Factors associated with physical or sexual intimate partner violence perpetration by men attending substance misuse treatment in Catalunya: A mixed methods study

Gilchrist, Gail; Blázquez, Alicia; Segura, Lídia; Geldschläger, Heinrich; Valls, Ester; Colom, Joan; Torrens, Marta

doi:10.1002/cbm.1958

Cited by 27 publications

(29 citation statements)

References 55 publications

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“…Similar to other studies , lifetime IPV victimisation reported by participants was also high. This may be because of participants' partners responding in self‐defence, conflicts around substance use or it may also be influenced by reporting bias.…”

Section: Discussionsupporting

confidence: 89%

“…Participants received a £10 gift voucher or monetary equivalent for their time in England only, as this was not usual research practice in Brazil. As previous studies reported a high proportion of incomplete questionnaires among this client group and similar disclosure rates of sensitive or stigmatising information (including IPV and substance use) have been reported across face‐to‐face interview and paper‐and‐pencil questionnaire , 17 (five females in England, and six females and six males in Brazil) experienced interviewers (all received 8 h training on interview administration and study protocol) administered the interviews in a private room to enhance completion rates. Men aged 18 or older, who were engaged in outpatient substance use treatment and were able to give informed consent, were eligible to participate.…”

Section: Methodssupporting

confidence: 53%

“…We found a significant association between ACE and IPV perpetration in both countries and also for physical and sexual IPV perpetration . Experiencing ACE influences IPV perpetration partially through psychosocial characteristics including depression, anxiety, and impulsivity .…”

Section: Discussionmentioning

confidence: 62%

“…Lower socio‐economic status, adverse childhood experiences (ACE), substance (alcohol and/or drug) use, psychological problems, anger expression, perpetrating other forms of violence, having inequitable gender attitudes, support of gender‐specific roles and permissive attitudes towards violence against women are associated with IPV perpetration . Men receiving treatment for substance use report higher rates of IPV perpetration (34–60% in past year) than men in the general population . Around half of men in perpetrator programs have substance use problems .…”

Section: Introductionmentioning

confidence: 99%

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The prevalence and factors associated with ever perpetrating intimate partner violence by men receiving substance use treatment in Brazil and England: A cross‐cultural comparison

Gilchrist

Radcliffe

Noto

et al. 2016

Drug and Alcohol Review

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Introduction and Aims. Intimate partner violence (IPV) perpetration is common among men who use substances. Substance use is a contributing factor for IPV perpetration. This cross-sectional study determined lifetime prevalence and factors associated with ever perpetrating IPV by men receiving substance use treatment in Brazil (n = 281) and England (n = 223). Design and Methods. IPV, adverse childhood experiences, attitudes towards gender relations and roles, current health state, substance use, depressive symptoms and anger expression were assessed. Logistic regression determined factors associated with ever perpetrating any (emotional, physical and/or sexual) IPV. Multinomial logistic regression determined factors associated with ever perpetrating different types of IPV. Results. 74.6% (373/500) reported ever perpetrating IPV: 16.5% (82/498) emotional IPV only, 46.4% (231/498) physical IPV (with/without emotional IPV) and 11.6% (58/498) sexual IPV (with/without emotional and/or physical IPV). Higher anger expression, higher depressive symptoms, fighting physically with another man in the past year (Brazil only), experiencing a greater number of adverse childhood experiences and a higher hazardous drinking score (England only) predicted ever perpetrating IPV. Compared to never perpetrating any IPV, anger expression was associated with emotional and physical IPV perpetration; fighting physically with another man in the past year was associated with physical IPV perpetration and experiencing a greater number of adverse childhood experiences and a higher hazardous drinking score were associated with both physical and sexual IPV perpetration. Discussion and Conclusions. Integrated interventions that address IPV and substance use delivered in substance use treatment could improve outcomes for perpetrators and victims.[Gilchrist G, Radcliffe P, Noto AR, d'Oliveira AFPL. The prevalence and factors associated with ever perpetrating intimate partner violence by men receiving substance use treatment in Brazil and England: A cross-cultural comparison. Drug Alcohol Rev 2017;36:34-51]

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Section: Discussionsupporting

confidence: 89%

Section: Methodssupporting

confidence: 53%

Section: Discussionmentioning

confidence: 62%

Section: Introductionmentioning

confidence: 99%

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The prevalence and factors associated with ever perpetrating intimate partner violence by men receiving substance use treatment in Brazil and England: A cross‐cultural comparison

