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Wilson IM, Willoughby B, Tanyos A, Graham K, Walker M, Laslett AM, Ramsoomar L. A global review of the impact on women from men's alcohol drinking: the need for responding with a gendered lens. Glob Health Action 2024; 17:2341522. [PMID: 38700277 PMCID: PMC11073422 DOI: 10.1080/16549716.2024.2341522] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2023] [Accepted: 04/07/2024] [Indexed: 05/05/2024] Open
Abstract
BACKGROUND Global evidence shows that men's harmful alcohol use contributes to intimate partner violence (IPV) and other harms. Yet, interventions that target alcohol-related harms to women are scarce. Quantitative analyses demonstrate links with physical and verbal aggression; however, the specific harms to women from men's drinking have not been well articulated, particularly from an international perspective. AIM To document the breadth and nature of harms and impact of men's drinking on women. METHODS A narrative review, using inductive analysis, was conducted of peer-reviewed qualitative studies that: (a) focused on alcohol (men's drinking), (b) featured women as primary victims, (c) encompassed direct/indirect harms, and (d) explicitly featured alcohol in the qualitative results. Papers were selected following a non-time-limited systematic search of key scholarly databases. RESULTS Thirty papers were included in this review. The majority of studies were conducted in low- to middle-income countries. The harms in the studies were collated and organised under three main themes: (i) harmful alcohol-related actions by men (e.g. violence, sexual coercion, economic abuse), (ii) impact on women (e.g. physical and mental health harm, relationship functioning, social harm), and (iii) how partner alcohol use was framed by women in the studies. CONCLUSION Men's drinking results in a multitude of direct, indirect and hidden harms to women that are cumulative, intersecting and entrench women's disempowerment. An explicit gendered lens is needed in prevention efforts to target men's drinking and the impact on women, to improve health and social outcomes for women worldwide.
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Affiliation(s)
- Ingrid M. Wilson
- Health and Social Sciences Cluster, Singapore Institute of Technology, Singapore
- Judith Lumley Centre, Latrobe University, Melbourne, Australia
| | - Bree Willoughby
- Centre for Alcohol Policy Research, Latrobe University, Melbourne, Australia
| | - Amany Tanyos
- Centre for Alcohol Policy Research, Latrobe University, Melbourne, Australia
| | - Kathryn Graham
- Institute of Mental Health Policy Research,Centre for Addiction and Mental Health, Toronto, Canada
- Dalla Lana School of Public Health, University of Toronto, Toronto, Canada
| | - Mary Walker
- Politics, Media and Philosophy, Latrobe University, Melbourne, Australia
| | - Anne-Marie Laslett
- Institute of Mental Health Policy Research,Centre for Addiction and Mental Health, Toronto, Canada
| | - Leane Ramsoomar
- Gender and Health Research Unit, South African Medical Research Council, Pretoria, South Africa
- School of Health Systems and Public Health, University of Pretoria, Pretoria, South Africa
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Sousa M, Andrade J, de Castro Rodrigues A, Caridade S, Cunha O. The Effectiveness of Intervention Programs for Perpetrators of Intimate Partner Violence with Substance Abuse and/or Mental Disorders: A Systematic Review. TRAUMA, VIOLENCE & ABUSE 2024:15248380241270063. [PMID: 39180467 DOI: 10.1177/15248380241270063] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 08/26/2024]
Abstract
Despite the high prevalence and severity of intimate partner violence (IPV) perpetration among men with mental health (MH) problems and substance use (SU), there is limited evidence on the most effective ways to reduce IPV within these groups. Hence, the present systematic review aims to evaluate the effectiveness of psychological interventions for male IPV perpetrators with MH issues and SU problems. Five databases (B-On, Pubmed PsycInfo, Science Direct, and Scopus) were searched for studies examining the effectiveness of IPV interventions. Twenty-three studies met the inclusion criteria, with 13 interventions described. Interventions were grouped into (1) specific interventions for SU among IPV perpetrators (k = 8), (2) nonspecific interventions for SU among IPV perpetrators (K = 3), and (3) specific interventions targeting MH among IPV perpetrators (k = 2). Cognitive behavioral therapy and motivational interviewing techniques were the most common approaches. Both specific and nonspecific programs addressing SU problems showed some positive effects on perpetrators' behavior and attitudes. However, data from the two intervention programs focusing on MH showed reduced symptoms and re-assaults but without significant differences between the conditions. Despite methodological shortcomings in the studies, the specific and nonspecific interventions targeting SU and IPV show promise, which hinders drawing firmer conclusions. Nonetheless, further research is necessary to deepen our understanding of the MH impact interventions on IPV perpetrators.
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Affiliation(s)
- Marta Sousa
- School of Psychology, Psychology Research Center, University of Minho, Braga, Portugal
| | - Joana Andrade
- School of Psychology, Psychology Research Center, University of Minho, Braga, Portugal
| | | | - Sónia Caridade
- School of Psychology, Psychology Research Center, University of Minho, Braga, Portugal
| | - Olga Cunha
- Digital Human-Environment Interaction Lab, Universidade Lusófona do Porto, Porto, Portugal
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Sapkota PM, Pandey AR, Adhikari B, Shrestha G, Piya R, Lamichhane B, Garu S, Joshi D, Baral SC. Intimate partner violence in Nepal: Analysis of Nepal Demographic and Health Survey 2022. PLoS One 2024; 19:e0308107. [PMID: 39150935 PMCID: PMC11329113 DOI: 10.1371/journal.pone.0308107] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2024] [Accepted: 07/15/2024] [Indexed: 08/18/2024] Open
Abstract
INTRODUCTION Intimate partner violence (IPV) is a major public health issue in Nepal. IPV has social and economic impacts on women, family, and the wider society. In this study, we aimed to determine factors associated with IPV among currently partnered women aged 15-49. METHODS We conducted a secondary data analysis of the Nepal Demographic and Health Survey (NDHS) 2022. The study examines the lifetime prevalence of IPV. IPV was measured in three domains: experience of physical violence, emotional violence, and sexual violence. Weighted univariate and multivariable logistic regression analysis were applied to determine factors associated with IPV. The results of logistic regression were presented as crude odds ratio (COR) and adjusted odds ratio (AOR) and their 95% confidence interval (CI). RESULTS Of 3853 women, 27.2% had experienced any form of IPV. The lifetime prevalence of physical violence, emotional violence, and sexual violence were 23.2%, 12.8%, and 7.1%, respectively. Higher odds of physical violence were reported among women aged 35-49 years (AOR: 2.13, 95% CI: 1.58-2.87), women without formal education (AOR: 1.51, 95% CI: 1.10-2.06), and women who justified wife-beating (AOR: 1.23, 95% CI: 1.00-1.52). Women from poor households (AOR: 1.61, 95% CI: 1.12-2.35) and women with uneducated partners (AOR: 1.66, 95% CI: 1.08-2.58) were at higher risk of experiencing sexual violence. Women with unemployed husbands reported a higher risk of physical violence (AOR: 2.72, 95% CI: 1.45-5.06) and emotional violence (AOR: 1.61, 95% CI: 1.12-2.35). CONCLUSION Almost one in three currently partnered women experienced some form of IPV in their lifetime. Various sociodemographic, partner-related, and women's empowerment-related factors were associated with experiencing IPV. Acknowledging and addressing these factors is essential to mitigating the high rates of IPV among reproductive aged women.
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Affiliation(s)
- Parash Mani Sapkota
- Research, Evaluation and Innovation Department, HERD International, Lalitpur, Nepal
| | - Achyut Raj Pandey
- Research, Evaluation and Innovation Department, HERD International, Lalitpur, Nepal
| | - Bikram Adhikari
- Research, Evaluation and Innovation Department, HERD International, Lalitpur, Nepal
| | - Grishu Shrestha
- Research, Evaluation and Innovation Department, HERD International, Lalitpur, Nepal
| | - Reecha Piya
- Research, Evaluation and Innovation Department, HERD International, Lalitpur, Nepal
| | - Bipul Lamichhane
- Research, Evaluation and Innovation Department, HERD International, Lalitpur, Nepal
| | - Shristi Garu
- Manmohan Memorial Institute of Health Sciences, Kathmandu, Nepal
| | - Deepak Joshi
- Research, Evaluation and Innovation Department, HERD International, Lalitpur, Nepal
| | - Sushil Chandra Baral
- Research, Evaluation and Innovation Department, HERD International, Lalitpur, Nepal
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McKinnon AM, Mattson RE, Lofgreen AM. Does No Mean No? Situational and Dispositional Factors Influence Emerging Adult Men's Intentions to Use Assault Tactics in Response to Women's Sexual Refusal During Hookups. SEXUAL ABUSE : A JOURNAL OF RESEARCH AND TREATMENT 2024:10790632241268527. [PMID: 39140871 DOI: 10.1177/10790632241268527] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 08/15/2024]
Abstract
Hookups can result in sexual assault when men do not listen to requests from women to stop. It is thus important to identify factors that influence men's decisions to override direct refusals in these situations. Presently, we administered first-person vignettes depicting a prototypical hookup wherein the woman refuses the man's attempt to escalate intimacy. Using a national sample of emerging adult men (N = 420), we found that they on average did not completely rule out coercive or forcible tactics, but those elevated on rape myth acceptance, hypermasculinity, and psychopathy were uniquely at risk of assault when controlling for several other traits known to correlate with rape. Participants also reported being likelier to use coercive sexual practices when refusals occurred at higher levels of sexual intimacy already attained. Notably, diagnostic analyses revealed that a subset of men had a disproportionate influence on the regression estimates, and that these men were not only elevated across a range of assault-relevant traits, but also endorsed higher likelihoods of using coercion and force in the face of female sexual refusal. Although removal of these cases did not substantively alter the results, exploratory analyses revealed that these individuals responded differently to situational factors in ways that suggested sexual opportunism. Theoretical and practical implications of these findings are discussed.
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Maloney MA, Napolitano SC, Lane SP, Eckhardt CI, Parrott DJ. Emotion differentiation and intimate partner violence: Effects of provocation and alcohol intoxication. PSYCHOLOGY OF ADDICTIVE BEHAVIORS 2024; 38:372-382. [PMID: 37471011 PMCID: PMC10799163 DOI: 10.1037/adb0000946] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/21/2023]
Abstract
OBJECTIVE This study investigated the impact of relational provocation on intimate partner violence (IPV) perpetration as a function of alcohol intoxication and individuals' emotion differentiation (ED; i.e., the ability to differentiate between positive and negative emotions). We hypothesized that provocation and acute intoxication would be associated with lower ED, such that individuals would demonstrate lower ED following provocation and while intoxicated. We also hypothesized an intoxication-by-ED interaction, such that only individuals who were intoxicated and undifferentiated would perpetrate IPV. METHOD Two hundred fifty community-based adults completed an aggression paradigm ostensibly with their romantic partners where they were randomly assigned to an alcohol or no-alcohol condition. Participants' ED across positive and negative subscales was calculated at baseline (Time 1), postprovocation and intoxication (Time 2), and postbehavioral aggression (Time 3). IPV was operationalized as the strength and duration of shocks issued to their partner during the aggression paradigm. RESULTS Both sober and intoxicated participants experienced lower ED following provocation, suggesting a main effect of provocation but no main effect of intoxication. There was a significant alcohol-by-ED interaction in the predicted direction. For intoxicated participants, low ED was associated with greater IPV perpetration. For sober participants, low ED was associated with less IPV perpetration. CONCLUSIONS Consistent with hypotheses, low ED is associated with greater IPV perpetration among intoxicated individuals. In contrast to prior research, low ED was associated with less IPV perpetration among sober individuals. Alcohol-related cognitive impairments may increase the likelihood of IPV perpetration by disrupting the ED process that may otherwise inhibit impulsive aggression. (PsycInfo Database Record (c) 2024 APA, all rights reserved).
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Dugré JR, Giguère CÉ, Potvin S. The company you keep: The neglected role of affiliating with delinquent friends in the development of the cannabis-violence link. Addict Behav 2024; 151:107939. [PMID: 38141319 DOI: 10.1016/j.addbeh.2023.107939] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2023] [Revised: 12/07/2023] [Accepted: 12/17/2023] [Indexed: 12/25/2023]
Abstract
A growing body of research suggests a potential role of cannabis use on aggressive behaviors. In literature on adolescents, the lack of consideration of important confounders, such as adolescent's affiliation with delinquent peers, limits the possibility to determine whether there might be a direct or indirect link between cannabis use and aggression. Therefore, we sought to examine the effect of delinquent peers on the association between cannabis use and violence. We re-analyzed data from 850 ninth graders who were followed from mid-adolescence to early adulthood. Generalized Estimations Equations (GEE) were conducted to examine whether affiliation with delinquent peers may mediate the relationship between cannabis use and violence. Cross-Lagged Panel Models were also conducted to estimate the directionality of these relationships over time. We additionally tested whether similar relationships may be identifiable when examining rule-breaking behaviors and/or alcohol use. GEE models revealed that both cannabis use and affiliation with delinquent peers were statistically associated with aggressive behaviors. Cannabis use, alcohol use and delinquent peers also predicted rule-breaking behaviors. More precisely, cross-lagged models showed that affiliation with delinquent peers played a partially mediating role in the cannabis-aggression link, and that similar cross-lagged estimates were observed when examining rule-breaking behaviors instead of aggression. Our results indicate that cannabis use may be associated with aggression as well as rule-breaking behaviors, suggesting a broader effect on conduct problems. More importantly, our study highlights the non-negligible role of affiliating with delinquent peers during adolescence.
