Salom Caroline L, Williams Gail M, Najman Jakob M, Alati Rosa
School of Public Health, The University of Queensland, Herston, Australia.
School of Public Health, The University of Queensland, Herston, Australia.
Drug Alcohol Depend. 2015 Jun 1;151:121-7. doi: 10.1016/j.drugalcdep.2015.03.011. Epub 2015 Mar 21.
Substance and mental health disorders convey significant health burdens and impair interpersonal relationships. We tested associations between comorbid substance and mental health disorders and different forms of intimate partner violence (IPV) experienced by young adults.
Mothers (n = 6703) were recruited during pregnancy to the longitudinal Mater-University of Queensland Study of Pregnancy. Mother/offspring dyads were followed up from birth to 21 years. Offspring with complete psychiatric data at 21 years who reported having had an intimate partnership were included (n = 1781). Participants' experiences of psychological, physical and severe combined IPV were assessed at 21 years using a summarised form of the Composite Abuse Scale. We used the Composite International Diagnostic Interview to obtain lifetime diagnoses of mental health and substance disorders. Multivariable logistic regression models of each IPV form were adjusted for individual, family and neighbourhood factors during adolescence, and for other forms of IPV.
We have shown specific links between different forms of IPV experienced and individual substance and mental health disorders. Mental health disorders were related to all three forms of IPV, while alcohol disorders were linked to psychological IPV (ORAUD = 1.86; 1.21-2.86) and illicit substance disorders to physical IPV (ORSUD = 2.07; 1.25-3.43). The co-occurrence of related disorders was strongly linked to psychological and physical IPV.
Intimate partner violence was experienced by both men and women. Substance and mental health disorders were associated with specific forms of IPV victimisation, suggesting that screening IPV clients and mental health/substance disorder patients for the converse problems may be important for intervention planning.
物质使用障碍和精神健康障碍带来了沉重的健康负担，并损害人际关系。我们测试了物质使用障碍与精神健康障碍共病与年轻人经历的不同形式亲密伴侣暴力（IPV）之间的关联。
在孕期招募了母亲（n = 6703）参与昆士兰大学母亲孕期纵向研究。母婴二元组从出生随访至21岁。纳入了21岁时有完整精神科数据且报告有过亲密伴侣关系的后代（n = 1781）。在21岁时，使用综合虐待量表的简化形式评估参与者经历的心理、身体和严重复合型IPV。我们使用综合国际诊断访谈来获取精神健康和物质使用障碍的终生诊断。每种IPV形式的多变量逻辑回归模型针对青少年时期的个人、家庭和邻里因素以及其他形式的IPV进行了调整。
我们发现了所经历的不同形式IPV与个体物质使用障碍和精神健康障碍之间的特定联系。精神健康障碍与所有三种形式的IPV相关，而酒精使用障碍与心理IPV相关（酒精使用障碍的比值比=1.86；1.21 - 2.86），非法物质使用障碍与身体IPV相关（非法物质使用障碍的比值比=2.07；1.25 - 3.43）。相关障碍的共病与心理和身体IPV密切相关。
男性和女性都经历过亲密伴侣暴力。物质使用障碍和精神健康障碍与特定形式的IPV受害相关，这表明对IPV受害者和精神健康/物质使用障碍患者筛查相反问题可能对干预计划很重要。
