Impulsivity and Reactive-Proactive Aggression as Mechanisms of Alcohol-Related Sexual Intimate Partner Violence Perpetration among Romantic Partners.

Background: Sexual intimate partner violence (S-IPV) commonly occurs within the contexts of committed romantic relationshops. Prior research has demonstrated the existence of a robust link between alcohol use and S-IPV. Despite this, few research studies have explored the etiological underpinnings of alcohol-related S-IPV perpetration, specifically. The present study examines the role of several key factors (i.e., problematic drinking, negative and positive urgency, proactive and reactive aggression) on S-IPV perpetration. Methods: Participants were 337 heavy drinking men and women in intimate relatinships who reported perpetrating some form of IPV toward their current partner within the past-year. A moderated-mediation model was used to determine how the key study variables interacted to predict S-IPV perpetration. Results: Results indicated that problematic drinking was positively correlated with both negative urgency and positive uregency. Findings also revealed that negative urgency, positive urgency, proactive aggression, and reactive aggression were all positively related to S-IPV perpetration. The indirect relationship between problematic drinking and S-IPV perpetration was mediated by positive urgency. Additionally, a significant main effect of proactive aggression on S-IPV perpetration was also detected. Conclusions: These findings suggest that impulsivity, specifically positive urgency, and proactive aggression may be under-appreciated constructs within the existing sexual aggression literature, and future research examining these variables as mechanisms explaining the association between the alcohol and S-IPV is warranted.

Emotion differentiation and intimate partner violence: Effects of provocation and alcohol intoxication.

OBJECTIVE: This study investigated the impact of relational provocation on intimate partner violence (IPV) perpetration as a function of alcohol intoxication and individuals' emotion differentiation (ED; i.e., the ability to differentiate between positive and negative emotions). We hypothesized that provocation and acute intoxication would be associated with lower ED, such that individuals would demonstrate lower ED following provocation and while intoxicated. We also hypothesized an intoxication-by-ED interaction, such that only individuals who were intoxicated and undifferentiated would perpetrate IPV. METHOD: Two hundred fifty community-based adults completed an aggression paradigm ostensibly with their romantic partners where they were randomly assigned to an alcohol or no-alcohol condition. Participants' ED across positive and negative subscales was calculated at baseline (Time 1), postprovocation and intoxication (Time 2), and postbehavioral aggression (Time 3). IPV was operationalized as the strength and duration of shocks issued to their partner during the aggression paradigm. RESULTS: Both sober and intoxicated participants experienced lower ED following provocation, suggesting a main effect of provocation but no main effect of intoxication. There was a significant alcohol-by-ED interaction in the predicted direction. For intoxicated participants, low ED was associated with greater IPV perpetration. For sober participants, low ED was associated with less IPV perpetration. CONCLUSIONS: Consistent with hypotheses, low ED is associated with greater IPV perpetration among intoxicated individuals. In contrast to prior research, low ED was associated with less IPV perpetration among sober individuals. Alcohol-related cognitive impairments may increase the likelihood of IPV perpetration by disrupting the ED process that may otherwise inhibit impulsive aggression. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

Emotion regulation and intimate partner violence perpetration: A meta-analysis.

Intimate partner violence (IPV) is a significant public health concern that affects millions of individuals each year. As such, research informing its prediction and prevention is paramount. Etiological models of IPV perpetration and empirical findings suggest that emotion regulation (ER) is associated with IPV perpetration. Further, research has suggested that depending on ER conceptualization, ER may predict either increased (e.g., risk factor) or decreased IPV perpetration (e.g., protective factor). Despite its documented association with IPV perpetration, and amenability to intervention, ER's aggregate association with IPV perpetration has not been evaluated. The present systematic review and meta-analysis analyzes ER's association with IPV perpetration. Two hundred and sixty-five effect sizes from 62 unique samples were included for analysis. Results suggested a small to moderate association between ER and IPV perpetration, the magnitude of which varied by ER construct, whether ER predicted increased or decreased IPV perpetration, and the type of IPV perpetration measured. The magnitude of association between ER and IPV perpetration did not vary by sample type or gender. Implications of these findings were reviewed in the context of meta-theoretical and clinically-focused models of IPV perpetration and suggestions for future research were explored.

Impulsivity and Perpetration of Intimate Partner Aggression: The Moderating Effects of Negative Affective State and Alcohol.