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Affiliation(s)
- Jules R Dugré
- School of Psychology and Centre for Human Brain Health, University of Birmingham, Birmingham, UK.
| | - Charles-Édouard Giguère
- Research Center of the Institut Universitaire en Santé Mentale de Montréal, Montreal, Canada
| | - Stéphane Potvin
- Research Center of the Institut Universitaire en Santé Mentale de Montréal, Montreal, Canada; Department of Psychiatry and Addictology, Faculty of Medicine, University of Montreal, Montreal, Canada.
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Binder A, Kilian C, Hanke S, Banabak M, Berkenhoff C, Petersen KU, Batra A. Stigma and self-stigma among women within the context of the german "zero alcohol during pregnancy" recommendation: A qualitative analysis of online forums and blogs. THE INTERNATIONAL JOURNAL OF DRUG POLICY 2024; 124:104331. [PMID: 38241887 DOI: 10.1016/j.drugpo.2024.104331] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2023] [Revised: 01/08/2024] [Accepted: 01/09/2024] [Indexed: 01/21/2024]
Abstract
BACKGROUND In many countries, including Germany, it is recommended to abstain from alcohol during pregnancy to avoid harm to the baby. In this qualitative research study, analysis of online forums was conducted to explore women's perception of the German "zero alcohol during pregnancy" recommendation with regard to stigma and self-stigma. METHODS We used a grounded theory approach to analyze online forum discussions on alcohol use during pregnancy. Data consisted of 9 discussion threads from 5 different forums and blogs involving 115 participants in total. We used key concepts developed during analysis and the theory of stigma to interpret the posts. RESULTS We identified five key themes: (1) Low alcohol health literacy as a breeding ground for stigmatization; (2) The widespread assumption that maternal abstinence is a prerequisite for being considered a "good mother"; (3) Interpersonal role conflicts and a guilty conscience as a result of stigmatization or self-stigmatization; (4) Paying little attention to the role of psychosocial factors in alcohol consumption, especially regarding partner responsibility during pregnancy.; (5) Understanding the "zero alcohol during pregnancy" recommendation as a complete ban, associated with loss of autonomy. CONCLUSION The current method of communicating the "zero alcohol during pregnancy" recommendation may have unintended consequences. Specifically, misconceptions about the harm associated with low alcohol consumption and setting high expectations of motherhood are factors that can contribute to stigma or self-stigma and potentially undermine self-efficacy, help-seeking behavior, and overcoming the barriers to alcohol health literacy.
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Affiliation(s)
- Annette Binder
- University Hospital Tübingen; Department of General Psychiatry and Psychotherapy, Addiction Medicine and Addiction Research Section, University Hospital Tübingen, Tübingen, Germany; DZPG (German Center for Mental Health), partner site Tübingen, Tübingen, Germany.
| | - Carolin Kilian
- Institute for Mental Health Policy Research, Centre for Addiction and Mental Health, Toronto, Canada
| | - Sara Hanke
- University Hospital Tübingen; Department of General Psychiatry and Psychotherapy, Addiction Medicine and Addiction Research Section, University Hospital Tübingen, Tübingen, Germany
| | - Meryem Banabak
- University Hospital Tübingen; Department of General Psychiatry and Psychotherapy, Addiction Medicine and Addiction Research Section, University Hospital Tübingen, Tübingen, Germany
| | - Clara Berkenhoff
- University Hospital Tübingen; Department of General Psychiatry and Psychotherapy, Addiction Medicine and Addiction Research Section, University Hospital Tübingen, Tübingen, Germany
| | - Kay Uwe Petersen
- University Hospital Tübingen; Department of General Psychiatry and Psychotherapy, Addiction Medicine and Addiction Research Section, University Hospital Tübingen, Tübingen, Germany
| | - Anil Batra
- University Hospital Tübingen; Department of General Psychiatry and Psychotherapy, Addiction Medicine and Addiction Research Section, University Hospital Tübingen, Tübingen, Germany; DZPG (German Center for Mental Health), partner site Tübingen, Tübingen, Germany
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Marcantonio TL, Jozkowski KN, Parrott DJ, Ham LS. Examining the Moderating Role of Heavy Drinking Behaviors and Precarious Masculinity on Sexual Aggression Among Young Adult Men. J Stud Alcohol Drugs 2023; 84:921-927. [PMID: 37306375 PMCID: PMC10765977 DOI: 10.15288/jsad.22-00309] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2022] [Accepted: 05/15/2023] [Indexed: 06/13/2023] Open
Abstract
OBJECTIVE Men's heavy drinking behaviors are related to their engagement in sexual aggression and may be amplified by other factors, such as precarious masculinity (i.e., perceiving masculinity as tenuous in nature). Yet, researchers' understanding of how alcohol consumption, in combination with precarious masculinity, may increase risk of sexual aggression is lacking. The goal of this study was to assess if precarious masculinity moderated the relationship between men's heavy drinking and their sexual aggression. METHOD Young adult men (958 men, M age = 21.1 years, SD = 3.1) completed a web-administered questionnaire assessing sexual aggression, heavy drinking, and precarious masculinity. RESULTS We ran a logistic regression examining the association between heavy drinking, precarious masculinity, and their interactive effect on men's engagement in sexual aggression. Heavy drinking (odds ratio [OR] = 1.17) and precarious masculinity (OR = 1.73) were independently and positively associated with men's sexual aggression; however, the interaction was not significant. CONCLUSIONS In line with prior research, men's heavy drinking behaviors continue to be positively associated with sexual aggression. Building on masculinity literature, men viewing their masculinity as precarious and vulnerable appears to be associated with sexual aggression, potentially because engaging in sexual aggression can offset men's masculinity insecurities. Collectively, results suggest that both alcohol consumption and masculinity should be targeted in sexual assault prevention programs.
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Affiliation(s)
- Tiffany L. Marcantonio
- Department of Health Sciences, University of Alabama, Tuscaloosa, Alabama
- Kinsey Institute for Research in Sex, Gender, and Reproduction, Indiana University, Bloomington, Indiana
| | - Kristen N. Jozkowski
- Kinsey Institute for Research in Sex, Gender, and Reproduction, Indiana University, Bloomington, Indiana
- Department of Applied Health Science, School of Public Health–Bloomington, Indiana University, Bloomington, Indiana
| | - Dominic J. Parrott
- Center for Research on Interpersonal Violence, Georgia State University, Atlanta, Georgia
- Department of Psychology, Georgia State University, Atlanta, Georgia
| | - Lindsay S. Ham
- Department of Psychological Sciences, University of Arkansas, Fayetteville, Arkansas
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Rosenberg M, Kianersi S, Luetke M, Jozkowski K, Guerra-Reyes L, Shih PC, Finn P, Ludema C. Wearable alcohol monitors for alcohol use data collection among college students: Feasibility and acceptability. Alcohol 2023; 111:75-83. [PMID: 37295566 PMCID: PMC10527594 DOI: 10.1016/j.alcohol.2023.05.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2021] [Revised: 05/17/2023] [Accepted: 05/31/2023] [Indexed: 06/12/2023]
Abstract
OBJECTIVE We assessed the feasibility and acceptability of using BACtrack Skyn wearable alcohol monitors for alcohol research in a college student population. METHODS We enrolled n = 5 (Sample 1) and n = 84 (Sample 2) Indiana University undergraduate students to wear BACtrack Skyn devices continuously over a 5-day to 7-day study period. We assessed feasibility in both samples by calculating compliance with study procedures, and by analyzing amount and distributions of device output [e.g., transdermal alcohol content (TAC), temperature, motion]. In Sample 1, we assessed feasibility and acceptability with the Feasibility of Intervention Measure (FIM) scale and the Acceptability of Intervention Measure (AIM) scale. RESULTS All participants were able to successfully use the alcohol monitors, producing a total of 11,504 h of TAC data. TAC data were produced on 567 days of the 602 total possible days of data collection. The distribution of the TAC data showed between-person variation, as would be expected with between-person differences in drinking patterns. Temperature and motion data were also produced as expected. Sample 1 participants (n = 5) reported high feasibility and acceptability of the wearable alcohol monitors in survey responses with a mean FIM score of 4.3 (of 5.0 possible score) and mean AIM score of 4.3 (of 5.0 possible score). CONCLUSIONS The high feasibility and acceptability we observed underscore the promise of using BACtrack Skyn wearable alcohol monitors to improve our understanding of alcohol consumption among college students, a population at particularly high risk for alcohol-related harms.
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Affiliation(s)
- Molly Rosenberg
- Department of Epidemiology and Biostatistics, Indiana University School of Public Health-Bloomington, Bloomington, IN, United States.
| | - Sina Kianersi
- Department of Epidemiology and Biostatistics, Indiana University School of Public Health-Bloomington, Bloomington, IN, United States
| | - Maya Luetke
- Department of Epidemiology and Biostatistics, Indiana University School of Public Health-Bloomington, Bloomington, IN, United States; University of Minnesota Institute for Social Research and Data Innovation, Minneapolis, MN, United States
| | - Kristen Jozkowski
- Department of Applied Health Science, Indiana University School of Public Health-Bloomington, Bloomington, IN, United States
| | - Lucia Guerra-Reyes
- Department of Applied Health Science, Indiana University School of Public Health-Bloomington, Bloomington, IN, United States
| | - Patrick C Shih
- Department of Informatics, Luddy School of Informatics, Computing, and Engineering, Indiana University-Bloomington, Bloomington, IN, United States
| | - Peter Finn
- Department of Psychological and Brain Sciences, Indiana University-Bloomington, Bloomington, IN, United States
| | - Christina Ludema
- Department of Epidemiology and Biostatistics, Indiana University School of Public Health-Bloomington, Bloomington, IN, United States
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Lee KA, Smith ME, Bright CL. Alcohol Use and Physical Intimate Partner Violence Perpetration Among Black Men: The Moderating Effect of Interpersonal Social Support. JOURNAL OF INTERPERSONAL VIOLENCE 2023; 38:8542-8562. [PMID: 36866577 DOI: 10.1177/08862605231156252] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
Studies have consistently shown an association between alcohol use in adulthood and intimate partner violence (IPV) perpetration. Yet, no known studies have examined this relationship when considering social support as a potential moderator with a sample of Black men. To address this gap in knowledge, we examined the moderating role of interpersonal social support on alcohol use in adulthood and physical IPV perpetration among Black men. Data for 1,127 Black men were obtained from the National Epidemiologic Survey of Alcohol and Related Condition (NESARC, Wave 2). Descriptive and logistic regression models were run with weighted data using STATA 16.0. Results from logistic regression analyses revealed that alcohol use in adulthood significantly predicted IPV perpetration (odds ratio [OR] = 1.18, p < .001). Interpersonal social support significantly moderated (OR = 1.01, p = .002) the relationship between alcohol use and IPV perpetration among Black men. Additionally, age, income, and perceived stress were significantly associated with IPV perpetration among Black men. Our study findings highlight the role of alcohol use and social support in exacerbating IPV perpetration among Black men, and the need for culturally responsive interventions to address these public health concerns throughout the life course.
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Biesen JN, Orban D, Ford T, Lentsch J, Balch T, Frost M, Fink BC. Contributions of Demand/Withdraw Processes and Alcohol Consumption on Emotional Flooding in Distressed Violent versus Distressed Non-Violent Couples. JOURNAL OF FAMILY VIOLENCE 2023; 38:869-882. [PMID: 37547628 PMCID: PMC10403252 DOI: 10.1007/s10896-022-00419-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 05/18/2022] [Indexed: 08/08/2023]
Abstract
Purpose Although alcohol-related intimate partner violence (IPV) is a serious public health problem, the mechanisms underlying this association are poorly understood. For instance, prior research has shown differences in distressed violent (DV) and distressed nonviolent (DNV) couples' demand/withdraw communication and the extent to which they become emotionally flooded (i.e., physiologically aroused) in response to conflict. Additionally, alcohol use is associated with increased demand/withdraw communication, IPV, and emotional flooding. Therefore, the present study sought to clarify the association between demand/withdraw communication and emotional flooding among relationally couples who use alcohol and who do and do not experience IPV. Methods Relationally distressed couples (Mage =30.1 years) reported on their physical aggression, demand/withdraw communication, emotional flooding, and total number of drinks during the past six months. Couples were denoted as DV (N = 58) if at least one partner reported IPV and DNV (N = 29) if neither partner reported IPV. Actor-partner interdependence modeling was used to test whether couple type (DV versus DNV) moderates the link between demand/withdraw behavior and emotional flooding. Results With one exception, alcohol use was unrelated to any of the processes under investigation in the current study. Moreover, men's and women's report of a woman-demand/man-withdraw pattern and man-demand/woman-withdraw pattern, respectively, were positively associated with each partner's own emotional flooding. Couple type (DV vs DNV) did not moderate these associations. Conclusions The present results highlight the need for sensitive measures that can capture the nuanced processes that underlie IPV in couples who use alcohol.
