The testosterone/cortisol ratio moderates the proneness to anger expression in antisocial and borderline intimate partner violence perpetrators

Several studies have provided evidence that antisocial, borderline and narcissistic personality traits of intimate partner violence (IPV) perpetrators significantly increase proneness to violence. In addition, an imbalance between testosterone (T) and cortisol (C) levels has been observed in this population, making individuals prone to violence. We aimed to establish whether IPV perpetrators differ in personality traits, T/C ratio and anger expression from controls, and also to examine the moderating role of the T/C ratio in the relationship between personality traits and anger expression. The sample consisted of 16 IPV perpetrators and 20 controls. T/C ratio was obtained as the quotient between salivary T and C levels. Anger expression and personality traits were measured with STAXI-2 and MCMI-III, respectively. Our results indicate that IPV perpetrators have higher antisocial, borderline and narcissistic personality traits and anger expression than controls. Nonetheless, they did not differ in basal T/C ratio. Finally, only in IPV perpetrators there was a positive relationship between these variables, the T/C ratio playing a moderating role in the relationship of antisocial and borderline traits with anger expression. In IPV perpetrators the T/C ratio may explain why certain personality traits are associated with high risk of becoming violent.     

The 2D:4D Ratio as a Predictor of the Risk of Recidivism after Court‐mandated Intervention Program for Intimate Partner Violence Perpetrators

Differences in aggressive behavior could be partially explained by differential prenatal exposure to testosterone (T). A peripheral marker of prenatal T exposure is the 2D:4D ratio, which has shown a negative correlation with self‐reported aggression in violent men. This study tested the direct association of the 2D:4D ratio with anger expression and the risk of recidivism in intimate partner violence (IPV) perpetrators after psychotherapeutic intervention program. The sample consisted of IPV perpetrators, whose 2D:4D ratio was measured before the intervention. Moreover, after the intervention, anger expression and risk of recidivism in IPV were assessed. Smaller 2D:4D ratio, especially of the right hand, was related to higher anger expression and risk of recidivism in IPV perpetrators. The contribution of this prenatal marker together with other psychobiological variables could play a key role in the propensity to react aggressively when coping with environmental demands.     

Effects of Trait Anger and Negative Attitudes Towards Women on Physical Assault in Dating Relationships

The present study investigated the combined effect of trait anger and negative attitudes towards women (i.e., hostility towards women, calloused sexual beliefs) on frequency of physical aggression in premarital relationships. A total of 263 college-aged men who reported that they were either currently involved in a romantic relationship or had been involved in at least one romantic relationship during the past 12 months were recruited. Participants completed a battery of questionnaires, including the Conflict Tactics Scale-2, Trait Anger Scale, Hostility Towards Women Scale, and Hypermasculinity Inventory. Correlational analyses indicated that trait anger, hostility towards women, and calloused sexual beliefs were positively associated with frequency of physical assault. Further, hierarchical regression analyses indicated that both hostility towards women and calloused sexual beliefs moderated the relationship between trait anger and frequency of physical assault, such that in men who possess more negative attitudes towards women, higher levels of trait anger lead to increased physical assault. Results provide initial support for the role of trait anger in dating violence and suggest the existence of a subgroup among premaritally violent males who possess negative attitudes toward women and also possess a strong tendency to experience intense levels of anger.     

Problem Drinking, Jealousy, and Anger Control: Variables Predicting Physical Aggression Against a Partner

Alcohol use and intimate partner violence (IPV) are significantly related, but only a subset of individuals who drink are aggressive and relatively little is known about what moderates this relationship in community samples. Two risk factors, anger control and jealousy, were hypothesized to moderate the relationship between IPV and problem drinking in a sample of 453 community couples. A significant three-way interaction indicated that men with jealousy problems, but not anger control problems, were most likely to show the strongest association between problem drinking and IPV. In accord with the multiple threshold model of IPV, specific combinations of risk factors appeared to represent different thresholds in which problem drinking influenced the likelihood of IPV.     

Explanations of a Violent Relationship: The Male Perpetrator’s Perspective

The purpose of this study was to understand the way male perpetrators’ perceive and explain intimate partner violence (IPV) in their relationship. Specifically, men were invited to reflect upon their role in their relationship when violence exists, their contributions to the violence, and how they felt about it. Using coding procedures from grounded theory methodology, researchers analyzed data from 13 men who had been in violent relationships. Seven key themes were identified from 104 significant statements. These themes included justification, relapse, control, anger, emotional threshold, triggers, and remorse. Clinical implications as well as suggestions for future research are presented.     

