RaeAnn E Anderson1,2, Erin E Bonar3, Maureen A Walton3,4, Jason E Goldstick4, Sheila A M Rauch5,6, Quyen M Epstein-Ngo4,7, Stephen T Chermack2,3. 1. Department of Psychological Sciences, Kent State University, Kent, Ohio. 2. Mental Health Service, Veterans Affairs Ann Arbor Healthcare System, Ann Arbor, Michigan. 3. Addiction Center, Department of Psychiatry, University of Michigan, Ann Arbor, Michigan. 4. Injury Center, Department of Emergency Medicine, University of Michigan, Ann Arbor, Michigan. 5. Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, Georgia. 6. Mental Health Service Line, Atlanta Veterans Affairs Medical Center, Decatur, Georgia. 7. Institute for Research on Women & Gender, University of Michigan, Ann Arbor, Michigan.
Abstract
OBJECTIVE: This study examined patterns of violence victimization and aggression in both intimate partner and nonpartner relationships among U.S. military veterans using latent profile analysis to identify subtypes of violence involvement. METHOD: Participants were 839 substance use treatment-seeking veterans (93% male) from a large Veterans Affairs Medical Center who completed screening measures for a randomized controlled trial. RESULTS: Past-year violence involvement, including both intimate partner violence (IPV) and nonpartner violence (NPV), was common in the sample, although NPV occurred at somewhat higher rates. When we included either IPV or NPV aggression or victimization, more than 40% reported involvement with physical violence, 30% with violence involving injury, and 86% with psychological aggression. Latent profile analysis including both aggression and victimization in partner and nonpartner relationships indicated a four-profile solution: no/low violence (NLV; n = 377), predominantly IPV (n = 219), predominantly NPV (n = 134), and high general violence (HGV; n = 109). Multinomial logistic regression analyses revealed that, compared with the NLV group, the remaining three groups differed in age, cocaine use, posttraumatic stress disorder (PTSD) symptoms, and legal involvement. Legal issues appeared to differentiate the profiles most, with the predominantly NPV and HGV profiles reporting more instances of driving under the influence and the HGV profile reporting legal problems related to aggression. CONCLUSIONS: IPV and NPV are fairly common among veterans seeking substance use treatment. The clinical characteristics of violence profiles indicate that cocaine use, PTSD symptoms, and legal involvement are treatment needs that vary with violence profile and may be useful for clinical decision making.
OBJECTIVE: This study examined patterns of violence victimization and aggression in both intimate partner and nonpartner relationships among U.S. military veterans using latent profile analysis to identify subtypes of violence involvement. METHOD:Participants were 839 substance use treatment-seeking veterans (93% male) from a large Veterans Affairs Medical Center who completed screening measures for a randomized controlled trial. RESULTS: Past-year violence involvement, including both intimate partner violence (IPV) and nonpartner violence (NPV), was common in the sample, although NPV occurred at somewhat higher rates. When we included either IPV or NPV aggression or victimization, more than 40% reported involvement with physical violence, 30% with violence involving injury, and 86% with psychological aggression. Latent profile analysis including both aggression and victimization in partner and nonpartner relationships indicated a four-profile solution: no/low violence (NLV; n = 377), predominantly IPV (n = 219), predominantly NPV (n = 134), and high general violence (HGV; n = 109). Multinomial logistic regression analyses revealed that, compared with the NLV group, the remaining three groups differed in age, cocaine use, posttraumatic stress disorder (PTSD) symptoms, and legal involvement. Legal issues appeared to differentiate the profiles most, with the predominantly NPV and HGV profiles reporting more instances of driving under the influence and the HGV profile reporting legal problems related to aggression. CONCLUSIONS: IPV and NPV are fairly common among veterans seeking substance use treatment. The clinical characteristics of violence profiles indicate that cocaine use, PTSD symptoms, and legal involvement are treatment needs that vary with violence profile and may be useful for clinical decision making.
Authors: Eric B Elbogen; Sally C Johnson; H Ryan Wagner; Connor Sullivan; Casey T Taft; Jean C Beckham Journal: Br J Psychiatry Date: 2014-02-27 Impact factor: 9.319
Authors: Karin V Rhodes; Debra Houry; Catherine Cerulli; Helen Straus; Nadine J Kaslow; Louise-Anne McNutt Journal: Ann Fam Med Date: 2009 Jan-Feb Impact factor: 5.166
Authors: Quyen M Epstein-Ngo; Maureen A Walton; Michelle Sanborn; Shane Kraus; Fred Blow; Rebecca Cunningham; Stephen T Chermack Journal: J Subst Abuse Treat Date: 2014-06-10
Authors: C W Lejuez; Michael J Zvolensky; Stacey B Daughters; Marina A Bornovalova; Autumn Paulson; Matthew T Tull; Kenneth Ettinger; Michael W Otto Journal: Behav Res Ther Date: 2008-03-28
Authors: Stephen T Chermack; Regan L Murray; Maureen A Walton; Brenda A Booth; John Wryobeck; Frederic C Blow Journal: Drug Alcohol Depend Date: 2008-06-13 Impact factor: 4.492
Authors: Alan K Davis; Erin E Bonar; Jason E Goldstick; Maureen A Walton; Jamie Winters; Stephen T Chermack Journal: Addict Behav Date: 2017-05-20 Impact factor: 3.913
Authors: Stephanie M Jeffirs; Amber M Jarnecke; Julianne C Flanagan; Therese K Killeen; Taylor F Laffey; Sudie E Back Journal: Drug Alcohol Depend Date: 2019-04-09 Impact factor: 4.492
Authors: Amber M Jarnecke; Nicholas P Allan; Christal L Badour; Julianne C Flanagan; Therese K Killeen; Sudie E Back Journal: Addict Behav Date: 2018-10-16 Impact factor: 3.913