Gilchrist

Radcliffe

Noto

et al. 2016

Drug and Alcohol Review

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“…In any case, the high frequency of such dropouts has even been confirmed by Cox regression, which documented the confounding effects of psychopathology. Considering the kind of substance abused, some studies have shown an association of cocaine use with dropout [41–45], but this has not been confirmed in studies carried out in therapeutic communities [35, 38, 46]. …”

Section: Discussionmentioning

confidence: 99%

The impact of psychopathological subtypes on retention rate of patients with substance use disorder entering residential therapeutic community treatment

Maremmani

Pani²,

Trogu

et al. 2016

Ann Gen Psychiatry

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BackgroundA specific psychopathology of addiction has been proposed and described using the self-report symptom inventory (SCL-90), leading to a 5-factor aggregation of psychological/psychiatric symptoms: ‘worthlessness and being trapped’, ‘somatic symptoms’, ‘sensitivity-psychoticism’, ‘panic-anxiety’ and ‘violence-suicide’ in various populations of patients with heroin use disorder (HUD) and other substance use disorders (SUDs). These clusters of symptoms, according to studies that have highlighted the role of possible confounding factors (such as demographic and clinical characteristics, active heroin use, lifetime psychiatric problems and kind of treatment received by the patients), seem to constitute a trait rather than a state of the psychological structure of addiction. These five psychopathological dimensions defined on the basis of SCL-90 categories have also been shown to be correlated with the outcomes of a variety of agonist opioid treatments. The present study aims to test whether the 5-factor psychopathological model of addiction correlates with the outcome (retention rate) of patients with SUDs entering a therapeutic community (TC) treatment.Methods2016 subjects with alcohol, heroin or cocaine dependence were assigned to one of the five clusters on the basis of the highest SCL-90 factor score shown. Retention in treatment was analysed by means of the survival analysis and Wilcoxon statistics for comparison between the survival curves. The associations between the psychopathological subtypes defined by SCL-90 categories and length of retention in treatment, after taking into account substance of abuse and other sociodemographic and clinical variables, were summarized using Cox regression.ResultsPatients with cocaine use disorder (CUD) showed poorer outcomes than those with heroin dependence (HUD). Prominent symptoms of “worthlessness-being trapped” lead to a longer retention in treatment than in the case of the other four prominent psychopathological groups. At the multivariate level, age, detoxified status and total number of psychopathological symptoms proved to influence outcome negatively, especially in CUD. Somatic symptoms and violence-suicide symptoms turned out to correlate with dropout from residential treatment.ConclusionsThe SCL-90 5-factor dimensions can be appropriately used as a prognostic tool for drug-dependent subjects entering a residential treatment.

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Substance Use and Intimate Partner Abuse (IPA): A Descriptive Model of the Pathways Between Substance Use and IPA Perpetration for Men

et al. 2022

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Intimate partner abuse (IPA) is a pervasive public health and human rights issue disproportionately affecting women. There is a complex link between IPA and substance use; substance use can increase both the frequency and severity of IPA. Pathway models have been applied to explore heterogeneous trajectories into other behaviours and to identify areas for intervention. This approach has not previously been applied in the area of substance use and IPA. Inductive thematic analysis of 37 interviews with heterosexual men aged 28–52 who had reported previous IPA perpetration was conducted. Men were recruited from alcohol and drug services across two areas of England. Three groupings of pathways into substance use-related IPA were generated: 1) Rule Breaking Pathway (n = 11); 2) Entrenched Substance Use Pathway (n = 13); and 3) Relationship Insecurity Pathway (n = 13). Across the three groupings of pathways, the men’s childhood and early experiences led to different journeys into SU-related IPA (abuse that was associated with intoxication, withdrawal, acquisition and substance use lifestyle). Each pathway presented differently with varying core features, for example core features of generalised violence, mental health or jealousy, and different predisposing background factors, including types and timing of childhood abuse and trauma. Adopting a pathways approach drawing on principles of equifinality and multifinality can improve understanding of heterogeneity in men who perpetrate IPA and use substances and propose treatment/intervention targets.

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Factors associated with physical or sexual intimate partner violence perpetration by men attending substance misuse treatment in Catalunya: A mixed methods study

Cited by 27 publications

References 55 publications

The prevalence and factors associated with ever perpetrating intimate partner violence by men receiving substance use treatment in Brazil and England: A cross‐cultural comparison

The prevalence and factors associated with ever perpetrating intimate partner violence by men receiving substance use treatment in Brazil and England: A cross‐cultural comparison

The impact of psychopathological subtypes on retention rate of patients with substance use disorder entering residential therapeutic community treatment

Substance Use and Intimate Partner Abuse (IPA): A Descriptive Model of the Pathways Between Substance Use and IPA Perpetration for Men

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