Evidence for a curvilinear dose-response relationship between avoidance coping and drug use problems among women who experience intimate partner violence
Open accessAbstract
Women who experience intimate partner violence (IPV) are at heightened risk for drug use problems. While prevailing models of drug use suggest that IPV-exposed women use drugs in an effort to escape or avoid negative affect, a dearth of literature has examined the role of avoidance coping in drug use problems within this population. Given recent suggestions that flexible, situationally appropriate use of avoidance coping may be adaptive, particularly when confronted with highly stressful situations, we hypothesized that avoidance coping and drug use problems would demonstrate a curvilinear, U-shaped dose-response relationship. Participants were 147 community-recruited women experiencing IPV. Consistent with our hypotheses, moderate levels of avoidance coping were associated with lower levels of drug use problems, whereas high and low levels of avoidance coping were associated with higher levels of drug use problems. Findings highlight the complex relationship between avoidance coping and drug use problems and suggest that avoidance coping, when used in moderation, may be an adaptive strategy for coping with relational conflict among women who experience IPV.
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Difficulties with emotional regulation and avoidance perpetuate continued substance misuse.
“Opioid-substitution medications manage physical aspects of addiction; however, difficulties with emotional regulation and avoidance perpetuate continued substance misuse.”
From “I don’t want to take buprenorphine for the rest of my life”: Acceptance and Commitment Therapy for a Client Struggling to Reduce Low-Dose Buprenorphine (a Hermeneutic Single-Case Efficacy Design) (2023) · cites this paper as Weiss et al., 2014
The Results (page unavailable) report an association between avoidance coping and drug-use problems among women exposed to intimate partner violence, but it is U-shaped: moderate avoidance was associated with the fewest problems. The Discussion (page unavailable) says the cross-sectional data cannot establish whether avoidance perpetuates drug use. The study did not establish that difficulties with emotional regulation perpetuate misuse. (LLM, conf=0.89)
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- Authors
- Weiss, N. H., Duke, A. A., & Sullivan, T. P.
- Affiliations
- Yale University (US)
- Corresponding author
- Sullivan, Tami P.
- Venue
- Anxiety, Stress, & Coping
- Publisher
- Informa UK Limited
- Published
- 2014-03-26
- Volume
- 27
- Issue
- 6
- Pages
- 722-732
- ISSN
- 1061-5806 (ISSN-L)
- 1477-2205
- PMC
- PMC4156542
- OpenAlex
- W1976375238
- Cited by
- 24
- References
- 68
- Citations by year
- 2025: 1 · 2024: 2 · 2023: 1 · 2022: 2 · 2021: 3 · 2019: 1 · 2018: 3 · 2017: 6 · 2016: 1 · 2015: 2 · 2014: 1
- FWCI
- 4.24
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Anxiety Stress & Coping (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute on Drug Abuse (L30DA038349, K23DA019561, T32DA019426)
- National Center for Research Resources (M01RR006192, M01 RR 06192)
- Topics
- Social Sciences › Health › Intimate Partner and Family Violence
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Psychology › Social Psychology › Attachment and Relationship Dynamics
- Keywords
- avoidance coping, drug use problems, intimate partner violence, women, U-shaped relationship, stress coping strategies, relationship conflict, substance use
- MeSH terms
- Adaptation, Psychological, Adolescent, Adult, Avoidance Learning, Female, Humans, Interpersonal Relations, Middle Aged, Risk Factors, Sexual Partners, Spouse Abuse, Domestic Violence, Substance-Related Disorders, Young Adult
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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