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Purpose The purpose of this descriptive study was to examine the context and disclosure of sexual assault among sexual and gender minority (SGM) individuals. Method Survey responses from SGM college students completing the 2020-2021 Healthy Minds Study who reported a sexual assault (N = 73) were included. Results Descriptive analyses revealed most sexual assaults occurred on campus (63.0%), involved alcohol (64.4%), and were perpetrated by a man (91.7%) who was a friend (27.4%), acquaintance (24.7%), or stranger (21.9%). Further, most participants (78.1%) had disclosed their sexual assault, and no differences in rates of disclosure were seen as a function of sexual orientation or gender identity. Participants commonly disclosed to a friend (68.5%), roommate (27.4%), or romantic partner (21.9%). Fewer participants disclosed if assaulted by a family member, casual or first date, or current romantic partner, compared to assaults perpetrated by strangers, acquaintances, co-workers, or a friend. Finally, most participants who used alcohol (70.0%) during the assault or were sexually assaulted through physical force (66.7%), disclosed. Conclusion Findings indicate most SGM survivors of sexual assault disclose to an informal support system, highlighting a need for additional research on the potential utility of peer education approaches for responding to sexual assault disclosure on campuses. Given the role of alcohol in sexual assault experiences reported in this sample, future research may benefit from utilizing intensive longitudinal designs to examine the temporal relationship between alcohol use and sexual assault in order to better inform intervention and prevention efforts that concurrently focus on alcohol use and sexual assault., Author(s): Lauren R. Grocott [sup.1] , Benjamin W. Katz [sup.1] , Emily A. Muñoz [sup.1] , Katie M. Edwards [sup.2] , Ryan C. Shorey [sup.1] Author Affiliations: (1) https://ror.org/031q21x57, grid.267468.9, [...]

Background and Aims: Numerous studies have demonstrated that alcohol preceded and increased the odds of intimate partner violence (IPV). These prior studies were restricted to one dyad member despite theory suggesting that acute alcohol use by both partners should increase the risk for IPV to a greater degree than when only one partner drinks. We hypothesized that alcohol use by both dyad members, relative to one or no dyad members, would proximally precede and increase the odds of IPV perpetration and victimization. Design: A 60‐day daily diary design was used, where both dyad members of dating couples completed independent reports on IPV perpetration/victimization and alcohol use via a secure survey website. Setting and Participants: Alcohol using college‐student couples, aged 18–25 (n = 181 couples), from a Midwestern university in the United States participated. A convenience sample strategy was used. Measurements Daily surveys asked about alcohol use and IPV perpetration and victimization the prior day, including whether alcohol use preceded or followed IPV. The primary outcome was psychological IPV; secondary outcomes were physical and sexual IPV. Findings Longitudinal random effects models suggested statistically significant associations between drinking behavior and IPV outcomes. The odds of psychological IPV perpetration were higher when both partners were drinking relative to one partner drinking [adjusted odds ratio (aOR) = 1.13, 95% confidence interval (CI) = 1.06–1.99]. Exploratory analyses showed some indication that the odds of physical IPV victimization were higher when both partners were drinking relative to one partner drinking (aOR = 2.09, 95% CI = 1.71–4.21). Conclusions: The risk for intimate partner violence appears to be greater when both partners drink, relative to one partner or neither partner. [ABSTRACT FROM AUTHOR]

