Risk Factors for Physical Violence against Partners in the U.S

Past-year intimate partner violence perpetration among people with and without depression: an individual participant data (IPD) meta-mediation analysis

PURPOSE

To investigate whether (1) depression is associated with increased risk of past-year intimate partner violence (IPV) perpetration, disaggregated by sex, after controlling for potential confounders; (2) observed associations are mediated by alcohol misuse or past-year IPV victimisation.

METHODS

Systematic review and individual participant data (IPD) meta-mediation analysis of general population surveys of participants aged 16 years or older, that were conducted in a high-income country setting, and measured mental disorder and IPV perpetration in the last 12 months.

RESULTS

Four datasets contributed to meta-mediation analyses, with a combined sample of 12,679 participants. Depression was associated with a 7.4% and 4.8% proportion increase of past-year physical IPV perpetration among women and men, respectively. We found no evidence of mediation by alcohol misuse. Among women, past-year IPV victimisation mediated 45% of the total effect of depression on past-year IPV perpetration. Past-year severe IPV victimisation mediated 60% of the total effect of depression on past-year severe IPV perpetration. We could not investigate IPV victimisation as a mediator among men due to perfect prediction.

CONCLUSIONS

Mental health services, criminal justice services, and domestic violence perpetrator programmes should be aware that depression is associated with increased risk of IPV perpetration. Interventions to reduce IPV victimisation might help prevent IPV perpetration by women. Data collection on mental disorder and IPV perpetration should be strengthened in future population-based surveys, with greater consistency of data collection across surveys, as only four studies were able to contribute to the meta-mediation analysis.

Risk Factors of Female-Perpetrated Intimate Partner Violence among Hispanic Young Adults: Attachment Style, Emotional Dysregulation, and Negative Childhood Experiences

This paper examined whether risk factors commonly associated with intimate partner violence (IPV) are associated with female-perpetrated physical IPV and female physical IPV victimization among young Hispanic women. It also examined how emotion dysregulation, impulsivity, and attachment style exacerbated these relationships. Furthermore, it investigates how these associations differ by the type of self-reported physical violence against their romantic partner. Based on the participants' self-reported physical violence, they were classified into one of four groups: nonviolent, victim-only, perpetrator-only, and bidirectionally violent. Bidirectional violence was by far the most common form of violence reported. Utilizing self-report data from 360 young Hispanic women, we used binary logistic regression to examine potential predictors of physical IPV perpetration and victimization for each group. Results demonstrated that women in the bidirectionally violent group reported the highest levels of perpetration and victimization. Parental violence victimization, witnessing interparental violence, insecure attachment styles, and emotional dysregulation predicted physical IPV perpetration and victimization. These findings emphasize the need for effective interventions that include both members of the dyad and acknowledge the impact of women's attachment style, emotion dysregulation, and adverse childhood experiences on female-perpetrated IPV and female IPV victimization.

The impact of the COVID-19 pandemic on gender-based violence and physical violence among women in Peru

Background: Gender-based violence (GBV) is an increasing social problem worldwide, but it has been neglected despite its high relevance to women’s health. In this study, we aim to assess the coronavirus disease 2019 (COVID-19) pandemic impact on GBV incidence in Peruvian, determine the physical violence prevalence and its associated factors among GBV victims. Methods: We assessed the impact of the COVID-19 pandemic on the GBV weekly incidence by fitting an autoregressive integrated moving average model. Additionally, we assessed the physical violence prevalence and its associated factors by fitting a multivariate Poisson regression model with a link log and robust variance. Results: We analyzed 588,587 cases of women victims of GBV and calculated an annual GBV incidence of 518, 714, 958, 596, and 846 cases per 100,000 women during the years 2017-2021, respectively. During the COVID-19 pandemic, the observed GBV weekly incidence went significantly below the forecasted GBV weekly incidence since 2021. Overall, most GBV cases were of middle to high-risk (76%), regular (75%), and verbal (82%) violence. Most victims were single (81%), rural (75%), mothers with children (60%), who did not complete high school (54%). Most aggressors were men (81%), paid workers (77%), had completed high school education (63%), and partner of their victims (58%). Around 44% of the victims suffered physical violence and its main associated factors were aggressor’s school education (adjusted prevalence ratio = 0.89; 95% confidence interval: 0.88-0.89), aggressor’s age <40 years old (1.30; 1.29-1.30), aggressor’s paid job (0.99; 0.98-0.99), prior violence report (1.27; 1.26-1.27), victim’s age <40 years old (1.23; 1.22-1.24), and victim non-Peruvian citizenship (1.04; 1.01-1.07). Conclusions: GBV is endemic in Peru, but the COVID-19 pandemic reduced its burden significantly in 2020-2021. Several characteristics of the cases, victims, and aggressors have changed over time, offering new opportunities for implementing interventions to address this social problem.