Family Violence, Anger Expression Styles, and Adolescent Dating Violence

How partner violence is transferred across generations is relatively unexplored. This paper proposes that anger expression style (constructive, destructive direct, destructive indirect) mediates the relationship between exposure to family violence and dating violence perpetration by adolescents. Data are from 1,965 completed self-administered questionnaires given to eighth- and ninth-grade students in a primarily rural county in North Carolina in 1994. Results varied by gender and type of exposure to family violence. For females, destructive direct and destructive indirect anger expression styles mediated the relationship between experiencing family violence and dating violence perpetration. For males, this relationship was mediated primarily by destructive direct anger expression style. The association between witnessing family violence and dating violence perpetration for females was mediated by destructive direct anger expression style only. Witnessing family violence was not associated with dating violence perpetration for males, and therefore could not be mediated. This study suggests that adolescents exposed to family violence learn anger expression styles that put them at risk of being perpetrators of dating violence. Further research is needed to identify other mediators that explain how partner violence is transferred across generations.     

Severity of neurocognitive impairment in women who have experienced intimate partner violence in Spain

This study examines neuropsychological impairment in women who have experienced intimate partner violence using DSM 5 criteria for mild and severe cognitive impairment. A total of 108 females in Spain were included in one of three groups: psychological abuse (n = 24), physical and psychological abuse (n = 45), and no-abuse (n = 39). There were differences between the control and IPV groups in attention and executive functioning. Furthermore, approximately 25% of women experiencing IPV suffer mild neuropsychological alterations and 5% severe, mostly in memory and executive function domains. This evidence supports the growth in research that suggests psychological violence on its own to be as strongly related to poor health outcomes as physical violence in intimate partner relationships.     

Broken Hearts and Battered Lives: Adverse and Abusive Life Histories and Externalized Responses to Anger as Pathways to Illicit Drug Use Among Incarcerated Women

Most incarcerated women suffer from adverse and abusive life histories, including adverse childhood experiences (ACEs), such as sexual, physical, emotional abuse, and neglect, and intimate partner violence (IPV). In addition, many have difficulties regulating their anger expression and most participate in illicit drug use. Although many have offered explanations for these relationships, the current study is among the first to utilize an integrated feminist pathways and general strain theory (GST) approach to explain them. Using data from a stratified random sample of all incarcerated women in Oklahoma (N?=?441), we explore the linkages between ACEs, IPV, the externalized expression of anger, and heavy illicit drug use. Our findings indicate that childhood physical and sexual abuse are significantly associated with externalized responses to anger. However, the effects of childhood adversities, particularly sexual abuse, on heavy illicit drug use are mediated by externalized responses to anger suggesting that anger plays a significant role in women’s pathways to illicit drug use. In contrast, and somewhat surprisingly, being a victim of IPV was negatively related to externalized responses to anger and not significantly related to illicit drug use. Implications for the importance of utilizing an integrated feminist pathways and GST approach in future research are offered.     

Anger disturbances among perpetrators of intimate partner violence: clinical characteristics and outcomes of court-mandated treatment

In the present study, the authors clustered a pretreatment sample of 190 perpetrators of intimate partner violence (IPV) mandated to attend group counseling based on State-Trait Anger Expression Inventory scores and examined whether these profiles were associated with differential outcomes 1 year postadjudication. Cluster analysis revealed 3 groups: (a) high anger-expressive (HA-E, n = 56), (b) moderate anger-inexpressive (MA-IE; n = 13), and (c) low anger (LA; n = 118). HA-E men perpetrated more IPV, reported experiencing and witnessing more abuse during childhood, scored higher on psychopathology measures, and reported more substance problems. HA-E and MA-IE males had higher program attrition and rearrest rates; MA-IE males were more likely to be arrested for assault-related offenses. Thus, although the majority of partner-abusive men do not present with anger-related disturbances, the presence of anger problems may be a marker for an array of traits that may complicate the treatment process.     

Shame,guilt, and anger in college students exposed to abusive family environments

The relationship between an abusive environment within the family and proneness to shame, guilt, anger, and hostility in college students revealed that greater exposure to emotional abusiveness was significantly related to higher shame, overt and covert hostility, and expressed and unexpressed anger. Greater exposure to physical abusiveness was significantly related to overt hostility and a tendency to experience anger without a specific provoking situation. Women reported higher shame and guilt, whereas men reported higher levels of overt hostility and expressed anger. Shame proneness was related to covert hostility and unexpressed anger for both men and women. However, guilt proneness was not related to exposure to family abusiveness or, with one exception, to the anger and hostility variables. Implications for therapy with adult survivors of child abuse are discussed.     