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Affiliation(s)
- Judith N. Biesen
- University of New Mexico, Department of Psychiatry and Behavioral Sciences
| | - Daniel Orban
- University of New Mexico, Department of Psychology
| | - Tia Ford
- University of New Mexico, Department of Psychology
| | | | | | - Madeleine Frost
- University of New Mexico, Department of Psychiatry and Behavioral Sciences
| | - Brandi C. Fink
- University of Oklahoma Health Sciences Center, Department of Psychiatry and Behavioral Sciences
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Colton KC, Godleski SA, Baschnagel JS, Houston RJ, DeHarder SM. Alcohol use during the COVID-19 pandemic: gender, parenthood, intimate partner violence, and stress. AIMS Public Health 2023; 10:360-377. [PMID: 37304583 PMCID: PMC10251053 DOI: 10.3934/publichealth.2023027] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/18/2022] [Revised: 03/18/2023] [Accepted: 04/16/2023] [Indexed: 06/13/2023] Open
Abstract
Some preliminary work during the COVID-19 pandemic indicates that adult alcohol use increased, particularly for parents. This cross-sectional study examined the quantity and frequency of adults' alcohol use during the early stages of the pandemic. Additionally, the influences of gender, parenthood, COVID-19-related stressors and intimate partner violence (IPV) on alcohol consumption were examined. The sample consisted of 298 adults (98 parents) from across the United States who completed self-report surveys through Qualtrics at the beginning of the pandemic in May 2020. In the present study, all men reported higher levels of drinking compared to all women. Although stress levels did not impact alcohol consumption, findings indicate that increased IPV experiences were associated with higher levels of heavy drinking during the pandemic. Results also suggested that having children in the home particularly impacted drinking levels during the pandemic, above and beyond the influence of gender, IPV, and stress levels. These findings suggest that parenthood may have had a cascading influence on drinking experiences during the COVID-19 pandemic. Implications and recommendations for further research are discussed.
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Expósito-Álvarez C, Santirso FA, Gilchrist G, Gracia E, Lila M. Participants in Court-mandated Intervention Programs for Intimate Partner Violence Perpetrators with Substance Use Problems: A Systematic Review of Specific Risk Factors. INTERVENCION PSICOSOCIAL 2023; 32:89-108. [PMID: 37383646 PMCID: PMC10294470 DOI: 10.5093/pi2023a7] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/14/2022] [Accepted: 03/30/2023] [Indexed: 06/30/2023]
Abstract
Men with alcohol and/or other drug use problems (ADUPs) court-mandated to attend intervention programs for intimate partner violence (IPV) perpetrators have been identified as a high-risk, highly resistant group of IPV perpetrators, as they present lower treatment adherence and higher dropout and recidivism rates. Previous research suggests that IPV perpetrators with ADUPs may require tailored interventions to address their specific risk factors. The present systematic review was conducted using PRISMA guidelines to identify the specific risk factors in men with and without ADUPs on entry to court-mandated perpetrator programs. The following databases were searched from inception to November 2021: Web of Science, PsycINFO, and Scopus. There was a screening of 3,995 records, and 29 quantitative studies were included in the review. Risk factors present in males court-mandated to perpetrator programs were grouped into four categories: sociodemographic risk factors, personality disorders and psychological adjustment, social-relational risk factors, and risk factors related to attitudes towards women. Results indicated that the main risk factors in IPV perpetrators with ADUPs, compared to those without, were higher clinical symptomatology (e.g., anger and impulsivity), personality disorders, poorer executive functions, having experienced more stressful life events, higher exposure to childhood trauma, lower intimate social support, and higher responsibility attributed to the offenders' personal context. These results contribute to a deeper understanding of the complex phenomenon of IPV and ADUPs, and could help to inform key targets for perpetrator programs that may improve the well-being of their (ex)partners and increase the effectiveness of intervention programs for IPV perpetrators.
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Affiliation(s)
- Cristina Expósito-Álvarez
- University of ValenciaDepartment of Social PsychologyValenciaSpainDepartment of Social Psychology, University of Valencia, Spain
| | - Faraj A. Santirso
- University of ValenciaDepartment of Social PsychologyValenciaSpainDepartment of Social Psychology, University of Valencia, Spain
| | - Gail Gilchrist
- National Addiction CentreInstitute of Psychiatry, Psychology and NeuroscienceKing’s College LondonLondonUKNational Addiction Centre, Institute of Psychiatry, Psychology and Neuroscience, King’s College London, UK
| | - Enrique Gracia
- University of ValenciaDepartment of Social PsychologyValenciaSpainDepartment of Social Psychology, University of Valencia, Spain
| | - Marisol Lila
- University of ValenciaDepartment of Social PsychologyValenciaSpainDepartment of Social Psychology, University of Valencia, Spain
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Bourey C, Heise L, Tol WA, Greene MC. Partner Alcohol Use and Attitudes Toward Intimate Partner Violence: Independent and Synergistic Effects on Intimate Partner Violence Across 19 Low- and Middle-Income Countries. JOURNAL OF INTERPERSONAL VIOLENCE 2023; 38:6500-6522. [PMID: 36342211 DOI: 10.1177/08862605221134645] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/14/2023]
Abstract
Although partner alcohol use and acceptance of intimate partner violence against women (IPVAW) are critical determinants of IPVAW, little is known about their interaction. We explored how partner alcohol use and attitudes toward IPVAW act independently and jointly at the individual and community levels to influence women's reports of experiencing IPVAW across low- and middle-income countries. We conducted secondary analyses using a pooled sample of reproductive-aged women (n = 166,621) from 19 Demographic and Health Survey datasets. We fit a series of a priori-defined mixed-effects logistic regression models of the total effects, within- and between-community effects, and contextual effects of past-year IPVAW on partner alcohol use, acceptance of IPVAW, and their multiplicative interaction. We then fit a series of models stratified by community alcohol use and acceptance of IPVAW. Partner alcohol use (odds ratio [OR] = 3.20; 95% confidence interval [CI]: [3.07, 3.33]) and women's acceptance of IPVAW (OR = 1.83; 95% CI: [1.76, 1.89]) were consistently associated with increased odds of experiencing IPVAW. Sub-multiplicative interactions were present for within-community effects (ratio of OR = 0.86; 95% CI: [0.79, 0.94]), whereas supra-multiplicative interactions were present for between-community effects (ratio of OR = 1.002; 95% CI: [1.0002, 1.005]) and contextual effects (ratio of OR = 1.003; 95% CI: [1.0007, 1.005]). The odds of IPVAW associated with partner alcohol use was greatet in communities with lower partner alcohol prevalence and lower acceptance of IPVAW. It is important to consider norms and attitudes toward IPVAW alongside alcohol use when understanding epidemiological patterns of IPVAW and potential opportunities for preventive programs and policymaking. Future studies should focus on the complex interactions, at multiple social levels, between interacting risk factors for IPVAW.
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Affiliation(s)
- Christine Bourey
- Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
| | - Lori Heise
- Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
| | - Wietse A Tol
- University of Copenhagen, Copenhagen, Denmark
- Athena Institute, Vrije Universiteit Amsterdam, the Netherlands
- Arq International, Diemen, the Netherlands
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15
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Watkins LE, Patton SC, DiLillo D. A Laboratory Test of Alcohol-Related Intimate Partner Aggression: Expectancies Are Not to Blame. Subst Use Misuse 2023; 58:851-857. [PMID: 37014026 PMCID: PMC10440759 DOI: 10.1080/10826084.2023.2188422] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 04/05/2023]
Abstract
Background: The role of alcohol expectancies and evaluations (i.e., perceived outcomes of drinking and whether these outcomes are desirable) in alcohol-related intimate partner aggression (IPA) has been debated, with some researchers arguing that expectancies fully account for the alcohol-IPA relationship and others suggesting they play a minimal if any role in alcohol-related IPA. In the current study, we examine the impact of expectancies and evaluations on alcohol-related IPA observed in the lab, in order to clarify what impact, if any, alcohol expectancies have on alcohol-related IPA. Consistent with findings from laboratory studies examining general aggression, we expected that individuals who were intoxicated would display greater IPA than individuals who were sober, but that alcohol expectancies and evaluations would be unrelated to in vivo IPA. Method: Participants were 69 dating couples (total N = 138), randomly assigned to consume either an alcohol or placebo beverage. IPA was measured with an in vivo aggression task based on the Taylor Aggression Paradigm. Results: As expected, alcohol intoxication predicted in vivo IPA following provocation (p < .03), whereas alcohol expectancies and evaluations were not related to IPA. Conclusions: These findings provide further support that alcohol expectancies and evaluations play little if any role in alcohol-related IPA. Rather, intoxication likely increases risk for IPA through its physiological effects on perception and thought. Further, treatments targeting alcohol use, rather than beliefs about outcomes of drinking, may have a greater impact on alcohol-related IPA.
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Affiliation(s)
- Laura E. Watkins
- Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, 12 Executive Park, 3 Floor, Atlanta, GA, 30329
| | - Samantha C. Patton
- Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, 12 Executive Park, 3 Floor, Atlanta, GA, 30329
| | - David DiLillo
- Department of Psychology, Burnett Hall, University of Nebraska-Lincoln, Lincoln, NE, 68588
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Hörauf JA, Franz JN, Zabel J, Hartmann F, Störmann P, Marzi I, Janko M, Verboket RD. Saturday Night Fever: Interpersonal Violence as a Reason for Presentation in a University Emergency Department. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:4552. [PMID: 36901561 PMCID: PMC10001752 DOI: 10.3390/ijerph20054552] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 01/24/2023] [Revised: 02/25/2023] [Accepted: 03/02/2023] [Indexed: 06/18/2023]
Abstract
(1) Presentations to a trauma emergency department following a violent confrontation account for a relevant proportion of the overall population. To date, violence (against women) in the domestic setting has been studied in particular. However, representative demographic and preclinical/clinical data outside of this specific subgroup on interpersonal violence are limited; (2) Patient admission records were searched for the occurrence of violent acts between 1 January and 31 December 2019. A total of 290 patients out of over 9000 patients were retrospectively included in the "violence group" (VG). A "typical" traumatologic cohort (presentation due to, among other things, sport-related trauma, falls, or traffic accidents) who had presented during the same period served as comparison group. Then, differences in the type of presentation (pedestrian, ambulance, or trauma room), time of presentation (day of week, time of day), diagnostic (imaging) and therapeutic (wound care, surgery, inpatient admission) measures performed, and discharge diagnosis were examined; (3) A large proportion of the VG were male, and half of the patients were under the influence of alcohol. Significantly more patients in the VG presented via the ambulance service or trauma room and during the weekend and the night. Computed tomography was performed significantly more often in the VG. Surgical wound care in the VG was required significantly more often, with injuries to the head being the most common; (4) The VG represents a relevant cost factor for the healthcare system. Because of the frequent head injuries with concomitant alcohol intoxication, all mental status abnormalities should be attributed to brain injury rather than alcohol intoxication until proven otherwise, to ensure the best possible clinical outcome.
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Affiliation(s)
- Jason-Alexander Hörauf
- Department of Trauma, Hand and Reconstructive Surgery, Hospital of the Johann Wolfgang Goethe-University Frankfurt am Main, 60590 Frankfurt, Germany
| | - Jan-Niklas Franz
- Department of Trauma, Hand and Reconstructive Surgery, Hospital of the Johann Wolfgang Goethe-University Frankfurt am Main, 60590 Frankfurt, Germany
| | - Julian Zabel
- Department of Trauma, Hand and Reconstructive Surgery, Hospital of the Johann Wolfgang Goethe-University Frankfurt am Main, 60590 Frankfurt, Germany
| | - Frederik Hartmann
- Department of Trauma, Hand and Reconstructive Surgery, Hospital of the Johann Wolfgang Goethe-University Frankfurt am Main, 60590 Frankfurt, Germany
| | - Philipp Störmann
- Department of Trauma, Hand and Reconstructive Surgery, Hospital of the Johann Wolfgang Goethe-University Frankfurt am Main, 60590 Frankfurt, Germany
| | - Ingo Marzi
- Department of Trauma, Hand and Reconstructive Surgery, Hospital of the Johann Wolfgang Goethe-University Frankfurt am Main, 60590 Frankfurt, Germany
| | - Maren Janko
- Department of Trauma, Hand and Reconstructive Surgery, Hospital of the Johann Wolfgang Goethe-University Frankfurt am Main, 60590 Frankfurt, Germany
| | - René D Verboket
- Department of Trauma, Hand and Reconstructive Surgery, Hospital of the Johann Wolfgang Goethe-University Frankfurt am Main, 60590 Frankfurt, Germany
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17
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Guy AA, Surace A, Zelaya DG, Flynn R, Opalo C, Keuroghlian AS, Mayer KH, Monti PM, Kahler CW. Transgender and gender diverse adults' reflections on alcohol counseling and recommendations for providers. THE AMERICAN JOURNAL OF ORTHOPSYCHIATRY 2023; 93:166-175. [PMID: 36745080 PMCID: PMC10037948 DOI: 10.1037/ort0000663] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/18/2023]
Abstract
Transgender and gender diverse (TGD) populations experience health disparities due to societal stigma that increases TGD individuals' sources of stress and decreases access to health protective resources. Research has linked experiences of stigma to risky alcohol use, yet there remains a dearth of culturally sensitive alcohol use interventions that meet the needs of TGD people. The present study was conducted to inform modifications to the content and delivery of an existing brief, telehealth, motivational intervention to decrease at-risk alcohol use among TGD adults. Individual semi-structured in-depth qualitative interviews were conducted with TGD adults who reported recent alcohol use (n = 18) to explore factors that facilitate positive interactions with health care providers and identify relevant information for alcohol use disorder treatment. Participants were recruited from an LGBTQ +-focused health center in Los Angeles, California. Two major themes and recommendations emerged: (a) A multicultural orientation of humility is important to develop productive therapeutic relationships with TGD clients when delivering motivational interviewing; (b) Due to insufficient appropriate data on alcohol use and health in TGD populations, feedback used in motivational alcohol counseling needs to be modified to better serve TGD clients. These findings show that counselors' philosophy and behavior, as well as session content, need to be considered when working with TGD populations within the context of alcohol counseling. These findings also have implications for intervention development, clinical treatment, and future research. (PsycInfo Database Record (c) 2023 APA, all rights reserved).
