@article{ref1,
title="Association between substance use disorders and self- and other-directed aggression: an integrated model approach",
journal="Aggressive behavior",
year="2019",
author="Ghossoub, Elias and Adib, Salim M. and Maalouf, Fadi T. and Fuleihan, Ghada E-H and Tamim, Hani and Nahas, Ziad",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="Our study's objective is to determine whether substance use disorders' association with aggression differs according to the type of substance and/or the form of aggression, within the same population. We used data from the National Survey on Drug Use and Health across 2008-2014, with a pooled sample of 270,227 adult respondents. We used regression models to estimate the odds ratios for those having alcohol and/or drug use disorder(s) perpetrating (a) each form of aggression compared with no aggression and (b) other-directed compared with self-directed aggression. Alcohol use disorder alone and drug use disorder(s) alone were both associated with significantly increased odds of committing self-directed, other-directed, and combined aggression. Individuals with drug use disorder(s) alone were more likely to commit other-directed than self-directed aggression (adjusted odds ratio = 1.46, 95% CI = 1.04-2.05). Individuals with alcohol use disorder alone were not likely to commit one over the other (adjusted odds ratio = 1.20, 95% CI = 0.90-1.61). In conclusion, the integrated model of aggression based on the stress-diathesis model is a relevant framework to study risk factors for aggression. Further research is needed to identify longitudinal predictors of directionality of aggression.<br><br>© 2019 Wiley Periodicals, Inc.<p /> <p>Language: en</p>",
language="en",
issn="0096-140X",
doi="10.1002/ab.21859",
url="http://dx.doi.org/10.1002/ab.21859"
}