Self-Injury and Domestic Violence in Young Adults During the COVID-19 Pandemic: Trajectories, Precursors, and Correlates

We examined the longitudinal course of, and pre- and during-pandemic risk factors for, self-injury and domestic physical violence perpetration in young adults during the COVID-19 pandemic. Data came from a Swiss longitudinal study (N = 786, age ˜22 in 2020), with one prepandemic (2018) and four during-pandemic assessments (2020). The prevalence of self-injury did not change between April (during the first Swiss national lockdown) and September 2020 (postlockdown). Domestic violence perpetration increased temporarily in males. Prepandemic self-injury was a major risk factor for during-pandemic self-injury. Specific living arrangements, pandemic-related stressor accumulation, and a lack of adaptive coping strategies were associated with during-pandemic self-injury and domestic violence. Stressor accumulation had indirect effects on self-injury and domestic violence through negative emotions.

A Methodology Report for the Life's Snapshot Cohort Study to Investigate the Long-Term Efficacy of a Violence Intervention

Engaged bystander interventions are recognized as "promising" programming to reduce sexual violence (SV), yet little is known of the long-term (>12-month) impact of programming on SV and related forms of gender-based violence. Funded by NIH as a prospective cohort study, Life's Snapshot recruited and followed three waves of high school seniors who had participated in a large high-school cluster-randomized controlled trial to evaluate the effectiveness of the Green Dot bystander intervention. This report provides the study design, recruitment methodology, recruitment and retention rates, survey items, and psychometric properties of measures included in the initial and annual electronic surveys with 24-48 months follow-up.

Intimate Partner Violence in Iran: Factors Associated With Physical Aggression Victimization and Perpetration

Intimate partner violence (IPV) is identified as a human rights abuse which happens everywhere regardless of the society and culture. This study addressed risk markers for physical IPV victimization and perpetration among men and women in Tehran, Iran. Data were collected from 250 participants (111 men and 139 women) in Tehran who reported perpetrating or experiencing IPV at least once in the past year. In this article, we sought to understand risk markers for both male and female physical IPV victimization and perpetration and whether these risk markers differed by gender. We used regression analyses to test two models with males and females separately. Results indicated that for males, physical aggression perpetration was a significant predictor of physical aggression victimization, and physical aggression victimization, psychological aggression victimization, and psychological aggression perpetration were significant predictors of physical aggression perpetration. For females, psychological aggression victimization and physical aggression perpetration were significant predictors of physical aggression victimization, and physical aggression victimization and psychological aggression perpetration were significant predictors of physical aggression perpetration. These results can be helpful in efforts to develop effective interventions for people at risk of IPV in Iran.

Pathology in Relationships

Committed, long-term romantic relationships are ubiquitous among modern society. They are one of the most important contexts for the development, maintenance, and treatment of psychopathology. In this review, I first place psychopathology within the most commonly cited theoretical model of marital satisfaction and stability and then discuss how relationship satisfaction is conceptualized and assessed in this literature. In the second half of the review, I describe the theories regarding how romantic relationships may be connected to psychopathology. Relationship distress is easily incorporated into a diathesis-stress model as an important trigger for psychopathology. Next, I review cross-sectional research, longitudinal research, and treatment efficacy research linking relationship quality and psychopathology. I provide evidence for the robustness of these effects and areas where research must expand. I finish with a summary section that synthesizes what is known about the mechanisms linking relationship distress and psychopathology.

