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308 result(s) for "Stuart, Gregory L"
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Randomized Clinical Trial of a Brief Alcohol Intervention as an Adjunct to Batterer Intervention for Women Arrested for Domestic Violence
Despite a rise in women being arrested for domestic violence and court-ordered to batterer intervention, batterer interventions remain limited in their ability to address women's treatment needs. Alcohol use is an important intervention target: one-third of women in batterer interventions have an alcohol-related diagnosis, half engage in at-risk drinking, and alcohol use contributes to intimate partner violence (IPV) and batterer intervention dropout. Research has not evaluated whether adding an alcohol intervention to batterer intervention improves women's alcohol use and IPV outcomes. We randomized 209 women (79.9% white) in Rhode Island to receive the state-mandated batterer intervention program alone or the batterer intervention program plus a brief alcohol intervention. Alcohol use (percentage of days abstinent from alcohol [PDAA], number of drinks per drinking day [DPDD], percentage of heavy drinking days [PHDD], percentage of days abstinent from alcohol and drugs [PDAAD]), and IPV perpetration and victimization frequency (psychological, physical, and sexual IPV, injury) data were collected at baseline and 3-, 6-, and 12-month follow-up. Multilevel modeling revealed that, relative to the batterer intervention alone, women who received the brief alcohol intervention reported a higher PDAA and PDAAD, fewer DPDD, and a lower PHDD across all follow-up assessments. Women who received the brief alcohol intervention perpetrated less physical IPV and experienced less injury than did women who only received the batterer intervention. For physical IPV, these differences became more pronounced over time. No other group differences or group x time interactions emerged. Adding an alcohol intervention may improve batterer intervention outcomes for women arrested for domestic violence.
The Temporal Association Between Traditional and Cyber Dating Abuse Among Adolescents
While research has explored adolescents’ use of technology to perpetrate dating violence, little is known about how traditional in-person and cyber abuse are linked, and no studies have examined their relationship over time. Using our sample of 780 diverse adolescents (58 % female), we found that traditional and cyber abuse were positively associated, and cyber abuse perpetration and victimization were correlated at each time point. Cyber abuse perpetration in the previous year (spring 2013) predicted cyber abuse perpetration 1 year later (spring 2014), while controlling for traditional abuse and demographic variables. In addition, physical violence victimization and cyber abuse perpetration and victimization predicted cyber abuse victimization the following year. These findings highlight the reciprocal nature of cyber abuse and suggest that victims may experience abuse in multiple contexts.
Substance Use as a Longitudinal Predictor of the Perpetration of Teen Dating Violence
The prevention of teen dating violence is a major public health priority. However, the dearth of longitudinal studies makes it difficult to develop programs that effectively target salient risk factors. Using a school-based sample of ethnically diverse adolescents, this longitudinal study examined whether substance use (alcohol, marijuana, and hard drugs) and exposure to parental violence predicted the perpetration of physical dating violence over time. 1,042 9th and 10th grade high schools students were recruited and assessed in the spring of 2010, and 93 % of the original sample completed the 1-year follow-up in the spring of 2011. Participants who had begun dating at the initial assessment and who self-identified as African American ( n  = 263; 32 %), Caucasian ( n  = 272; 33 %), or Hispanic ( n  = 293; 35 %) were included in the current analyses ( n  = 828; 55 % female). Slightly more than half of the adolescents who perpetrated dating violence at baseline reported past year dating violence at follow-up, relative to only 11 % of adolescents who did not report perpetrating dating violence at baseline. Structural equation modeling revealed that the use of alcohol and hard drugs at baseline predicted the future perpetration of physical dating violence, even after accounting for the effects of baseline dating violence and exposure to interparental violence. Despite differences in the prevalence of key variables between males and females, the longitudinal associations did not vary by gender. With respect to race, exposure to mother-to-father violence predicted the perpetration of dating violence among Caucasian adolescents. Findings from the current study indicate that targeting substance use, and potentially youth from violent households, may be viable approaches to preventing the perpetration of teen dating violence.
A Longitudinal Investigation on the Relation between Self-Compassion and Alcohol Use in a Treatment Sample: A Brief Report
Alcohol misuse is often a chronic problem such that relapses following treatment are common. One potential protective factor for alcohol misuse is self-compassion, which includes self-kindness, feelings of common humanity, and mindfulness when faced with personal suffering and hardships. This study tested the hypothesis that self-compassion, and specifically self-compassion promoting facets including self-kindness, common humanity, and mindfulness, were longitudinally associated with reduced alcohol use among a sample of men and women in substance use disorder treatment (N = 62). Results partially supported the hypothesis, in that only the mindfulness facet of self-compassion was associated with decreased alcohol use over time. Sex and age differences as they related to the positive facets of self-compassion and alcohol use emerged. These findings suggest that positive facets of self-compassion may be beneficial factors to cultivate in alcohol treatment programs.
