Adverse childhood experiences and intimate partner aggression in the US: sex differences and similarities in psychosocial mediation

Social Science & Medicine
Monique J BrownSteven A Cohen

Abstract

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...Continue Reading

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Aug 14, 2015·Journal of Interpersonal Violence·Christine Y Tardif-WilliamsHarriet L MacMillan
Apr 18, 2019·Psychological Medicine·Mareike AugsburgerAndreas Maercker
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