Anna E. Jaffe

The Longitudinal Impact of Intimate Partner Aggression and Relationship Status on Women’s Physical Health and Depression Symptoms

Intimate partner aggression (IPA) has many detrimental effects, particularly among young women. The present study examined the longitudinal effects of IPA victimization and relationship status on physical health and depression symptoms in a sample of 375 community women between the ages of 18 and 25 years. All variables were assessed at 4 occasions over a 12-month period (i.e., 1 assessment every 4 months). Multilevel modeling revealed that IPA victimization had both between- and within-person effects on womens health outcomes, and relationship status had within-person effects when women did not report current IPA. Although IPA was generally related to greater physical health problems and depression symptoms, these findings varied depending on both the type of aggression experienced (i.e., psychological vs. physical) and relationship status (i.e., whether participants were in the same relationship or a new relationship). Findings suggest that IPA can be harmful to both physical and mental health, particularly among young women who stay in abusive relationships. Results highlight the importance of developing effective IPA intervention programs and providing help and resources to women who are experiencing physical or psychological IPA in their relationships.

Parenting in Females Exposed to Intimate Partner Violence and Childhood Sexual Abuse

Child sexual abuse and intimate partner violence may have a significant impact on parenting. The current study expands on existing research by examining the effects of child sexual abuse and intimate partner violence on parenting styles and parenting self-efficacy. In women from a parenting intervention program (n = 20), child sexual abuse was related to lower parenting self-efficacy and more permissive parenting. In women at a domestic violence shelter (n = 45), child sexual abuse was related to current sexual coercion of the partner, and authoritative parenting was related to higher parenting self-efficacy. These results indicate that having a history of child sexual abuse should be taken into consideration when dealing with mothers in violent relationships.

Child maltreatment and adult criminal behavior:Does criminal thinking explain the association?

Criminal thinking styles were examined as mediational links between different forms of child maltreatment (i.e., sexual abuse, physical abuse, and physical neglect) and adult criminal behaviors in 338 recently adjudicated men. Analyses revealed positive associations between child sexual abuse and sexual offenses as an adult, and between child physical abuse/neglect and endorsing proactive and reactive criminal thinking styles. Mediation analyses showed that associations between overall maltreatment history and adult criminal behaviors were accounted for by general criminal thinking styles and both proactive and reactive criminal thinking. These findings suggest a potential psychological pathway to criminal behavior associated with child maltreatment. Limitations of the study as well as research and clinical implications of the results are discussed.

Associations between family history of substance use, childhood trauma, and age of first drug use in persons with methamphetamine dependence

Objectives:The current study examined the association among family history of substance use problems, childhood maltreatment, and age of first drug use in a sample of men and women seeking treatment for methamphetamine dependence. Various forms of childhood maltreatment were considered as mediators of the association between family history of substance use problems and age of first drug use. Methods:Participants (N = 99, 40% women, mean age 33) who were under treatment for methamphetamine dependence completed a baseline interview that obtained demographic information, past substance use by participants, history of drug/alcohol problems in their family of origin, and age at first use of any drug (excluding alcohol and tobacco). The Early Trauma Inventory Self-Report-Short Form was used to assess child maltreatment experiences before the age of 18. Results:Family history of substance use problems and childhood physical (but not emotional or sexual) trauma significantly predicted age of first drug use. Further, childhood physical trauma mediated the association between family history of substance use problems and age of first drug use. Conclusions:These findings suggest that the experience of childhood physical abuse may be an important mechanism through which family history of substance use is associated with an earlier age of first drug use.

Alcohol expectancies, posttraumatic stress disorder, and alcohol use in college students with a history of childhood trauma

abstract Objective: Prior research has emphasized that the key mediator in the posttraumatic stress disorder (PTSD) symptom–alcohol use relationship is the expectancy of alcohols tension-reducing properties. This study extends the literature by examining various alcohol outcome expectancies. Methods: Cross-sectional data were obtained from 198 college students who reported experiencing at least one traumatic event in childhood. Participants answered surveys measuring PTSD symptoms, alcohol outcome expectancies, and three measures of alcohol consumption and related problems. Results: Participants included 131 males (mean age = 19.65 years, SD = 1.06, range = 18 to 24) and 67 females (mean age = 19.43 years, SD = 0.82, range = 18 to 23), who were predominantly European-American (82%). For males and females, results of the multivariate analyses suggested that self-perception expectancies mediated the effects of PTSD symptoms on alcohol use severity, whereas sociability expectancies mediated the effects of PTSD symptoms on monthly alcohol use. For women, risk and aggression and sexuality expectancies mediated the relationship between PTSD symptoms and alcohol use severity, while risk and aggression expectancies mediated the relationship between PTSD symptoms and alcohol use consequences. For men, sociability expectancies mediated the effects of PTSD symptoms on alcohol use severity. Across genders, tension-reduction expectancies did not mediate the relationship between PTSD symptom and the three alcohol measures. Conclusions: This study was unable to find support for the self-medication hypothesis via the tension-reduction outcome expectancy pathway. However, other significant findings can be interpreted in light of the self-medication hypothesis. For example, alcohol may aid in coping with social impairments related to PTSD symptoms, particularly in a college sample. This study also highlighted gender differences in the association between PTSD symptoms and alcohol consumption and related problems.

