Alcohol-involved sexual aggression: Emotion regulation as a mechanism of behavior change.
Alcohol-involved sexual aggression: Emotion regulation as a mechanism of behavior change.
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DOI：
10.1037/hea0001048
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发表时间：
2021-12
期刊：
影响因子：
--
通讯作者：
Stappenbeck CA
中科院分区：
文献类型：
--
作者：
Davis KC;Neilson EC;Kirwan M;Eldridge N;George WH;Stappenbeck CA
性侵犯仍然是一个严重的公共卫生问题，大多数性侵犯都与酒精有关。基于一种行为改变的实验医学方法，目前的研究使用近端改变实验来瞄准和测试情绪调节(ER)作为导致酒精相关的性攻击的机制。年龄在21-30岁、有性侵犯罪史(N=209)的重度饮酒男性被随机分配到短暂的、在线的、以ER为重点的认知重组或正念干预或对照组。在清醒和醉酒状态下，通过实验室基础酒精注射(目标brc=0.08%)来评估干预效果。醉酒和清醒的参与者完成了一项最近的改变方案，其中包括在性攻击模拟期间实施ER技能，评估相关的情绪和意图。路径分析表明，相对于对照，认知重构干预改善了情绪调节和情绪清晰度，分别导致较低的性唤醒和愤怒，其次是较低的性强迫意图。正念干预产生了好坏参半的结果，与对照组相比，它预测了更少的性攻击意图，但也预测了有更严重性攻击史的醉酒男性更强的强制性策略意图。与对照组相比，这两种干预措施都提高了情绪接受度，但仅限于清醒的男性。总体而言，目前的研究表明，以内质网为重点的干预提高了近端内质网技能，与减少性攻击意图有关，这意味着内质网是改变性攻击行为的重要机制。由于干预效果因醉酒状态的不同而不同，因此需要进一步的研究来评估针对现实世界中酒精相关的性攻击的ER干预的有效性。
Sexual aggression remains a significant public health problem, with the majority of sexual assaults involving alcohol. Founded upon an experimental medicine approach to behavior change, the current study used a proximal change experiment to target and test emotion regulation (ER) as a mechanism underlying alcohol-involved sexual aggression. Heavy episodic drinking men aged 21–30 with a sexual assault perpetration history (N = 209) were randomly assigned to a brief, online, ER-focused cognitive restructuring or mindfulness intervention or to control. Intervention effects were evaluated during sober and intoxicated states through laboratory-based alcohol administration (target BrAC = .08%). Intoxicated and sober participants completed a proximal change protocol that included implementing ER skills during a sexual aggression analogue that assessed relevant emotions and intentions. Path analysis demonstrated that relative to control, the cognitive restructuring intervention improved emotional modulation and emotional clarity, resulting in lower sexual arousal and anger, respectively, followed by decreased sexual coercion intentions. The mindfulness intervention yielded mixed results, predicting decreased sexual aggression intentions compared to control but also predicting stronger coercive tactic intentions in intoxicated men with more severe sexual aggression histories. Both interventions improved emotional acceptance relative to control, but only for sober men. Overall, the current study demonstrated that ER-focused interventions improved proximal ER skills associated with reduced sexual aggression intentions, signifying ER as an important mechanism for changing sexually aggressive behavior. Because intervention efficacy varied by intoxication state, further research is needed to assess the effectiveness of ER interventions targeting real-world alcohol-involved sexual aggression.
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