Occurrence and correlates of domestic violence among asian patients with alcohol use disorder seeking treatment for cessation

IF 2.5 4区医学 Q3 PHARMACOLOGY & PHARMACY Alcohol Pub Date : 2024-01-06 DOI:10.1016/j.alcohol.2024.01.002

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Abstract

Objective

Alcohol use disorder (AUD) has significant social and economic consequences in addition to health implications. Alcohol and drug use are linked to violence, particularly intimate partner violence and domestic violence. Identifying the characteristics of individuals with AUD and a history of domestic violence is important. Our study aimed to investigate differences between AUD patients with and without domestic violence.

Methods

This retrospective study examined the medical records of individuals diagnosed with AUD participating in a central Taiwan alcohol treatment program from 2019 to 2020. Utilizing the Cut down, Annoyed, Guilty, and Eye-opener questionnaire (CAGE), Alcohol Use Disorders Identification Test (AUDIT), Brief Michigan Alcoholism Screening Test (MAST), Beck Depression Inventory (BDI), Beck's Anxiety Inventory (BAI), World Health Organization Quality of Life (WHOQOL), and a question on suicidal ideation, we collected data on diverse variables, including a history of domestic violence. A total of 136 individuals were included in the analysis.

Results

Twenty participants had a history of domestic violence, while 116 did not. Those with a history of domestic violence had significantly higher MAST scores, lower quality of life, and higher caregiver burden compared to those without a history of domestic violence. They also had a higher proportion of adverse consequences related to alcohol use and higher suicidal ideation scores.

Conclusions

It is important to assess the risk of domestic violence in individuals with AUD, particularly those with higher MAST scores. Questions 4 and 10 of the MAST, which relate to adverse consequences of alcohol use, such as losing friends or being arrested for drunk driving, could serve as warning questions for domestic violence. Further research is needed to assess the efficacy of interventions in reducing domestic violence risk in individuals with AUD.

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寻求戒酒治疗的亚裔酒精使用障碍患者中家庭暴力的发生率及其相关因素

目标酒精使用障碍（AUD）除了对健康造成影响外，还对社会和经济造成严重后果。酗酒和吸毒与暴力有关，尤其是亲密伴侣暴力和家庭暴力。确定患有 AUD 并有家庭暴力史的人的特征非常重要。我们的研究旨在调查有家庭暴力和无家庭暴力的 AUD 患者之间的差异。这项回顾性研究检查了 2019 年至 2020 年期间参加台湾中部酒精治疗项目的被诊断为 AUD 患者的医疗记录。我们利用 "沮丧、恼怒、内疚和睁眼 "问卷（CAGE）、酒精使用障碍鉴定测试（AUDIT）、密歇根酒精中毒筛查简易测试（MAST）、贝克抑郁量表（BDI）、贝克焦虑量表（BAI）、世界卫生组织生活质量（WHOQOL）和自杀意念问题，收集了包括家庭暴力史在内的各种变量的数据。共有 136 人参与了分析。与无家庭暴力史者相比，有家庭暴力史者的 MAST 评分明显更高，生活质量更低，照顾者负担更重。他们与饮酒相关的不良后果比例也更高，自杀意念得分也更高。结论：评估 AUD 患者的家庭暴力风险非常重要，尤其是那些 MAST 得分较高的患者。MAST 的第 4 题和第 10 题涉及饮酒的不良后果，如失去朋友或因酒后驾车而被捕，可作为家庭暴力的预警问题。需要开展进一步研究，以评估干预措施在降低 AUD 患者家庭暴力风险方面的效果。

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来源期刊

Alcohol 医学-毒理学

CiteScore

4.60

自引率

4.30%

发文量

审稿时长

15.6 weeks

期刊介绍： Alcohol is an international, peer-reviewed journal that is devoted to publishing multi-disciplinary biomedical research on all aspects of the actions or effects of alcohol on the nervous system or on other organ systems. Emphasis is given to studies into the causes and consequences of alcohol abuse and alcoholism, and biomedical aspects of diagnosis, etiology, treatment or prevention of alcohol-related health effects. Intended for both research scientists and practicing clinicians, the journal publishes original research on the neurobiological, neurobehavioral, and pathophysiological processes associated with alcohol drinking, alcohol abuse, alcohol-seeking behavior, tolerance, dependence, withdrawal, protracted abstinence, and relapse. In addition, the journal reports studies on the effects alcohol on brain mechanisms of neuroplasticity over the life span, biological factors associated with adolescent alcohol abuse, pharmacotherapeutic strategies in the treatment of alcoholism, biological and biochemical markers of alcohol abuse and alcoholism, pathological effects of uncontrolled drinking, biomedical and molecular factors in the effects on liver, immune system, and other organ systems, and biomedical aspects of fetal alcohol spectrum disorder including mechanisms of damage, diagnosis and early detection, treatment, and prevention. Articles are published from all levels of biomedical inquiry, including the following: molecular and cellular studies of alcohol''s actions in vitro and in vivo; animal model studies of genetic, pharmacological, behavioral, developmental or pathophysiological aspects of alcohol; human studies of genetic, behavioral, cognitive, neuroimaging, or pathological aspects of alcohol drinking; clinical studies of diagnosis (including dual diagnosis), treatment, prevention, and epidemiology. The journal will publish 9 issues per year; the accepted abbreviation for Alcohol for bibliographic citation is Alcohol.