Intimate partner violence in Greece: a study of 664 consecutive forensic clinical examinations

BACKGROUND

Intimate partner violence (IPV) is a well-known phenomenon, which affects mostly women. While IPV victims may attend emergency departments (EDs) seeking medical care, not all of them will make an allegation against their abusers.

OBJECTIVE

The aim of this study was to examine the prevalence and the characteristics of the victims, who had made an allegation about the violent incident and had been examined by a forensic pathologist for judicial purposes, and had attended EDs seeking medical care, before the forensic examination.

METHODS

We reviewed the archives of clinical examinations that were conducted at the Department of Forensic Medicine and Toxicology of National and Kapodistrian University of Athens during a 5-year period (2012-16).

RESULTS

Six hundred sixty-four clinical examinations were conducted at our Department for IPV allegations. According to our findings, women were more likely to seek medical care than men. Victims who have attended EDs were more likely to have sustained injuries located at least on the head or on the lower limbs.

CONCLUSION

The majority of IPV victims in the broader region of Attica (Greece) were women, usually married, and aged between 30 and 49 years old. Despite the fact that the majority of IPV incidents are not reported to police, every person who is engaged in the process of dealing with IPV victims has to be educated and adequately informed about this phenomenon, its implications and the possible ways to deal with it. Furthermore, victims need to be educated and informed adequately in waiting rooms of EDs.

Prevalence, Gender and Age Differences of Dating Aggression Among Italian Adolescents

The present study represents an effort to expand and deepen the scant literature on Adolescent Dating Aggression (ADA) within the Italian context; adolescent dating aggression is a public health issue of interest due to its increasing frequency among adolescents. The prevalence of verbal-emotional and physical ADA was examined as well as gender and age differences in a sample of Italian adolescents. Participants included 436 adolescents (47.7% males; 52.3% females) living in northern Italy, aged 16 to 18 years (M = 17.11). Participants completed the Conflict in Adolescent Dating Relationships Inventory measuring abusive behaviors between adolescent dating partners. Non-parametric analyses were computed. Verbal-emotional ADA perpetration and victimization were much more common than physical ADA perpetration and victimization. Females reported higher levels of verbal-emotional and physical ADA perpetration than males. To fully investigate gender differences single behaviors were analyzed and described. Finally, age differences emerged only for perpetrated verbal-emotional abuse with such aggression being highest at age 18. This research suggests that in order to prevent the onset of dating aggression in teens in northern Italy, prevention programs may need to begin earlier than previously provided in junior high school. Another core conclusion is that physical aggression against partners is a problem for both males and females, thus intervention for the empowerment of interpersonal skills are needed.

Adolescent romantic relationships as a tug of war: The interplay of power imbalance and relationship duration in adolescent dating aggression

The present study investigates the link between power imbalance within the romantic couple and psychological, relational and physical adolescent dating aggression (ADA) perpetration, considering also the role of relationship duration as an indicator of the developmental stage of the relationship. This is the first investigation into whom is perceived to have power in the relationship (the partner or the subject him/herself) by distinguishing between male and female adolescents. Participants were 805 Italian adolescents (36.1% males; 63.9% females) aged 14-20 years (M_age  = 17.16 years, SD_age  = 1.34), all reporting having been in a romantic relationship currently or within the past 6 months. Males perceiving a balanced relationship reported lower levels of psychological ADA perpetration, and they perpetrated more relational ADA in longer relationships where the partner is perceived to have the power. No significant findings emerged regarding physical ADA. Females perceiving themselves as having the power in the relationship reported higher levels of psychological and physical ADA perpetration. They perpetrated more relational ADA when they perceived the partner as having the power in the relationship. Also, females in longer relationships in which power was not perceived as equally shared between partners reported higher physical ADA perpetration. Finally, for both males and females, longer relationships were characterized by higher levels of ADA toward the partner. Findings highlight the importance of studying the interplay between power imbalance and relationship duration on ADA perpetration, and provide the way to understand possible functions of ADA within a romantic relationship.

