Burnette Mandi L, Ilgen Mark, Frayne Susan M, Lucas Emma, Mayo Julia, Weitlauf Julie C
Sierra Pacific Mental Illness, Research, Education and Clinical Center, Veterans Affairs Palo Alto Health Care System, Palo Alto, CA, USA.
J Subst Abuse Treat. 2008 Sep;35(2):217-22. doi: 10.1016/j.jsat.2007.10.002. Epub 2008 Jan 14.
Despite an association between violence perpetration and substance use, the characteristics associated with violence among patients in treatment for substance use disorders (SUDs) are not well documented. Data were gathered from a national sample of men (n = 4,459) and women (n = 1,774) entering SUD treatment on history of violence perpetration, exposure to childhood physical abuse (CPA) and childhood sexual abuse (CSA), and reasons for entering treatment. Rates of violence perpetration were high (72% of men, 50% of women), and violence was associated with being referred by family members, prior SUD treatment, CPA, and CSA. In multivariate analyses, CPA was a significant correlate of violence perpetration across gender; however, CSA was only significant among women. Findings highlight the need for increased screening and treatment of violence perpetration among patients with SUD and suggest that CSA may be an important correlate of violence perpetration among women.
尽管暴力行为与物质使用之间存在关联，但关于物质使用障碍（SUDs）治疗患者中与暴力行为相关的特征却鲜有充分记录。数据来自一个全国性样本，其中男性（n = 4,459）和女性（n = 1,774）进入SUD治疗，内容涉及暴力行为史、童年期遭受身体虐待（CPA）和童年期遭受性虐待（CSA）以及进入治疗的原因。暴力行为发生率很高（男性为72%，女性为50%），且暴力行为与被家庭成员转诊、既往SUD治疗、CPA和CSA相关。在多变量分析中，CPA是不同性别人群暴力行为的一个显著相关因素；然而，CSA仅在女性中具有显著性。研究结果凸显了加强对SUD患者暴力行为筛查和治疗的必要性，并表明CSA可能是女性暴力行为的一个重要相关因素。