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Affiliation(s)
- Arryn A. Guy
- Alcohol Research Center on HIV, Center for Alcohol and Addiction Studies, Brown University School of Public Health
- Department of Psychiatry and Human Behavior, Alpert Medical School at Brown University
- Department of Behavioral and Social Sciences, Brown University School of Public Health
| | - Anthony Surace
- Department of Behavioral and Social Sciences, Brown University School of Public Health
| | - David G. Zelaya
- Alcohol Research Center on HIV, Center for Alcohol and Addiction Studies, Brown University School of Public Health
- Department of Behavioral and Social Sciences, Brown University School of Public Health
- Harvard Medical School
| | | | | | | | - Kenneth H. Mayer
- Harvard Medical School
- The Fenway Institute, Fenway Health
- Beth Israel Deaconess Medical Center
| | - Peter M. Monti
- Alcohol Research Center on HIV, Center for Alcohol and Addiction Studies, Brown University School of Public Health
- Department of Behavioral and Social Sciences, Brown University School of Public Health
| | - Christopher W. Kahler
- Alcohol Research Center on HIV, Center for Alcohol and Addiction Studies, Brown University School of Public Health
- Department of Behavioral and Social Sciences, Brown University School of Public Health
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18
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Derrick JL, Testa M, Wang W, Leonard KE. Elixir of love or venom of violence: When does a drinking event result in couple intimacy or couple conflict? Addict Behav 2023; 136:107488. [PMID: 36088786 PMCID: PMC10187977 DOI: 10.1016/j.addbeh.2022.107488] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2022] [Revised: 08/29/2022] [Accepted: 08/31/2022] [Indexed: 02/03/2023]
Abstract
The short-term consequences of drinking events may be positive or negative. Most studies have considered only one outcome, but people may experience different alcohol outcomes on different occasions, depending on the circumstances. The present study sought to identify predictors of drinking events that resulted in couple intimacy, conflict, or neither outcome using existing data from a 30-day ecological momentary assessment (EMA) study. Participants were a community sample of partnered, moderately drinking adults with a recent history of verbal or physical partner aggression (N = 249 couples). They provided reports of drinking events, intimacy and conflict events, and ratings of relationship harmony and discord in three randomly signaled reports each day. Mixed-effects multinomial analyses were used to compare predictors of drinking events that, within three hours, resulted in intimacy, conflict, or neither outcome. Consistent with previous research, characteristics of the drinker (individual tendencies to experience intimacy or conflict) and characteristics of the drinking event (alcohol quantity, drinking companions) both predicted drinking outcomes. Moreover, the pre-drinking relationship context predicted post-drinking relationship outcomes, consistent with the idea that alcohol focuses attention on salient contextual cues. Specifically, greater pre-drinking relationship harmony predicted greater likelihood of experiencing intimacy after drinking, whereas greater pre-drinking relationship discord predicted greater likelihood of experiencing conflict after drinking. In summary, characteristics of the drinker, the drinking event, and the pre-drinking relationship context contribute to the likelihood that a given drinking event will have short-term positive or negative relationship outcomes.
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Affiliation(s)
| | - Maria Testa
- University at Buffalo, The State University of New York, United States
| | - Weijun Wang
- University at Buffalo, The State University of New York, United States
| | - Kenneth E Leonard
- University at Buffalo, The State University of New York, United States
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19
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Parrott DJ, Leone RM, Schipani-McLaughlin AM, Salazar LF, Nizam Z, Gilmore A. Alcohol-Related Sexual Violence Perpetration Toward Sexual and Gender Minority Populations: A Critical Review and Call to Action. NEBRASKA SYMPOSIUM ON MOTIVATION 2023. [DOI: 10.1007/978-3-031-24426-1_5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 03/28/2023]
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20
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Leone RM, Marcantonio T, Haikalis M, Schipani-McLaughlin AM. Barriers to addressing alcohol use in college sexual assault prevention: Where we stand and future steps. CURRENT ADDICTION REPORTS 2022; 9:420-431. [PMID: 36643958 PMCID: PMC9836028 DOI: 10.1007/s40429-022-00455-2] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/31/2022] [Indexed: 11/11/2022]
Abstract
Purpose of Review The aims of this paper are two-fold. First, we review the current evidence on sexual assault prevention programming that also targets alcohol. Second, we identify barriers to including alcohol use in sexual assault programs and provide recommendations to overcome these barriers. Recent Findings We identified six sexual assault programs that also include alcohol use content, four of which have yet to be rigorously evaluated. To further refine sexual assault prevention efforts, we identified four barriers that need to be overcome including: (1) alcohol and sexual assault prevent efforts are currently siloed, (2) fear of victim blaming when integrating alcohol into programs for women, (3) a lack of evidence on how alcohol impacts bystanders, and (4) uncertainty about how to include content related to alcohol and sexual consent communicated. Summary Researchers and preventionists with expertise in alcohol and/or sexual assault prevention need to work together with stakeholders and students on college campuses to overcome these barriers and address a key correlate of sexual assault.
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Affiliation(s)
- Ruschelle M. Leone
- Department of Health Policy and Behavioral Sciences, School of Public Health, Georgia State University
| | - Tiffany Marcantonio
- Department of Health Science, College of Human Environmental Sciences, University of Alabama
- Kinsey Institute for Research in Sex, Gender, and Reproduction, Indiana University
| | - Michelle Haikalis
- Department of Behavioral and Social Sciences, Brown University School of Public Health
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21
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Mersky J, Plummer Lee C, Janczewski C. Adverse adult experiences and health outcomes: Racial and ethnic differences in a low-income sample. Stress Health 2022. [PMID: 36427247 DOI: 10.1002/smi.3212] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/19/2022] [Revised: 11/12/2022] [Accepted: 11/18/2022] [Indexed: 11/27/2022]
Abstract
Extending research on adverse childhood experiences (ACEs), this study aimed to investigate whether the prevalence of and outcomes associated with adverse adult experiences vary among racial and ethnic subgroups. Survey data were collected from 1566 low-income women in Wisconsin using the Adult Experiences Survey (AES). Ten major adult adversities were assessed, including items that reference an intimate partner or household member (e.g., physical or emotional abuse, substance use) along with other social and economic stressors such as homelessness and discrimination. Adverse adult experiences were highly prevalent overall, but even more so among non-Hispanic Whites than their Black and Hispanic counterparts. The results reinforce prior research on ACEs in low-income populations. Lending further credence to these findings, tests of measurement invariance indicated that the AES demonstrated acceptable configural and scalar invariance across racial and ethnic groups. As expected, greater exposure to adult adversity was significantly related to poorer physical and mental health. These associations manifested cross-sectionally and longitudinally for observed and latent measures of adult adversity-even after controlling for ACEs. Associations between adult adversity and health were not moderated by race/ethnicity. In sum, adverse adult experiences were unequally distributed across racial/ethnic groups, but the consequences associated with adversity appeared to be evenly dispersed.
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Affiliation(s)
- Joshua Mersky
- Helen Bader School of Social Welfare, Institute for Child and Family Well-being, University of Wisconsin-Milwaukee, Milwaukee, Wisconsin, USA
| | - ChienTi Plummer Lee
- Helen Bader School of Social Welfare, Institute for Child and Family Well-being, University of Wisconsin-Milwaukee, Milwaukee, Wisconsin, USA
| | - Colleen Janczewski
- Helen Bader School of Social Welfare, Institute for Child and Family Well-being, University of Wisconsin-Milwaukee, Milwaukee, Wisconsin, USA
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22
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Feltmann K, Elgán TH, Böttcher M, Lierheimer S, Hermansson S, Beck O, Gripenberg J. Feasibility of using breath sampling of non-volatiles to estimate the prevalence of illicit drug use among nightlife attendees. Sci Rep 2022; 12:20283. [PMID: 36434044 PMCID: PMC9700783 DOI: 10.1038/s41598-022-24741-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2022] [Accepted: 11/18/2022] [Indexed: 11/27/2022] Open
Abstract
The prevalence of drug use among nightlife attendees needs to be accurately estimated to, for example, evaluate preventive interventions. This study tested the feasibility of using a breath-sampling device to estimate the prevalence of drug use among nightlife attendees. The study was conducted at five nightclubs and a large music festival in Stockholm, Sweden. Participants were invited to participate and microparticles in exhaled breath were sampled and analyzed for 47 compounds using a state-of-the-art analytic method that follows forensic standards. In addition, participants' breath alcohol concentration was measured and they were interviewed about demographics, drinking habits, and drug use. Of the people invited, 73.7% (n = 1223) agreed to participate, and breath samples were collected from 1204 participants. Breath sampling was fast and well-accepted by participants. 13 percent of participants tested positive for an illicit drug, but only 4.3% self-reported drug use during the last 48 h. The most common substances detected were cocaine, amphetamine, and MDMA. There was no agreement between self-reported and measured use of any drug. Breath sampling is a convenient method to test illicit drug use among a large number of participants at events, and can be used as an estimate of drug use prevalence.
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Affiliation(s)
- Kristin Feltmann
- STAD, Stockholm Prevents Alcohol and Drug Problems, Stockholm, Sweden ,grid.4714.60000 0004 1937 0626Centre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet & Stockholm Health Care Services, Region Stockholm, Norra Stationsgatan 69, plan 7, 11364 Stockholm, Sweden
| | - Tobias H. Elgán
- STAD, Stockholm Prevents Alcohol and Drug Problems, Stockholm, Sweden ,grid.4714.60000 0004 1937 0626Centre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet & Stockholm Health Care Services, Region Stockholm, Norra Stationsgatan 69, plan 7, 11364 Stockholm, Sweden
| | - Michael Böttcher
- MVZ Medizinische Labore Dessau Kassel GmbH, Dessau-Roßlau, Germany
| | | | | | - Olof Beck
- grid.4714.60000 0004 1937 0626Centre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet & Stockholm Health Care Services, Region Stockholm, Norra Stationsgatan 69, plan 7, 11364 Stockholm, Sweden
| | - Johanna Gripenberg
- STAD, Stockholm Prevents Alcohol and Drug Problems, Stockholm, Sweden ,grid.4714.60000 0004 1937 0626Centre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet & Stockholm Health Care Services, Region Stockholm, Norra Stationsgatan 69, plan 7, 11364 Stockholm, Sweden
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23
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Horn TL, Whelan JP, Weil GT. Does acute alcohol consumption increase risk-taking while gambling? A systematic review and meta-analysis. Addiction 2022; 117:2780-2790. [PMID: 35403754 DOI: 10.1111/add.15896] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/08/2021] [Accepted: 03/28/2022] [Indexed: 11/01/2022]
Abstract
AIMS To estimate the effect of acute alcohol consumption on risk-taking while gambling, examine blood alcohol concentration as a moderator and explore possible moderators of this effect. DESIGN, SETTING AND PARTICIPANTS A systematic review and meta-analysis was completed. A Boolean search strategy was used to identify studies that included (a) alcohol consumption as an independent variable; (b) a gambling or risk-taking task; (c) a control or placebo comparison; (d) human participants; and (e) English publications. Descriptive information, sample characteristics and experimental data were extracted from each study. Searched databases included: PsycINFO, Web of Science, Medline, Cochrane Library and ProQuest Dissertations and Theses. Included as participants were experiments that compared the effects of alcohol and non-alcoholic or placebo beverages on risk-taking while gambling. MEASUREMENT Comprehensive Meta-Analysis version 3.3.070 was used. Standardized mean differences of risk-taking while gambling between the experimental and control conditions were calculated when studies did not report effect sizes. Random-effects models were used for overall effect and meta-regressions while mixed-effects models were used for subgroup analyses. FINDINGS Twenty articles containing 47 alcohol versus control comparisons met inclusion criteria. The overall Hedges'g for the difference between groups consuming alcohol and groups consuming a placebo or non-alcoholic drink control was 0.03, 95% confidence interval (CI) = -0.07, 0.12, p = 0.60, indicating no significant difference. Larger effect sizes were found for studies using non-alcoholic control drinks (Hedges' g = 0.30, 95% CI = 0.01, 0.58) compared to placebo beverages (Hedges' g = -0.03, 95% CI = -0.13, 0.06), Cochran's Q = 4.67, p = 0.03. CONCLUSIONS Finding that acute alcohol consumption had no reliable effect on risk-taking while gambling was consistent with existing animal research. No support was found for the relation between alcohol dose and risk-taking. The significantly larger effect size for experiments using non-alcoholic versus placebo beverages suggests the potential role of expectancy effects.
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The effect of alcohol consumption on workplace aggression: What's love (and job insecurity) got to do with it? JOURNAL OF MANAGERIAL PSYCHOLOGY 2022. [DOI: 10.1108/jmp-09-2021-0513] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
PurposeThe authors tested whether the effect of alcohol consumption during work hours on workplace aggression was influenced by the combined impact of individuals' job insecurity and love of the job.Design/methodology/approachThe authors employed a time-lagged design whereby 325 working adults (166 men; 159 women) provided data at two time points. Respondents were asked to report their typical alcohol consumption volume in a workday, the extent to which they loved their job, and how insecure they felt about their job. Approximately one week later, respondents completed a workplace aggression measure.FindingsA substantial positive relationship was observed between the volume of alcohol consumed during work hours and the likelihood of aggressive acts. Beyond this preliminary finding, the authors found evidence for a three-way interaction. It appears that the fear of losing a beloved job creates a condition under which the drinking-aggression relationship is particularly strong.Practical implicationsBesides formal rules deterring alcohol consumption during work hours, managers may look to implement measures that nurture a sense of job love and job security, which can be beneficial in preventing aggression resulting from drinking in the workplace.Originality/valueBy examining alcohol consumption during a typical workday, the study captures the contextual and proximal effects of drinking, which are often not observed in workplace-focused studies that operationalize alcohol consumption in general terms. The findings also suggest that if employees who drink during work hours are afraid of losing the job they love, a particularly stressful situation is created in which workplace aggression is more likely to happen.
