Associations between PTSD and intimate partner and non-partner aggression among substance using veterans in specialty mental health.
Associations between PTSD and intimate partner and non-partner aggression among substance using veterans in specialty mental health.
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DOI:
10.1016/j.addbeh.2016.08.039
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发表时间:
2017-01
影响因子:
4.4
通讯作者:
Chermack, Stephen T.
中科院分区:
文献类型:
--
作者:
Buchholz, Katherine R.;Bohnert, Kipling M.;Sripada, Rebecca K.;Rauch, Sheila A. M.;Epstein-Ngo, Quyen M.;Chermack, Stephen T.
Risk factors of violence perpetration in veterans include substance use and posttraumatic stress disorder (PTSD); however, it is unknown whether these factors are associated with greater risk for partner or non-partner violence. This study investigated the associations between probable PTSD, heavy drinking, marijuana use, cocaine use, and partner and non-partner violence perpetration. Self-report questionnaires assessing past-year partner and non-partner aggression (CTS2) as well as past-month substance use (SAOM), probable PTSD (PCL-C), and probable depression (PHQ-9) were administered to 810 substance using veterans entering VA mental health treatment. In bivariate analyses, probable PTSD in substance using veterans was associated with violence perpetration (partner physical, χ2 = 11.46, p = 0.001, φ = .12; non-partner physical, χ2 = 50.64, p < 0.001, φ = .25; partner injury, χ2 = 6.41, p = 0.011, φ = .09; non-partner injury, χ2 = 42.71, p < 0.001, φ = .23). In multiple logistic regression analyses that adjusted for sociodemographic characteristics, probable PTSD was independently associated with non-partner physical (odds ratio [OR], 2.82; 95% confidence interval [CI], 1.97 – 4.05) and injury aggression (OR, 3.96; CI, 2.56 – 6.13). Cocaine and heavy drinking were independently associated with non-partner physical and injury aggression and non-partner injury aggression respectively. The results provide evidence that probable PTSD, heavy drinking, and cocaine use are associated with increased risk of non-partner violence perpetration in substance using veterans. These results underscore the importance of screening for PTSD symptoms and violence perpetration towards non-partners in substance using veterans presenting for treatment.
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影响因子:
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影响因子:
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