Catherine Strauss

A Randomized Controlled Trial of a Mindfulness and Acceptance Group Therapy for Residential Substance Use Patients

ABSTRACT Background: Substance use disorders are understood as a chronically relapsing condition that is difficult to treat. However, in recent years there have been promising developments in the treatment of substance use disorders, specifically with interventions based on mindfulness and acceptance and commitment therapy. Little research has examined whether these types of interventions may positively impact residential substance use treatment outcomes. Objectives: Thus, in the current study we developed and examined, in a randomized controlled trial, a 4-week, eight-session, adjunctive mindfulness and acceptance group therapy for patients in residential substance use treatment. Our primary outcomes were substance use cravings, psychological flexibility, and dispositional mindfulness at treatment discharge. Methods: Patients (N = 117) from a private residential substance use facility were randomized to receive the adjunctive mindfulness and acceptance group or treatment-as-usual. Patients were assessed at treatment intake and at discharge from a 28–30-day residential program. Results: Although treatment groups did not statistically differ at discharge on any primary outcome, small effect sizes favored the mindfulness and acceptance group on cravings and psychological flexibility. Conclusions/Importance: Continued research is needed to determine whether the addition of mindfulness and acceptance-based interventions improve outcomes long term following residential substance use treatment.

Cannabis use and dating violence among college students: A call for research

Dating violence is a serious and prevalent problem on college campuses. Although there is a robust literature documenting that alcohol use is consistently associated with increased risk for perpetrating dating violence, little research has examined the role of cannabis in dating violence perpetration. With increasing legalisation of cannabis throughout the world, it is imperative to understand what role, if any, cannabis may play in the important public health problem of dating violence. In this commentary, we discuss the current state of the research on cannabis and dating violence and suggest avenues for additional research in this area. It is critical that we conduct methodologically sound research on the association between cannabis and dating violence so that we can understand what role, if any, cannabis exerts on this important problem. [Shorey RC, Haynes E, Strauss C, Temple JR, Stuart GL. Cannabis use and dating violence among college students: A call for research. Drug Alcohol Rev 2017;36:17-19].

The effect of item order on psychological aggression reporting: an examination with the multidimensional measure of emotional abuse

Psychological aggression between intimate partners has been found to occur at high rates in college populations, but the reliability and validity of the self-report measures used to gather this information have been criticized. Some studies indicate item order may affect self-reports of victimization and perpetration of violent behaviors. In this study, we administered standardized and randomized formats of the Multidimensional Measure of Emotional Abuse (MMEA; Murphy & Hoover, 1999) to study the impact question order had on self-reports of psychological aggression victimization and perpetration. Results demonstrated that women reported more frequent perpetration and victimization than men on some MMEA subscales. Furthermore, those who took the standardized format of the MMEA reported more frequent perpetration and victimization on some MMEA subscales than those who took the randomized format. However, no significant interaction effects were found between gender and format. Overall, these mixed results warrant further research on item order effects with self-report measures of intimate partner violence.

The Relationship Between Dating Violence and Bystander Behavior: An Initial Investigation

Preliminary research has demonstrated the utility of bystander interventions in reducing sexual assault (Coker et al., 2011; Moynihan & Banyard, 2008), and initial research has begun extending this type of intervention to dating violence broadly (i.e., physical and psychological aggression). However, there are many unexplored factors that may increase or decrease the likelihood that individuals will engage in bystander behavior. One such factor is previous experiences with dating violence and sexual assault. Thus, this study examined prior dating violence and sexual assault experiences and endorsement of bystander behaviors in a large sample of college students (N = 2,430). We hypothesized that individuals with a history of dating and sexual assault victimization would be more likely to report engaging in bystander behaviors relative to nonvictims. The relationship between prior dating violence perpetration on bystander behavior was also explored. Results demonstrated that individuals with physical and sexual, but not psychological, victimization histories reported more frequent bystander behavior. Furthermore, perpetrators of physical violence were more likely than nonperpetrators to report bystander behavior, particularly among females. Findings provide preliminary evidence that prior experiences with dating violence and sexual assault may impact bystander behavior. Implications and directions for future research are discussed.

Stalking Victimization and Substance Use in College Dating Relationships: An Exploratory Analysis.

Traditionally, most dating violence research has focused on physical aggression and has left stalking behaviors largely unexamined, despite evidence that stalking of an intimate partner occurs with high frequency. Moreover, the extent to which stalking victimization has the same negative mental health consequences as other forms of dating violence is unclear. Thus, using a sample of male and female undergraduate students in current dating relationships (N = 357), the association between stalking victimization and alcohol and drug use was explored. Results indicated that for both men and women, stalking victimization from a dating partner was related to alcohol and drug use, even after controlling for age, gender, length of dating relationship, and physical aggression victimization. These preliminary findings suggest that stalking victimization is associated with deleterious consequences; thus, additional research is needed to better understand the longitudinal, long-term consequences of stalking victimization. Additional implications and directions for future research are discussed.

