adverse childhood experiences and externalizing, internalizing, and prosocial behaviors in children and adolescents: A longitudinal study. Journal of Affective Disorders. 2024;363:124-133. https://doi.org/10.1016/j.jad.2024.07.064

Sheng Chong L, Gordis E, Hunter L, Amoh J, Strully K, Appleton AA, et al. Childhood violence exposure and externalizing behaviors: A systematic review of the role of physiological biomarkers. Psychoneuroendocrinology. 2022;145:105898. https://doi.org/10.1016/j.psyneuen.2022.105898

Mendes-Sousa MM, Silva ARD, Mariano M, Espolaor R, Shimizu RF, Mari JJ, et al. Prosocial behavior in children involved in peer violence. Trends in psychiatry and psychotherapy. 2024;46:e20230632. https://doi.org/10.47626/2237-6089-2023-0632

Taylor CA, Guterman NB, Lee SJ, Rathouz PJ. Intimate partner violence, maternal depression, and child behavior problems among ethnically diverse families. Child Abuse & Neglect. 2017;64:1-12. DOI: 10.1016/j.chiabu.2017.01.004.

van Loon-Dikkers AL, Luijk MP, de Haan AD, Steketee MJ. Emotional Insecurity and Psychosocial Problems in Children Exposed to Family Violence: Exploring the Role of Well-Being at School. School Mental Health. 2025;17(1):276-288. https://doi.org/10.1007/s12310-024-09728-9

Ortiz Jiménez EM, Gómez-Benito J, Llach SL, Lamarca M, Ochoa S. Interparental violence: child emotional awareness, protective factors, and symptom profiles in a comparative analysis. Frontiers in Psychiatry. 2025;16:1418332. https://doi.org/10.3389/fpsyt.2025.1418332

Đurđević S, Zirojević M, Zirojević S, Krivokapić Ž. Resilience as a Protective Factor in Children Exposed to Domestic Violence. In Fighting for Empowerment in an Age of Violence (pp. 323-334). IGI Global Scientific Publishing. 2022. https://doi.org/10.4018/978-1-6684-4964-6.ch019

Doroudchi A, Zarenezhad M, Hosseininezhad H, Malekpour A, Ehsaei Z, Kaboodkhani R, et al. Psychological complications of the children exposed to domestic violence: a systematic review. Egyptian journal of forensic sciences. 2023;13(1):26. https://doi.org/10.1186/s41935-023-00343-4

Rangarasu P, Little L, Dahrany S. A Review on Intergenerational Impact on Children Exposed to Instances of Domestic Violence - Behavioural, Psychological Consequences and Interventions. Shanlax International Journal of Arts, Science and Humanities. 2024;12(S1):194–209. DOI: https://doi.org/10.34293/sijash.v12iS1-Sep.8192

Essington M. Impact of Witnessing Intimate Partner Violence for Elementary Age Children: Counseling Recommendations. 2025. https://scholarworks.wmich.edu/cgi/viewcontent.cgi?article=4972&context=honors_theses

Stickley A, Koposov R, Koyanagi A, Oh H, Ruchkin V. Attention-deficit/hyperactivity disorder symptoms and community violence exposure in Russian adolescents. Journal of interpersonal violence. 2021;36(17-18):NP9738-NP9756. https://doi.org/10.1177/0886260519861651?urlappend=%3Futm_source%3Dresearchgate.net%26utm_medium%3Darticle

Chaudhary M, Bhatt S. Effects of Mindfulness-Based Interventions on ADHD Symptoms in Children: A Systematic Review. International Journal of Interdisciplinary Approaches in Psychology. 2024;2(11):278-285. https://www.psychopediajournals.com/index.php/ijiap/article/view/608

Vekety B, Logemann HA, Takacs ZK. The effect of mindfulness-based interventions on inattentive and hyperactive–impulsive behavior in childhood: A meta-analysis. International Journal of Behavioral Development. 2021;45(2):133-145. https://doi.org/10.1177/0165025420958192

Sultan MA, Nawaz FA, Alattar B, Khalaf E, Shadan S, El-Abiary N, et al. Assessing the impact of mindfulness programs on attention-deficit/hyperactivity disorder in children and adolescents: a systematic review. BMC pediatrics. 2025;25(1):32. https://doi.org/10.1186/s12887-024-05310-z

Latzman NE, Casanueva C, Brinton J, Forman‐Hoffman VL. The promotion of well‐being among children exposed to intimate partner violence: a systematic review of interventions. Campbell systematic reviews. 2019;15(3):e1049. https://doi.org/10.1002/cl2.1049

Gallo LL, Kemp K. Mindfulness-Based Interventions for Addressing Trauma, Anxiety, and Emotional Dysregulation in Children and Adolescents: A Literature Review. Journal of Counselor Practice. 2023;14(1). https://journalofcounselorpractice.com/uploads/6/8/9/4/68949193/10.22229_aws8975023.pdf

Herres J, Cummings CM, Swan A, Makover H, Kendall PC. Moderators and mediators of treatments for youth with anxiety. Moderators and mediators of youth treatment outcomes. 2015:20-40. https://doi.org/10.1093/med:psych/9780199360345.003.0002

Carpenito LJ. Manual de diagnóstico de enfermería: aplicación a la práctica clínica. 9ª ed. Madrid: McGraw-Hill España; 2002. ISBN: 9788448604837.

ClinicalKey Student. Taxonomías NANDA-I, NIC y NOC [Internet]. Amsterdam: Elsevier; [consultado el 9 de diciembre de 2025]. Disponible en: https://www-clinicalkey-com.ezbusc.usc.gal/student/nursing/nnn

Published

2026-03-31 — Updated on 2026-04-23

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How to Cite

Pego Pérez, E. R., Antelo Martelo, M., Jorge Soto, C., Ordóñez Mayán, L., Rodríguez Pérez, I., Bermello López, L., & Pérez González, S. (2026). Psychosocial Impact of Gender-Based Violence Exposure on Children: A Mixed-Methods Analysis of Strengths and Difficulties. Revista Enfermeir@s, 1(46), 38–53. Retrieved from https://www.enfermerialugo.org/revista/index.php/enfermeiraos/article/view/906 (Original work published March 31, 2026)

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Original Articles in Social Sciences and Humanities