Adverse childhood experiences (ACEs) are prevalent and associated with common problems among adults with substance use disorders (SUDs), including posttraumatic stress disorder (PTSD) symptoms and compulsive behaviors. Most studies consider cumulative ACEs when examining their associations with health and behavioral outcomes. We tested whether patterns of ACEs related to SUD symptoms, PTSD symptoms, and compulsive behaviors among adults receiving treatment for substance use. We identified latent classes of ACEs using medical record data from 721 patients in residential SUD treatment and conducted Wald chi‐square tests to assess whether these latent classes differed in alcohol and drug use disorder symptoms, PTSD symptoms, compulsive sexual behavior, and compulsive gambling. We identified four latent classes: high ACEs (15.1%), maltreatment (12.4%), household problems (22.3%), and low ACEs (49.1%). There were significant differences across latent classes in drug use disorder symptoms, PTSD symptoms, and compulsive sexual behavior, χ2(1, N = 721) = 37.42–107.07, ps <.001. Participants in the high ACEs and household problems classes had more drug use disorder symptoms than those in the low ACEs class. Relative to all other classes, individuals in the low ACEs class had the lowest PTSD symptoms and those in the high ACEs class had the highest PTSD symptoms. Findings indicate that adults with SUDs who have more ACEs have the highest risk for PTSD symptoms and compulsive sexual behavior. Screening for ACEs while considering ACE patterns and frequency may benefit treatment planning for SUD patients with comorbid concerns such as PTSD symptoms and compulsive sexual behavior. [ABSTRACT FROM AUTHOR]

Background: Intimate partner violence (IPV) is a major public health concern among young adults and has shown a consistent association with alcohol use. However, previous research has used cross‐sectional and daily diary designs that may fail to pinpoint the effects of alcohol use within several hours of IPV occurring. The present study used novel ecological momentary assessment (EMA) methods to investigate the bidirectional effect of alcohol use and IPV victimization among young adults with a history of IPV perpetration. Methods: One hundred and sixty‐eight young adults (age 18–25 years) in a dating relationship who reported IPV perpetration in the past year completed 28 days of randomly prompted EMA surveys (four surveys daily). The effect of alcohol use on IPV victimization and the effect of IPV victimization on alcohol use were examined. Results: The results indicated that alcohol use co‐occurs with psychological and physical IPV victimization. Further, alcohol use significantly increased the odds of physical (OR = 4.94; 95% CI = 2.24–10.87) and sexual (OR = 4.66; 95% CI = 1.64–13.22) IPV victimization, but not psychological IPV victimization, in the subsequent EMA survey. Finally, IPV victimization did not significantly increase the odds of reporting alcohol use in the subsequent EMA survey. Conclusions: Using alcohol is proximally related to IPV victimization among those with a history of IPV perpetration. Intervention efforts would benefit from adapting EMA methods to provide resources the moment they are needed. [ABSTRACT FROM AUTHOR]

Objective: To test whether internalized heterosexism, a form of minority stress, heightens the effect of hazardous or harmful alcohol use on frequency of intimate partner violence (IPV) perpetration among sexual minority and same-sex-attracted men. Method: We recruited participants online via Amazon Mechanical Turk (MTurk). Inclusion criteria were adult cisgender men living in the United States who identified as a sexual minority (i.e., gay, bisexual) or who endorsed being sexually attracted to men and who reported a male partner in the preceding year. Participants (N = 198) completed self-report questionnaires measuring sexual orientation and attraction, internalized heterosexism, IPV perpetration (sexual, physical, and psychological), and hazardous or harmful alcohol use. Results: Hazardous or harmful alcohol use and internalized heterosexism were associated with frequency of IPV perpetration. Internalized heterosexism moderated the effect of hazardous or harmful alcohol use on IPV perpetration, such that greater hazardous or harmful alcohol use and higher levels of internalized heterosexism were associated with the greatest rates of IPV perpetration. Results were consistent for each type of IPV (sexual, physical, and psychological). Conclusions: Our findings highlight the association between high levels of internalized heterosexism, magnified by the presence of hazardous or harmful alcohol use, and physical, sexual, and psychological IPV. Alleviating internalized heterosexism is a potential target for decreasing IPV in this at-risk population. [ABSTRACT FROM AUTHOR]

