Correlates of partner and non-partner aggression among patients with substance use disorders in an urban ED

Alexandercikova, Zuzana; Walton, Maureen A.; Chermack, Stephen T.; Cunningham, Rebecca M.; Barry, Kristen L.; Blow, Frederic C.

doi:10.3109/14659891.2012.668260

Cited by 6 publications

(8 citation statements)

References 53 publications

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“…These results are somewhat consistent with the findings of Epstein-Ngo and colleagues (2014) in which heavy drinking and cocaine use were associated with non-partner but not partner violence in a substance use treatment sample. Similarly, other studies have found that greater alcohol use is linked to non-partner violence; however, some studies have failed to show that alcohol use is related to partner violence among individuals with substance use or in substance use treatment (Chermack et al, 2010; Alexandercikova et al, 2013). Other research has documented associations between alcohol and partner violence (Chermack et al, 2008; Marshall et al, 2005) and between cocaine and partner violence (Chermack et al, 2010).…”

Section: Discussionmentioning

confidence: 99%

Associations between PTSD and intimate partner and non-partner aggression among substance using veterans in specialty mental health

Buchholz

Bohnert

Sripada

et al. 2017

Addictive Behaviors

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Background Risk factors of violence perpetration in veterans include substance use and posttraumatic stress disorder (PTSD); however, it is unknown whether these factors are associated with greater risk for partner or non-partner violence. This study investigated the associations between probable PTSD, heavy drinking, marijuana use, cocaine use, and partner and non-partner violence perpetration. Methods Self-report questionnaires assessing past-year partner and non-partner aggression (CTS2) as well as past-month substance use (SAOM), probable PTSD (PCL-C), and probable depression (PHQ-9) were administered to 810 substance using veterans entering VA mental health treatment. Results In bivariate analyses, probable PTSD in substance using veterans was associated with violence perpetration (partner physical, χ2 = 11.46, p = 0.001, φ = .12; non-partner physical, χ2 = 50.64, p < 0.001, φ = .25; partner injury, χ2 = 6.41, p = 0.011, φ = .09; non-partner injury, χ2 = 42.71, p < 0.001, φ = .23). In multiple logistic regression analyses that adjusted for sociodemographic characteristics, probable PTSD was independently associated with non-partner physical (odds ratio [OR], 2.82; 95% confidence interval [CI], 1.97 – 4.05) and injury aggression (OR, 3.96; CI, 2.56 – 6.13). Cocaine and heavy drinking were independently associated with non-partner physical and injury aggression and non-partner injury aggression respectively. Conclusions The results provide evidence that probable PTSD, heavy drinking, and cocaine use are associated with increased risk of non-partner violence perpetration in substance using veterans. These results underscore the importance of screening for PTSD symptoms and violence perpetration towards non-partners in substance using veterans presenting for treatment.

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Section: Discussionmentioning

confidence: 99%

Associations between PTSD and intimate partner and non-partner aggression among substance using veterans in specialty mental health

Buchholz

Bohnert

Sripada

et al. 2017

Addictive Behaviors

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“…An additional paper (Blow et al, 2010) examined the treatment attendance among individuals who were randomly assigned to the clinical intervention (i.e., motivational interviewing versus case management to reduce excessive drinking), and did not examine any correlates of partner or non-partner aggression. Finally, Alexandercikova et al (2013) examined correlates of violence perpetration among patients with substance use disorders and violence within a subset of the sample ( n = 1215). Specifically, Alexandercikova et al (2013) examined correlates between current substance use, childhood trauma, antisocial traits, and social support and partner only and non-partner only aggression perpetration.…”

Section: Methodsmentioning

confidence: 99%

“…Finally, Alexandercikova et al (2013) examined correlates of violence perpetration among patients with substance use disorders and violence within a subset of the sample ( n = 1215). Specifically, Alexandercikova et al (2013) examined correlates between current substance use, childhood trauma, antisocial traits, and social support and partner only and non-partner only aggression perpetration. The current paper includes a broader sample (e.g., including individuals involved with both partner and non-partner violence, a group that other studies/samples have suggested have more severe overall substance use and psychiatric problems and coping skills deficits), and an emphasis on identifying how participant treatment needs and interests may differ according to the nature of participants’ involvement with both violence and victimization across relationship types.…”

Section: Methodsmentioning

confidence: 99%

Characteristics and treatment interests among individuals with substance use disorders and a history of past six-month violence: Findings from an emergency department study