Prevalence of intimate partner violence perpetration among military populations: A systematic review and meta-analysis

Intimate partner violence (IPV) is a global health issue that impacts both civilian and military populations. Factors associated with military service may result in increased risk of IPV perpetration among Veterans and Active Duty military personnel. Six bibliographic databases were searched to identify studies that estimated the prevalence of IPV perpetration among military populations by sociodemographic and military characteristics. Where possible, random effect meta-analyses were conducted to determine pooled prevalence estimates. 42 studies were eligible for inclusion in this systematic review. 28 of these studies met the requirements for inclusion in subsequent meta-analyses. Among studies that measured past-year physical IPV perpetration, the pooled prevalence was higher among men compared to women (26% and 20% respectively). Among Veterans, there were consistently higher prevalences compared to Active Duty samples. Similarly, higher prevalences were found among studies in general military settings compared to clinical settings. Further research that considers the impact of the act(s) of IPV perpetration on the victims is needed. This, along with the use of a consistent measurement tools across studies will help to develop a stronger evidence base to inform prevention and management programs for all types of IPV perpetration among military personnel.

Trajectories of psychological dating violence perpetration in adolescence

BACKGROUND

More than one adolescent out of three will use psychological dating violence (DV) as a strategy to resolve conflict in romantic relationships, which will have major consequences on their partner's well-being. However, over time, most adolescents will learn skills to better interact and face conflicts, suggesting that psychological DV rates should decrease over time. Yet, because of individual characteristics and experiences, evolution over time may differ across adolescents. Risk factors for psychological DV have not been examined specifically, even though it is the most common form of dating violence.

OBJECTIVE

This study aimed to explore latent trajectories of psychological DV perpetration and examine risk factors predicting trajectory group membership.

PARTICIPANTS AND METHODS

A sub-sample of 449 adolescents who reported being in a dating relationship for the three waves of the [blind for review] completed printed and online self-report questionnaires.

RESULTS

Results from the group-based modeling identified 4 trajectories of psychological DV perpetration: absence of violence (30.7%), low violence (61.3%), high descending (4.2%), and moderate elevating (3.8%). Age, DV victimization, exposure to father toward mother violence, low self-esteem, marijuana use, DV victimization of peers, and antisocial behaviors of peers predicted trajectory membership. The model explained 36.7% of the variance.

CONCLUSIONS

These results support the need for a person-oriented approach to study psychological DV and for developing prevention programs adapted to the specific characteristics of vulnerable youth.

Comparison of the CADRI and CTS2 for Measuring Psychological and Physical Dating Violence Perpetration and Victimization

Advancing dating violence (DV) research requires consistent conceptualization and measurement. However, empirical sudies on the measurement of psychological and physical DV perpetration and victimization are uncommon. There were three aims of the current study: (a) to examine the construct validity of psychological and physical DV perpetration and victimization on the Conflict in Adolescent Dating Relationships Inventory (CADRI) and Revised Conflict Tactics Scales (CTS2) using factor analysis; (b) to compare empirically derived DV scales with ones using face valid definitions of psychological and physical DV within each measure; and (c) to compare results obtained from the CADRI with those obtained from the CTS2. A diverse sample of undergraduates (N = 512; 63.9% female, 50.0% White, 16.2% Black, and 22.9% Latino) completed an online survey. There were two-factor solutions for each survey and DV perpetration and victimization: moderate psychological DV and severe psychological/physical DV on the CADRI; and moderate psychological and physical DV and severe psychological and physical DV on the CTS2. Multiple regression analyses showed that results were similar for empirically and rationally derived scoring methods with one exception: On the CTS2, risk factors associated with moderate DV were not the same as those associated with psychological DV. Moreover, the unique contribution of risk factors to each form of DV depended on which survey was used. In multivariate studies of risk factors associated with psychological and physical DV, the CADRI and CTS2 do not appear to be interchangeable, and may lead to different conclusions about the relative importance of risk factors.

