Skip to main content

Main menu

  • HOME
  • ARTICLES
    • Current Issue
    • Archives
    • Special Collections
    • Abstracts In Press
  • INFO FOR
    • Authors
    • Reviewers
    • Call For Papers
    • Subscribers
    • Advertisers
  • SUBMIT
    • Manuscript
    • Peer Review
  • ABOUT
    • The JABFM
    • The Editing Fellowship
    • Editorial Board
    • Indexing
  • CLASSIFIEDS
  • Other Publications
    • abfm

User menu

Search

  • Advanced search
American Board of Family Medicine
  • Other Publications
    • abfm
American Board of Family Medicine

American Board of Family Medicine

Advanced Search

  • HOME
  • ARTICLES
    • Current Issue
    • Archives
    • Special Collections
    • Abstracts In Press
  • INFO FOR
    • Authors
    • Reviewers
    • Call For Papers
    • Subscribers
    • Advertisers
  • SUBMIT
    • Manuscript
    • Peer Review
  • ABOUT
    • The JABFM
    • The Editing Fellowship
    • Editorial Board
    • Indexing
  • CLASSIFIEDS
  • JABFM on Bluesky
  • JABFM On Facebook
  • JABFM On Twitter
  • JABFM On YouTube
Research ArticleOriginal Research

Barriers and Facilitators to Screening for Anxiety and Intimate Partner Violence

Amy G. Cantor, Chrystal Barnes, Sonja Likumahuwa-Ackman, Tamar Wyte-Lake, Miranda Pappas, Keeley Blackie and Heidi D. Nelson
The Journal of the American Board of Family Medicine November 2025, 38 (6) 1049-1063; DOI: https://doi.org/10.3122/jabfm.2025.250108R1
Amy G. Cantor
From the Department of Medicine, Oregon Health & Science University, Portland, OR, USA (AGC, MP, KB); Department of Family Medicine, Oregon Health & Science University, Portland, OR, USA (AGC, SL-A, TW-L); Department of Obstetrics and Gynecology, Oregon Health & Science University, Portland, OR, USA (AGC); Oregon Rural Practice-based Research Network, Oregon Health & Science University, Portland, OR, USA (CB); and Kaiser Permanente Bernard J. Tyson School of Medicine, Pasadena, CA, USA (HDN).
MD, MPH
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Chrystal Barnes
From the Department of Medicine, Oregon Health & Science University, Portland, OR, USA (AGC, MP, KB); Department of Family Medicine, Oregon Health & Science University, Portland, OR, USA (AGC, SL-A, TW-L); Department of Obstetrics and Gynecology, Oregon Health & Science University, Portland, OR, USA (AGC); Oregon Rural Practice-based Research Network, Oregon Health & Science University, Portland, OR, USA (CB); and Kaiser Permanente Bernard J. Tyson School of Medicine, Pasadena, CA, USA (HDN).
MPH
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Sonja Likumahuwa-Ackman
From the Department of Medicine, Oregon Health & Science University, Portland, OR, USA (AGC, MP, KB); Department of Family Medicine, Oregon Health & Science University, Portland, OR, USA (AGC, SL-A, TW-L); Department of Obstetrics and Gynecology, Oregon Health & Science University, Portland, OR, USA (AGC); Oregon Rural Practice-based Research Network, Oregon Health & Science University, Portland, OR, USA (CB); and Kaiser Permanente Bernard J. Tyson School of Medicine, Pasadena, CA, USA (HDN).
MID, MPH
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Tamar Wyte-Lake
From the Department of Medicine, Oregon Health & Science University, Portland, OR, USA (AGC, MP, KB); Department of Family Medicine, Oregon Health & Science University, Portland, OR, USA (AGC, SL-A, TW-L); Department of Obstetrics and Gynecology, Oregon Health & Science University, Portland, OR, USA (AGC); Oregon Rural Practice-based Research Network, Oregon Health & Science University, Portland, OR, USA (CB); and Kaiser Permanente Bernard J. Tyson School of Medicine, Pasadena, CA, USA (HDN).
DPT, MPH
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Miranda Pappas
From the Department of Medicine, Oregon Health & Science University, Portland, OR, USA (AGC, MP, KB); Department of Family Medicine, Oregon Health & Science University, Portland, OR, USA (AGC, SL-A, TW-L); Department of Obstetrics and Gynecology, Oregon Health & Science University, Portland, OR, USA (AGC); Oregon Rural Practice-based Research Network, Oregon Health & Science University, Portland, OR, USA (CB); and Kaiser Permanente Bernard J. Tyson School of Medicine, Pasadena, CA, USA (HDN).
MA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Keeley Blackie
From the Department of Medicine, Oregon Health & Science University, Portland, OR, USA (AGC, MP, KB); Department of Family Medicine, Oregon Health & Science University, Portland, OR, USA (AGC, SL-A, TW-L); Department of Obstetrics and Gynecology, Oregon Health & Science University, Portland, OR, USA (AGC); Oregon Rural Practice-based Research Network, Oregon Health & Science University, Portland, OR, USA (CB); and Kaiser Permanente Bernard J. Tyson School of Medicine, Pasadena, CA, USA (HDN).
CPH, MPH
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Heidi D. Nelson
From the Department of Medicine, Oregon Health & Science University, Portland, OR, USA (AGC, MP, KB); Department of Family Medicine, Oregon Health & Science University, Portland, OR, USA (AGC, SL-A, TW-L); Department of Obstetrics and Gynecology, Oregon Health & Science University, Portland, OR, USA (AGC); Oregon Rural Practice-based Research Network, Oregon Health & Science University, Portland, OR, USA (CB); and Kaiser Permanente Bernard J. Tyson School of Medicine, Pasadena, CA, USA (HDN).
MD, MPH
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Figures & Data
  • References
  • Info & Metrics
  • PDF
Loading

