A Moderator Model of Alcohol Use and Dating Aggression in Young Adults

 描述(由申请人提供)：约会攻击性是一种普遍且代价高昂的公共卫生问题。饮酒一直与约会攻击性风险的增加以及攻击的严重性有关(Rothman，McNaughton Reyes，Johnson，LaValley，2012)。本提案旨在通过增进我们对年轻人饮酒和约会攻击性之间的联系以及这些联系的风险或保护因素的了解，来解决这一紧迫的公共卫生问题。具体地说，目前的提案是 旨在评估和推广酒精使用和攻击的理论调节模型。阐明酒精使用和攻击之间关系的潜在缓和因素将有助于确定新的预防和干预点。越来越多的证据表明，关系风险因素在解释酒精使用和攻击之间的关系差异方面发挥了关键作用；然而，还没有研究在密集的纵向设计中检验关系因素的调节作用(Foran&O‘Leary，2008a)。此外，还没有研究考察约会攻击性对年轻人饮酒的影响，这是这些风险因素的原因。研究从攻击到饮酒之间的联系的调节模型的扩展对于理解攻击的潜在反馈回路，以及识别药物滥用或再次受害的潜在风险至关重要。本提案旨在通过对酒精使用、约会攻击性、关系风险因素和个人风险因素进行深入的纵向评估，来解决文献中这些概念和方法上的局限性。120名参与者将每隔一个月完成六次评估。本提案中的措施包括对饮酒、身体、性和心理约会攻击行为的评估，以及对个人和关系风险因素的衡量。纳入标准将包括以前的约会攻击性经历，以招募高风险样本。与先前主要针对大学生的横断面研究不同，本研究采用了密集的纵向设计，评估了攻击性本身对酒精使用的影响，并包括了大学生和非大学生参与者。这一系列研究将针对NIAAA的流行病学和预防研究部门的高度优先领域：1)检查青少年中与酒精有关的暴力的风险和保护因素，2)为针对年轻人酗酒的预防和干预努力提供信息，3)提供旨在减少酒精使用的不良后果的干预措施，特别是在年轻人中，以及4)在大学和非大学就读的年轻人中解决这些问题。总体而言，该提案试图通过加深我们对酒精使用和攻击性之间联系的主持人的理解，来解决一个紧迫且代价高昂的公共卫生问题。更好地了解这些联系将有助于我们阐明青少年中与酒精有关的约会攻击的风险和保护因素，并为旨在减少饮酒不良后果的预防工作提供信息。

 DESCRIPTION (provided by applicant): Dating aggression is a prevalent and costly public health concern. Alcohol use has been consistently associated with increased risk for dating aggression as well as severity of aggression (Rothman, McNaughton Reyes, Johnson, LaValley, 2012). The present proposal aims to address this pressing public health concern by advancing our knowledge of the links between alcohol use and dating aggression among young adults as well as risk or protective factors for these links. Specifically, the current proposal is aimed at assessing and extending a theoretical moderator model of alcohol use and aggression. Elucidating potential moderating factors of the associations between alcohol use and aggression will help identify novel points of prevention and intervention. Increasing evidence suggests that relational risk factors play a key role in accounting for variation in associations between alcohol use and aggression; yet, no study has examined the moderating role of relational factors in an intensive longitudinal design (Foran & O'Leary, 2008a). Also, no research has examined the impact of dating aggression on alcohol use among young adults, accounting for such risk factors. An extension of a moderator model examining links from aggression to alcohol use is critical for understanding a potential feedback loop of aggression, and identifying potential risk for substance abuse or revictimization. The present proposal aims to address these conceptual and methodological limitations in the literature by conducting an intensive longitudinal assessment of alcohol use, dating aggression, relational risk factors, and individual risk factors. 120 participants will complete six assessments, at one month intervals. Measures in the present proposal include an assessment of alcohol use, physical, sexual and psychological dating aggression, and measures of both individual and relational risk factors. Inclusion criteria will include prior experiences of dating aggression in order to recruit a high risk sample. Unlike prior work which has primarily been cross- sectional studies of college students, the present proposal's use of an intensive longitudinal design allows for an assessment of the impact of aggression itself on alcohol use, and includes both college and non-college participants. This line of research will target the NIAAA's Division of Epidemiology and Prevention Research areas of high priority by: 1) Examining risk and protective factors for alcohol related violence among youth, 2) Informing prevention and intervention efforts targeting alcohol abuse in young adults, 3) Informing interventions aimed at reducing adverse consequences of alcohol use, particularly in young adult populations, and 4) Addressing these questions among both college and noncollege attending young adults. Overall, the proposal seeks to address a pressing and costly public health concern by furthering our understanding of moderators of associations between alcohol use and aggression. A better understanding of these links will help us toward elucidating risk and protective factors for alcohol related dating aggression among youth and informing prevention efforts aimed at reducing adverse consequences of alcohol use.