Despite the prevalence and negative outcomes associated with simultaneous alcohol and cannabis use (i.e., marijuana [SAM] use, i.e., so that the effects of both alcohol and cannabis overlap) among college students, there is no comprehensive measure of SAM use, with past research relying on single items. The present study aimed to develop the Alcohol and Cannabis Simultaneous Use Scale (ACSUS), a comprehensive self-report measure of SAM use frequency, quantity, and problems in college students. College students at two Midwestern universities who used alcohol and cannabis (Study 1: N = 534; Mean age = 19; 71% female; 88% White; Study 2: N = 258; Mean age = 21; 81% female; 85% White) completed the newly developed ACSUS. Exploratory factor analysis (Study 1) revealed that the ACSUS fits best with 9-items representing two factors: Factor 1 measures frequency and quantity of SAM use and Factor 2 measures associated problems with SAM use. Confirmatory factor analysis (Study 2) supported the two-factor structure of the ACSUS, which was positively associated with measures of alcohol use, cannabis use, simultaneous use motives, and impulsivity. These data provide initial support for the ACSUS, developed to investigate the frequency, quantity, and associated problems with SAM use in college students. [ABSTRACT FROM AUTHOR]

Author(s): Ryan C. Shorey [sup.1] , Gregory L. Stuart [sup.2] , Meagan J. Brem [sup.2] , Dominic J. Parrott [sup.3] Author Affiliations: (Aff1) 0000 0001 0695 7223, grid.267468.9, Department of [...], 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., I.sup.3 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.

Objective: The prevalence of intimate partner violence (IPV) is high, with young adults at increased risk. IPV is largely understood as a dyadic process, as it involves both partners and is inherently influenced by the behaviors of both partners. The objective of this study was to examine the proximal influence of relationship satisfaction and conflict on same-day and next-day IPV perpetration among young-adult couples. Method: This study used data from young-adult couples (N = 172) who completed a 60-day daily diary design. The actor–partner interdependence model was used to examine whether within- and between-person levels of relationship satisfaction and conflict were associated with same-day and next-day IPV perpetration. Results: Results suggest that high levels of one's own and one's partner's relationship satisfaction was associated with low levels of same-day and next-day psychological IPV. For women, but not men, high levels in their own and their partner's relationship satisfaction were associated with low levels in same-day physical IPV perpetration. Conversely, high levels in one's own and their partner's conflict was associated with high levels of same-day psychological IPV perpetration. For women, but not men, high levels in their partner's conflict were associated with high levels of same-day physical IPV perpetration. Conclusion: Results suggest that relationship dissatisfaction and conflict may be proximal risk factors for IPV perpetration, particularly psychological IPV perpetration, implying these factors may be effective targets for prevention and intervention. [ABSTRACT FROM AUTHOR]

Lesbian, gay, bisexual, queer, and other sexual minority (LGBQ+) young adults report similar or higher rates of intimate partner violence (IPV) perpetration than their heterosexual peers. Elevated IPV risk among LGBQ+ young adults may be attributable to experiencing heterosexist discrimination and internalized homophobia. In addition, LGBQ+ people report disproportionate posttraumatic stress disorder (PTSD) symptoms, alcohol use, and IPV perpetration in dating relationships. Thus, this study explored which combinations of IPV risk factors (i.e., experiencing heterosexist discrimination, internalized homophobia, PTSD symptoms, alcohol use) related to forms of IPV perpetration, inclusive of psychological, physical, and sexual forms, in a sample of 342 LGBQ+ young adults. Internalized homophobia was related to psychological IPV perpetration at high and medium levels of PTSD symptoms and only high levels of alcohol use. PTSD symptoms and alcohol use interacted to predict psychological IPV perpetration; and PTSD symptoms related to increased psychological IPV perpetration at high and medium, but not low, alcohol use levels. Alcohol use was positively related to physical IPV perpetration. No other risk factors or interactions were significantly related to physical or sexual IPV perpetration. Results were consistent with prior findings that linked internalized homophobia, alcohol use, and PTSD symptoms to IPV perpetration and highlight the interacting nature of these IPV perpetration risk factors. Comprehensive IPV interventions with LGBQ+ young adults should evaluate the impact of simultaneously targeting these multiple IPV risk factors considering their interacting contributions to IPV perpetration risk. More research is needed to examine the temporal relations between minority stress, PTSD symptoms, alcohol use, and IPV perpetration. [ABSTRACT FROM AUTHOR]