Drinking Motives as a Moderator of the Relationship Between Dating Violence Victimization and Alcohol Problems

The present study sought to examine whether drinking motives (i.e., coping, social, conformity, and enhancement) moderated the relationship between physical, sexual, and psychological dating violence victimization and alcohol-related problems in a sample of drinking college women (N = 177). Results demonstrated that coping and social drinking motives moderated the relationship between sexual victimization and alcohol problems; conformity, social, and enhancement drinking motives moderated the relationship between alcohol-related problems and physical victimization; no significant findings were evident for psychological aggression victimization. Our results partially support the self-medication model of alcohol use, and this may be particularly relevant to sexual victimization.

Stalking Perpetration in Dating Relationships: The Role of Anger Management and Emotion Regulation

Stalking is a form of dating violence that has typically been studied after relationship termination, despite evidence suggesting that stalking often occurs within current dating relationships. Consequently, there is a dearth of research on correlates of stalking perpetration among intact dating relationships. Therefore, the aim of the current study was to examine correlates of stalking perpetration among college men and women in intact dating relationships (N = 627) in order to identify possible risk factors for stalking perpetration. Using the dating violence literature and theoretical models for intimate partner violence perpetration as a guide, two potential correlates of stalking were examined: emotion regulation and anger management. Results demonstrated that anger management was positively correlated with stalking perpetration in men and women, and emotion regulation was also consistently correlated to stalking perpetration in women. Given that this is the first known study to examine correlates of stalking perpetration behaviors in dating college students, our findings provide a base from which additional investigations can be developed.

Substance Use and Adolescent Dating Violence: How Strong is the Link?

Abstract Dating violence, including psychological, physical, and sexual aggression, is a pervasive problem among adolescents. There has been some research to indicate that substance use is related to both dating violence perpetration and victimization. This chapter reviews the literature on alcohol use, marijuana use, and use of other drugs and their relation to dating violence perpetration and victimization among adolescents. The literature demonstrates a consistent link between alcohol use and dating violence perpetration and victimization, though the relationships between marijuana and use of other drugs and dating violence is less clear. Studies in this field are limited by methodological flaws including a primary focus on physical violence and limited data on temporal associations between substances and dating violence. Further research should be conducted to better understand potential causal relationships between substance use and dating violence, which will inform dating violence prevention and intervention programs.

Examination of the Transient Changes in Affect Resulting From Participation in Research Addressing Intimate Partner Violence

As a result of the proliferation of data examining intimate partner violence (IPV), there has been an emerging interest in how this research emotionally affects participants, particularly those with a history of personal experience with IPV. While a large body of IPV research suggests that only a small proportion of individuals experience transient emotional distress as the result of participation, this research is limited by examining only the emotional responses at the conclusion of the research, rather than examining changes in affect during the research. Therefore, this research sought to examine negative affect among participants throughout the research to better examine the trajectory of affect during participation in research on IPV. We recruited a sample of 914 college students who completed a measure of negative affect at the beginning, after being exposed to violence questionnaires, and at the conclusion of the research. The findings suggested that among the total sample, negative affect generally declined over the course of the research, although there was a significant interaction for victims of both psychological and physical IPV, such that their negative affect remained stable over participation in the research. Negative affect was significantly correlated with measures of reactions to the research globally, and not significantly related to perceptions of the overall benefits of the research. These data suggest that participation in research on IPV does not increase negative affect, even among those with a history of IPV. Implications of these data for future research on IPV are discussed.

Examining the Reactions of Women in Substance Use Treatment as Participants in a Study on Intimate Partner Violence: Does Shame Proneness Matter?

Women in treatment for substance use report higher levels of intimate partner violence (IPV) victimization and perpetration than the general population. Despite an abundance of research with this vulnerable population, no study has examined the research reactions of women in substance use treatment who participate in a study of IPV. Thus, we investigated the research reactions of women (N = 64) in substance use treatment who completed a self-report measure on their psychological, physical, and sexual IPV. We also examined whether shame proneness—an affective predisposition to scrutinize and criticize oneself— moderated the association between reports of IPV and negative emotional research reactions. This information is important for institutional review boards (IRBs) and researchers in determining the most ethical and appropriate protections for participants in IPV research. Findings demonstrated that victims and perpetrators of IPV did not differ from nonvictims/nonperpetrators on negative emotional research reactions. Victims of psychological aggression reported more positive research experiences than nonvictims. Shame proneness did not moderate the relationship between IPV reports (victimization or perpetration) and negative emotional reactions, although shame proneness did exert a main effect on negative emotional research reactions. Findings add to a growing body of research on participant reactions to IPV research. Our results further support the safety of self-report IPV research.