Background: The goal of this study was to test the interactive effects of negative urgency, state negative affect, and alcohol intoxication on intimate partner aggression (IPA) perpetration. Methods: Heavy drinkers who recently perpetrated IPA completed self-report measures of impulsivity, were administered an alcohol or control beverage, and completed a laboratory aggression task. State negative affect was assessed unobtrusively via the Facial Action Coding System. Results: Consistent with our prediction, negative urgency was significantly and positively related to IPA when state negative affect was also high, but this relation was not significant when state negative affect was low. Conclusions: These results have implications for understanding the role of negative affect and impulsivity in IPA perpetration and for understanding trait models of impulsivity in general.

The instigating effects of isolation on substance-related intimate partner violence: A review.

In this article, we examine the empirical and theoretical support for the idea that experiences of isolation can intensify substance use, even among those in committed close relationships, and can increase the likelihood of negative conflict behaviors, including intimate partner violence (IPV). Cross-sectional, longitudinal, and laboratory-based research suggest that individuals and couples who report experiences of social exclusion and have fewer social supports experience more mental health problems, more negative emotional experiences, and higher levels of stress. These negative outcomes spur coping efforts to reduce these distressing states, which often involve pain-relieving substances such as alcohol. We describe how dynamic models of relationship conflict and IPV can integrate alcohol and substance use patterns among both individuals and couples to understand and predict contexts leading to conflict escalation and IPV perpetration.

Dealing with loss in the face of disasters and crises: Integrating interpersonal theories of couple adaptation and functioning.

The COVID-19 pandemic has highlighted the significant and varied losses that couples can experience during times of global and regional disasters and crises. What factors determine how couples navigate their close relationships during times of loss? In this paper, we elaborate and extend on one of the most influential frameworks in relationship science-the Vulnerability Stress Adaptation Model (VSAM, Karney and Bradbury, 1995)-to enhance the model's power to explain relationships during loss-themed disasters/crises. We do so by elaborating on attachment theory and integrating interdependence theory (emphasizing partner similarities and differences). Our elaboration and extension to the VSAM provides a comprehensive framework to guide future research and inform practice and policy in supporting relationships during and beyond loss-themed disasters/crises.

Cognitive and Affective Mediators of Alcohol-Facilitated Intimate Partner Aggression.

This multisite study examined whether aggressive cognitions and facial displays of negative affect and anger experienced during provocation mediated the association between alcohol intoxication and intimate partner aggression (IPA). Participants were 249 heavy drinkers (148 men, 101 women) with a recent history of IPA perpetration. Participants were randomly assigned to an Alcohol or No-Alcohol Control beverage condition and completed a shock-based aggression task involving apparent provocation by their intimate partner. During provocation, a hidden camera recorded participants' facial expressions and verbal articulations, which were later coded using the Facial Action Coding System and the Articulated Thoughts in Simulated Situations paradigm. Results indicated that the positive association between alcohol intoxication and partner-directed physical aggression was mediated by participants' aggressive cognitions, but not by negative affect or anger facial expressions. These findings implicate aggressogenic cognitions as a mediating mechanism underlying the association between the acute effects of alcohol and IPA perpetration.

Relationship Dissatisfaction, Emotion Regulation, and Physical Intimate Partner Aggression in Heavy-Drinking, Conflict-Prone Couples: A Dyadic Analysis.

Relationship dissatisfaction is a known risk factor for intimate partner aggression (IPA). However, the possible effect of weak emotion regulation skills on this association is unclear, particularly in couples at risk for violence who drink alcohol heavily. This study examined the moderating effect of emotion regulation on the association between relationship dissatisfaction and physical IPA perpetration within a dyadic framework. Participants were 583 heavy drinking couples (N = 1,166) with a recent history of psychological and/or physical IPA recruited from two metropolitan cities in the United States. Multilevel models were used to examine effects within an actor-partner interdependence framework. Gender, Actor dissatisfaction, and Actor and Partner emotion regulation were associated with greater physical IPA perpetration. Actor relationship dissatisfaction predicted significantly greater physical IPA perpetration in Actors characterized by weak versus strong emotion regulation. Furthermore, partner relationship dissatisfaction predicted significantly increased physical IPA perpetration in Actors reporting weak, versus strong, emotion regulation. Gender did not significantly interact with model variables. Utilizing the I3 metatheoretical model of IPA within a dyadic framework, results provide insight into the interactive effects of relationship dissatisfaction and emotion regulation deficits on physical IPA perpetration, particularly in those individuals already at risk for perpetration.

Alcohol-related relationship dissatisfaction: A putative mechanism for intimate partner aggression.

