The Roles of Alcohol Use Severity and Posttraumatic Stress Disorder Symptoms as Risk Factors for Women's Intimate Partner Violence Experiences
The Roles of Alcohol Use Severity and Posttraumatic Stress Disorder Symptoms as Risk Factors for Women's Intimate Partner Violence Experiences
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DOI：
10.1089/jwh.2019.7944
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发表时间：
2020-01-06
影响因子：
3.5
通讯作者：
Iverson, Katherine M.
中科院分区：
文献类型：
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作者：
Mahoney, Colin T.;Iverson, Katherine M.
背景：为了降低妇女遭受亲密伴侣暴力（IPV）的风险，阐明可塑造的精神和行为健康风险因素至关重要。我们的目的是确定酒精使用问题是否缓和创伤后应激障碍（PTSD）症状与女性退伍军人（IPV高风险人群）过去一年IPV受害经历之间的联系。方法：198名女性退伍军人在2012 - 2013年两个时间点完成PTSD症状、酒精使用和IPV的邮件调查。使用回归分析来检查时间1时PTSD症状和酒精使用与时间2时过去一年IPV之间的关系。结果：超过三分之一的女性（36.9%）报告了过去一年的IPV。酒精使用严重程度显著降低了PTSD症状与过去一年的物理IPV之间的关联。具体来说，PTSD症状和过去一年的IPV之间存在显著的正相关，在高水平的酒精使用严重程度中，但在低水平或平均水平的酒精使用中则没有。虽然PTSD症状和酒精使用都是过去一年性和心理IPV的独立危险因素，但没有发现这些IPV类型的调节作用。结论：研究结果可以为量身定制的IPV、精神病学和行为健康筛查和咨询提供信息。这种做法可以减少精神痛苦和IPV风险。
Background: To reduce women's risk for intimate partner violence (IPV), it is critical to elucidate malleable psychiatric and behavioral health risk factors. We aimed to identify if alcohol use problems moderate the associations between posttraumatic stress disorder (PTSD) symptoms and past-year IPV victimization experiences among female veterans, a population at high risk for IPV. Methods: Female veterans (N = 198) completed mail surveys assessing PTSD symptoms, alcohol use, and IPV at two time points between 2012 and 2013. Regression analyses were used to examine the associations between PTSD symptoms and alcohol use at Time 1 with past-year IPV at Time 2. Results: More than a third of women (36.9%) reported past-year IPV. Alcohol use severity significantly moderated the association between PTSD symptoms and past-year physical IPV. Specifically, there was a significant positive association between PTSD symptoms and past-year IPV at high levels of alcohol use severity, but not at low or average levels of alcohol use. Although both PTSD symptoms and alcohol use were independent risk factors for past-year sexual and psychological IPV, no moderating effect was found for these IPV types. Conclusions: Findings can inform tailored IPV, psychiatric, and behavioral health screening and counseling. Such practices may reduce psychiatric distress and IPV risk.