Exposure to Violence and Substance Use Treatment Outcomes Among Female Patients

BACKGROUND

Many female substance use patients have experienced violence in the past, with most estimates showing the majority of patients reporting violent experiences at some point. Prior experience with violence has been linked to increased severity of substance use, and this may contribute to more challenges in the path to recovery.

OBJECTIVES

Existing research has confounded the timing at which violence has occurred with the type of violence to which patients have been exposed. The current study was conducted to specify the extent to which the timing of exposure and the type of violence were associated with substance use after discharge from treatment.

METHODS

Data were collected from 3,439 female patients included in the Comprehensive Assessment and Treatment Outcome Research (CATOR) system.

RESULTS

With regard to the type of exposure, findings indicated female patients who were exposed to multiple forms of violence (i.e. physical and sexual) displayed the greatest severity of substance use upon treatment initiation, as well as the greatest likelihood for use following discharge from treatment. In terms of the timing, female patients who experienced violence at various time points (i.e. before and after 18 years of age) displayed the greatest severity of substance use, but patients who experienced violence after 18 years of age had the highest probability of substance use following discharge from treatment. Conclusions/Importance: Clinicians should collect information related to these important details as treatment protocols are developed, and as patients are connected to aftercare services to minimize post-treatment substance use.

I Am Not in Your Shoes: Low Perspective Taking Mediating the Relation Among Attachment Insecurities and Physical Intimate Partner Violence in Chilean University Students

Guided by the attachment theory, this study tested the degree to which perspective taking mediates the effects of romantic attachment on the use of physical intimate partner violence (IPV) toward the partner. Participants consisted of 608 Chilean university students involved in a romantic relationship, among whom 44.2% of women and 34.7% of men reported inflicting at least one act of violence toward their partner during the previous year. Results from a structural equation model showed that the association between avoidance of intimacy and physical IPV is mediated by perspective taking for both men and women. However, perspective taking mediated the link between attachment anxiety and physical IPV in women only. Our findings underline the importance of the individual's sense of attachment security in relation to their ability to empathize with their partners, as well as prevent the perpetration of physical IPV against them.

Negative Interpersonal Interactions and Dating Abuse Perpetration: The Mediating Role of Dispositional Forgivingness

Theory and research suggest that an individual's negative interactions with his or her parents or romantic partner are associated with the perpetration of dating abuse. Research is beginning to explore the role of forgivingness within abusive romantic relationships, and these preliminary findings suggest that dispositional forgivingness might mediate the relations between negative interpersonal interactions and dating abuse. The current study assessed negative interactions with one's parents and one's romantic partner, the frequency of dating abuse perpetration, and dispositional forgivingness of others and oneself among a sample of emerging adults in college ( n = 421). Dispositional forgivingness of others was negatively associated with the perpetration of emotional/verbal dating abuse and threatening behaviors, and it mediated relations between negative interpersonal interactions and dating abuse perpetration. Our findings suggest that the tendency to forgive others may explain why some individuals who experience negative interpersonal interactions with parents or romantic partners do not escalate to perpetration of abuse within their romantic relationships. Implications for future research and application are discussed.

Sociodemographic and Incident Variables as Predictors of Victim Injury From Intimate Partner Violence: Findings From Police Reports

Predictors of victim injury from intimate partner violence (IPV) were investigated using 1,292 police reports collected in South Carolina in 2009/2010. All cases were opposite sex adults. Results from bivariate statistics showed that IPV cases with ( n = 649) and without visible injuries ( n = 643) differed on victim gender, victim race, type of relationship, and perpetrator’s alcohol use. Results from a logistic regression analysis predicting victim injury showed higher odds ratios for males, Whites, and couples identified as cohabitants. Although most victims, including most injured victims, were Black women, males and Whites were overrepresented in the injured group.

