Substance Use Disorders and Intimate Partner Violence Perpetration Among Male and Female Offenders
Substance Use Disorders and Intimate Partner Violence Perpetration Among Male and Female Offenders
复制标题
DOI：
10.1037/a0034338
复制
发表时间：
2014-07-01
影响因子：
2.8
通讯作者：
Easton, Caroline J.
中科院分区：
文献类型：
--
作者：
Crane, Cory A.;Oberleitner, Lindsay M. S.;Easton, Caroline J.
目的：当前的调查旨在检查个体和同时使用酒精、可卡因、大麻和阿片类药物的诊断与实施亲密伴侣暴力 (IPV) 之间的直接关联和相互作用，并评估大量男性和女性罪犯法医样本中这些关联之间的性别差异。方法：参与者（1,290 名男性和 294 名女性）完成了法院规定的药物滥用评估，在此期间他们完成了临床访谈，支持或否认最近的伴侣身体暴力行为。主要根据对临床访谈的反应来诊断特定物质使用障碍，并使用逻辑回归来预测伴侣暴力行为。结果：过去一年中，酒精和可卡因使用障碍与 IPV 犯罪显着相关。大麻和阿片类药物使用障碍与 IPV 没有直接关系。共病酒精使用诊断增加了患有大麻或可卡因使用障碍的参与者实施 IPV 的可能性，而患有酒精使用障碍的参与者如果也符合大麻使用障碍的标准，那么他们实施暴力的可能性较小。这些关系在男性和女性之间都存在。结论：目前的研究结果强调了评估特定滥用物质之间的关联在研究和预测伴侣暴力方面的重要性，并表明未来的努力重点是开发针对同时发生的伴侣暴力和物质使用障碍的综合治疗方法。
Objective: The current investigation sought to examine the direct associations and interactions among individual and concurrent alcohol, cocaine, cannabis, and opioid use diagnoses with the perpetration of intimate partner violence (IPV), as well as to assess gender differences across these associations within a large forensic sample of male and female offenders. Method: Participants (1,290 male and 294 female) completed a court-mandated substance abuse evaluation during which they completed a clinical interview, either endorsing or denying recent physical partner violence perpetration. Specific substance use disorders were diagnosed based primarily upon responses to the clinical interview and were used to predict partner violence perpetration using logistic regression. Results: Alcohol and cocaine use disorders were significantly associated with IPV perpetration over the past year. Cannabis and opioid use disorders were not directly associated with IPV. A comorbid alcohol use diagnosis increased the likelihood of IPV perpetration among participants with either a cannabis or a cocaine use disorder, whereas participants with an alcohol use disorder were less likely to be violent if they had also met criteria for a cannabis use disorder. These relationships held across men and women. Conclusions: The current findings emphasize the importance of assessing associations between specific substances of abuse in researching and predicting partner violence and suggest that future efforts focus on the development of integrated treatments for co-occurring partner violence and substance use disorders.