Alcohol use correlates with psychological partner abuse (PA) perpetration among lesbian, gay, bisexual, queer, and other nonheterosexual (LGBQ+) young adults. However, less is known about the proximal association between alcohol use and psychological PA within this population, which would provide valuable information for intervention development. Informed by minority stress and alcohol-related PA theories, we evaluated whether (a) psychological PA perpetration odds increased as the number of drinks consumed prior to psychological PA on a given day increased, (b) psychological PA perpetration odds were greater following heavy episodic drinking (HED) relative to non-HED, and (c) experiencing LGBQ+-specific discrimination (i.e., heterosexist harassment, incivility, and hostility) strengthened the association between daily alcohol use (number of drinks, HED) and subsequent psychological PA perpetration. LGBQ+ college students (N = 41; 75.6% women, 22.0% men, and 2.4% transgender/non-binary) completed a baseline survey of past-year discrimination before completing daily reports of their alcohol use and psychological PA for 60 consecutive days. Multilevel modeling revealed that drinking more than one usually does on a given day is positively associated with subsequent psychological PA odds (OR = 1.31, p <.001). Psychological PA was more likely following HED relative to non-HED (OR = 3.23, p <.001). Unexpectedly, experiencing discrimination was negatively associated with psychological PA odds across models (OR =.26 p =.01). No alcohol × discrimination interactions emerged. Results support alcohol use as a proximal risk factor for psychological PA among LGBQ+ college students and underscore the need for more nuanced examination of discrimination and other contextual variables in alcohol-related PA. [ABSTRACT FROM AUTHOR]

Author(s): Ryan C. Shorey [sup.1] , Catherine Strauss [sup.1] , JoAnna Elmquist [sup.2] , Scott Anderson [sup.3] , Tara L. Cornelius [sup.4] , Gregory L. Stuart [sup.2] Author Affiliations: (1) [...], Intimate partner violence (IPV) is overrepresented among men in substance use treatment. Individuals who relapse following substance use treatment report greater IPV perpetration relative to individuals who remain remitted. In addition, distress tolerance has been shown to be an important treatment target in substance use treatment, with distress tolerance predicting relapse following treatment. However, we are unaware of any research that has examined the relationship between distress tolerance and IPV among men in substance use treatment, which may hold important treatment implications. The current study therefore examined this relationship in a sample of men in substance use treatment (N = 138). Results demonstrated that distress tolerance was negatively associated with physical and psychological IPV perpetration. After controlling for age and substance use and problems, distress tolerance remained associated with psychological, but not physical, IPV perpetration. These findings suggest that distress tolerance may be an important component of treatments for IPV, particularly for psychological aggression. Substance use treatment programs that target distress tolerance may concurrently reduce the risk for relapse to substance use and IPV perpetration.

Objective: Mounting evidence has demonstrated a link between exposure to family of origin violence and the perpetration of teen dating violence (TDV). However, only recently have mechanisms underlying this relationship been investigated and very few studies have differentiated between exposure to father-to-mother and mother-to-father violence. Methods: The current study used structural equation modeling on a large ethnically diverse school-based sample of male and female adolescents (n = 917) to address these gaps in the literature. Results: For adolescent girls, there was an association between exposure to interparental violence (father-to-mother and mother-to-father) and TDV perpetration (physical violence and psychological abuse). For adolescent boys, only an association between mother-to-father violence was related to their TDV perpetration. Further, for both girls and boys, the relationship between mother-to-father violence and perpetration of TDV was fully mediated by attitudes accepting of violence. Conclusion: These results suggest that attending to gender and targeting adolescents' attitudes about violence may be viable approaches to preventing TDV. (Contains 1 table and 1 figure.)