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25
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Lee KA, Bright CL, Sacco P, Smith ME. The Influence of Adverse Childhood Experiences on Perpetration of Intimate Partner Violence Among Black Men: The Moderating Role of Alcohol Use. JOURNAL OF INTERPERSONAL VIOLENCE 2022; 37:NP17248-NP17275. [PMID: 34192964 DOI: 10.1177/08862605211027997] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Abstract
This study examined the moderating role of alcohol use on the association between adverse childhood experiences (ACEs) and intimate partner violence (IPV) perpetration among Black men in the United States. We conducted bivariate and logistic regression analyses using data from Wave 2 of the National Epidemiologic Survey of Alcohol and Related Conditions (NESARC). Bivariate results revealed significant relationships between eight of the 10 ACE factors physical neglect; emotional, physical and sexual abuse; witnessing a mother being abused; and having a parent guardian with an alcohol and drug problem and who was incarcerated and IPV perpetration. Similarly, examination of the relationship between ACEs and alcohol use in adulthood also revealed significant associations, with the exception of exposure to emotional neglect, emotional and sexual abuse, and witnessing a mother being abused. Findings from the logistic regression models revealed that alcohol use significantly moderated the relationship between ACEs and IPV perpetration, but only for men exposed to 1, 2, and ≥4 adversities in childhood. However, alcohol use appeared to exacerbate the relationship between ACEs and IPV perpetration for men without childhood adversity. Implications for practice, policy, and areas for further research are discussed.
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Affiliation(s)
- Kerry A Lee
- University of Maryland, College Park, MD, USA
| | | | - Paul Sacco
- University of Maryland, Baltimore, MD, USA
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Dagenhardt DMR, Mersky J, Topitzes JD, Schubert E, Krushas AE. Assessing Polyvictimization in a Family Justice Center: Lessons Learned From a Demonstration Project. JOURNAL OF INTERPERSONAL VIOLENCE 2022; 37:NP17276-NP17299. [PMID: 34215168 DOI: 10.1177/08862605211027998] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Abstract
There is a growing interest in developing comprehensive assessments that measure intimate partner violence (IPV) alongside other adverse events that correlate with IPV and compound its effects. One promising line of research in this area has focused on the impact of exposure to multiple types of victimization, i.e., polyvictimization. The purpose of this study is to examine the experience of administration of a polyvictimization tool from staff and client perspectives in order to inform future tool developments and assessment procedures. Qualitative interviews and focus groups with clients and staff from a family justice center who had experience with the assessment tool were used to identify strengths and challenges of the assessment too and inform future tool development. Findings demonstrate that an assessment tool provides the space for clients to talk about trauma and facilitate empowerment, while providing the opportunity for psychoeducation and service referrals. Concerns about the assessment tool included adverse reactions without proper framing and language, as well as shifting the emphasis from screening for adversities toward strengths, coping skills, and resilience. Implications for future measurement development and establishing best practices in polyvictimization assessment are discussed, with an emphasis on the benefits of social service agencies utilizing assessment tools.
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Flanagan JC, Nietert PJ, Sippel L, Jarnecke AM, Kirby C, Hogan JN, Massa AA, Brower J, Back SE, Parrott D. A randomized controlled trial examining the effects of intranasal oxytocin on alcohol craving and intimate partner aggression among couples. J Psychiatr Res 2022; 152:14-24. [PMID: 35709548 PMCID: PMC9308670 DOI: 10.1016/j.jpsychires.2022.06.011] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/17/2022] [Revised: 06/01/2022] [Accepted: 06/06/2022] [Indexed: 11/17/2022]
Abstract
BACKGROUND While alcohol use disorder (AUD) is a well-established risk factor for intimate partner aggression (IPA), effective treatments for co-occurring AUD and IPA (AUD/IPA) are lacking. Oxytocin is one promising pharmacological candidate for AUD/IPA given its potential to modulate social behavior and attenuate alcohol use. However, emerging data suggests that oxytocin's prosocial effects are inconsistent, and a small number of studies have also found that oxytocin might have the potential to be aggressogenic. No studies have directly examined the impact of oxytocin on alcohol- or IPA-related outcomes in a dyadic context. METHODS The goal of this double-blind, randomized, and placebo-controlled trial was to examine the effects of a single dose of intranasal oxytocin (40 international units) on cue-induced alcohol craving, subjective aggression, laboratory task-based IPA, and cortisol reactivity in a sample of 100 couples (N = 200 individuals) with AUD and physical IPA in their current relationship. RESULTS There were no statistically significant differences between the oxytocin and placebo conditions for any of the primary outcomes. CONCLUSIONS Findings suggest that a single dose of intranasal oxytocin was not efficacious in mitigating alcohol craving or aggression in this sample. Although hypotheses were not supported, the findings provide important evidence that oxytocin was not aggressogenic in this high-risk sample. Future research investigating dispositional and contextual moderators of oxytocin response in addition to the therapeutic effects of more intensive oxytocin dosing or administration strategies on alcohol craving and aggression is warranted.
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Affiliation(s)
- Julianne C. Flanagan
- Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, South Carolina, USA,Ralph H. Johnson Veterans Affairs Medical Center, Charleston, South Carolina, USA
| | - Paul J. Nietert
- Department of Public Health Sciences, Medical University of South Carolina, Charleston, South Carolina, USA
| | - Lauren Sippel
- VA Northeast Program Evaluation Center, West Haven, CT, USA,Department of Psychiatry, Geisel School of Medicine at Dartmouth, Hanover, NH, USA,National Center for PTSD Evaluation Division, West Haven, CT, USA
| | - Amber M. Jarnecke
- Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, South Carolina, USA
| | - Charli Kirby
- Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, South Carolina, USA
| | - Jasara N. Hogan
- Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, South Carolina, USA
| | - Andrea A. Massa
- Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, South Carolina, USA,Ralph H. Johnson Veterans Affairs Medical Center, Charleston, South Carolina, USA
| | - Jessica Brower
- Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, South Carolina, USA
| | - Sudie E. Back
- Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, South Carolina, USA,Ralph H. Johnson Veterans Affairs Medical Center, Charleston, South Carolina, USA
| | - Dominic Parrott
- Department of Psychology, Georgia State University, Atlanta, Georgia, USA
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Kirwan M, Davis KC, Stappenbeck CA, George WH. The Roles of Emotion Regulation, Alcohol Consumption, and Women's Condom Request Style in Men's Coercive Condom Use Resistance Intentions. JOURNAL OF AGGRESSION, MALTREATMENT & TRAUMA 2022; 31:1187-1205. [PMID: 36686317 PMCID: PMC9857612 DOI: 10.1080/10926771.2022.2089862] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/20/2021] [Revised: 04/14/2022] [Accepted: 05/22/2022] [Indexed: 06/17/2023]
Abstract
Condom use resistance (CUR) remains a significant problem, and many men employ coercive CUR strategies to avoid using condoms with partners who do not consent to unprotected sex. To assess the decision-making process underlying men's coercive CUR, the present study administered alcohol to assess the effects of alcohol intoxication, condom request style, and emotion regulation (ER) strategies (i.e., cognitive reappraisal, expressive suppression) on intentions to use coercive CUR to have unprotected sex during a hypothetical sexual scenario. Sexually active, male social drinkers (N = 297) were randomly assigned to either consume alcohol or remain sober, and to project themselves into a hypothetical sexual scenario during which they received either indirect, direct, or insistent condom requests. Results showed that, although cognitive reappraisal had no relationship with coercive CUR or unprotected sex intentions, expressive suppression's relationship with intentions to have unprotected sex was mediated by coercive CUR and moderated by alcohol intoxication and condom request. Specifically, suppression was positively associated with coercive CUR among sober individuals who received an indirect condom request only. Such results suggest that sober men with suppressive tendencies may use coercive CUR to regulate negative emotions, such as frustration at not being able to have unprotected sex.
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Affiliation(s)
- Mitchell Kirwan
- Edson College of Nursing and Health Innovation, Arizona State University
| | - Kelly Cue Davis
- Edson College of Nursing and Health Innovation, Arizona State University
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Jones RM, Van Den Bree M, Zammit S, Taylor PJ. The Relationship Between the Big Five Personality Factors, Anger-hostility, and Alcohol and Violence in Men and Women: A Nationally Representative Cohort of 15,701 Young Adults. JOURNAL OF INTERPERSONAL VIOLENCE 2022; 37:NP8559-NP8581. [PMID: 33283620 DOI: 10.1177/0886260520978178] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
Alcohol consumption is known to have a disinhibiting effect and is associated with a higher likelihood of aggressive behavior, especially among men. People with certain personality traits maybe more likely to behave aggressively when intoxicated, and there may also be variation by gender. We aimed to investigate whether the reason why men and women with certain personality traits are more likely to engage in violence may be because of their alcohol use.The Big Five personality traits and anger-hostility, alcohol consumption, and violence were measured by questionnaire in 15,701 nationally representative participants in the United States. We tested the extent to which alcohol mediates the relationship between personality factors and violence in men and women.We found that agreeableness was inversely associated with violence in both genders. Alcohol mediated approximately 11% of the effect in males, but there was no evidence of an effect in females. Anger-hostility was associated with violence in both sexes, but alcohol mediated the effect only in males. We also found that Extraversion was associated with violence and alcohol use in males and females. Alcohol accounted for 15% of the effect of extraversion on violence in males and 29% in females.The mechanism by which personality traits relate to violence may be different in men and women. Agreeableness and anger-hostility underpin the relationship between alcohol and violence in men, but not in women. Reducing alcohol consumption in men with disagreeable and angry/hostile traits would have a small but significant effect in reducing violence, whereas in women, reducing alcohol consumption among the extraverted, would have a greater effect.
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Affiliation(s)
| | | | - Stanley Zammit
- Cardiff University, Cardiff, UK
- University of Bristol, UK
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30
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Attentes concernant l’instauration d’ateliers sur la sexualité en addictologie. SEXOLOGIES 2022. [DOI: 10.1016/j.sexol.2022.04.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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Vigil JM, Stith SS, Chanel T. Cannabis consumption and prosociality. Sci Rep 2022; 12:8352. [PMID: 35589766 PMCID: PMC9119984 DOI: 10.1038/s41598-022-12202-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2021] [Accepted: 04/21/2022] [Indexed: 11/27/2022] Open
Abstract
The existing literature largely focuses on health risks and other pharmacodynamics of using cannabis, with fewer investigations of other normative psychological effects from consumption among otherwise healthy people. We measured several basic constructs of social psychology corresponding to the concept of prosociality among 146 healthy young adults between 18 and 25 years (M = 18.9, SD = 1.4) with varying detectable levels of tetrahydrocannabinol (THC) in their urine, controlling for participant’s sex, age, ethnicity, and childhood socio-economic status. Compared to THC-free individuals, cannabis users scored higher than non-users on validated measures of Prosocial Behaviors (d = .34, p = .04), the Empathy Quotient (d = .36, p < .01), Moral Harmlessness (d = .76, p < .01) and Moral Fairness (d = .49, p < .01), but exhibited a lower sense of Ingroup Loyalty (d = .33, p = .04). Relative to THC-free, same-sex individuals, female cannabis users scored significantly higher on measurements of Aggression (ds = .65 and .57, ps < .05) and male users scored higher on the Agreeableness dimension of personality (d = .91, p < .01).. Linear associations were found between the recency of last cannabis usage and the Prosocial Behaviors, Empathy Quotient, Moral Harmlessness, Moral Fairness and Agreeableness personality scores (rs from − .24 to .38, ps < .05). The findings suggest cannabis usage is associated with an increased sense of prosociality and prioritization of humanitarian behaviors that declines with time following cannabis consumption. Further research should focus on heterogeneity in the effects of cannabis consumption across users.
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Affiliation(s)
| | - Sarah S Stith
- Department of Economics, University of New Mexico, Albuquerque, USA
| | - Tiphanie Chanel
- Department of Psychology, University of New Mexico, Albuquerque, USA
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Kaplan J, Goh LS. Physical Harm Reduction in Domestic Violence: Does Marijuana Make Assaults Safer? JOURNAL OF INTERPERSONAL VIOLENCE 2022; 37:NP5269-NP5293. [PMID: 32976030 DOI: 10.1177/0886260520961876] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
Studies on the effect of marijuana on domestic violence often suffer from endogeneity issues. To examine the effect of marijuana decriminalization and medical marijuana legalization on serious domestic assaults, we conducted a difference-in-differences analysis on a panel dataset on NIBRS-reported assaults in 24 states over the 12 years between 2005 and 2016. Assaults disaggregated according to situation and extent of injury were employed as dependent variables. We found that while the total number of assaults did not change, decriminalization reduced domestic assaults involving serious injuries by 18%. From a harm reduction perspective, these results suggest that while the extensive margin of violence did not change, the intensive margin measured by the seriousness of assaults were substantially affected by decriminalization. This result may be partially explained by reductions in offender alcohol intoxication and weapon-involved assault.
