Center for Health Care Evaluation, Department of Veterans Affairs Health Care System (152-MPD), 795 Willow Road, Menlo Park, CA 94025, USA.
Addict Behav. 2009 Sep;34(9):744-50. doi: 10.1016/j.addbeh.2009.04.013. Epub 2009 May 3.
This study examined the frequency and predictors of physical assault and having trouble with the police due to drinking over 16 years among women and men who, at baseline, were untreated for their alcohol use disorder. Predictors examined were the personal characteristics of impulsivity, self-efficacy, and problem-solving and emotional-discharge coping, as well as outpatient treatment and Alcoholics Anonymous (AA) participation. Women and men were similar on rates of perpetrating assault due to drinking, but men were more likely to have had trouble with the police due to drinking. Respondents who, at baseline, were more impulsive and relied more on emotional discharge coping, and less on problem-solving coping, assaulted others more frequently during the first year of follow-up. Similarly, less problem-solving coping at baseline was related to having had trouble with the police more often at one and 16 years due to drinking. The association between impulsivity and more frequent assault was stronger for women, whereas associations of self-efficacy and problem-solving coping with less frequent assault and police trouble were stronger for men. Participation in AA was also associated with a lower likelihood of having trouble with the police at one year, especially for men. Interventions aimed at decreasing impulsivity and emotional discharge coping, and bolstering self-efficacy and problem-solving coping, during substance abuse treatment, and encouragement to become involved in AA, may be helpful in reducing assaultive and other illegal behaviors.
本研究考察了 16 年期间,未接受酒精使用障碍治疗的女性和男性中,因饮酒导致身体攻击和与警察发生冲突的频率及其预测因素。检查的预测因素是冲动、自我效能感以及问题解决和情绪宣泄应对的个人特征,以及门诊治疗和匿名戒酒会(AA)的参与情况。因饮酒而实施攻击行为的女性和男性发生率相似,但男性因饮酒而与警察发生冲突的可能性更大。在基线时,更冲动、更依赖情绪宣泄应对、较少依赖问题解决应对的受访者,在随访的第一年更频繁地攻击他人。同样,基线时较少的问题解决应对与在 1 年和 16 年内因饮酒而与警察发生冲突的次数更多有关。冲动与更频繁的攻击之间的关联对女性更强,而自我效能感和问题解决应对与较少的攻击和警察麻烦之间的关联对男性更强。参加 AA 也与一年内与警察发生冲突的可能性降低有关,尤其是对男性而言。在物质滥用治疗期间,减少冲动和情绪宣泄应对,增强自我效能感和问题解决应对,并鼓励参与 AA,可能有助于减少攻击性行为和其他违法行为。