References

  1. 1.↵
    1. Barry MJ,
    2. Nicholson WK,
    3. Silverstein M
    , US Preventive Services Task Forceet al. Screening for anxiety disorders in adults: US Preventive Services Task Force recommendation statement. JAMA 2023;329:2163–70.
    OpenUrlCrossRefPubMed
  2. 2.↵
    1. Curry SJ,
    2. Krist AH,
    3. Owens DK
    , US Preventive Services Task Forceet al. Screening for intimate partner violence, elder abuse, and abuse of vulnerable adults: US Preventive Services Task Force final recommendation statement. JAMA 2018;320:1678–87.
    OpenUrlCrossRefPubMed
  3. 3.↵
    1. Gregory KD,
    2. Chelmow D,
    3. Nelson HD
    , Women’s Preventive Services Initiativeet al. Screening for anxiety in adolescent and adult women: a recommendation from the Women's Preventive Services Initiative. Ann Intern Med 2020;173:48–56.
    OpenUrlCrossRefPubMed
  4. 4.↵
    Women's Preventive Services Initiative. Screening and counseling for intimate partner and domestic violence. Available at: https://www.womenspreventivehealth.org/recommendations/intimate-partner-and-domestic-violence/. Accessed April 8, 2025.
  5. 5.↵
    1. Feltner C,
    2. Wallace I,
    3. Berkman N,
    4. et al
    . Screening for intimate partner violence, elder abuse, and abuse of vulnerable adults: evidence report and systematic review for the US Preventive Services Task Force. JAMA 2018;320:1688–701.
    OpenUrlPubMed
  6. 6.
    1. Nelson HD,
    2. Cantor A,
    3. Pappas M,
    4. Atchison C
    . Screening and counseling for intimate partner and domestic violence. Women’s Preventive Services Initiative evidence review update. Available at: https://www.womenspreventivehealth.org/wp-content/uploads/IPV-Screening-Update-Nov-1-2023.pdf. Accessed April 8, 2025.
  7. 7.↵
    1. Nelson HD,
    2. Cantor A,
    3. Pappas M,
    4. Weeks C
    . Screening for anxiety in adolescent and adult women: a systematic review for the Women's Preventive Services Initiative. Ann Intern Med 2020;173:29–41.
    OpenUrlPubMed
  8. 8.↵
    1. O'Connor EA,
    2. Henninger ML,
    3. Perdue LA,
    4. Coppola EL,
    5. Thomas RG,
    6. Gaynes BN
    . Anxiety screening: evidence report and systematic review for the US Preventive Services Task Force. JAMA 2023;329:2171–84.
    OpenUrlPubMed
  9. 9.↵
    Women's Preventive Services Guidelines. Health Resources & Services Administration: Updated January 2025. Available at: https://www.hrsa.gov/womens-guidelines. Accessed April 8, 2025.
  10. 10.↵
    Anxiety & Depression Association of America. Anxiety disorders - facts & statistics. Available at: https://adaa.org/understanding-anxiety/facts-statistics#Facts%20and%20Statistics. Accessed October 6, 2024.
  11. 11.
    Centers for Disease Control and Prevention. Intimate partner violence prevention - quick facts and stats. Available at: https://www.cdc.gov/intimate-partner-violence/about/?CDC_AAref_Val. Accessed October 6, 2024.
  12. 12.↵