Multidimensional Trait Emotional Intelligence and Aggressive Tendencies in Male Offenders of Domestic Violence

This study was undertaken to identify the role of six facets of trait-emotional intelligence (EI) in men’s aggressive tendencies toward intimate partners (N = 131). Consistent with past research, hierarchical regression showed emotional self-regulation and empathy were negatively and uniquely predictive of four self-reported aggressive tendencies: physical aggression, verbal aggression, anger, and hostility. Canonical correlations yielded two distinct patterns of relationships between EI and aggressive tendencies. The first canonical correlation supported an overall negative relationship, especially involving dependent variables anger and hostility. A second canonical correlation revealed higher physical and verbal aggression were associated with higher emotional self-recognition, regulation of others’ emotions, nonverbal emotional expression, and lower empathy. Findings support a multidimensional understanding of EI and aggressive tendencies.

Victim alcohol intoxication during a sexual assault: relations with subsequent PTSD symptoms

This study examines associations between women’s alcohol intoxication at the time of sexual assault and posttraumatic stress disorder (PTSD) symptoms. Drawing on the dual representation theory (Brewin, Gregory, Lipton, & Burgess, 2010), we hypothesized that intoxication at the time of assault would be positively associated with both overall symptoms of PTSD and PTSD reexperiencing symptoms in particular. A total of 143 community women (ages 18–26 years; 71.3% European American) reporting sexual victimization completed questionnaires assessing severity of coercion involved in the assault, perceived level of intoxication at the time of assault, and current PTSD symptoms. Overall, results suggested that greater alcohol intoxication (but not alcohol use alone) was associated with more severe PTSD symptoms when controlling for severity of coercion. Furthermore, higher levels of victim intoxication at the time of the assault were most predictive of reexperiencing symptoms relative to the other symptom clusters.

Characterizing Sexual Violence in Intimate Relationships: An Examination of Blame Attributions and Rape Acknowledgment

Rape by an intimate partner frequently involves a precedence of sexual consent between victim and perpetrator, often does not include the use of physical force, and may not fit societal definitions of rape. Given these unique characteristics, women who are assaulted by an intimate partner may be less likely to acknowledge the experience as a rape. In turn, they might make fewer blame attributions toward themselves and their perpetrators than victims of rape by a nonpartner. Consistent with these expectations, results from 208 community women reporting rape in adulthood revealed the presence of indirect effects of perpetrator type (nonpartner vs. intimate partner) on both behavioral self-blame and perpetrator blame through rape acknowledgment, even when controlling for both victim substance use at the time of the assault and coercion severity. Compared with women who experienced a rape by a nonpartner, women who experienced rape in the context of a marital or dating relationship were less likely to blame themselves or the perpetrator for the assault, in part because they were less likely to label their experience as a rape. Overall, these findings highlight the unique nature of intimate partner rape and provide further information about the relatively underresearched area of sexual violence in intimate relationships.

Feasibility and initial evaluation of project PEACE: An intervention for college students at risk for dating violence

Although dating violence is prevalent among college students, few programs have been designed specifically to prevent dating violence in this population. This article describes the development and initial evaluation of one such program: Project PEACE (Partner Enrichment to Address Conflict Effectively). Project PEACE seeks to reduce physical and psychological dating violence in both men and women by promoting skills in mindfulness, emotion regulation, distress tolerance, cognitive restructuring, and interpersonal communication. In a randomized controlled feasibility trial, 32 college students at risk for dating violence (indicated by past dating violence, hazardous alcohol use, high trait anger, relationship dissatisfaction, or relationship conflict) were randomized to a treatment or no-treatment control. Physical and psychological dating violence, attitudes on dating violence, and recognition that alcohol can lead to aggression were assessed at pretreatment, posttreatment, and 1-month follow-up. Trends were observed in the expected direction for self-reported physical and psychological dating violence. Compared to the control condition, Project PEACE protected against increasing acceptance of abuse in dating relationships and heightened awareness alcohol could lead to aggression. Participants expressed satisfaction with the intervention. Results suggest Project PEACE is a feasible and promising approach to reduce risk of dating violence in college students. Larger scale evaluation of Project PEACE is recommended.

Relationship between self-reported physical health problems and sleep disturbances among trauma survivors: a brief report

OBJECTIVES History of trauma exposure is often associated with negative physical health outcomes. Better understanding of this association may have important implications for improved health and decreased health care-related costs. One possible link between trauma and poor health outcomes is the pernicious impact of sleep disturbances. In the present study, it was hypothesized that sleep quality would predict physical health symptoms above and beyond posttraumatic stress disorder (PTSD) and depression. METHODS Fifty-four trauma-exposed adults participated in a randomized controlled trial for treatment of trauma-related nightmares. Physical health symptoms, depression, PTSD symptoms, and sleep quality were assessed via self-report. RESULTS Consistent with expectations, analyses revealed sleep quality uniquely contributed to physical health symptoms above and beyond PTSD and depression symptoms. Moreover, sleep quality mediated the relationship between PTSD symptoms and physical health symptoms. CONCLUSIONS Findings suggest sleep disturbances may require specific interventions to maximize positive physical and mental health outcomes.