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剖析执行功能、酒精使用问题与亲密伴侣攻击行为之间的关联:一项二元分析。

Deconstructing the associations between executive functioning, problematic alcohol use and intimate partner aggression: A dyadic analysis.

作者信息

Parrott Dominic J, Swartout Kevin M, Eckhardt Christopher I, Subramani Olivia S

机构信息

Department of Psychology, Georgia State University, Atlanta, USA.

Department of Psychological Sciences, Purdue University, West Lafayette, USA.

出版信息

Drug Alcohol Rev. 2017 Jan;36(1):88-96. doi: 10.1111/dar.12454. Epub 2017 Jan 24.

Abstract

INTRODUCTION AND AIMS

Problematic drinking and executive functioning deficits are two known risk factors for intimate partner aggression (IPA). However, executive functioning is a multifaceted construct, and it is not clear whether deficits in specific components of executive functioning are differentially associated with IPA perpetration generally and within the context of problematic alcohol use. To address this question, the present study investigated the effects of problematic drinking and components of executive functioning on physical IPA perpetration within a dyadic framework.

DESIGN AND METHODS

Participants were 582 heavy drinking couples (total n = 1164) with a recent history of psychological and/or physical IPA recruited from two metropolitan cities in the USA. Multilevel models were used to examine effects within an actor-partner interdependence framework.

RESULTS

The highest levels of physical IPA were observed among actors who reported everyday consequences of executive functioning deficits related to emotional dysregulation whose partners were problematic drinkers. However, the association between executive functioning deficits related to emotional dysregulation and IPA was stronger towards partners who were non-problematic drinkers relative to partners who were problematic drinkers. No such effect was found for executive functioning deficits related to behavioural regulation.

DISCUSSION AND CONCLUSIONS

Results provide insight into how problematic drinking and specific executive functioning deficits interact dyadically in relation to physical IPA perpetration. [Parrott DJ, Swartout KM, Eckhardt CI, Subramani OS. Deconstructing the associations between executive functioning, problematic alcohol use and intimate partner aggression: A dyadic analysis. Drug Alcohol Rev 2017;36:88-96].

摘要

引言与目的

问题饮酒和执行功能缺陷是亲密伴侣攻击行为(IPA)的两个已知风险因素。然而,执行功能是一个多方面的概念,目前尚不清楚执行功能特定组成部分的缺陷是否与一般情况下以及在问题饮酒背景下的IPA实施存在差异关联。为解决这一问题,本研究在二元框架内调查了问题饮酒和执行功能组成部分对身体IPA实施的影响。

设计与方法

参与者为582对重度饮酒夫妇(共1164人),他们近期有心理和/或身体IPA的经历,是从美国两个大城市招募而来。采用多层次模型在行为者-伴侣相互依存框架内检验影响。

结果

在报告了与情绪调节障碍相关的执行功能缺陷的日常后果且其伴侣存在问题饮酒行为的行为者中,观察到最高水平的身体IPA。然而,与情绪调节障碍相关的执行功能缺陷与IPA之间的关联,相对于有问题饮酒的伴侣,在无问题饮酒的伴侣中更强。在与行为调节相关的执行功能缺陷方面未发现此类影响。

讨论与结论

研究结果为问题饮酒和特定执行功能缺陷如何在身体IPA实施方面进行二元交互作用提供了见解。[帕罗特DJ,斯沃特奥特KM,埃克哈特CI,苏布拉马尼OS。解构执行功能、问题饮酒与亲密伴侣攻击行为之间的关联:二元分析。《药物与酒精评论》2017年;36:88 - 96]

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