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2015 ; 131
(ä): 48-57
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Adverse childhood experiences and intimate partner aggression in the US: sex
differences and similarities in psychosocial mediation
#MMPMID25753285
Brown MJ
; Perera RA
; Masho SW
; Mezuk B
; Cohen SA
Soc Sci Med
2015[Apr]; 131
(ä): 48-57
PMID25753285
show ga
Six in ten people in the general population have been exposed to adverse
childhood experiences (ACEs). Intimate partner violence (IPV) is a major public
health problem in the US. The main objective of this study was to assess sex
differences in the role of posttraumatic stress disorder (PTSD), substance abuse,
and depression as mediators in the association between ACEs and intimate partner
aggression. Data were obtained from Wave 2 (2004-2005) of the National
Epidemiologic Survey on Alcohol and Related Conditions. Structural equation
modeling was used to determine the mediational role of PTSD, substance abuse and
depression in the association between ACE constructs (neglect,
physical/psychological abuse, sexual abuse, parental violence, and parental
incarceration/psychopathology) and intimate partner aggression. Among men, PTSD
mediated the relationship between sexual abuse and intimate partner aggression.
However, among men and women, substance abuse mediated the relationship between
physical and psychological abuse and intimate partner aggression. IPV programs
geared towards aggressors should address abuse (sexual, physical and
psychological), which occurred during childhood and recent substance abuse and
PTSD. These programs should be implemented for men and women. Programs aimed at
preventing abuse of children may help to reduce rates of depression and PTSD in
adulthood, and subsequent intimate partner aggression.
|*Life Change Events
[MESH]
|*Sex Characteristics
[MESH]
|Adolescent
[MESH]
|Adult
[MESH]
|Aggression/*psychology
[MESH]
|Child
[MESH]
|Child Abuse, Sexual/*psychology/statistics & numerical data
[MESH]
|Child Abuse/*psychology/statistics & numerical data
[MESH]
|Cross-Sectional Studies
[MESH]
|Female
[MESH]
|Health Surveys
[MESH]
|Humans
[MESH]
|Male
[MESH]
|Middle Aged
[MESH]
|Models, Statistical
[MESH]
|Risk Assessment/statistics & numerical data
[MESH]
|Sexual Partners/*psychology
[MESH]
|Spouse Abuse/*psychology/*statistics & numerical data
[MESH]