When power shapes interpersonal behavior: Low relationship power predicts men's aggressive responses to low situational power

When does power in intimate relationships shape important interpersonal behaviors, such as psychological aggression? Five studies tested whether possessing low relationship power was associated with aggressive responses, but (a) only within power-relevant relationship interactions when situational power was low, and (b) only by men because masculinity (but not femininity) involves the possession and demonstration of power. In Studies 1 and 2, men lower in relationship power exhibited greater aggressive communication during couples' observed conflict discussions, but only when they experienced low situational power because they were unable to influence their partner. In Study 3, men lower in relationship power reported greater daily aggressive responses toward their partner, but only on days when they experienced low situational power because they were either (a) unable to influence their partner or (b) dependent on their partner for support. In Study 4, men who possessed lower relationship power exhibited greater aggressive responses during couples' support-relevant discussions, but only when they had low situational power because they needed high levels of support. Study 5 provided evidence for the theoretical mechanism underlying men's aggressive responses to low relationship power. Men who possessed lower relationship power felt less manly on days they faced low situational power because their partner was unwilling to change to resolve relationship problems, which in turn predicted greater aggressive behavior toward their partner. These results demonstrate that fully understanding when and why power is associated with interpersonal behavior requires differentiating between relationship and situational power. (PsycINFO Database Record

Perpetrators' and Victims' Attributions for IPV: A Critical Review of the Literature

Research shows that there are a variety of reasons why people self-report engaging in intimate partner violence (IPV) perpetration, but few studies report victims' attributions for their partners' IPV perpetration. Because there are two acting partners in relationships, as well as the IPV incidents that occur in the relationships, to fully understand the dynamics of IPV, both partners' perceptions of why the incidents occur must be understood. The authors of this article systematically reviewed the available empirical evidence regarding male and female perpetrators' endorsed attributions for their IPV perpetration, as well victims' attributions for their partners' IPV perpetration. Several literature databases were explored, resulting in 50 articles that met the criteria for inclusion in this review. IPV perpetrators' commonly endorsed attributions for physical and psychological IPV consisted of control, anger, retaliation, self-defense, to get attention, and an inability to express oneself verbally. Research has not examined endorsed attributions for coercive control. The few studies examining attributions for sexual IPV found that it was attributed to dominance or hedonism. Themes regarding victims' attributions were largely similar to those of the perpetrators, however, there were some differences. Victims' attributions for physical IPV perpetration consisted of anger, control, jealousy, and the influence of drugs/alcohol, which are similar to perpetrators' self-reported attributions for engaging in IPV perpetration. Victims' attributions for their partners' psychological IPV perpetration consisted of the perpetrator's personality, relationship dissolution, alcohol, and their partners' jealousy. Victims' attributions for their partners' sexual IPV perpetration, however, differed from perpetrators' attributions, consisting of the victim believing that the perpetrator thought they wanted it, being under the influence of alcohol/drugs, and doing it out of love. Methodological inconsistencies, directions for future research, and treatment implications are also discussed.

Adults' Explanations for Intimate Partner Violence During Childhood and Associated Effects

OBJECTIVES

Exposure to intimate partner violence (IPV) is known to challenge children's optimal development. This study sought to associate participants' beliefs about IPV held during childhood with their adjustment as adults, and to compare their beliefs from childhood to their beliefs in early adulthood.

METHOD

A nationally representative sample of 703 Swedish young adults reported on their past and present beliefs about the causes of their parents' IPV. Standardized measures assessed their mental health (anxiety, depression, and traumatic stress symptoms) and the quality of their relationships as adults.