Decades of research has identified alcohol use as a contributing cause of intimate partner aggression (IPA) perpetration; however, there have been fewer studies that seek to identify mediators of the relation between alcohol use and IPA perpetration. Building on research showing a positive association between problematic drinking and relationship dissatisfaction and relationship dissatisfaction and IPA, we examined whether relationship dissatisfaction accounted for the relation between problematic drinking and IPA perpetration in couples using statistical modeling that accounted for the interdependence between partners. Our results showed that (a) actor problematic drinking was related to actor psychological and physical IPA perpetration and that this relation was partially explained by actor relationship dissatisfaction, (b) partner problematic drinking was related to actor physical and psychological IPA perpetration and that this relation was partially explained by actor relationship dissatisfaction, and (c) partner problematic drinking was related to actor psychological IPA perpetration and that this relation was partially explained by partner relationship dissatisfaction. Together, our results highlight that when partner interdependence is considered, relationship dissatisfaction could be a potential mechanism of the alcohol-IPA association and provide some evidence for different pathways for psychological and physical aggression. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

The structure of aggression in conflict-prone couples: Validation of a measure of the Forms and Functions of Intimate Partner Aggression (FFIPA).

Intimate partner aggression (IPA) is a complex construct composed of the means and the motivations by which a person harms his or her intimate partner. Existing measures only assess forms of IPA perpetration while neglecting to measure the motivations for aggressing. The present study sought to fill this lacuna by adapting and validating an existing measure of the forms and functions of adolescent peer aggression to assess IPA perpetration in adults. This new measure-the Forms and Functions of Intimate Partner Aggression (FFIPA)-comprises 4 latent dimensions of IPA (i.e., overt, relational, proactive, and reactive). Participants were 341 heavy-drinking heterosexual couples (N = 682) with a recent history of psychological and/or physical IPA recruited from 2 metropolitan cities in the United States. The FFIPA demonstrated good model fit and internal validity. Unique patterns of convergent and criterion-related validity supported the 4 dimensions of the FFIPA. Results also indicated women perpetrated significantly more overt and relational aggression than men. Findings support the FFIPA as a valid measure of the forms and functions of IPA perpetration. More important, as the only instrument that parses the forms and functions of IPA perpetration, the FFIPA delineates the unique motivations of an aggressive partner separately from the form of his or her aggressive behavior(s). Further replication is needed to generalize this measure to nonconflictual and other types of intimate relationships. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

Alcohol, Affect, and Aggression: An Investigation of Alcohol's Effects Following Ostracism.

OBJECTIVE: Ostracism is distressing to those who experience it and people are motivated to find ways to cope, including self-medication or aggression. However, we know little about how alcohol intoxication may affect individuals' reactions to ostracism. This study investigates predictions informed by Alcohol Myopia Theory to observe how alcohol influences changes to one's affect, basic needs fulfillment, and aggression following ostracism. METHOD: Participants (N = 97) were randomly assigned to either consume an alcohol, placebo, or nonalcohol beverage, and then participate in a game that simulated ostracism. Following this, participants engaged in a task wherein they were able to aggress against an ostensible ostracizer. Affect and basic psychological needs were measured at baseline, post-ostracism, and post-aggression timepoints. RESULTS: Results indicated that all groups reacted adversely to ostracism and experienced partial recovery toward baseline for negative and positive affect and basic psychological needs. Further, alcohol facilitated recovery across these outcomes post-aggression for participants who felt more intoxicated. Alcohol, relative to the control beverages, increased ostracizer-directed aggression intensity for low trait physically aggressive, but not highly aggressive, people. CONCLUSION: This randomized study provides novel preliminary evidence suggesting that alcohol enhances aggressive urges toward ostracizers in those who are not typically aggressive. Those who feel more drunk when intoxicated, compared to those who feel less so, may experience greater recovery from ostracism after aggressing toward an ostracizer hinting at potentially pleasurable effects that must be replicated in future studies.

Individual Versus Group Cognitive-Behavioral Therapy for Partner-Violent Men: A Preliminary Randomized Trial.