Anger Control and Acceptance of Violence as Mediators in the Relationship between Exposure to Interparental Conflict and Dating Violence Perpetration in Mexican Adolescents

Dating violence is a prevalent problem in high school students. Previous research has found that anger expression styles and acceptance of violence beliefs mediate the relationship between experiencing family violence and dating violence perpetration. Few studies have examined the intergenerational transmission of violence theory in predicting dating violence in Mexican teens. The purpose of this study is to examine the relationships among exposure to interparental violence, anger expression, acceptance of violence beliefs, and perpetration of teen dating violence in Mexican teens. Surveys were administered to 204 high school students (aged 15 to 17) from Monterrey, Mexico. Regression analyses revealed that anger control and acceptance of violence beliefs, mediated the relationship between interparental conflict and dating violence perpetration. These results support the use of family-based interventions that challenge acceptance of violence beliefs and teach anger control techniques in Mexican teens.     

The association between impulsivity, trait anger, and the perpetration of intimate partner and general violence among women arrested for domestic violence

The problem of domestic violence is widespread, with research indicating men and women both perpetrate a substantial amount of aggression. However, aggression perpetrated by women is a relatively understudied area compared to aggression perpetrated by men. Additionally, research is needed to determine the correlates of aggression perpetration among women, as this can inform more effective treatment programs. Thus, the current study sought to examine the association between trait anger and impulsivity and the perpetration of physical and psychological intimate partner violence (IPV) and general aggression among women arrested for domestic violence (N = 80). Findings indicated that both trait anger and impulsivity were significantly associated with aggression perpetration and trait anger mediated the relationship between impulsivity and aggression perpetration. Directions for future research and violence intervention programs are discussed.     

Posttraumatic Stress Disorder Symptoms,Traumatic Reminders,and Partner Aggressive Tendencies Among Veterans

This study examined whether laboratory exposure to traumatic reminders potentiated the relationship between veterans’ posttraumatic stress disorder (PTSD) symptoms and intimate partner aggression (IPA) articulations elicited during an anger-induction task. The sample included 82 male Operation Iraqi Freedom/Operation Enduring Freedom veterans. The Articulated Thoughts in Simulated Situations (ATSS) procedure was used to assess physical IPA articulations (i.e., expressions of physically aggressive intentions toward the partner) and verbal IPA articulations (i.e., statements intended to insult or demean the partner) made during “relationship anger” provoking scenarios. Participants were administered versions of the ATSS both with and without trauma cue presentation. Results indicated that trauma cue exposure potentiated the relationship between veterans’ PTSD symptoms and physical IPA articulations, but did not strengthen the significant relationship between PTSD symptoms and verbal IPA articulations. Findings contribute to the literature on veterans’ PTSD symptoms and IPA perpetration by highlighting the influence of traumatic reminders.     

Trait Anger,Physical Aggression,and Violent Offending in Antisocial and Borderline Personality Disorders

Antisocial personality disorder (ASPD) and borderline personality disorder (BPD) are common conditions in forensic settings that present high rates of violence. Personality traits related to the five‐factor model personality domains of neuroticism and agreeableness have shown a relationship with physical aggression in nonclinical and general psychiatric samples. The aim of the present investigation was to examine the association of these personality traits with violence and aggression in ASPD and BPD. Results revealed that trait anger/hostility predicted self‐reported physical aggression in 47 ASPD and BPD subjects (β = 0.5, p = 0.03) and number of violent convictions in a subsample of the ASPD participants (β = 0.2, p = 0.009). These preliminary results suggest that high anger and hostility are associated with physical aggression in BPD and ASPD. Application of validated, self‐report personality measures could provide useful and easily accessible information to supplement clinical risk assessment of violence in these conditions.     

IS THE ANTISOCIAL CHILD FATHER OF THE ABUSIVE MAN? A 40‐YEAR PROSPECTIVE LONGITUDINAL STUDY ON THE DEVELOPMENTAL ANTECEDENTS OF INTIMATE PARTNER VIOLENCE*

This prospective longitudinal study examined whether early childhood risk factors contributed to explaining and predicting intimate partner violence (IPV) in midadulthood. Participants included 202 men from the Cambridge longitudinal study who were in an intimate relationship in their mid‐40s. Neuropsychological deficits and the presence of a criminogenic family environment were measured between ages 8 and 10. Antisocial behavior was measured between ages 8 and 18. IPV was measured at age 48 using a self‐report instrument completed by the participants' female partners. Perpetration and victimization rates were relatively high; violence was mostly mutual, and men were more likely to be victims than perpetrators. Findings indicate that a criminogenic environment increases the risk of IPV by fostering the development of antisocial behavior and neuropsychological deficits. A link also exists between a high level of antisocial behavior during adolescence and the risk of IPV later in life. The results suggest the presence of both continuity and discontinuity of antisocial behavior as childhood risk factors that increase the likelihood of future involvement in IPV, but the role of these risk factors is modest.     

