Villalba Karina, Latorre-Garcia Willmarie, Attonito Jennifer
College of Medicine, Population Health Sciences, University of Central Florida, Orlando, USA.
Science and Evidence-Based Management Consulting Firm, Orlando, FL, USA.
J Interpers Violence. 2025 Feb;40(3-4):681-695. doi: 10.1177/08862605241253574. Epub 2024 May 20.
The relationship between intimate partner violence (IPV), depression, and risky alcohol use is complex and multi-dimensional. Depression has been documented as a common consequence of experiencing IPV, where depressed individuals might turn to substances like alcohol as a coping mechanism. Thus, assessing the indirect effect of depression in the relationship between IPV and alcohol abuse in African American and Hispanic women is warranted. Cross-sectional data was collected from 152 African American and Hispanic women living in Miami, Florida. Descriptive statistics, correlation analysis, and Hayes' direct and indirect mediation analyses were conducted. A total of 77% reported IPV. The mean age was 42.84 ( = 10.69). About 57% of participants identified as African American, and 62% identified as Hispanic/Latino. On average, participant depression scores (8.6, = 5.7) showed mild-to-moderate severity, and the average alcohol abuse score was 15.5 (±8.9), suggesting risky alcohol use. IPV was directly associated with alcohol abuse (β = .50, 95% CI [.18, .82]; [ = .059, (1, 150) = 9.37, .001), and with depression (β = .48, 95% CI [.27, .69]; [ = .119, (1, 150) = 20.43, < .001). Depression modified the effect of IPV on alcohol abuse by about 19% (β = .56, 95% CI [.33, .80]; [ = .185, (2, 149) = 16.87, < .0026). Results of this study suggest that depression is an important component to be considered when addressing alcohol abuse among women with experiences of IPV. This study highlights the importance of assessing women who report IPV for depressive symptoms when treating alcohol use disorders.
亲密伴侣暴力(IPV)、抑郁症和危险饮酒之间的关系复杂且具有多维度性。抑郁症已被证明是经历亲密伴侣暴力的常见后果,抑郁个体可能会转向酒精等物质作为一种应对机制。因此,评估抑郁症在非裔美国人和西班牙裔女性的亲密伴侣暴力与酒精滥用关系中的间接影响是有必要的。从居住在佛罗里达州迈阿密的152名非裔美国人和西班牙裔女性中收集了横断面数据。进行了描述性统计、相关性分析以及海斯直接和间接中介分析。共有77%的人报告遭受过亲密伴侣暴力。平均年龄为42.84岁(标准差=10.69)。约57%的参与者为非裔美国人,62%的参与者为西班牙裔/拉丁裔。参与者的抑郁评分平均为(8.6,标准差=5.7),显示为轻度至中度严重程度,平均酒精滥用评分为15.5(±8.9),表明存在危险饮酒行为。亲密伴侣暴力与酒精滥用直接相关(β=0.50,95%置信区间[0.18,0.82];F=0.059,(1,150)=9.37,p<0.001),与抑郁症也直接相关(β=0.48,95%置信区间[0.27,0.69];F=0.119,(1,150)=20.43,p<0.001)。抑郁症使亲密伴侣暴力对酒精滥用的影响改变了约19%(β=0.56,95%置信区间[0.33,0.80];F=0.185,(2,149)=16.87,p<0.0026)。本研究结果表明,在解决有亲密伴侣暴力经历的女性的酒精滥用问题时,抑郁症是一个需要考虑的重要因素。本研究强调了在治疗酒精使用障碍时,对报告有亲密伴侣暴力的女性进行抑郁症状评估的重要性。