Objective: This study described the extent of partner violence victimization and perpetration among married or cohabiting female alcoholic patients and the factors associated with it. Method: Male-to-female and female-to-male physical partner violence were examined for 103 female alcoholic patients seeking couples-based outpatient alcoholism treatment. Partner violent (PV) and nonpartner violent (NPV) groups were compared on hypothesized risk factors. Results: In the year before treatment, about two thirds of the women were victimized by their male partners, and a similar proportion engaged in violence toward their male partners. Severe violence also was high, with 22% victimization and 50% perpetration prevalence. Women committed more violent acts overall and were more likely to commit severely violent acts than the men in these couples. Risk factors for PV in both the victimization and perpetration models were as predicted: less education, lower income, greater relationship problems, stronger beliefs in the link between relationship problems and the female patient's drinking, greater cocaine use by the perpetrator of violence and greater emotional distress of the men. Greater alcohol and drug use and more severe alcohol problems also distinguished male perpetrators from their nonviolent counterparts in the female victimization model. Predictions that female patients in the PV group would report greater substance use and problems, childhood violence exposure and emotional distress than their female counterparts in the NPV group were not supported for either victimization or perpetration models. Conclusions:. Partner violence is a serious problem for women in alcoholism treatment. More research is needed to increase understanding of risk factors and explanatory models for such violence. (J Stud. Alcohol 64: 137-149, 2003).
机构:
Harvard Univ, Sch Publ Hlth, Dept Soc Human Dev & Hlth, Boston, MA 02115 USAHarvard Univ, Sch Publ Hlth, Dept Soc Human Dev & Hlth, Boston, MA 02115 USA
Silverman, Jay G.
McCauley, Heather L.
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Harvard Univ, Sch Publ Hlth, Dept Soc Human Dev & Hlth, Boston, MA 02115 USAHarvard Univ, Sch Publ Hlth, Dept Soc Human Dev & Hlth, Boston, MA 02115 USA
McCauley, Heather L.
Decker, Michele R.
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Bloomberg Sch Publ Hlth, Dept Populat Family & Reprod Hlth, Baltimore, MD USAHarvard Univ, Sch Publ Hlth, Dept Soc Human Dev & Hlth, Boston, MA 02115 USA
Decker, Michele R.
Miller, Elizabeth
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Univ Calif Davis, Dept Pediat, Davis, CA 95616 USAHarvard Univ, Sch Publ Hlth, Dept Soc Human Dev & Hlth, Boston, MA 02115 USA
Miller, Elizabeth
Reed, Elizabeth
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Duke Univ, Duke Global Hlth Inst, Durham, NC USAHarvard Univ, Sch Publ Hlth, Dept Soc Human Dev & Hlth, Boston, MA 02115 USA
Reed, Elizabeth
Raj, Anita
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Boston Univ, Sch Publ Hlth, Dept Social & Behav Sci, Boston, MA 02215 USAHarvard Univ, Sch Publ Hlth, Dept Soc Human Dev & Hlth, Boston, MA 02115 USA
机构:
Oklahoma City VA Med Ctr, Oklahoma City, OK USA
South Cent Mental Illness Res Educ & Clin Ctr, Jackson, MS USA
Univ Oklahoma, Hlth Sci Ctr, Oklahoma City, OK USABaylor Coll Med, Dept Psychiat & Behav Sci, Houston, TX 77030 USA
Sherman, Michelle D.
Bowling, Ursula
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Oklahoma City VA Med Ctr, Oklahoma City, OK USA
South Cent Mental Illness Res Educ & Clin Ctr, Jackson, MS USA
Univ Oklahoma, Hlth Sci Ctr, Oklahoma City, OK USABaylor Coll Med, Dept Psychiat & Behav Sci, Houston, TX 77030 USA
Bowling, Ursula
Townsend, Bradford J.
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Oklahoma City VA Med Ctr, Oklahoma City, OK USA
South Cent Mental Illness Res Educ & Clin Ctr, Jackson, MS USA
Univ Oklahoma, Hlth Sci Ctr, Oklahoma City, OK USABaylor Coll Med, Dept Psychiat & Behav Sci, Houston, TX 77030 USA
机构:Harvard Univ, Sch Med, VA Boston Healthcare Syst, Dept Psychiat,Families & Addict Program, Brockton, MA 02301 USA
Schumm, Jeremiah A.
O'Farrell, Timothy J.
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Harvard Univ, Sch Med, VA Boston Healthcare Syst, Dept Psychiat,Families & Addict Program, Brockton, MA 02301 USAHarvard Univ, Sch Med, VA Boston Healthcare Syst, Dept Psychiat,Families & Addict Program, Brockton, MA 02301 USA
O'Farrell, Timothy J.
Murphy, Christopher M.
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Univ Maryland Baltimore Cty, Dept Psychol, Baltimore, MD 21228 USAHarvard Univ, Sch Med, VA Boston Healthcare Syst, Dept Psychiat,Families & Addict Program, Brockton, MA 02301 USA
Murphy, Christopher M.
Fals-Stewart, William
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Univ Rochester, Sch Nursing, Rochester, NY 14627 USAHarvard Univ, Sch Med, VA Boston Healthcare Syst, Dept Psychiat,Families & Addict Program, Brockton, MA 02301 USA