Haller Deborah L, Miles Donna R
Medical College of Virginia, Virginia Commonwealth University, VA, USA.
J Interpers Violence. 2003 Jul;18(7):760-80. doi: 10.1177/0886260503253239.
This study examined associations between demographic, psychiatric, substance abuse, and childhood abuse variables and past 30-day victimization and perpetration among 77 perinatal substance abusers. Victimization rates were 70% emotional, 34% physical, 29% sexual, and 42% personal freedom violations. For perpetration, incidence was 71% emotional, 25% physical, 5% sexual, and 9% personal freedom violations. Through univariate regression, Addiction Severity Index (ASI) psychiatric and drug composite scores, childhood physical abuse, borderline personality disorder (BPD) and post-traumatic stress disorder (PTSD) were found to significantly predict victimization. In contrast, ASI psychiatric and drug composite scores, BPD, PTSD, and aggressive-sadistic and antisocial personality disorders were found to significantly predict perpetration. In multiple regression models, ASI drug and psychiatric composite scores accounted for the majority of the variance for both victimization and perpetration, suggesting that women with high ASI scores should be queried about their involvement in abusive acts at time of admission to drug treatment.
本研究调查了77名围产期药物滥用者的人口统计学、精神病学、药物滥用和童年期虐待变量与过去30天内受侵害及实施侵害行为之间的关联。受侵害率为：情感侵害70%、身体侵害34%、性侵害29%、人身自由侵犯42%。就实施侵害行为而言，发生率为：情感侵害71%、身体侵害25%、性侵害5%、人身自由侵犯9%。通过单变量回归分析发现，成瘾严重程度指数（ASI）的精神病学和药物综合评分、童年期身体虐待、边缘性人格障碍（BPD）和创伤后应激障碍（PTSD）可显著预测受侵害情况。相比之下，ASI的精神病学和药物综合评分、BPD、PTSD以及攻击-虐待型和反社会型人格障碍可显著预测实施侵害行为。在多元回归模型中，ASI的药物和精神病学综合评分在很大程度上解释了受侵害及实施侵害行为的差异，这表明对于ASI评分高的女性，在进入药物治疗机构时应询问其是否参与过虐待行为。
