Adverse childhood experiences and intimate partner aggression in the US: Sex differences and similarities in psychosocial mediation
Adverse childhood experiences and intimate partner aggression in the US: Sex differences and similarities in psychosocial mediation
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DOI：
10.1016/j.socscimed.2015.02.044
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发表时间：
2015-04-01
影响因子：
5.4
通讯作者：
Cohen, Steven A.
中科院分区：
文献类型：
--
作者：
Brown, Monique J.;Perera, Robert A.;Cohen, Steven A.
在普通人群中，每十个人中就有六个人接触过不良童年经历(ACE)。亲密伴侣暴力(IPV)是美国的一个主要公共卫生问题。这项研究的主要目的是评估性别差异在创伤后应激障碍(PTSD)、药物滥用和抑郁在ACE和亲密伴侣攻击之间的关系中的中介作用。数据来自全国酒精及相关疾病流行病学调查第二波(2004-2005)。结构方程模型被用来确定创伤后应激障碍、药物滥用和抑郁在ACE结构(忽视、身体/心理虐待、性虐待、父母暴力、父母监禁/精神病理学)与亲密伴侣攻击之间的关系中的中介作用。在男性中，创伤后应激障碍调停性虐待和亲密伴侣攻击之间的关系。然而，在男性和女性中，药物滥用调节了身体和心理虐待与亲密伴侣攻击之间的关系。针对侵略者的IPV方案应该解决发生在童年期间以及最近的药物滥用和创伤后应激障碍的虐待(性、身体和心理)问题。这些方案应该针对男性和女性实施。旨在防止虐待儿童的计划可能有助于降低成年后抑郁和创伤后应激障碍的发生率，以及随后亲密伴侣的攻击性。(C)2015爱思唯尔有限公司。保留所有权利。
Six in ten people in the general population have been exposed to adverse childhood experiences (ACEs). Intimate partner violence (IPV) is a major public health problem in the US. The main objective of this study was to assess sex differences in the role of posttraumatic stress disorder (PTSD), substance abuse, and depression as mediators in the association between ACEs and intimate partner aggression. Data were obtained from Wave 2 (2004-2005) of the National Epidemiologic Survey on Alcohol and Related Conditions. Structural equation modeling was used to determine the mediational role of PTSD, substance abuse and depression in the association between ACE constructs (neglect, physical/psychological abuse, sexual abuse, parental violence, and parental incarceration/psychopathology) and intimate partner aggression. Among men, PTSD mediated the relationship between sexual abuse and intimate partner aggression. However, among men and women, substance abuse mediated the relationship between physical and psychological abuse and intimate partner aggression. IPV programs geared towards aggressors should address abuse (sexual, physical and psychological), which occurred during childhood and recent substance abuse and PTSD. These programs should be implemented for men and women. Programs aimed at preventing abuse of children may help to reduce rates of depression and PTSD in adulthood, and subsequent intimate partner aggression. (C) 2015 Elsevier Ltd. All rights reserved.