A randomized clinical trial tested the hypothesis that a flexible, case formulation-based, individual treatment approach integrating motivational interviewing strategies with cognitive-behavioral therapy (ICBT) is more efficacious than a standardized group cognitive-behavioral approach (GCBT) for perpetrators of intimate partner violence (IPV). Forty-two men presenting for services at a community domestic violence agency were randomized to receive 20 sessions of ICBT or a 20-week group cognitive-behavioral therapy (CBT) program. Participants and their relationship partners completed assessments of relationship abuse and relationship functioning at baseline and quarterly follow-ups for 1 year. Treatment uptake and session attendance were significantly higher in ICBT than GCBT. However, contrary to the study hypothesis, GCBT produced consistently equivalent or greater benefits than ICBT. Participant self-reports revealed significant reductions in abusive behavior and injuries across conditions with no differential benefits between conditions. Victim partner reports revealed more favorable outcomes for group treatment, including a statistically significant difference in psychological aggression, and differences exceeding a medium effect size for physical assault, emotional abuse, and partner relationship adjustment. In response to hypothetical relationship scenarios, GCBT was associated with greater reductions than ICBT (exceeding a medium effect) in articulated cognitive distortions and aggressive intentions. Treatment competence ratings suggest that flexible, individualized administration of CBT creates challenges in session agenda setting, homework implementation, and formal aspects of relationship skills training. Although caution is needed in generalizing findings from this small-scale trial, the results suggest that the mutual support and positive social influence available in group intervention may be particularly helpful for IPV perpetrators.

Trauma Cognitions and Partner Aggression: Anger, Hostility, and Rumination as Intervening Mechanisms.

OBJECTIVE: Previous research has demonstrated a significant association between trauma and intimate partner aggression (IPA) perpetration. However, the precise mechanisms underlying this relationship have yet to be fully elucidated. In the present study, we examined the impact of several key factors implicated in Ehlers and Clark's (2000) cognitive model of trauma (i.e., trauma cognitions, anger, hostility, and rumination) on IPA perpetration. METHOD: Participants in this study were 271 male and female heavy drinkers at high risk for IPA from the community who completed measures of dysfunctional posttraumatic cognitions, dispositional rumination, trait anger and hostility, and IPA perpetration. A moderated mediational model was tested to determine how these variables interact to predict IPA perpetration. RESULTS: Results indicated that anger and hostility mediated the effect of negative cognitions about the world on IPA perpetration, with this indirect effect being stronger for individuals with higher levels of rumination. CONCLUSION: These findings suggest that cognitive and affective processes that may result from trauma exposure are associated with IPA and should be targeted in prevention and intervention programs for individuals at risk for perpetration.

Alcohol, conflict, and aggression in intimate relationships: A dyadic approach.

Intimate partner aggression (IPA) is a critical public health problem that requires clear and testable etiological models that may translate into effective interventions. While alcohol intoxication and a pattern of heavy alcohol consumption are robust correlates of IPA perpetration, there has been limited research that examines this association from a dyadic perspective. In the present review, we discuss compelling reasons for understanding dyadic factors that assist our understanding of alcohol-facilitated IPA, review the relatively small number of studies that have investigated such factors, and provide a theoretical and methodological framework for researchers to conceptualize how to model alcohol-facilitated IPA from a dyadic framework.

Problematic alcohol use and acute intoxication predict anger-related attentional biases: A test of the alcohol myopia theory.

Previous research has demonstrated a significant association between alcohol and aggression. However, the precise mechanisms underlying this relationship have yet to be fully elucidated. In the present study, we examined alcohol's effects on an attentional bias toward aggressogenic cues as the first step in a possible mediation model of alcohol-facilitated intimate partner aggression. More specifically, we tested an interactive effect of problematic alcohol use and acute alcohol intoxication on an attentional bias toward anger words. Participants in this study were 249 male and female heavy drinkers from the community with a history of past-year intimate partner aggression perpetration who participated in an alcohol-administration laboratory study assessing the effect of alcohol intoxication on cognitive biases. Multiple linear regression was used to test the proposed moderation model. Acute alcohol intoxication moderated the effect of problematic alcohol use on an attentional bias toward anger, with this effect being stronger for individuals in the alcohol compared to no-alcohol control condition. These findings suggest that problematic drinkers may be more likely to attend to aggressogenic stimuli while acutely intoxicated, relative to when they are sober. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

Effects of Alcohol on Human Aggression.

There is little debate that alcohol is a contributing cause of aggressive behavior. The extreme complexity of this relation, however, has been the focus of extensive theory and research. And, likely due to this complexity, evidence-based programs to prevent or reduce alcohol-facilitated aggression are quite limited. We integrate I3 Theory and Alcohol Myopia Theory to provide a framework that (1) organizes the myriad instigatory and inhibitory factors that moderate the effect of alcohol on aggression, and (2) highlights the mechanisms by which alcohol facilitates aggression among at-risk individuals. This integrative framework provides the basis for understanding the appropriate targets for prevention and intervention efforts and may serve as a catalyst for future research that seeks to inform intervention development.

Problematic Drinking Mediates the Association Between Urgency and Intimate Partner Aggression During Acute Intoxication.

