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Victimization and perpetration among perinatal substance abusers.

Deborah L Haller1, Donna R Miles

  • 1Medical College of Virginia, Virginia Commonwealth University, VA, USA.

Journal of Interpersonal Violence
|December 17, 2003
PubMed
Summary

Perinatal substance-abusing women frequently experience and perpetrate abuse. Addiction Severity Index (ASI) scores, psychiatric conditions like borderline personality disorder (BPD) and post-traumatic stress disorder (PTSD), and childhood abuse significantly predict these behaviors.

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Area of Science:

  • Perinatal mental health
  • Substance abuse research
  • Trauma and abuse studies

Background:

  • Substance abuse during pregnancy poses risks to both mother and child.
  • Victimization and perpetration of abuse are common among individuals with substance use disorders.
  • Understanding the interplay of psychiatric conditions, childhood trauma, and abuse is crucial for effective treatment.

Purpose of the Study:

  • To investigate the associations between demographic, psychiatric, substance abuse, and childhood abuse variables.
  • To determine predictors of past 30-day victimization and perpetration in perinatal substance abusers.
  • To inform clinical practice regarding screening for abuse in this population.

Main Methods:

  • Cross-sectional study involving 77 perinatal substance abusers.

Related Experiment Videos

  • Utilized univariate and multiple regression analyses.
  • Assessed variables including Addiction Severity Index (ASI) scores, psychiatric diagnoses (BPD, PTSD), and history of childhood abuse.

    • Main Results:

    • High rates of emotional, physical, sexual victimization, and personal freedom violations were reported.
    • Emotional and physical perpetration were also prevalent.
    • ASI psychiatric and drug composite scores, BPD, PTSD, and childhood physical abuse significantly predicted victimization.
    • ASI scores, BPD, PTSD, aggressive-sadistic, and antisocial personality disorders predicted perpetration.
    • ASI scores explained the majority of variance in both victimization and perpetration.

    Conclusions:

    • Perinatal substance abuse is strongly linked to victimization and perpetration of abuse.
    • Psychiatric comorbidities and substance use severity are key predictors.
    • Clinicians should screen women with high ASI scores for involvement in abusive acts upon admission to treatment.