    National Institute of Mental Health. Prevalence of any anxiety disorder among adults. Available at: https://www.nimh.nih.gov/health/statistics/any-anxiety-disorder. Accessed October 6, 2024.
  13. 13.↵
    1. Bonomi AE,
    2. Anderson ML,
    3. Reid RJ,
    4. Rivara FP,
    5. Carrell D,
    6. Thompson RS
    . Medical and psychosocial diagnoses in women with a history of intimate partner violence. Arch Intern Med 2009;169:1692–7.
    OpenUrlCrossRefPubMedWeb of Science
  14. 14.
    1. Iverson KM,
    2. McLaughlin KA,
    3. Gerber MR,
    4. et al
    . Exposure to interpersonal violence and its associations with psychiatric morbidity in a U.S. national sample: a gender comparison. Psychol Violence 2013;3:273–87.
    OpenUrlPubMed
  15. 15.↵
    1. Nelson HD,
    2. Cantor A,
    3. Pappas M,
    4. Blackie K
    . Screening for interpersonal and domestic violence, evidence summary. Recommendations for preventive services for women: final report to the US Department of Health and Human Services Health Resources & Services Administration.
  16. 16.↵
    1. Borsky A,
    2. Zhan C,
    3. Miller T,
    4. Ngo-Metzger Q,
    5. Bierman AS,
    6. Meyers D
    . Few Americans receive all high-priority, appropriate clinical preventive services. Health Aff (Millwood) 2018;37:925–8.
    OpenUrlCrossRefPubMed
  17. 17.
    1. Henry J
    , Kaiser Family Foundation. Women's coverage, access, and affordability: key findings from the 2017 Kaiser Women’s Health Survey. Menlo, CA: KFF. Available at: https://www.kff.org/womens-health-policy/issue-brief/womens-coverage-access-and-affordability-key-findings-from-the-2017-kaiser-womens-health-survey/. Accessed October 29, 2024.
  18. 18.
    1. Levine S,
    2. Malone E,
    3. Lekiachvili A,
    4. Briss P
    . Health care industry insights: why the use of preventive services is still low. Prev Chronic Dis 2019;16:E30.
    OpenUrlCrossRefPubMed
  19. 19.↵
    1. Sprague S,
    2. Madden K,
    3. Simunovic N,
    4. et al
    . Barriers to screening for intimate partner violence. Women Health 2012;52:587–605.
    OpenUrlCrossRef
  20. 20.↵
    Office of the Inspector General, Maxwell A. Medicaid enrollees may not be screened for intimate partner violence because of challenges reported by primary care clinicians, OEI-03-21-00310. April 2024.
  21. 21.↵
    1. Silverstein M,
    2. Wong JB,
    3. Davis EM
    , US Preventive Services Task Force, et al. Screening for intimate partner violence and caregiver abuse of older or vulnerable adults: US Preventive Services Task Force recommendation statement. JAMA 2025;334:329–38.
    OpenUrlPubMed
  22. 22.↵
    1. Cantor A
    . Preventive service test sites/Women’s Preventive Services Initiative implementation pilot program. IRB ID STUDY00025057. Oregon Health & Science University, Institutional Review Board. Approved November 9, 2022.
  23. 23.↵
    1. Davis MM,
    2. Gunn R,
    3. Kenzie E,
    4. et al
    . Integration of improvement and implementation science in practice-based research networks: a longitudinal, comparative case study. J Gen Intern Med 2021;36:1503–13.
    OpenUrlPubMed
