Crane Cory A, Schlauch Robert C, Devine Susan, Easton Caroline J
a Biomedical Sciences Department , Rochester Institute of Technology , Rochester , New York , USA.
b Behavioral Health, Department of Veterans Affairs Medical Center , Canandaigua , New York , USA.
J Addict Dis. 2016 Jul-Sep;35(3):205-11. doi: 10.1080/10550887.2016.1154400. Epub 2016 Feb 22.
While previous studies find mixed evidence of an association between opioid use and intimate partner violence perpetration among community samples, initial evidence has detected increased rates of partner violence among individuals receiving pharmacological intervention for opioid dependence. The current study evaluated the role of current comorbid substance use diagnoses, a robust risk factor for violent behavior, on the likelihood of perpetrating partner violence among a high risk sample of offenders receiving pharmacological intervention for opioid dependence. The authors analyzed self-report data provided by 81 (55 male) opioid dependent offenders during a court-ordered substance use interview. Approximately one-third of the sample evidenced the recent use of intimate partner violence. Findings indicated that cocaine and benzodiazepine use were independently associated with an increased likelihood of reporting physical partner violence. Alcohol and cannabis use were not associated with partner violence. The current results offer further support for the ongoing need to conduct routine partner violence screenings among substance involved offenders and highlight the importance of developing individualized treatment plans that address comorbid substance use and partner-violent behaviors among individuals in treatment for opioid dependence.
虽然先前的研究在社区样本中发现阿片类药物使用与亲密伴侣暴力犯罪之间的关联证据不一,但初步证据显示,接受阿片类药物依赖药物治疗的个体中伴侣暴力发生率有所上升。本研究评估了当前共病物质使用诊断这一暴力行为的有力风险因素,对接受阿片类药物依赖药物治疗的高危罪犯样本实施伴侣暴力可能性的影响。作者分析了81名(55名男性)阿片类药物依赖罪犯在法庭命令的物质使用访谈中提供的自我报告数据。约三分之一的样本近期有亲密伴侣暴力行为。研究结果表明,使用可卡因和苯二氮䓬类药物与报告身体伴侣暴力的可能性增加独立相关。使用酒精和大麻与伴侣暴力无关。当前结果进一步支持了对涉及物质的罪犯进行常规伴侣暴力筛查的持续必要性,并强调了制定个性化治疗计划的重要性,该计划应解决阿片类药物依赖治疗中个体的共病物质使用和伴侣暴力行为问题。