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亲密伴侣暴力和夫妻冲突行为:药物使用问题严重程度的调节作用。

Intimate Partner Violence and Couple Conflict Behaviors: The Moderating Effect of Drug Use Problem Severity.

机构信息

Medical University of South Carolina, Charleston, USA.

Georgia State University, Atlanta, USA.

出版信息

J Interpers Violence. 2022 Jan;37(1-2):NP1170-NP1196. doi: 10.1177/0886260520922369. Epub 2020 May 21.

Abstract

Intimate partner violence (IPV) is a maladaptive conflict behavior, and IPV is both a precipitant and consequence of drug use problems among couples. It is unknown how drug use problem severity modulates the association between IPV and observed conflict behaviors. As part of a larger clinical trial, a sample of 30 different-sex substance-misusing couples completed self-report questionnaires and participated in a laboratory conflict resolution task. The current exploratory study tested whether drug use severity moderated the association between IPV perpetration and positive and negative conflict resolution behaviors, respectively, while controlling for IPV victimization. The results suggest that among men, drug use severity moderates the association between psychological IPV perpetration and negative conflict behaviors. Men who report more severe IPV display more negative behaviors when their drug use problems are more severe. Among women, drug use severity moderated the effect between psychological IPV perpetration and negative conflict behaviors among women, such that women with lower drug use problem severity displayed more negative conflict behaviors when psychological IPV perpetration was more versus less severe. Drug use severity also moderated the association between physical IPV perpetration and negative and positive conflict behaviors among women. That is, women who reported more severe physical IPV displayed more negative and fewer positive behaviors when their drug use problems were more severe. Results have preliminary implications for targeting conflict resolution strategies differentially in men and women with drug use and a history of IPV perpetration. Future studies should replicate the current findings in larger, more representative samples, and examine the role specific drugs have on the association between IPV and conflict behaviors.

摘要

亲密伴侣暴力(IPV)是一种适应不良的冲突行为,IPV 既是夫妻双方药物使用问题的诱因,也是其后果。目前尚不清楚药物使用问题的严重程度如何调节 IPV 与观察到的冲突行为之间的关联。作为一项更大的临床试验的一部分,一组 30 对不同性别、滥用药物的夫妻完成了自我报告问卷,并参与了实验室冲突解决任务。本探索性研究旨在测试在控制 IPV 受害的情况下,药物使用严重程度是否调节 IPV 实施与积极和消极冲突解决行为之间的关联。结果表明,在男性中,药物使用严重程度调节了心理 IPV 实施与消极冲突行为之间的关联。当他们的药物使用问题更严重时,报告更严重的 IPV 的男性表现出更多的消极行为。对于女性,药物使用严重程度调节了心理 IPV 实施与消极冲突行为之间的关系,即药物使用问题严重程度较低的女性在心理 IPV 实施更为严重时表现出更多的消极冲突行为。药物使用严重程度也调节了女性身体 IPV 实施与消极和积极冲突行为之间的关系。也就是说,当她们的药物使用问题更严重时,报告更严重身体 IPV 的女性表现出更多的消极行为和更少的积极行为。研究结果初步表明,针对有药物使用和 IPV 实施史的男性和女性,应采取不同的冲突解决策略。未来的研究应该在更大、更具代表性的样本中复制当前的发现,并研究特定药物在 IPV 与冲突行为之间的关联中的作用。

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