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创伤后应激障碍与酒精依赖个体情绪失调与伴侣暴力行为关系的初步调查

A Preliminary Investigation of the Relationship between Emotion Dysregulation and Partner Violence Perpetration Among Individuals with PTSD and Alcohol Dependence.

作者信息

Watkins Laura E, Schumacher Julie A, Coffey Scott F

机构信息

Department of Psychiatry and Human Behavior, University of Mississippi Medical Center, Jackson, MS.

出版信息

J Aggress Maltreat Trauma. 2016;25(3):305-314. doi: 10.1080/10926771.2015.1129657. Epub 2016 Apr 6.

Abstract

The current study examines the link between emotion dysregulation and intimate partner violence (IPV) among 77 individuals with posttraumatic stress disorder (PTSD) and alcohol dependence. Participants were recruited from a residential substance abuse treatment program as part of the eligibility screening for an IRB-approved clinical trial examining the efficacy of an exposure-based intervention in individuals dually diagnosed with alcohol dependence and PTSD. Participants reported on PTSD symptoms, alcohol use disorder symptoms, emotion dysregulation, and physical and verbal aggression in their intimate relationships during the past year. Findings demonstrated that difficulties with emotion regulation are associated with physical and verbal IPV perpetration in a clinical sample. Although facets of emotion regulation emerged as significant predictors of IPV in the models, alcohol and PTSD symptom severity did not emerge as predictors of IPV. These findings suggest targeted emotion regulation skills training may benefit substance abusers who engage in IPV and that emotion dysregulation may be an important target for future research aimed at understanding elevated rates of IPV perpetration in mental health samples.

摘要

本研究调查了77名患有创伤后应激障碍(PTSD)和酒精依赖的个体中,情绪调节障碍与亲密伴侣暴力(IPV)之间的联系。参与者是从一个住院药物滥用治疗项目中招募的,作为一项经机构审查委员会(IRB)批准的临床试验资格筛查的一部分,该试验旨在检验一种基于暴露的干预措施对同时诊断为酒精依赖和PTSD的个体的疗效。参与者报告了过去一年中他们的PTSD症状、酒精使用障碍症状、情绪调节障碍以及亲密关系中的身体和言语攻击行为。研究结果表明,在一个临床样本中,情绪调节困难与身体和言语IPV犯罪有关。尽管在模型中情绪调节的各个方面成为IPV的显著预测因素,但酒精和PTSD症状严重程度并未成为IPV的预测因素。这些发现表明,有针对性的情绪调节技能训练可能有益于实施IPV的药物滥用者,并且情绪调节障碍可能是未来旨在理解心理健康样本中IPV犯罪率升高的研究的一个重要目标。

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