Alcohol and violence related cognitive risk factors associated with the perpetration of intimate partner violence
Alcohol and violence related cognitive risk factors associated with the perpetration of intimate partner violence
复制标题
DOI：
10.1023/b:jofv.0000032635.42145.66
复制
发表时间：
2004-08-01
影响因子：
3.8
通讯作者：
Nelson, S
中科院分区：
文献类型：
--
作者：
Field, CA;Caetano, R;Nelson, S
本研究的主要目的是确定当前饮酒者中酒精、暴力相关认知风险因素以及冲动与伴侣暴力行为之间的关系。 1995 年对美国家庭人口中 18 岁或以上的白人、黑人和西班牙裔夫妇的概率样本（n = 1468）进行了访谈，答复率为 85%。感兴趣的风险因素包括与酒精和暴力相关的认可婚姻攻击行为的认知、以酒精为不当行为的借口、饮酒后的攻击性期望以及冲动。总共有 15% (216/1468) 的受访者报告遭受过家庭暴力。此外，24% (7/29) 赞成婚姻暴力的人、11% (126/1163) 认为以饮酒为不当行为借口的人、10% (128/1257) 认为饮酒后有过激期望的人、14% (99/716) 认为冲动的人也曾实施过家庭暴力。双变量分析表明，所有认知风险因素在那些报告实施过亲密伴侣暴力 (IPV) 的人中均显着更为常见 (p < 0.05)。然而，控制种族、教育、收入、年龄、性别和冲动的多变量分析表明，那些在饮酒后对攻击行为有强烈或非常强烈预期的人实施 IPV 的可能性高出 3.2 倍（95% CI = 1.3-7.9）。尽管所有与酒精和暴力相关的认知风险因素都与家庭暴力的实施有关，但饮酒后对攻击行为的预期似乎是当前饮酒者实施 IPV 的最强预测因素。因此，在试图识别和治疗目前饮酒的家庭暴力肇事者时，饮酒预期可能是评估的一个重要因素。
The primary aim of this study is to determine the association between alcohol, violence related cognitive risk factors, and impulsivity with the perpetration of partner violence among current drinkers. A probability sample (n = 1468) of White, Black, and Hispanic couples 18 years of age or older in the United States household population was interviewed in 1995 with a response rate of 85%. The risk factors of interest included the alcohol and violence related cognitions of approval of marital aggression, alcohol as an excuse for misbehavior, and aggressive expectations following alcohol consumption as well as impulsivity. In all, 15% (216/1468) of the respondents reported perpetration of domestic violence. In addition, 24% (7/29) of those who approved of marital violence, 11% (126/1163) of those who reported alcohol use as an excuse for misbehavior, 10% (128/1257) of those who reported aggressive expectations following alcohol consumption, and 14% (99/716) of those who reported impulsivity also reported perpetration of domestic violence. Bivariate analysis indicated that all of the cognitive risk factors were significantly more common in those who reported perpetration of intimate partner violence (IPV) ( p < 0.05). However, multivariate analysis controlling for ethnicity, education, income, age, gender, and impulsivity indicated that those who reported strong or very strong expectations of aggressive behavior following alcohol consumption were 3.2 (95% CI = 1.3-7.9) times more likely to perpetrate IPV. Although all of the alcohol and violence related cognitive risk factors were associated with the perpetration of domestic violence, expectations of aggressive behavior following alcohol consumption appeared to be the strongest predictor of the perpetration of IPV among current drinkers. Therefore, alcohol expectancy may be an important factor to assess when attempting to identify and treat perpetrators of domestic violence who are also current drinkers.