  24. 24.↵
    Primary care. Oregon Health & Science University. Available at: https://www.ohsu.edu/primary-care. Accessed January 22, 2025.
  25. 25.↵
    1. Onwuegbuzie AJ,
    2. Collins KMT
    . A typology of mixed methods sampling designs in social science research. Qual Rep 2007;12:281–316.
    OpenUrl
  26. 26.↵
    1. Parker C,
    2. Scott S,
    3. Geddes A
    et al. eds. Snowball Sampling SAGE Publications Ltd; 2019.
  27. 27.↵
    1. Saunders B,
    2. Sim J,
    3. Kingstone T,
    4. et al
    . Saturation in qualitative research: exploring its conceptualization and operationalization. Qual Quant 2018;52:1893–907.
    OpenUrlCrossRefPubMed
  28. 28.↵
    1. Nevedal AL,
    2. Reardon CM,
    3. Opra Widerquist MA,
    4. et al
    . Rapid versus traditional qualitative analysis using the Consolidated Framework for Implementation Research (CFIR). Implement Sci 2021;16:67.
    OpenUrlPubMed
  29. 29.↵
    1. Spitzer RL,
    2. Kroenke K,
    3. Williams JB,
    4. Löwe B
    . A brief measure for assessing generalized anxiety disorder: the GAD-7. Arch Intern Med 2006;166:1092–7.
    OpenUrlCrossRefPubMedWeb of Science
  30. 30.↵
    1. Porter J,
    2. Boyd C,
    3. Skandari MR,
    4. Laiteerapong N
    . Revisiting the time needed to provide adult primary care. J Gen Intern Med 2023;38:147–55.
    OpenUrlCrossRefPubMed
  31. 31.↵
    1. Mitchell D,
    2. Olson A,
    3. Randolph N
    . The impact of warm handoffs on patient engagement with behavioral health services in primary care. J Rural Ment Health 2022;46:82–7.
    OpenUrl
  32. 32.↵
    1. Trabold N,
    2. King PR Jr.,
    3. Crasta D,
    4. et al
    . Leveraging integrated primary care to enhance the health system response to IPV: moving toward primary prevention primary care. Int J Environ Res Public Health 2023;20:5701.
    OpenUrlPubMed
  33. 33.↵
    1. Rivara FP,
    2. Anderson ML,
    3. Fishman P,
    4. et al
    . Healthcare utilization and costs for women with a history of intimate partner violence. Am J Prev Med 2007;32:89–96.
    OpenUrlCrossRefPubMedWeb of Science
  34. 34.↵
    1. Swailes AL,
    2. Lehman EB,
    3. McCall-Hosenfeld JS
    . Intimate partner violence discussions in the healthcare setting: a cross-sectional study. Prev Med Rep 2017;8:215–20.
    OpenUrlPubMed
  35. 35.↵
    National Academies of Sciences Engineering and Medicine. Essential health care services addressing intimate partner violence. 2024. The National Academies Press.
  36. 36.↵
    1. McCambridge J,
    2. de Bruin M,
    3. Witton J
    . The effects of demand characteristics on research participant behaviours in non-laboratory settings: a systematic review. PLoS One 2012;7:e39116.
    OpenUrlCrossRefPubMed
  37. 37.↵
    1. Ambuel B,
    2. Hamberger LK,
    3. Guse CE,
    4. Melzer-Lange M,
    5. Phelan MB,
    6. Kistner A
    . Healthcare can change from within: sustained improvement in the healthcare response to intimate partner violence. J Fam Viol 2013;28:833–47.
    OpenUrl
PreviousNext
Back to top

