title: Distal and proximal factors associated with aggression towards partners and non-partners among patients in substance abuse treatment.
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.
authors.affiliation: University of Michigan Institute for Research on Women and Gender, University of Michigan, Ann Arbor, MI 48109, USA; University of Michigan Injury Center, University of Michigan, Ann Arbor, MI 48105, USA. Electronic address: qen@umich.edu.
authors.forename: Quyen M
authors.initials: QM
authors.lastname: Epstein-Ngo
authors.affiliation: University of Michigan Injury Center, University of Michigan, Ann Arbor, MI 48105, USA; University of Michigan Addiction Research Center, Department of Psychiatry, University of Michigan, Ann Arbor, MI 48105, USA.
authors.forename: Maureen A
authors.initials: MA
authors.lastname: Walton
authors.affiliation: University of Michigan Addiction Research Center, Department of Psychiatry, University of Michigan, Ann Arbor, MI 48105, USA.
authors.forename: Michelle
authors.initials: M
authors.lastname: Sanborn
authors.affiliation: Mental Illness Research, Education & Clinical Center, VA Connecticut Healthcare System, West Haven, CT 06515, USA.
authors.forename: Shane
authors.initials: S
authors.lastname: Kraus
authors.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.
authors.forename: Fred
authors.initials: F
authors.lastname: Blow
authors.affiliation: University of Michigan Injury Center, University of Michigan, Ann Arbor, MI 48105, USA; Department of Health Behavior and Health Education, School of Public Health, University of Michigan, Ann Arbor, MI 48109, USA; Department of Emergency Medicine, University of Michigan, Ann Arbor, MI 48105, USA.
authors.forename: Rebecca
authors.initials: R
authors.lastname: Cunningham
authors.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.
authors.forename: Stephen T
authors.initials: ST
authors.lastname: Chermack
mesh_terms: D000293:Adolescent; D000328:Adult; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D007398:Interpersonal Relations; D008297:Male; D008875:Middle Aged; D016032:Randomized Controlled Trials as Topic; D012307:Risk Factors; D018454:Spouses; D016320:Substance Abuse Treatment Centers; D019966:Substance-Related Disorders / Q000453:epidemiology / Q000523:psychology / Q000534:rehabilitation* / Q000628:therapy; D014481:United States / Q000453:epidemiology
keywords: Adults; Non-partner violence; Partner violence; Risk factors; Substance use