Prevalence and Correlates of Intimate Partner Violence Among a Sample of Construction Industry Workers

This study assessed the prevalence and correlates of intimate partner violence (IPV) among a sample of unionized construction industry workers, and tested the reliability of new measures of IPV normative beliefs. Study participants (n=100) voluntarily completed confidential and anonymous self-administered questionnaires that measured occupational factors, hazardous drinking, and normative beliefs. Measurement of past-year IPV was based on the Conflict Tactics Scale, Form R. Measures of IPV normative beliefs showed good reliability (Cronbach’s α 0.94–0.95). Past-year IPV prevalence was 26%. Logistic regression models were developed to assess the contribution of each factor to risk of past-year IPV perpetration. Perceived workplace racial/ethnic discrimination, job strain, interpersonal workplace conflict, normative beliefs, and hazardous drinking were positively associated with elevated IPV risk.Construction industry workers may have higher rates of IPV compared to general population samples that represent various occupations and social classes. Occupational factors appear to be significant correlates of IPV among these workers.     

Testing a Theoretical Model of the Relationship Between Impulsivity,Mediating Variables,and Husband Violence

The present study involved a multimethod assessment of impulsivity among 86 men. Using two questionnaires and four performance-based measures of impulsivity, the factor structure of the impulsivity data was examined. Four constructs that theoretically mediate the relationship between impulsivity and husband violence (i.e., substance abuse, anger/hostility, marital dissatisfaction, and psychological abuse) were assessed to examine a mediational model predictive of husband violence. Substance abuse and marital dissatisfaction mediated the relationship between impulsivity and psychological abuse. Psychological abuse mediated the relationship between substance abuse and marital dissatisfaction and husband violence. Although anger/hostility was not a mediator, there were bivariate associations between anger/hostility and impulsivity, psychological abuse, and husband violence. The results of the regression analyses were virtually identical when controlling for the effect of intelligence on the model variables. The implications of the findings for the assessment of impulsivity and for future husband violence research are discussed.     

Substance use disorders in forensic psychiatry: differences among different types of offenders

This is the first study that compared different types of offenders in forensic outpatient treatment (i.e., offenders of general violence [GV], intimate partner violence [IPV], sex crimes, and "other offenses" such as drug smuggling and property crimes) regarding the prevalence of substance use disorders at the time of the offense. In total, 35.8% of participants (n = 187) were diagnosed with any substance use disorder. Specifically, 61.5% of GV perpetrators, 30.9% of IPV perpetrators, 9.1% of sex offenders, and 26.7% of "other offenders" were diagnosed with substance abuse or dependence. More GV offenders and less sex offenders fulfilled diagnostic criteria for a substance use disorder. Furthermore, 29.9% of the offenders were intoxicated by substances at the moment they committed the offense (48.5% of GV perpetrators, 25.0% of IPV perpetrators, 17.4% of sex offenders, and 21.0% of other offenders). More GV perpetrators were intoxicated during the offense. As there is a clear association between substance abuse and criminal behavior, substance abuse in offenders should be assessed and, if present, be treated.     

Sleep apnea as a possible factor contributing to aggression in sex offenders

Sleep disorders, such as obstructive sleep apnea (OSA), are often unrecognized and undertreated. A disruption in normal sleep may be associated with increased irritability and aggression. To elucidate further the impact of OSA on hostility of forensic patients, we performed a retrospective chart review of 10 consecutive outpatient sex offenders who were diagnosed with OSA and treated with continuous positive airway pressure (CPAP). The Buss-Perry Aggression Questionnaire was compared pre- and posttreatment. Following treatment, the total Buss-Perry score was significantly lower, with lower scores on the anger, physical aggression, hostility, and verbal aggression subscales. These results suggest that in sex offenders suffering from OSA, aggression and hostility may be significantly reduced through CPAP treatment. Further investigation is required to investigate if reducing aggression and hostility in this manner impacts recidivism and overall functioning.     

Psychological treatment of men convicted of gender violence: a pilot study in Spanish prisons

In this article, the effectiveness of a psychological treatment program for men who are in prison for committing a serious offence of gender violence is tested. The sample consisted of 52 men who were imprisoned in eight Spanish prisons. The psychological treatment was a cognitive-behavioral program, in a group format, with 20 weekly sessions that lasted for 8 months. The results showed a significant improvement of irrational beliefs, about both women and violence, as a strategy to cope with everyday difficulties and a significant decrease of psychopathological symptomatology, anger, and hostility. On the other hand, results indicated that the only difference between the patients who dropped out of treatment and those who completed it was the level of initial motivation for treatment. Implications of this study for clinical practice and future research in this field are discussed.