BACKGROUND: This study tested a moderated-mediation model whereby dimensions of impulsivity (i.e., negative urgency, positive urgency, sensation seeking, lack of premeditation, and lack of perseverance) differentially predict perpetration of physical intimate partner aggression (IPA) through problematic drinking in intoxicated and nonintoxicated heavy drinkers. METHODS: Participants were 249 heavy drinkers (148 men and 101 women) with a recent history of psychological and/or physical IPA perpetration toward their current partner recruited from 2 metropolitan U.S. cities. Participants completed questionnaires that assessed impulsivity and problematic drinking, consumed an Alcohol or No-Alcohol Control beverage, and completed a shock-based aggression task in which they were ostensibly provoked by their intimate partner. RESULTS: Results indicated an indirect effect of urgency on IPA through problematic drinking that was significantly more positive in intoxicated individuals. CONCLUSIONS: These findings implicate a tendency to act rashly in response to emotions as the specific dimension of impulsivity associated with problematic drinking, which in turn exacerbates risk for IPA perpetration. Results also suggest acute effects of alcohol are key in facilitating this mechanism.

Stress and Intimate Partner Aggression.

Evidence suggests that stressed couples also tend to be aggressive couples. Chronic external stresses interact with individuals' dispositional and regulatory deficiencies, resulting in a spillover of these stresses into the relationship. High individual stress in combination with problematic interaction styles and problem-solving abilities increases the likelihood of IPA. We applied the I3 Model to better organize the instigating, impelling, and inhibiting factors and processes that moderate the stress-IPA association. Evidence suggests that certain forms of stress, such as IPA victimization, reliably instigate IPA perpetration, with weak inhibitory processes and impaired problem solving moderating the stress-IPA association. More research is needed that specifies the 'perfect storm' of factors that increase our understanding of how, and for whom, stress increases IPA risk.

Deconstructing the associations between executive functioning, problematic alcohol use and intimate partner aggression: A dyadic analysis.

INTRODUCTION AND AIMS: Problematic drinking and executive functioning deficits are two known risk factors for intimate partner aggression (IPA). However, executive functioning is a multifaceted construct, and it is not clear whether deficits in specific components of executive functioning are differentially associated with IPA perpetration generally and within the context of problematic alcohol use. To address this question, the present study investigated the effects of problematic drinking and components of executive functioning on physical IPA perpetration within a dyadic framework. DESIGN AND METHODS: Participants were 582 heavy drinking couples (total n = 1164) with a recent history of psychological and/or physical IPA recruited from two metropolitan cities in the USA. Multilevel models were used to examine effects within an actor-partner interdependence framework. RESULTS: The highest levels of physical IPA were observed among actors who reported everyday consequences of executive functioning deficits related to emotional dysregulation whose partners were problematic drinkers. However, the association between executive functioning deficits related to emotional dysregulation and IPA was stronger towards partners who were non-problematic drinkers relative to partners who were problematic drinkers. No such effect was found for executive functioning deficits related to behavioural regulation. DISCUSSION AND CONCLUSIONS: Results provide insight into how problematic drinking and specific executive functioning deficits interact dyadically in relation to physical IPA perpetration. [Parrott DJ, Swartout KM, Eckhardt CI, Subramani OS. Deconstructing the associations between executive functioning, problematic alcohol use and intimate partner aggression: A dyadic analysis. Drug Alcohol Rev 2017;36:88-96].

Social skills deficits as a mediator between PTSD symptoms and intimate partner aggression in returning veterans.

This study examined social skills deficits as a mediator of the relationship between posttraumatic stress disorder (PTSD) symptoms and use of intimate partner aggression (IPA) among returning veterans. Prior research with veterans has focused on PTSD-related deficits at the decoding stage of McFall's (1982) social information processing model, and the current study adds to this literature by examining social skills deficits at the decision stage. Participants were 92 male veterans recruited from the greater Boston area. PTSD symptoms were assessed through clinician interview, IPA use was assessed through self- and partner report, and social skills deficits were assessed in a laboratory task in which veterans listened to a series of problematic marital situations and responded with what they would say or do in the situation. Responses were coded for social competency. Bivariate correlations revealed several significant associations among PTSD symptoms, social skills deficits, and use of IPA. When all PTSD symptom clusters were entered into a regression predicting social skills deficits, only emotional numbing emerged as a unique predictor. Finally, social skills deficits significantly mediated the relationship between veterans' PTSD symptoms and use of psychological (but not physical) IPA. Findings extend prior research on McFall's (1982) social information processing model as it relates to veterans' PTSD symptoms and use of IPA. More research is needed to understand the associations between PTSD symptoms and deficits at each individual step of this model. (PsycINFO Database Record