In this issue

The Journal of the American Board of Family     Medicine: 38 (6)
The Journal of the American Board of Family Medicine
Vol. 38, Issue 6
November-December 2025
  • Table of Contents
  • Cover (PDF)
  • Index by author
Print
Download PDF
Article Alerts
Sign In to Email Alerts with your Email Address
Email Article

Thank you for your interest in spreading the word on American Board of Family Medicine.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Barriers and Facilitators to Screening for Anxiety and Intimate Partner Violence
(Your Name) has sent you a message from American Board of Family Medicine
(Your Name) thought you would like to see the American Board of Family Medicine web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
9 + 1 =
Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.
Citation Tools
Barriers and Facilitators to Screening for Anxiety and Intimate Partner Violence
Amy G. Cantor, Chrystal Barnes, Sonja Likumahuwa-Ackman, Tamar Wyte-Lake, Miranda Pappas, Keeley Blackie, Heidi D. Nelson
The Journal of the American Board of Family Medicine Nov 2025, 38 (6) 1049-1063; DOI: 10.3122/jabfm.2025.250108R1

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
Share
Barriers and Facilitators to Screening for Anxiety and Intimate Partner Violence
Amy G. Cantor, Chrystal Barnes, Sonja Likumahuwa-Ackman, Tamar Wyte-Lake, Miranda Pappas, Keeley Blackie, Heidi D. Nelson
The Journal of the American Board of Family Medicine Nov 2025, 38 (6) 1049-1063; DOI: 10.3122/jabfm.2025.250108R1
Twitter logo Facebook logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One

Jump to section

  • Article
    • Abstract
    • Introduction
    • Methods
    • Results
    • Discussion
    • Conclusion
    • Acknowledgments
    • Appendix
    • Notes
    • References
  • Figures & Data
  • References
  • Info & Metrics
  • PDF

Related Articles

  • No related articles found.
  • PubMed
  • Google Scholar

Cited By...

  • Point-of-Care Ultrasound, Prevention and Screening, Family Medicine Workforce, Navigating Systems, and Improving Patient Care
  • Google Scholar

More in this TOC Section

  • Characterizing Cervical Cancer Screening in the US: Preparing for the Era of Self-Collection
  • Effect of Initiating HPV Vaccination Before Age 11 on HPV Vaccination Completion
  • How High-Performing Community Health Clinics Accomplish Social Risk Screening
Show more Original Research

Similar Articles

Keywords

  • Anxiety
  • Health Policy
  • Intimate Partner Violence
  • Insurance Coverage
  • Interpersonal Violence
  • Mental Health
  • Oregon
  • Preventive Health Services
  • Primary Health Care
  • Quality Improvement
  • Referral and Consultation
  • Women's Health

Navigate

  • Home
  • Current Issue
  • Past Issues

Authors & Reviewers

  • Info For Authors
  • Info For Reviewers
  • Submit A Manuscript/Review

Other Services

  • Get Email Alerts
  • Classifieds
  • Reprints and Permissions

Other Resources

  • Forms
  • Contact Us
  • ABFM News

© 2026 American Board of Family Medicine

Powered by HighWire