Citation

Epstein-Ngo QM, Walton MAL, Sanborn M, Kraus S, Blow F, Cunningham R, Chermack ST. J. Subst. Abuse Treat. 2014; 47(4): 282-292.

Affiliation

University of Michigan Addiction Research Center, Department of Psychiatry, University of Michigan, Ann Arbor, MI 48105, USA; Department of Veterans Affairs, Health Services Research and Development, Ann Arbor, MI 48109, USA.

Copyright

(Copyright © 2014, Elsevier Publishing)

DOI

10.1016/j.jsat.2014.05.005

PMID

25012548

Abstract

Studies of violence in substance use disorder (SUD) treatment settings typically focus on partner aggression (PA) although non-partner aggression (NPA) is also a common problem. This study examines potentially distinct paths of distal and proximal risk factors related to aggression towards non-partners (NPA) and partners (PA) among a SUD treatment sample. The sample included 176 adults reporting past-year violence. Bivariate analyses indicated several distal and proximal factors were associated with NPA and PA. According to multivariate, multiple mediation analyses youth aggression history was a factor for both NPA and PA. Alcohol and cocaine use and psychological distress were associated with NPA; marijuana use was associated with PA. There also was evidence of indirect effects of distal factors on NPA and PA. The results suggest that there may be substantially different dynamics associated with NPA and PA, and have implications for developing screening, assessment and treatment protocols targeting violence among individuals in SUD treatment.

Language: en