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Affiliation(s)
- Jacob Kaplan
- University of Pennsylvania, Philadelphia, PA, United States
| | - Li Sian Goh
- University of Pennsylvania, Philadelphia, PA, United States
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Lee KA, Bright CL, Betz G. Adverse Childhood Experiences (ACEs), Alcohol Use in Adulthood, and Intimate Partner Violence (IPV) Perpetration by Black Men: A Systematic Review. TRAUMA, VIOLENCE & ABUSE 2022; 23:372-389. [PMID: 32873225 DOI: 10.1177/1524838020953101] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
Intimate partner violence (IPV) is a serious social and public health problem in the United States. Adverse childhood experiences (ACEs) and alcohol use have been found to be associated with IPV perpetration; however, limited studies have examined the interrelationships of these variables among Black men. This is the first known study to systematically review and synthesize studies on the interrelationships of ACEs, alcohol use, and IPV perpetration among Black men. Comprehensive literature searches were conducted in PubMed and six EBSCOhost databases by a research librarian and two researchers. Twenty studies met inclusion criteria: empirical; available in English; included ACEs, alcohol use/substance abuse, and IPV perpetration variables in the analyses; and samples included Black/African American male IPV perpetrators aged ≥ 18 years. ACEs were found to be associated with IPV perpetration among Black men, but findings were mixed regarding the role of alcohol in relation to ACEs and IPV. Numerous ACE factors (1-6) were used across studies. However, findings regarding the co-occurrence of ACE factors are inconclusive because none of the studies examined the cumulative effects of exposure to more than one type of ACE on subsequent IPV perpetration. Implications for policy, practice, and research related to the interrelationships of ACEs, alcohol use, and IPV perpetration are provided. Future work is needed to better explicate the interrelationships among these constructs.
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Affiliation(s)
- Kerry A Lee
- School of Social Work, University of Maryland, Baltimore, MD, USA
- Human Development and Quantitative Methodology Department, University of Maryland, College Park, MD, USA
| | | | - Gail Betz
- Health Sciences and Human Services Library, University of Maryland, Baltimore, MD, USA
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Crane CA, Berbary C, Schlauch RC, Easton CJ. Online Crowdsourcing as a Quasi-Experimental Method for Collecting Data on the Perpetration of Alcohol-Related Partner Aggression. TRAUMA, VIOLENCE & ABUSE 2022; 23:331-341. [PMID: 32772813 DOI: 10.1177/1524838020946807] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
Cross-sectional survey, prospective, and experimental data have been evaluated to better understand the role of alcohol as a contributing cause of intimate partner aggression. Laboratory-based alcohol administration studies provide controlled data regarding causality, but the use of this methodology lacks ecological validity and has been hampered by rigorous procedural and financial demands. Online crowdsourcing is an emerging pseudoexperimental methodology with low costs, rapid data collection, access to diverse populations, greater ecological validity, and the potential to facilitate prolific research to supplement the chronic scarcity of experimental data. The current rapid review first summarizes prior methodological approaches to investigating the proximal influence of alcohol on partner aggression, then reviews prior crowdsourcing research in the disparate areas of alcohol and partner aggression, then describes aggression paradigms that may be readily adapted to online administration. We conclude by introducing recommendations for future quasi-experimental research investigating alcohol-related partner aggression research using the online crowdsourcing methodology. Initial evidence suggests that online crowdsourcing may yield appropriate samples and that existing paradigms may be adapted to rapidly, efficiently, and ethically supplement experimental alcohol-related partner aggression research.
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Affiliation(s)
- Cory A Crane
- Rochester Institute of Technology, Rochester, NY, USA
| | | | - Robert C Schlauch
- Department of Psychology, University of South Florida, Tampa, FL, USA
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35
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Treatment effectiveness for male intimate partner violence perpetrators depending on problematic alcohol use. Drug Alcohol Depend 2022; 232:109301. [PMID: 35032856 DOI: 10.1016/j.drugalcdep.2022.109301] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/25/2021] [Revised: 12/20/2021] [Accepted: 12/23/2021] [Indexed: 11/20/2022]
Abstract
BACKGROUND Problematic alcohol use (PAU) is highly correlated with intimate partner violence perpetration (IPV). However, when treatments for male IPV perpetrators that address alcohol consumption are evaluated, the results are varied. Therefore, the main goal of this study was to assess the differential long-term effectiveness of a standard individual treatment programme for male IPV perpetrators depending on the presence of PAU. METHODS The sample was composed of 641 male IPV perpetrators who completed a specialized individual treatment programme for gender violence perpetrators. All of the participants were followed for one year after treatment completion. RESULTS The effects of PAU on treatment success were evaluated by means of multiple logistic regression analyses. The full model was reliable (χ2 = 10.243; df = 3; p = .016), and overall, 88.8% of the predictions were accurate. The findings indicated that the probability of successful treatment does not depend on the presence of PAU. CONCLUSIONS The relationship between IPV perpetration and PAU is highly complex, and several underlying mechanisms should be further evaluated. Accordingly, interventions should not only screen for alcohol consumption but also for all individual characteristics that might necessitate tailored treatment.
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36
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Testa M, Wang W, Derrick JL. Effects of couple drinking events on short-term relationship harmony and discord: An ecological momentary assessment study. PSYCHOLOGY OF ADDICTIVE BEHAVIORS 2022; 36:54-66. [PMID: 33539107 PMCID: PMC8333256 DOI: 10.1037/adb0000703] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Abstract
OBJECTIVE Couples with concordant drinking patterns have higher relationship satisfaction and greater relationship stability over time. Emerging evidence suggests that episodes of drinking with one's intimate partner can have positive immediate consequences for relationship functioning, whereas drinking episodes without partner do not. The present ecological momentary assessment (EMA) study examined the impact of drinking with partner (DWP) and drinking without partner (DWOP) events on immediate and next-day self-reported relationship harmony and discord. METHOD Heterosexual, cohabiting community couples with congruent drinking patterns, ages 21-35 (N = 191), made three random reports each day for 30 days. Multilevel modeling was used to examine the impact of DWP and DWOP events on momentary relationship functioning, controlling for quantity of alcohol consumed and for functioning at the previous report. RESULTS As hypothesized, harmony increased immediately after DWP (but not after DWOP) compared with no drinking for men and women. There were no immediate effects of drinking on discord. There were also positive effects of DWP on next morning harmony, but these were specific to women's drinking reports. Women's DWP and DWOP predicted reduced next morning discord for men; however, men's and women's discord increased as women consumed more drinks the previous evening. CONCLUSIONS Findings suggest that concordant drinking couples may achieve immediate benefits for couple harmony from drinking together. Women's drinking seems to be more impactful than men's on next-day harmony and discord, with greater harmony following women's evening DWP but increased discord associated with heavier evening drinking by women. (PsycInfo Database Record (c) 2022 APA, all rights reserved).
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Affiliation(s)
- Maria Testa
- Department of Psychology and Clinical and Research Institute on Addictions, University at Buffalo, State University of New York
| | - Weijun Wang
- Department of Psychology and Clinical and Research Institute on Addictions, University at Buffalo, State University of New York
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37
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Juarros-Basterretxea J, Herrero J, Escoda-Menéndez P, Rodríguez-Díaz FJ. Cluster B Personality Traits and Psychological Intimate Partner Violence: Considering the Mediational Role of Alcohol. JOURNAL OF INTERPERSONAL VIOLENCE 2022; 37:NP1566-NP1587. [PMID: 32538293 DOI: 10.1177/0886260520922351] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
The study of intimate partner violence (IPV) has evolved into more complex and integrative models to better understand the explanatory mechanisms of IPV perpetration. Nevertheless, integrative models rarely permit an in-depth analysis of a large number of relevant variables, and more specific approximations are required as basis of them. In this sense, the individual approach is the most productive research line. From the individual perspective and using data from imprisoned male offenders, the present study aimed to analyze the potential mediating role of alcohol dependence in the association of Cluster B personality traits and psychological IPV. The sample included 196 male inmates of the Penitentiary Center of Villabona (Asturias, Spain). Structural equation modeling was used to test the hypothetical and alternative models. First, model results only showed an indirect effect of antisocial and borderline personalities mediated by alcohol dependence. Nevertheless, fitting of the model to the data was poor. Second, a fully saturated model was calculated, revealing a direct effect of histrionic personality on psychological IPV. Finally, an alternative model was tested adding to first model the direct effect of histrionic personality on psychological IPV. The fitting of the alternative model to the data was good. Antisocial and borderline personalities predicted psychological IPV when mediated by alcohol dependence, while histrionic personality had a direct effect on psychological IPV. Narcissistic personality did not affect psychological IPV. These results support the hypothesis regarding the use of alcohol as a coping mechanism in antisocial and borderline individuals, acting as a disinhibitory factor which increases the likelihood of psychological IPV occurrence. Contrary to previous research, a clear direct effect of histrionic personality and psychological IPV was obtained. This association can be explained by the necessity of attention of histrionic individuals and the type (psychological) of violence studied.
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Leone RM, Haikalis M, Parrott DJ, Tharp AT. A laboratory study of the effects of men's acute alcohol intoxication, perceptions of women's intoxication, and masculine gender role stress on the perpetration of sexual aggression. Alcohol Clin Exp Res 2022; 46:166-176. [PMID: 34825391 PMCID: PMC8799513 DOI: 10.1111/acer.14753] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2021] [Revised: 09/29/2021] [Accepted: 11/20/2021] [Indexed: 01/03/2023]
Abstract
BACKGROUND Although research has established an association between alcohol use and sexual assault, few studies have examined how characteristics of the perpetrator may influence sexual aggression depending upon whether alcohol is consumed by the perpetrator and/or the victim. This laboratory-based investigation was designed to disentangle the effects of individual differences in masculine gender role stress (MGRS) and the perpetration of sexual aggression as a function of (1) men's acute alcohol intoxication and (2) whether a woman was consuming alcohol or not. METHOD A community sample of 156 men participated in two laboratory sessions, during which they completed a self-report measure of MGRS (Session 1) and a modified version of the sexual imposition paradigm after consuming an alcoholic or non-alcoholic beverage (Session 2). In this paradigm, participants and a male friend were told that an ostensible female participant had consumed or not consumed alcohol. They were also told that she did not wish to view sexual content. Participants were then provided the opportunity to make the female confederate view a sexually or non-sexually explicit film. Sexual aggression was operationalized by selection of the sexually explicit film. RESULTS A hierarchical logistic regression showed that men higher in MGRS who were intoxicated were (1) more likely than sober men to select the sexually explicit film when the woman was intoxicated and (2) less likely than sober men to select the sexually explicit film when the woman was sober. CONCLUSIONS These findings suggest that the perpetration of sexual aggression is most likely among men with higher MGRS when there is concordance in drinking (i.e., when either the man and woman are both drinking or are both not drinking).
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Affiliation(s)
- Ruschelle M. Leone
- Department of Health Policy and Behavioral Sciences, School of Public Health, Georgia State University,Mark Chaffin Center for Healthy Development, School of Public Health, Georgia State University
| | - Michelle Haikalis
- Center for Alcohol and Addiction Studies, School of Public Health, Brown University
| | | | - Andra Teten Tharp
- Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine
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Hershow RB, Reyes HLMN, Ha TV, Chander G, Mai NVT, Sripaipan T, Dowdy DW, Latkin C, Hutton HE, Pettifor A, Maman S, Frangakis C, Go VF. Evaluating the effects of two alcohol reduction counseling interventions on intimate partner violence perpetration: secondary analysis of a three-arm randomized controlled trial among Vietnamese men with HIV. Addiction 2021; 116:2712-2723. [PMID: 33788329 DOI: 10.1111/add.15496] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/01/2020] [Revised: 07/06/2020] [Accepted: 03/10/2021] [Indexed: 12/20/2022]
Abstract
BACKGROUND AND AIMS Evidence suggests that alcohol reduction interventions decrease intimate partner violence (IPV) perpetration, although this remains untested in low- and middle-income countries and among men with human immunodeficiency virus (HIV). This study evaluates the effectiveness of alcohol reduction counseling interventions on IPV perpetration among men on anti-retroviral therapy (ART) and tests whether alcohol use explains the intervention effects. DESIGN Secondary analysis of data from a three-arm randomized controlled trial among ART patients with hazardous alcohol use. Participants were recruited from March 2016 to May 2017. SETTING Thai Nguyen, Vietnam. PARTICIPANTS, INTERVENTIONS AND COMPARATORS Male participants (n = 426). Participants received a two-session brief intervention (BI), a six-session combined intervention (CoI) or the standard of care (SOC), comprising alcohol treatment referrals. Alcohol reduction counseling interventions were guided by cognitive-behavioral therapy and motivational enhancement therapy delivered by psychosocial counselors over 3 months. MEASUREMENTS IPV perpetration was measured using the shortened Conflict Tactics Scale 2 and alcohol use was measured using timeline followback. FINDINGS BI and CoI participants reported reduced IPV perpetration at 3 months compared with SOC participants [BI: adjusted odds ratio (aOR) = 0.27, 95% confidence interval (CI) = 0.11, 0.65; CoI: aOR = 0.50, 95% CI = 0.22, 1.13]; the association was only significant for the BI group. Intervention effects were not sustained at 6 and 12 months. There was little evidence that alcohol use acted as a mediator (indirect effect, BI: aOR = 0.84, 95% CI = 0.63, 1.04; indirect effect, CoI: aOR = 0.86, 95% CI = 0.66, 1.03). CONCLUSIONS Among Vietnamese men receiving anti-retroviral therapy, alcohol reduction counseling interventions appeared to reduce intimate partner violence perpetration immediately post-intervention, but reductions were not sustained at 6 and 12 months and were not explained by alcohol reduction.