The Prevalence of Mental Health Problems in Men Arrested for Domestic Violence
The problem of male perpetrated intimate partner violence (IPV) is widespread. In an effort to identify risk factors for perpetrating IPV, researchers have examined mental health problems among perpetrators. However, the majority of research in this area has examined personality psychopathology and/or limited their investigation to posttraumatic stress disorder (PTSD) or depression. Thus, the present study examined self-reported Axis I psychopathology among men arrested for domestic violence ( N  = 308). Results replicated past research showing high rates of PTSD and depression. In addition, the prevalence of generalized anxiety disorder (GAD), panic disorder, social phobia, and alcohol and drug disorders were very high. All types of mental health problems were positively associated with aggression perpetration. Males meeting probable diagnostic classification reported significantly more frequent aggression than males not meeting diagnostic classification, even after controlling for social desirability. Directions for future research and implications of these findings are discussed.
Empirical Studies Addressing the Opioid Epidemic: An Urgent Call for Research
Opioid misuse has become one of the most pressing public health problems facing the country. In this article, we briefly review literature regarding the opioid epidemic in the United States and the negative consequences of opioid use disorder. We provide information regarding treatment and relapse using a variety of intervention approaches. We call for research on people with opioid use disorder that can contribute to a variety of areas: improving medication-assisted treatment, addressing chronic pain, examination of adjunctive behavioral interventions, overdose, high risk behaviors and infections, pregnancy, diverse populations, and other psychological factors. Collectively addressing these crucial areas of research will advance the field and help alleviate suffering and prevent death from opioid use disorder.
Sexting and Substance Use among Women Arrested for Domestic Violence: A Brief Report
Background: Advances in technology provide opportunities for communication using electronic mediums. Sexting is one form of electronic communication and includes the sending of explicit sexual content (e.g., photos, text) through electronic mediums. Previous research demonstrated a positive association between sexting and behaviors such as substance use. Moreover, substance use increases the risk for intimate partner violence and is also associated with risky behaviors. Objectives: The aim of the present study was to examine the prevalence of sexting in a sample of 84 women mandated to attend batterer intervention programs following arrest for domestic violence. The associations between sexting, substance use, and intimate partner violence were also examined. Method: Participants completed self-report questionnaires that assessed sexting, intimate partner violence, and alcohol and drug use symptoms. Results: Fifty-four percent of participants reported being asked to send a sext, 35.1% reported sending a sext, and 32.0% reported requesting a sext. Drug use symptoms were positively associated with some forms of sexting and intimate partner violence. There was a significant difference in drug use symptoms, such that women who received a request to send a sext had significantly more symptoms relative to women who had not received a request to send a sext. Conclusion: This is the first examination of sexting in a sample of women arrested for domestic violence. Findings indicate an association between drug use symptoms, sexting, and intimate partner violence, warranting continued research in this domain.
Advancing an Integrated Theory of Sexual Minority Alcohol-Related Intimate Partner Violence Perpetration
Intimate partner violence (IPV) is a prevalent and serious public health problem. Alcohol use and misuse is one of the most well-known antecedents of IPV perpetration. However, minimal research examined whether alcohol use increases the risk for IPV perpetration among individuals who identify as a sexual minority (i.e., lesbian, gay, bisexual, or another non-heterosexual identity [LGB+]). This is particularly concerning given that rates of IPV and alcohol use are as high, if not higher, in LGB+ populations relative to their heterosexual peers. In this article we provide a brief review of existing alcohol-related IPV research among LGB+ populations, advance an integrated model of alcohol-related IPV perpetration among LGB+ populations, and discuss avenues for future research on this topic. Our review identified limited research on alcohol-related IPV perpetration among LGB+ populations, with no longitudinal or event level research on this topic. Incorporating tenets of minority stress models with models of alcohol-related IPV (i.e., I3 and Alcohol Myopia Theory), we propose an integrated theory of alcohol-related IPV perpetration among LGB+ populations. Based on the limited information available in the literature, our integrated theoretical model suggests several avenues for future research on alcohol-related IPV perpetration among LGB+ populations. We discuss these future areas for research and the importance of incorporating sexual minority stress frameworks into these investigations.
Emotion Regulation Moderates the Association Between Proximal Negative Affect and Intimate Partner Violence Perpetration
Negative affect is a central component of many theories of aggressive behavior. Though understudied, it is likely that proximal negative affect increases the odds of aggression perpetration when individuals have poor emotion regulation, but not when individuals have more adaptive emotion regulation. Thus, the current study examined (1) the proximal effect of various indicators of negative affect (e.g., anger, hostility, depression) on intimate partner violence (IPV) perpetration and (2) whether poor emotion regulation moderated these associations. For up to 90 consecutive days, male college students ( N  = 67) in a current dating relationship completed daily surveys on their negative affect and IPV perpetration. Results demonstrated that emotion regulation moderated many of the associations between proximal negative affect and physical aggression perpetration, such that negative affect was associated with increased odds of violence when poor emotion regulation was high but not low. This is the first study to demonstrate the moderating role of emotion regulation in the link between proximal negative affect and IPV perpetration. As such, these findings have important implications for existing theories of IPV and emotion regulation and suggest that interventions may effectively reduce IPV by targeting emotion regulation.