Alcohol, Drugs, and Violence: A Meta-Meta-Analysis

Alcohol, Drugs, and Violence: A Meta-Meta-Analysis
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DOI:
10.1037/vio0000106
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发表时间:
2018-03-01
影响因子:
2.8
通讯作者:
McKee, Sherry A.
McKee, Sherry A.
中科院分区:
心理学2区
文献类型:
--
作者:
Duke, Aaron A.;Smith, Kathryn M. Z.;McKee, Sherry A.

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目的:本项目的目的是通过已建立的荟萃分析方法,对酒精、毒品和暴力之间的联系提供一个全面的概述和定量的综合。性别、精神病(有无)、角色(施暴者和受害者)、物质(酒精、毒品或两者兼而有之)、暴力的可操作性(例如,实验室观察到的暴力、社区报告的暴力、杀人记录等)和研究设计(实验、病例对照、横断面和纵向)被评估为潜在的调节因素。方法和结果:广泛的文献检索得到符合我们纳入标准的32项荟萃分析(即评估酒精或非法药物使用与暴力实施/受害之间联系的定量综合研究),表明药物使用和暴力之间存在显著关系(总体加权平均效应大小d=0.45,95%CI[0.36,0.54],p<.001)。男性、精神病、实验研究设计以及酒精和非法药物的联合使用增加了物质使用和暴力之间的联系。更重要的是,在所评估的暴力类型和角色(受害者/犯罪者)之间,关联度是相似的。结论:目前的研究表明,关于酒精、非法药物和暴力,总体关系是中等影响规模,在不同的人口、物质、暴力类型以及实施和受害两种情况下都是强劲的。
Objective: The aim of this project was to provide a comprehensive overview and quantitative synthesis of the links between alcohol, drugs, and violence with established meta-meta-analysis methodology. Gender, psychotic illness (present vs. absent), role (perpetrator vs. victim), substance (alcohol, drugs, or both), operationalizations of violence (e.g., laboratory observed violence, community reported violence, homicide records, etc.), and study design (experimental, case-control, cross-sectional, and longitudinal) were evaluated as potential moderators. Method and Results: An extensive literature search resulted in 32 meta-analyses that met our inclusion criteria (i.e., quantitatively synthesized research assessing the link between alcohol or illicit drug use and violence perpetration/victimization) demonstrated a significant relationship between substance use and violence (grand weighted mean effect size of d = 0.45, 95% CI [0.36, 0.54], p < .001). Male gender, psychotic illness, experimental study design, and combined alcohol and illicit drug use increased the associations between substance use and violence. More important, the degree of association was similar across the types of violence assessed and roles (victim/perpetrator). Conclusions: The current study shows that with respect to alcohol, illicit drugs, and violence, the overall relationship is a medium effect size that is robust across different populations, substances, types of violence, and both perpetration and victimization.