Departament of Health Sciences, Universidad Pública de Navarra, Campus de Arrosadía, Pamplona 31006, Spain.
Departament of Health Sciences, Universidad Pública de Navarra, Campus de Arrosadía, Pamplona 31006, Spain; Instituto de Investigación Sanitaria de Navarra (IdiSNA), c/ Irunlarrea, 3, 31008 Pamplona, Navarra, Spain.
Addict Behav. 2021 Jul;118:106887. doi: 10.1016/j.addbeh.2021.106887. Epub 2021 Mar 4.
This study explored the differential psychopathological profile between male perpetrators of intimate partner violence (IPV) with and without problematic alcohol use (PAU).
A sample of 981 men was recruited from a specialized IPV perpetrators treatment programme. All of them were assessed with the Symptom Checklist-90-Revised (SCL-90-R), the State-Trait Anger Expression Inventory-2 (STAXI-2), and the Millon Clinical Multiaxial Inventory-III (MCMI-III). Comparisons between perpetrators with (n = 125) and without (n = 856) PAU on all the variables studied were carried out.
Perpetrators with PAU were less frequently employed and had higher rates of previous psychiatric history and childhood family violence. Moreover, they presented with higher levels of cognitive biases about women and violence. On a psychopathological level, participants with PAU reported significantly higher scores on the SCL-90-R, on the STAXI-2, and on almost all the MCMI-III scales than did those without PAU. The multivariate logistic regression analyses showed that the main variables related to PAU were as follows: higher levels of previous psychiatric history, distorted thoughts about women, depression, drug dependence, and various personality disorders (bipolar, dysthymia, antisocial, avoidant, borderline, and schizotypal); and lower scores on internal control, anger reaction, paranoid ideation, and schizoid personality disorders.
IPV perpetrators with PAU have a more severe psychopathological profile than those without PAU. Additionally, several variables along with PAU may have contributed to the development of IPV. Therefore, tailored interventions should be developed for those perpetrators with PAU.
本研究旨在探讨有和无问题性酒精使用（PAU）的男性亲密伴侣暴力（IPV）犯罪者之间的差异心理病理特征。
从专门的 IPV 犯罪者治疗计划中招募了 981 名男性。所有参与者均接受了症状清单-90 修订版（SCL-90-R）、状态特质愤怒表达量表-2（STAXI-2）和密尔敦临床多轴量表-III（MCMI-III）评估。对有（n=125）和无（n=856）PAU 的犯罪者在所有研究变量上进行了比较。
有 PAU 的犯罪者较少有工作，且有更高的既往精神病史和童年家庭暴力发生率。此外，他们对女性和暴力的认知偏见程度更高。在心理病理层面上，有 PAU 的参与者在 SCL-90-R、STAXI-2 上的得分以及 MCMI-III 的几乎所有量表上的得分均显著高于无 PAU 的参与者。多元逻辑回归分析表明，与 PAU 相关的主要变量如下：更高的既往精神病史、对女性的扭曲思维、抑郁、药物依赖和各种人格障碍（双相、心境恶劣、反社会、回避、边缘和精神分裂型）；以及更低的内部控制、愤怒反应、偏执观念和精神分裂型人格障碍得分。
有 PAU 的 IPV 犯罪者比无 PAU 的犯罪者有更严重的心理病理特征。此外，PAU 加上其他一些变量可能促成了 IPV 的发生。因此，应针对有 PAU 的犯罪者制定有针对性的干预措施。
