Kadri A, Clergue-Duval V, Lambert C, Atger L, Chouchana Margot, de Chazeron I, Questel F, Laporte C, Brousse G, Vorspan F, Vicard-Olagne M
Departement de Psychiatrie et de Médecine Addictologique, APHP, GHU APHP.Nord - Université Paris Cité, site Lariboisière Fernand-Widal, Paris, France.
Optimisation thérapeutique en neuropharmacologie OPTEN U1144, Université Paris Cité, Inserm, Paris, France.
Subst Use Misuse. 2025;60(11):1577-1582. doi: 10.1080/10826084.2025.2506144. Epub 2025 Jun 20.
Cocaine use increases worldwide and has been associated with behavioral disorders, including aggression, as well as a heightened vulnerability. The study aimed to investigate whether cocaine use is associated with self-reported intimate partner violence (IPV) among patients seeking treatment in addiction facilities.
Self-reported questionnaires assessing IPV perpetration and exposure, childhood maltreatment exposure, current substance use, behavioral addictions and pharmacological treatments were proposed to consecutive patients in addiction facilities (both inpatients and outpatients) across two French regions. Association between self-report IPV victimization or perpetration and treatment seeking for cocaine use were analyzed using chi-squared tests.
A total of 210 patients completed the questionnaires (33.3% women). Thirty-four patients (16.2%) reported cocaine as their primary reason for seeking treatment. Sixty-five (31.0%) self-reported being victims IPV, while 37 (17.6%) identified as perpetrators within the past twelve months. A significant association was observed between consulting for problematic cocaine use and reporting being victim of physical violence ( = 0.02) or perpetrator of any type of violence ( = 0.049). Among patients consulting for problematic cocaine use, significant associations were also identified between reporting being a victim of IPV and use of anxiolytics in the last twelve months ( = 0.003) or being prescribed benzodiazepine ( = 0.048) while reporting being a perpetrator of IPV was associated with use of analgesics in the last twelve months ( = 0.01).
Problematic cocaine use as a reason for seeking treatment was found to be associated with IPV among patients in care. Screening and appropriate intervention for both IPV exposure and perpetration should be systematic in addiction facilities.
可卡因的使用在全球范围内呈上升趋势，且与包括攻击行为在内的行为障碍以及更高的易感性有关。本研究旨在调查在成瘾治疗机构寻求治疗的患者中，使用可卡因是否与自我报告的亲密伴侣暴力（IPV）相关。
向法国两个地区成瘾治疗机构（包括住院患者和门诊患者）的连续患者发放自我报告问卷，评估IPV的实施与暴露情况、童年虐待经历、当前物质使用情况、行为成瘾及药物治疗情况。使用卡方检验分析自我报告的IPV受害或实施情况与因使用可卡因寻求治疗之间的关联。
共有210名患者完成问卷（33.3%为女性）。34名患者（16.2%）报告称可卡因是其寻求治疗的主要原因。65名（31.0%）患者自我报告为IPV受害者，而37名（17.6%）患者在过去十二个月内被认定为实施者。在因可卡因使用问题寻求咨询与报告为身体暴力受害者（P = 0.02）或任何类型暴力的实施者（P = 0.049）之间观察到显著关联。在因可卡因使用问题寻求咨询的患者中，报告为IPV受害者与过去十二个月内使用抗焦虑药（P = 0.003）或被开具苯二氮䓬类药物（P = 0.048）之间也存在显著关联，而报告为IPV实施者与过去十二个月内使用镇痛药（P = 0.01）相关。
在接受治疗的患者中，发现因使用可卡因问题寻求治疗与IPV有关。成瘾治疗机构应系统地对IPV暴露和实施情况进行筛查及适当干预。
