Cincinnati VA Medical Center, PTSD and Anxiety Disorders Division, 1000 South Fort Thomas Avenue, Fort Thomas, Kentucky 41075, USA.
J Stud Alcohol Drugs. 2011 Nov;72(6):933-42. doi: 10.15288/jsad.2011.72.933.
Despite extensive intimate partner violence (IPV) among women in substance use disorder treatment, few studies have investigated IPV risk factors within this population. Conceptual models, which have received support in other populations, propose that antisociality and generalized violence, alcohol and drug use, and relationship adjustment may be interrelated pathways that influence IPV. The purpose of this study was to test a conceptual model that integrates these individual and relationship pathways to explain IPV among women entering substance use disorder treatment.
Women entering substance use disorder treatment (N = 277) who had a male relationship partner completed measures of the following domains about themselves and their male partners: antisociality/generalized violence, heavy alcohol use, drug use, relationship adjustment, and psychological and physical IPV.
Structural equation modeling analyses showed that the antisociality/generalized violence of each partner had direct and indirect effects on IPV. Each partner's antisociality/generalized violence was directly related to her or his physical IPV. Female antisociality/ generalized violence was indirectly related to female physical IPV via female drug use and female psychological IPV. Male antisociality/generalized violence was indirectly associated with male physical IPV via male drinking, relationship adjustment, and male psychological IPV. A reciprocal relationship was found between partners' psychological IPV but not physical IPV. When accounting for other individual and relational IPV predictors, male partners' physical IPV influenced women's physical IPV, but women's physical IPV did not influence their male partner's physical IPV.
Both partners' antisociality/generalized violence, substance use, and overall relationship adjustment are important in understanding IPV among women entering substance use disorder treatment.
尽管在接受物质使用障碍治疗的女性中存在广泛的亲密伴侣暴力（IPV），但很少有研究调查该人群中的 IPV 风险因素。概念模型在其他人群中得到了支持，该模型提出反社会行为和普遍暴力、酒精和药物使用以及关系调整可能是相互关联的途径，会影响 IPV。本研究的目的是测试一个综合这些个体和关系途径的概念模型，以解释进入物质使用障碍治疗的女性中的 IPV。
进入物质使用障碍治疗的女性（N=277），她们有男性伴侣，完成了以下关于自己和男性伴侣的领域的测量：反社会行为/普遍暴力、大量饮酒、药物使用、关系调整以及心理和身体 IPV。
结构方程模型分析表明，每个伴侣的反社会行为/普遍暴力对 IPV 具有直接和间接影响。每个伴侣的反社会行为/普遍暴力与他们的身体 IPV 直接相关。女性的反社会行为/普遍暴力通过女性的药物使用和女性的心理 IPV 与女性的身体 IPV 间接相关。男性的反社会行为/普遍暴力通过男性的饮酒、关系调整和男性的心理 IPV 与男性的身体 IPV 间接相关。发现伴侣之间的心理 IPV 存在相互关系，但身体 IPV 没有。在考虑其他个体和关系 IPV 预测因素时，男性伴侣的身体 IPV 影响女性的身体 IPV，但女性的身体 IPV 不会影响其男性伴侣的身体 IPV。
双方的反社会行为/普遍暴力、物质使用和整体关系调整对于理解进入物质使用障碍治疗的女性中的 IPV 非常重要。