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Affiliation(s)
- Rebecca B Hershow
- University of North Carolina at Chapel Hill Gillings School of Global Public Health, Chapel Hill, NC, USA
| | - H Luz Mc Naughton Reyes
- University of North Carolina at Chapel Hill Gillings School of Global Public Health, Chapel Hill, NC, USA
| | - Tran Viet Ha
- UNC Project Vietnam, Yen Hoa Health Clinic, Hanoi, Vietnam
| | - Geetanjali Chander
- Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD, USA.,Johns Hopkins University School of Medicine, Baltimore, MD, USA
| | | | - Teerada Sripaipan
- University of North Carolina at Chapel Hill Gillings School of Global Public Health, Chapel Hill, NC, USA
| | - David W Dowdy
- Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD, USA.,Johns Hopkins University School of Medicine, Baltimore, MD, USA
| | - Carl Latkin
- Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD, USA.,Johns Hopkins University School of Medicine, Baltimore, MD, USA
| | - Heidi E Hutton
- Johns Hopkins University School of Medicine, Baltimore, MD, USA
| | - Audrey Pettifor
- University of North Carolina at Chapel Hill Gillings School of Global Public Health, Chapel Hill, NC, USA
| | - Suzanne Maman
- University of North Carolina at Chapel Hill Gillings School of Global Public Health, Chapel Hill, NC, USA
| | - Constantine Frangakis
- Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD, USA.,Johns Hopkins University School of Medicine, Baltimore, MD, USA
| | - Vivian F Go
- University of North Carolina at Chapel Hill Gillings School of Global Public Health, Chapel Hill, NC, USA
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40
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Differential psychopathological profile of male intimate partner violence perpetrators depending on Problematic alcohol use. Addict Behav 2021; 118:106887. [PMID: 33714033 DOI: 10.1016/j.addbeh.2021.106887] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/23/2020] [Revised: 01/15/2021] [Accepted: 02/21/2021] [Indexed: 11/21/2022]
Abstract
OBJECTIVE This study explored the differential psychopathological profile between male perpetrators of intimate partner violence (IPV) with and without problematic alcohol use (PAU). METHOD A sample of 981 men was recruited from a specialized IPV perpetrators treatment programme. All of them were assessed with the Symptom Checklist-90-Revised (SCL-90-R), the State-Trait Anger Expression Inventory-2 (STAXI-2), and the Millon Clinical Multiaxial Inventory-III (MCMI-III). Comparisons between perpetrators with (n = 125) and without (n = 856) PAU on all the variables studied were carried out. RESULTS Perpetrators with PAU were less frequently employed and had higher rates of previous psychiatric history and childhood family violence. Moreover, they presented with higher levels of cognitive biases about women and violence. On a psychopathological level, participants with PAU reported significantly higher scores on the SCL-90-R, on the STAXI-2, and on almost all the MCMI-III scales than did those without PAU. The multivariate logistic regression analyses showed that the main variables related to PAU were as follows: higher levels of previous psychiatric history, distorted thoughts about women, depression, drug dependence, and various personality disorders (bipolar, dysthymia, antisocial, avoidant, borderline, and schizotypal); and lower scores on internal control, anger reaction, paranoid ideation, and schizoid personality disorders. DISCUSSION IPV perpetrators with PAU have a more severe psychopathological profile than those without PAU. Additionally, several variables along with PAU may have contributed to the development of IPV. Therefore, tailored interventions should be developed for those perpetrators with PAU.
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Graham K, Bernards S, Laslett AM, Gmel G, Kuntsche S, Wilsnack S, Bloomfield K, Grittner U, Taft A, Wilson I, Wells S. Children, Parental Alcohol Consumption, and Intimate Partner Violence: A Multicountry Analysis by Perpetration Versus Victimization and Sex. JOURNAL OF INTERPERSONAL VIOLENCE 2021; 36:5608-5634. [PMID: 30328365 PMCID: PMC6470056 DOI: 10.1177/0886260518804182] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
Both living with children and alcohol consumption are positively associated with intimate partner violence (IPV). We assessed their combined relationship with physical IPV (P-IPV) victimization and perpetration, and explored possible moderating roles of sex and culture. Data included 15 surveys of 13,716 men and 17,832 women in 14 countries from the GENACIS (Gender, Alcohol, and Culture: An International Study) collaboration. P-IPV was measured as victim of physical aggression by an intimate partner (Vic-Only), perpetrator of physical aggression toward a partner (Perp-Only), or both victim and perpetrator (i.e., bidirectional) (Bi-Dir). Participants reported whether they lived with children below 18 years of age, whether the participant was a drinker/abstainer, and, among drinkers, usual frequency and quantity of alcohol consumed. Multilevel multinomial logistic regression, controlling for age and nesting of data within countries, indicated that Vic-Only, Perp-Only, and Bi-Dir (compared with no P-IPV) were positively associated with living with children, being a drinker, and quantity/frequency of drinking among drinkers (especially higher quantity). The positive association of P-IPV with living with children and being a drinker was evident within most countries. Significant interactions with sex were found, with (a) living with children more strongly associated with Perp-Only for men and Vic-Only for women, and (b) Perp-Only and Bi-Dir more strongly associated with being a drinker for men but with quantity consumed for women. Also, alcohol consumption was more strongly related to Perp-Only and Bi-Dir than with Vic-Only. In conclusion, higher risk of P-IPV with alcohol consumption is compounded when living with children-putting children who live with drinkers, especially drinkers who consume large amounts per occasion, at special risk of exposure to P-IPV. This is an important area for future research and prevention.
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Affiliation(s)
- Kathryn Graham
- Centre for Addiction and Mental Health, London, Ontario, Canada
- Dalla Lana School of Public Health, Toronto, Ontario, Canada
- Deakin University, Geelong, Victoria, Australia
- Curtin University, Perth, Western Australia, Australia
| | - Sharon Bernards
- Centre for Addiction and Mental Health, London, Ontario, Canada
| | - Anne-Marie Laslett
- Curtin University, Perth, Western Australia, Australia
- La Trobe University, Melbourne, Victoria, Australia
| | - Gerhard Gmel
- Centre for Addiction and Mental Health, London, Ontario, Canada
- Addiction Switzerland, Lausanne, Switzerland
- Lausanne University Hospital, Switzerland
- University of the West of England, Bristol, UK
| | | | - Sharon Wilsnack
- University of North Dakota School of Medicine & Health Sciences, Grand Forks, ND, USA
| | - Kim Bloomfield
- Aarhus University, Denmark
- Charité–Universitätsmedizin, Berlin, Germany
| | | | - Angela Taft
- La Trobe University, Melbourne, Victoria, Australia
| | | | - Samantha Wells
- Centre for Addiction and Mental Health, London, Ontario, Canada
- Dalla Lana School of Public Health, Toronto, Ontario, Canada
- Deakin University, Geelong, Victoria, Australia
- Western University, London, Ontario, Canada
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Brem MJ, Garner AR, Grigorian H, Florimbio AR, Wolford-Clevenger C, Shorey RC, Stuart GL. Problematic Pornography Use and Physical and Sexual Intimate Partner Violence Perpetration Among Men in Batterer Intervention Programs. JOURNAL OF INTERPERSONAL VIOLENCE 2021; 36:NP6085-NP6105. [PMID: 30461344 PMCID: PMC6942232 DOI: 10.1177/0886260518812806] [Citation(s) in RCA: 17] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/20/2023]
Abstract
Recent decades witnessed a surge in pornography use, contributing to what some researchers referred to as problematic pornography use (PPU; excessive, compulsive, and uncontrollable pornography use). Informed by cognitive scripts theory, cross-sectional, longitudinal, and experimental research spanning several decades documented a positive association between men's pornography use and physical and sexual violence perpetration. However, there is a paucity of research investigating pornography use broadly, and PPU specifically, among men who perpetrate intimate partner violence (IPV). The present cross-sectional study investigated the association between self-reported PPU and physical and sexual IPV perpetration among 273 men in batterer intervention programs. After accounting for psychiatric symptomology and substance use and problems, results revealed a positive association between PPU and both physical and sexual IPV perpetration. Findings highlighted the need for continued investigation of the function of pornography use for violent men, particularly as it relates to physical and sexual IPV perpetration.
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Šimić G, Tkalčić M, Vukić V, Mulc D, Španić E, Šagud M, Olucha-Bordonau FE, Vukšić M, R. Hof P. Understanding Emotions: Origins and Roles of the Amygdala. Biomolecules 2021; 11:biom11060823. [PMID: 34072960 PMCID: PMC8228195 DOI: 10.3390/biom11060823] [Citation(s) in RCA: 93] [Impact Index Per Article: 31.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2021] [Revised: 05/24/2021] [Accepted: 05/26/2021] [Indexed: 12/11/2022] Open
Abstract
Emotions arise from activations of specialized neuronal populations in several parts of the cerebral cortex, notably the anterior cingulate, insula, ventromedial prefrontal, and subcortical structures, such as the amygdala, ventral striatum, putamen, caudate nucleus, and ventral tegmental area. Feelings are conscious, emotional experiences of these activations that contribute to neuronal networks mediating thoughts, language, and behavior, thus enhancing the ability to predict, learn, and reappraise stimuli and situations in the environment based on previous experiences. Contemporary theories of emotion converge around the key role of the amygdala as the central subcortical emotional brain structure that constantly evaluates and integrates a variety of sensory information from the surroundings and assigns them appropriate values of emotional dimensions, such as valence, intensity, and approachability. The amygdala participates in the regulation of autonomic and endocrine functions, decision-making and adaptations of instinctive and motivational behaviors to changes in the environment through implicit associative learning, changes in short- and long-term synaptic plasticity, and activation of the fight-or-flight response via efferent projections from its central nucleus to cortical and subcortical structures.
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Affiliation(s)
- Goran Šimić
- Department of Neuroscience, Croatian Institute for Brain Research, University of Zagreb Medical School, 10000 Zagreb, Croatia; (V.V.); (E.Š.); (M.V.)
- Correspondence:
| | - Mladenka Tkalčić
- Department of Psychology, Faculty of Humanities and Social Sciences, University of Rijeka, 51000 Rijeka, Croatia;
| | - Vana Vukić
- Department of Neuroscience, Croatian Institute for Brain Research, University of Zagreb Medical School, 10000 Zagreb, Croatia; (V.V.); (E.Š.); (M.V.)
| | - Damir Mulc
- University Psychiatric Hospital Vrapče, 10090 Zagreb, Croatia;
| | - Ena Španić
- Department of Neuroscience, Croatian Institute for Brain Research, University of Zagreb Medical School, 10000 Zagreb, Croatia; (V.V.); (E.Š.); (M.V.)
| | - Marina Šagud
- Department of Psychiatry, Clinical Hospital Center Zagreb and University of Zagreb School of Medicine, 10000 Zagreb, Croatia;
| | | | - Mario Vukšić
- Department of Neuroscience, Croatian Institute for Brain Research, University of Zagreb Medical School, 10000 Zagreb, Croatia; (V.V.); (E.Š.); (M.V.)
| | - Patrick R. Hof
- Nash Family Department of Neuroscience and Friedman Brain Institute, Icahn School of Medicine at Mount Sinai, New York, NY 07305, USA;
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Dardis CM, Ullman SE, Rodriguez LM, Waterman EA, Dworkin ER, Edwards KM. Bidirectional associations between alcohol use and intimate partner violence and sexual assault victimization among college women. Addict Behav 2021; 116:106833. [PMID: 33516041 DOI: 10.1016/j.addbeh.2021.106833] [Citation(s) in RCA: 13] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2020] [Revised: 01/08/2021] [Accepted: 01/09/2021] [Indexed: 11/30/2022]
Abstract
Whereas some prior studies have explored whether alcohol increases the risk for victimization and/or whether distress resulting from victimization increases the risk for alcohol use, few studies have simultaneously tested these bidirectional hypotheses among a high-risk sample (i.e., undergraduate women), while including both sexual assault (SA) and intimate partner violence (IPV) victimization, and exploring potential moderating effects of PTSD symptoms on these paths. Among 631 college women, the present study tested these bidirectional associations using cross-lagged panel models across two measurement periods (i.e., Time 1 [T1] and Time 2 [T2], six months later). Results suggested that T1 alcohol use increased risk for T2 SA (but not T2 IPV victimization), and PTSD symptoms moderated this association; at lower levels of PTSD symptoms, there were no significant associations between alcohol use and subsequent SA victimization, whereas at higher levels of PTSD symptoms, alcohol use predicted subsequent SA victimization. By contrast, the opposite directional hypothesis was not supported; neither T1 lifetime SA nor IPV were associated with T2 drinking, regardless of the level of their PTSD symptoms. Prevention and intervention efforts should simultaneously address risk factors for alcohol use and victimization using trauma-informed practices.
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Affiliation(s)
| | - Sarah E Ullman
- Department of Criminology, Law and Justice, University of Illinois at Chicago, 1007 West Harrison Street, Chicago, IL 60607-7140, USA.
| | - Lindsey M Rodriguez
- Psychology University of South Florida, 4202 E. Fowler Ave., Tampa, FL 33620, USA.
| | - Emily A Waterman
- Faculty Member Developmental Psychology, Bennington College, 1 College Drive, Bennington, VT 05201, USA.
| | - Emily R Dworkin
- Psychiatry and Behavioral Sciences, University of Washington School of Medicine, 1100 NE 45th St. Ste. 300, Seattle, WA 98105, USA.
| | - Katie M Edwards
- Nebraska Center for Research on Children, Youth, Families, and Schools University of Nebraska-Lincoln, USA.
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Eckhardt CI, Parrott DJ, Swartout KM, Leone RM, Purvis DM, Massa AA, Sprunger JG. Cognitive and Affective Mediators of Alcohol-Facilitated Intimate Partner Aggression. Clin Psychol Sci 2021; 9:385-402. [PMID: 34194870 PMCID: PMC8240758 DOI: 10.1177/2167702620966293] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
Abstract
This multisite study examined whether aggressive cognitions and facial displays of negative affect and anger experienced during provocation mediated the association between alcohol intoxication and intimate partner aggression (IPA). Participants were 249 heavy drinkers (148 men, 101 women) with a recent history of IPA perpetration. Participants were randomly assigned to an Alcohol or No-Alcohol Control beverage condition and completed a shock-based aggression task involving apparent provocation by their intimate partner. During provocation, a hidden camera recorded participants' facial expressions and verbal articulations, which were later coded using the Facial Action Coding System and the Articulated Thoughts in Simulated Situations paradigm. Results indicated that the positive association between alcohol intoxication and partner-directed physical aggression was mediated by participants' aggressive cognitions, but not by negative affect or anger facial expressions. These findings implicate aggressogenic cognitions as a mediating mechanism underlying the association between the acute effects of alcohol and IPA perpetration.