Chermack

Murray

Kraus

et al. 2014

Addictive Behaviors

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The study examined clinical characteristics and treatment interests of individuals identified to have substance use disorders (SUDs) in an urban emergency department (ED) who reported past six-month history of violence or victimization. Specifically, participants were 1441 ED patients enrolled in a randomized controlled trial of interventions designed to link those with SUDs to treatment. To examine factors related to violence type, four groups based on participants’ reports of violence toward others were created: no violence (46.8%), partner violence only (17.3%), non-partner violence only (20.2%), and both partner and non-partner violence (15.7%). Four groups based on participants’ reports of victimization were also created: no violence (42.1%), victimization from partner only (18.7%), victimization from non-partner only (20.2%), and both partner and non-partner victimization (17.7%). Separate multinomial logistic regression analyses were conducted to examine which variables distinguished the violence and victimization groups from those reporting no violence or victimization. For violence toward others, demographic variables, alcohol and cocaine disorders, and rating treatment for psychological problems were higher for violence groups, with some differences depending on type of violence. For victimization, demographic variables, having an alcohol disorder, and rating treatment for family/social problems were higher for violence groups, also with some differences depending on type of violence. Findings from the present study could be useful for designing effective brief interventions and services for ED settings.

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“…Although violence risk is elevated for youth (i.e., midteens to midtwenties) overall, the specific developmental period of 18–25, often referred to as emerging adulthood (Arnett, 2007), carries with it especially high risk for violence. Alcohol and other substance use are consistently linked with violence perpetration and emerging adults use substances at high rates (Alexandercikova et al, 2013; Singh et al, 2015). However, less is known about how patterns of substance use, including single versus polysubstance use (not necessarily couse), are associated with violence during this period.…”

Section: Polysubstance Use and Violence Perpetrationmentioning

confidence: 99%

“…Given evidence suggesting links between specific substances and violence (Morley et al, 2015; Palamar et al, 2018), examining discrete patterns of polysubstance use can help identify those most at risk and may provide insight into which substances and combinations of substances are most influential in predicting violence perpetration during emerging adulthood. Another study of approximately 1,200 adults recruited from an urban emergency department (ED; Alexandercikova et al, 2013) found that alcohol intoxication increased risk for NPV perpetration, but other drug use reduced risk for NPV perpetration. This is consistent with findings demonstrating that alcohol use, but not marijuana use, was associated with greater likelihood of violence perpetration (Lipperman-Kreda et al, 2017).…”

Section: Polysubstance Use and Violence Perpetrationmentioning

confidence: 99%

Nonpartner violence perpetration among emerging adults: Associations with polysubstance use and trait mindfulness.

Galano¹,

Stein²,

Hart³

et al. 2023

Psychology of Violence

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Objective: Violence is a leading cause of death among individuals aged 18-25, with alcohol misuse consistently linked with violence perpetration. However, the association between polysubstance use and violence perpetration is less clear, despite the frequency of use of alcohol with other drugs. Additionally, protective factors such as mindfulness that may reduce violence perpetration among emerging adults have been understudied. This cross-sectional study examined the association between substance use, trait mindfulness, and violence perpetration outside of romantic relationships, utilizing a compensatory model of resilience. Method: Data were drawn from a sample of 665 emerging adults aged 18-25, recruited from an urban emergency department (ED; 68% men). Participants self-administered a computer survey that assessed nonpartner violence (NPV) perpetration, alcohol use, marijuana use, prescription drug misuse, and trait mindfulness. Fifteen percent reported NPV perpetration over the past 6 months. Results: Multivariate logistic regression tested associations between violence perpetration, substance use, trait mindfulness, and demographic characteristics. Results showed that alcohol use alone (OR = 3.04), prescription opioid use alone (OR = 3.58), alcohol and marijuana use (OR = 3.75), and use of all three substances (OR = 7.78) were positively associated with violence perpetration. Post hoc contrasts demonstrated polysubstance use significantly increased risk over single substance use. Trait mindfulness (OR = 0.97) was negatively associated with violence perpetration after controlling for substance use. Conclusions: Findings suggest that polysubstance use may increase risk for violence. Interventions that address polysubstance use, potentially including mindfulness, could reduce NPV perpetration among emerging adults and require further study.

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Correlates of partner and non-partner aggression among patients with substance use disorders in an urban ED

Cited by 6 publications

References 53 publications

Associations between PTSD and intimate partner and non-partner aggression among substance using veterans in specialty mental health

Associations between PTSD and intimate partner and non-partner aggression among substance using veterans in specialty mental health

Characteristics and treatment interests among individuals with substance use disorders and a history of past six-month violence: Findings from an emergency department study

Nonpartner violence perpetration among emerging adults: Associations with polysubstance use and trait mindfulness.

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