Substance and mental health disorders convey significant
health burdens and impair interpersonal relationships. We tested associations
between comorbid substance and mental health disorders and different forms of
intimate partner violence (IPV) experienced by young adults.
Mothers (n = 6703) were recruited during pregnancy to the
longitudinal Mater-University of Queensland Study of Pregnancy.
Mother/offspring dyads were followed up from birth to 21 years. Offspring with
complete psychiatric data at 21 years who reported having had an intimate
partnership were included (n = 1781). Participants' experiences of
psychological, physical and severe combined IPV were assessed at 21 years using
a summarised form of the Composite Abuse Scale. We used the Composite
International Diagnostic Interview to obtain lifetime diagnoses of mental
health and substance disorders. Multivariable logistic regression models of
each IPV form were adjusted for individual, family and neighbourhood factors
during adolescence, and for other forms of IPV.
We have shown specific links between different forms of IPV
experienced and individual substance and mental health disorders. Mental health
disorders were related to all three forms of IPV, while alcohol disorders were
linked to psychological IPV and illicit substance
disorders to physical IPV. The co-occurrence of
related disorders was strongly linked to psychological and physical IPV.
Intimate partner violence was experienced by both men and
women. Substance and mental health disorders were associated with specific
forms of IPV victimisation, suggesting that screening IPV clients and mental
health/substance disorder patients for the converse problems may be important
for intervention planning.
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By: Salom CL1, Williams GM2, Najman JM3, Alati R4.
1School of Public Health, The University of Queensland,
Herston, Australia. Electronic address: c.salom@uq.edu.au.
2School of Public Health, The University of Queensland,
Herston, Australia.
3School of Public Health, The University of Queensland,
Herston, Australia; School of Social Science, The University of Queensland,
Herston, Australia.
4School of Public Health, The University of Queensland,
Herston, Australia; Centre for Youth Substance Abuse Research, The University
of Queensland, Herston, Australia.
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