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Treat TA, Corbin WR, Viken RJ. Protective behavioral strategies for sexual aggression and risky sexual behavior. Aggress Behav 2021; 47:284-295. [PMID: 33492751 DOI: 10.1002/ab.21949] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2020] [Revised: 11/23/2020] [Accepted: 11/25/2020] [Indexed: 11/09/2022]
Abstract
Sexual aggression (SA) is a serious public-health problem on college campuses, and there is a pressing need for basic research fostering the development of novel prevention strategies. The current study (a) developed measures of protective behavioral strategies (PBS) for sexual aggression (SA) and risky sex (RS); (b) characterized college men's PBS use; and (c) evaluated whether those who reported engaging in SA and RS showed lower PBS use. Undergraduate men from two universities (n = 567) who endorsed sexual attraction toward women completed measures of PBS, SA, RS, rape-supportive and sociosexual attitudes, and alcohol consumption. On average, participants reported using PBS for SA and RS fairly often, but a sizeable number indicated that they seldom or never used the strategies. Men who reported SA engagement in the last year, relative to their peers, endorsed sharply lower reliance on SA PBS and RS PBS. Men who reported at least one RS behavior in the last year used RS PBS far less often than their peers. The PBS measures converged as expected with other attitudinal and behavioral measures. The new PBS measures reference cognitive-behavioral approaches that a large percentage of college men use on a regular basis, making them potentially acceptable prevention targets. Further, men at greater risk of exhibiting SA are much less likely to take steps to reduce the risks associated with sexual behavior, in comparison with their peers. Thus, future work could evaluate the potential usefulness of incorporating PBS for SA and RS into primary prevention programming in both domains.
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Affiliation(s)
- Teresa A. Treat
- Department of Psychological and Brain Sciences University of Iowa Iowa City Iowa USA
| | | | - Richard J. Viken
- Department of Psychological and Brain Sciences Indiana University Bloomington Indiana USA
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A meta-analytic review of the relationship between cyber aggression and substance use. Drug Alcohol Depend 2021; 221:108510. [PMID: 33610092 DOI: 10.1016/j.drugalcdep.2021.108510] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/14/2020] [Revised: 11/20/2020] [Accepted: 12/09/2020] [Indexed: 11/22/2022]
Abstract
BACKGROUND Prior research has demonstrated that various substances of abuse play a contributing role to acts of physical and verbal aggression. It is less clear if and to what extent substance use is associated with an increased risk in perpetrating cyber aggression, an emerging form of aggressive behavior that occurs through digital communication. METHODS A comprehensive review of the literature resulted in 15 studies and 18 unique samples from which effect size estimates were calculated. RESULTS Analyses resulted in a moderate, significant mean observed correlation indicating that individuals who engaged in substance use were more likely than those who did not to perpetrate cyber aggression (r = 0.24, k = 18, 95% CI = 0.20, 0.28). Comparing data across types of substances revealed that alcohol use represents a stronger risk factor for cyber aggression than nicotine, cannabis, or other illicit drugs. Results also suggest a stronger relationship between substance use and cyber aggression among older than younger samples and in the context of intimate partner rather than peer aggression. Comparable estimates of substance-related cyber aggression emerged across types of cyber aggression and perpetrator gender. CONCLUSIONS Further research is required to increase confidence in estimates used in moderation analyses. As with traditional aggression, alcohol use appears to represent a risk factor for cyber aggression, though it is unclear if the disinhibitory properties of alcohol are the mechanism of action for substance-related cyber aggression.
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Neavins TM, Murphy CM, Yiaslas TA, Demorest ME. Daily and situational reports of substance use and dating violence among college students: A 10-week prospective study. Addict Behav Rep 2020; 12:100309. [PMID: 33364317 PMCID: PMC7752732 DOI: 10.1016/j.abrep.2020.100309] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2020] [Revised: 09/29/2020] [Accepted: 10/19/2020] [Indexed: 11/19/2022] Open
Abstract
Dating violence was nearly twice as likely if either partner drank alcohol. Women were nearly twice as apt to perpetrate dating violence when they used drugs. Men were 1.4 times more likely to perpetrate dating violence when they used drugs. Estimated blood alcohol level and binge drinking were related to dating violence.
Introduction Although the association between substance use and dating violence is well-established in the research literature, there is limited research establishing the temporal co-occurrence of these variables. The primary objective was to examine the temporal relationship between alcohol and drug use and subsequent dating violence using a proximal effects model. Methods This prospective study obtained daily diary data and weekly situational reports on abusive relationship events and substance use from 72 college women in dating relationships over a 10-week interval. Results Significant day-to-day associations were found between substance use and dating violence for women’s reports of their own behavior, and that of their male partners. The odds of dating violence were approximately 2.0 times higher on days when perpetrators drank alcohol. Women were approximately 2.0 times more likely to perpetrate dating violence when using drugs, and men were approximately 1.4 times more likely when they used drugs. Estimated blood alcohol concentration levels and binge drinking were associated significantly with dating violence perpetration for women’s reports of men’s behavior as well as for women’s reports of their own aggression. These findings held when examining severe versus minor dating violence as well as any versus no dating violence. Conclusions These results further support an association between substance use and partner aggression at daily and situational levels of analysis, extending prior clinical findings to a college dating sample. Taken with previous research findings, our results suggest the need for college sexual assault and dating violence prevention programs to target reductions in substance use.
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Affiliation(s)
- Tara M. Neavins
- Department of Psychology, University of Maryland, Baltimore County, United States
- Veterans Affairs Northern California Health Care System, United States
- Department of Psychiatry & Behavioral Sciences, UC Davis Medical Center, United States
- Corresponding author at: VA Northern California Health Care System; Department of Psychiatry & Behavioral Sciences, UC Davis Medical Center; 10535 Hospital Way, Building #649, Mather, CA 95655, United States. Tel.: 916 366 5449.
| | | | - Themis A. Yiaslas
- Veterans Affairs Northern California Health Care System, United States
- Department of Psychiatry & Behavioral Sciences, UC Davis Medical Center, United States
| | - Marilyn E. Demorest
- Department of Psychology, University of Maryland, Baltimore County, United States
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Blair RJR, Bajaj S, Sherer N, Bashford-Largo J, Zhang R, Aloi J, Hammond C, Lukoff J, Schwartz A, Elowsky J, Tyler P, Filbey FM, Dobbertin M, Blair KS. Alcohol Use Disorder and Cannabis Use Disorder Symptomatology in Adolescents and Aggression: Associations With Recruitment of Neural Regions Implicated in Retaliation. BIOLOGICAL PSYCHIATRY: COGNITIVE NEUROSCIENCE AND NEUROIMAGING 2020; 6:536-544. [PMID: 33712378 DOI: 10.1016/j.bpsc.2020.11.016] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/15/2020] [Revised: 11/18/2020] [Accepted: 11/22/2020] [Indexed: 12/25/2022]
Abstract
BACKGROUND Alcohol and cannabis are commonly used by adolescents in the United States. Both alcohol use disorder (AUD) and cannabis use disorder (CUD) have been associated with an increased risk of aggression. One form of aggression seen during retaliation is reactive aggression to social provocation. This study investigated the association between AUD and CUD symptom severity and recruitment of neural regions implicated in retaliation. METHODS In this study, 102 youths aged 13-18 years (67 male; 84 in residential care) completed self-report measures of aggression-related constructs and participated in a retaliation task during functional magnetic resonance imaging to investigate the association between relative severity of AUD/CUD and atypical recruitment of regions implicated in retaliation. RESULTS AUD Identification Test scores were positively associated with irritability and reactive aggression scores. CUD Identification Test scores were positively associated with callous-unemotional traits and both proactive and reactive aggression scores. In functional magnetic resonance imaging analyses, only AUD Identification Test (not CUD Identification Test) scores were associated with an exaggerated recruitment of regions implicated in retaliation (dorsomedial frontal, anterior insula cortices, caudate, and, to a lesser extent, periaqueductal gray). CONCLUSIONS These data suggest that relative severity of AUD is associated with a disinhibited, exaggerated retaliation response that relates to an increased risk for reactive aggression. Similar findings were not related to severity of CUD.
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Affiliation(s)
- R James R Blair
- Center for Neurobehavioral Research, Boys Town National Research Hospital, Boys Town, Nebraska.
| | - Sahil Bajaj
- Center for Neurobehavioral Research, Boys Town National Research Hospital, Boys Town, Nebraska
| | - Noah Sherer
- Department of Biological Sciences, Fordham University, New York City, New York
| | - Johannah Bashford-Largo
- Center for Neurobehavioral Research, Boys Town National Research Hospital, Boys Town, Nebraska
| | - Ru Zhang
- Center for Neurobehavioral Research, Boys Town National Research Hospital, Boys Town, Nebraska
| | - Joseph Aloi
- Department of Psychiatry, Indiana University School of Medicine, Indianapolis, Indiana
| | - Chris Hammond
- Department of Psychiatry, Johns Hopkins University, Baltimore, Maryland
| | - Jennie Lukoff
- Center for Neurobehavioral Research, Boys Town National Research Hospital, Boys Town, Nebraska
| | - Amanda Schwartz
- Center for Neurobehavioral Research, Boys Town National Research Hospital, Boys Town, Nebraska
| | - Jaimie Elowsky
- Center for Neurobehavioral Research, Boys Town National Research Hospital, Boys Town, Nebraska
| | - Patrick Tyler
- Child and Family Translational Research Center, Boys Town National Research Hospital, Boys Town, Nebraska
| | - Francesca M Filbey
- Center for BrainHealth, School of Behavioral and Brain Sciences, University of Texas at Dallas, Dallas, Texas
| | - Matthew Dobbertin
- Center for Neurobehavioral Research, Boys Town National Research Hospital, Boys Town, Nebraska
| | - Karina S Blair
- Center for Neurobehavioral Research, Boys Town National Research Hospital, Boys Town, Nebraska
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Nordholt PU, Christalle E, Zill JM, Dirmaier J. Engagement With a Web-Based Intervention to Reduce Harmful Drinking: Secondary Analysis of a Randomized Controlled Trial. J Med Internet Res 2020; 22:e18826. [PMID: 33216008 PMCID: PMC7718095 DOI: 10.2196/18826] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2020] [Revised: 07/18/2020] [Accepted: 08/03/2020] [Indexed: 01/22/2023] Open
Abstract
Background Engagement with digital behavior change interventions (DBCIs) is considered a prerequisite for intervention efficacy. However, in many trials on DBCIs, participants use the intervention either only little or not at all. Objective To analyze engagement with a web-based intervention to reduce harmful drinking, we explored (1) whether engagement with a web-based alcohol intervention is related to drinking outcomes, (2) which user characteristics are associated with measures of engagement, and (3) whether reported outcomes are associated with data captured by voluntary intervention questionnaires. Methods We analyzed data of the intervention arm of a randomized controlled trial on a DBCI to reduce risky alcohol consumption. Data were collected at baseline (T0), after 90 days (T1), and at the end of the 180-day usage period (T2). Engagement with the intervention was measured via system usage data as well as self-reported usage. Drinking behavior was measured as average daily alcohol consumption as well as the number of binge drinking days. User characteristics included demographics, baseline drinking behavior, readiness to change, alcohol-related outcome expectancies, and alcohol abstinence self-efficacy. Following a bivariate approach, we performed two-tailed Welch’s t tests and Wilcoxon signed rank/Mann-Whitney U tests or calculated correlation coefficients. Results The data of 306 users were analyzed. Time spent engaging with the intervention as measured by system usage did not match self-reported usage. Higher self-reported usage was associated with higher reductions in average daily alcohol consumption (T1: ρ=0.39, P<.001; T2: ρ=0.29, P=.015) and in binge drinking days (T1: ρ=0.62, P<.001; T2: ρ=0.3, P=.006). Higher usage was reported from users who were single (T1: P<.001; T2: P<.001), users without children (T1: P<.001; T2: P<.001), users who did not start or finish secondary education (T1: P<.001; T2: P<.001), users without academic education (T1: P<.001; T2: P<.001), and those who worked (T1: P=.001; T2: P=.004). Relationships between self-reported usage and clinical or psychological baseline characteristics were complex. For system usage, the findings were mixed. Reductions in drinking captured by intervention questionnaires were associated with reported outcomes. Conclusions Though self-reported usage could be consistently linked to better outcomes and multiple user characteristics, our findings add to the overall inconclusive evidence that can be found throughout the literature. Our findings indicate potential benefits of self-reports as measures of engagement and intervention questionnaires as a basis for tailoring of intervention content. Future studies should adopt a theory-driven approach to engagement research utilizing psychometrically sound self-report questionnaires and include short ecological momentary assessments within the DBCIs. Trial Registration German Clinical Trials Register DRKS00006104; https://tinyurl.com/y22oc5jo
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Affiliation(s)
- Paul U Nordholt
- Department of Nursing and Management, Faculty of Business and Social Sciences, Hamburg University of Applied Sciences, Hamburg, Germany
| | - Eva Christalle
- Institute and Outpatient Clinic of Medical Psychology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
| | - Jördis M Zill
- Institute and Outpatient Clinic of Medical Psychology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
| | - Jörg Dirmaier
- Institute and Outpatient Clinic of Medical Psychology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
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