Cited by 24Intimate Partner and Family ViolenceSubstance Abuse Treatment and OutcomesAttachment and Relationship Dynamics

Evidence for a curvilinear dose-response relationship between avoidance coping and drug use problems among women who experience intimate partner violence

Open access
Weiss, Nicole H., Duke, Aaron A., Sullivan, Tami P.·2014·Anxiety, Stress, & Coping

Abstract

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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Crossref · 10.1080/10615806.2014.899586

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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
Published
2014-03-26
Volume
27
Issue
6
Pages
722-732
ISSN
  • 1061-5806 (ISSN-L)
  • 1477-2205
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
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

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