Chase Kenneth A, O'Farrell Timothy J, Murphy Christopher M, Fals-Stewart William, Murphy Marie
Harvard Families and Addiction Program, Harvard Medical School Department of Psychiatry, Veterans Affairs Boston Healthcare System, Brockton, Massachusetts 02301, USA.
J Stud Alcohol. 2003 Jan;64(1):137-49. doi: 10.15288/jsa.2003.64.137.
This study described the extent of partner violence victimization and perpetration among married or cohabiting female alcoholic patients and the factors associated with it.
Male-to-female and female-to-male physical partner violence were examined for 103 female alcoholic patients seeking couples-based outpatient alcoholism treatment. Partner violent (PV) and nonpartner violent (NPV) groups were compared on hypothesized risk factors.
In the year before treatment, about two thirds of the women were victimized by their male partners, and a similar proportion engaged in violence toward their male partners. Severe violence also was high, with 22% victimization and 50% perpetration prevalence. Women committed more violent acts overall and were more likely to commit severely violent acts than the men in these couples. Risk factors for PV in both the victimization and perpetration models were as predicted: less education, lower income, greater relationship problems, stronger beliefs in the link between relationship problems and the female patient's drinking, greater cocaine use by the perpetrator of violence and greater emotional distress of the men. Greater alcohol and drug use and more severe alcohol problems also distinguished male perpetrators from their nonviolent counterparts in the female victimization model. Predictions that female patients in the PV group would report greater substance use and problems, childhood violence exposure and emotional distress than their female counterparts in the NPV group were not supported for either victimization or perpetration models.
Partner violence is a serious problem for women in alcoholism treatment. More research is needed to increase understanding of risk factors and explanatory models for such violence.
本研究描述了已婚或同居女性酒精依赖患者中伴侣暴力受害情况及实施情况，以及与之相关的因素。
对103名寻求夫妻门诊戒酒治疗的女性酒精依赖患者进行了男性对女性及女性对男性的身体伴侣暴力情况调查。对伴侣暴力（PV）组和非伴侣暴力（NPV）组的假设风险因素进行了比较。
在治疗前一年，约三分之二的女性遭受男性伴侣的暴力侵害，类似比例的女性对男性伴侣实施暴力。严重暴力情况也较为普遍，受害率为22%，实施率为50%。在这些夫妻中，女性总体上实施的暴力行为更多，且更有可能实施严重暴力行为。受害和实施模型中PV的风险因素与预测一致：教育程度较低、收入较低、关系问题较多、更坚信关系问题与女性患者饮酒之间的关联、暴力实施者使用可卡因更多以及男性情绪困扰更大。在女性受害模型中，更多的酒精和药物使用以及更严重的酒精问题也将男性施暴者与其非暴力同伴区分开来。对于受害或实施模型，PV组女性患者报告的物质使用和问题、童年暴力暴露及情绪困扰比NPV组女性同行更多这一预测未得到支持。
伴侣暴力是接受酒精治疗的女性面临的一个严重问题。需要更多研究来增进对此类暴力风险因素及解释模型的理解。
