Crane Cory A, Oberleitner Lindsay M S, Devine Susan, Easton Caroline J
Department of Psychiatry, Yale University School of Medicine.
School of Nursing, Yale University School of Medicine.
Psychol Violence. 2014 Jul 1;4(3):322-333. doi: 10.1037/a0034338.
The current investigation sought to examine the direct associations and interactions among individual and concurrent alcohol, cocaine, cannabis, and opioid use diagnoses with the perpetration of intimate partner violence as well as to assess gender differences across these associations within a large forensic sample of male and female offenders.
Participants (1,290 male and 294 female) completed a court-mandated substance abuse evaluation during which they completed a clinical interview, either endorsing or denying recent physical partner violence perpetration. Specific substance use disorders were diagnosed based primarily upon responses to the clinical interview and were used to predict partner violence perpetration using logistic regression.
Alcohol and cocaine use disorders were significantly associated with IPV perpetration over the past year. Cannabis and opioid use disorders were not directly associated with IPV. A comorbid alcohol use diagnosis increased the likelihood of IPV perpetration among participants with either a cannabis or a cocaine use disorder while participants with an alcohol use disorder were less likely to be violent if they had also met criteria for a cannabis use disorder. These relationships held across males and females.
The current findings emphasize the importance of assessing associations between specific substances of abuse in researching and predicting partner violence and suggest that future efforts focus on the development of integrated treatments for co-occurring partner violence and substance use disorders.
当前的调查旨在研究个体及同时存在的酒精、可卡因、大麻和阿片类药物使用诊断与亲密伴侣暴力行为之间的直接关联和相互作用,并评估在一个由男性和女性罪犯组成的大型法医样本中,这些关联中的性别差异。
参与者(1290名男性和294名女性)完成了一项法院强制要求的药物滥用评估,在此期间他们完成了一次临床访谈,表明或否认最近有对伴侣的身体暴力行为。特定的物质使用障碍主要根据临床访谈的回答来诊断,并使用逻辑回归来预测伴侣暴力行为。
在过去一年中,酒精和可卡因使用障碍与亲密伴侣暴力行为显著相关。大麻和阿片类药物使用障碍与亲密伴侣暴力行为没有直接关联。共病酒精使用诊断增加了患有大麻或可卡因使用障碍的参与者实施亲密伴侣暴力行为的可能性,而患有酒精使用障碍的参与者如果也符合大麻使用障碍的标准,则实施暴力的可能性较小。这些关系在男性和女性中都存在。
当前的研究结果强调了在研究和预测伴侣暴力行为时评估特定滥用物质之间关联的重要性,并表明未来的努力应集中在开发针对同时存在的伴侣暴力行为和物质使用障碍的综合治疗方法上。