National Center for PTSD, VA Boston Healthcare System, and Department of Psychiatry, Boston University School of Medicine, Boston, MA 02130, USA.
J Consult Clin Psychol. 2010 Dec;78(6):924-35. doi: 10.1037/a0021093.
This study examined static and time-varying risk factors for perpetration of intimate partner violence (IPV) among men in treatment for alcohol use disorders.
Participants were 178 men diagnosed with alcohol abuse or dependence and their partners. Most (85%) of the men were European American; their average age was 41.0 years. Participants completed measures assessing initial alcohol problem severity, baseline beliefs related to alcohol use, antisocial personality characteristics, alcohol and drug use, relationship adjustment, and IPV.
According to couples' reconciled reports, 42% of participants perpetrated IPV at baseline. Among this group, the IPV recurrence rate was 43% at 6-month follow-up and 36% at 12-month follow-up. For participants without IPV perpetration at baseline, new incidence of IPV was 15% and 7% at the 6-month and 12-month follow-up points, respectively. Fixed marker predictors of IPV rates included baseline alcohol problem severity variables, baseline beliefs related to alcohol use, and antisocial personality characteristics. Variable risk factor predictors included alcohol and drug use variables, relationship adjustment factors, and anger. Alcohol use variables and anger were associated with new incidents of IPV among those without reported IPV at baseline only.
Findings suggest that assessing and monitoring IPV occurrence by both partners is important for men in treatment for alcohol use disorders. Results indicate vulnerability factors that may identify individuals at risk for IPV and provide targets for IPV prevention among those with alcohol use disorders. These findings can aid in the development of more comprehensive models that more precisely predict IPV.
本研究考察了治疗酒精使用障碍男性中实施亲密伴侣暴力(IPV)的静态和时变风险因素。
参与者为 178 名被诊断为酒精滥用或依赖的男性及其伴侣。大多数(85%)男性为欧洲裔美国人;平均年龄为 41.0 岁。参与者完成了评估初始酒精问题严重程度、与酒精使用相关的基线信念、反社会人格特征、酒精和药物使用、关系调整和 IPV 的量表。
根据夫妻双方的一致报告,42%的参与者在基线时实施了 IPV。在这一组中,6 个月随访时的 IPV 复发率为 43%,12 个月随访时为 36%。对于基线时无 IPV 实施的参与者,6 个月和 12 个月随访时 IPV 的新发病率分别为 15%和 7%。IPV 发生率的固定标记预测因素包括基线酒精问题严重程度变量、与酒精使用相关的基线信念和反社会人格特征。可变风险因素预测因子包括酒精和药物使用变量、关系调整因素和愤怒。仅在基线无报告 IPV 的参与者中,酒精使用变量和愤怒与新发生的 IPV 相关。
研究结果表明,评估和监测酒精使用障碍治疗男性中 IPV 的发生对双方都很重要。结果表明,脆弱因素可能会识别出有 IPV 风险的个体,并为那些有酒精使用障碍的人提供 IPV 预防的目标。这些发现可以帮助开发更全面的模型,更准确地预测 IPV。