RESULTS

The most common explanations for IPV were that the perpetrator suffered from physical or mental illness, had relationship problems, or was distressed. Participants were less likely to blame themselves for IPV or to believe that the perpetrator was cruel when they were adults, compared to their reports of themselves as children. Women were more likely to attribute mental or physical illness as the cause of the perpetrator's IPV. Childhood beliefs that the perpetrator was debilitated (from mental illness or substance abuse) and cruel (took pleasure in violence and/or despised the child) were associated with greater mental health problems and poorer relationship quality in adulthood.

CONCLUSION

Evaluation of children's harmful beliefs about IPV could be useful in adapting intervention services aimed at ameliorating negative personal causal attributions.

Adolescent Risk for Intimate Partner Violence Perpetration

The prevention of intimate partner violence is a desirable individual and public health goal for society. The purpose of this study is to provide a comprehensive assessment of adolescent risk factors for partner violence in order to inform the development of evidence-based prevention strategies. We utilize data from the Rochester Youth Development Study, a two decade long prospective study of a representative community sample of 1000 participants that has extensive measures of adolescent characteristics, contexts, and behaviors that are potential precursors of partner violence. Using a developmental psychopathology framework, we assess self-reported partner violence perpetration in emerging adulthood (ages 20-22) and in adulthood (ages 29-30) utilizing the Conflict Tactics Scale. Our results indicate that risk factors for intimate partner violence span several developmental domains and are substantially similar for both genders. Internalizing and externalizing problem behaviors as well as early intimate relationships are especially salient for both genders. Additionally, cumulative risk across a number of developmental domains places adolescents at particularly high risk of perpetrating partner violence. Implications for prevention include extending existing prevention programs that focus on high risk groups with multiple risks for developmental disruption, as well as focusing on preventing or mitigating identified risk factors across both genders.

The experience of aggressive outbursts in Intermittent Explosive Disorder

Conceptualizations of Intermittent Explosive Disorder (IED) have suffered from a scarcity of research investigating the subjective experience and phenomenology of the aggressive outbursts among those with IED relative to those who partake in more normative forms of aggression. Furthermore, though some studies have shown that individuals with IED are more impaired and have a poorer quality of life, few studies looked at negative outcomes specific to an individual with IED׳s aggressive behavior. The purpose of this study was to examine the subjective experience and social, occupational, and legal consequences of aggressive outbursts in IED. We assessed individuals with IED (n=410), psychiatric controls (n=133), and healthy controls (HC) (n=154) in the experiential correlates present before, during, and after an aggressive outburst as well as the consequences of aggressive outbursts. Results indicated that before and during aggressive outbursts, individuals with IED experienced more intense anger, physiological reactivity, and feelings of dyscontrol as well as more remorse after an aggressive outburst. Furthermore, individuals with IED report more negative consequences of their aggressive outbursts. These results provide an account of how the subjective experience and consequences of aggressive outbursts in IED differ from those with more normative forms of aggression.

Sexual Coercion and Psychological Aggression Victimization: Unique Constructs and Predictors of Depression

Sexual coercion of women is a common problem in couples that is often conceptualized as a facet of sexual assault or as a form of psychological aggression. Because psychological aggression is consistently linked to depressive symptoms, the researchers evaluated the unique contribution of sexual coercion victimization in the prediction of depressive symptoms beyond the variance explained by psychological aggression victimization. Sample 1 consisted of women living with a partner for at least a year and parenting a young child, whereas Sample 2 consisted of undergraduate students in relationships of at least 6 months. Overall, 27.4% of the women in Sample 1 and 22.8% of the women in Sample 2 reported experiencing sexual coercion victimization. Across both samples, depressive symptoms and psychological aggression victimization were significantly greater in women who experienced sexual coercion victimization. In addition, sexual coercion victimization and psychological aggression victimization each contributed significantly and uniquely to the prediction of depressive symptoms. Thus, although related to psychological aggression victimization, sexual coercion in an intimate relationship is a distinct construct. Implications for assessment, prevention, and couple therapy are discussed.