Treating Intimate Partner Violence Among Substance-Abusing Dyads: The Effect of Couples Therapy
Treating Intimate Partner Violence Among Substance-Abusing Dyads: The Effect of Couples Therapy
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DOI：
10.1037/a0012708
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发表时间：
2009-06-01
影响因子：
1.5
通讯作者：
Clinton-Sherrod, Monique
中科院分区：
文献类型：
--
作者：
Fals-Stewart, William;Clinton-Sherrod, Monique
本研究旨在探讨是否参与夫妇治疗，与个人治疗相比，有一个差异性的影响，对日常的物质使用和发生的亲密伴侣暴力（IPV）之间的关系，已婚或同居物质滥用的男人。患者（N = 207）被随机分配到任何一个合作伙伴参与的行为伴侣治疗（BCT;包括非物质滥用的女性合作伙伴在联合会议）或基于个人的治疗（IBT;男性合作伙伴只）。与IBT中有男性伴侣的夫妇相比，BCT中的夫妇在治疗后12个月随访时报告的lPV和物质使用水平较低。此外，治疗分配是物质使用和IPV之间的日常关系的一个显着的主持人。接受BCT治疗的夫妇中，男性伴侣、药物使用者发生非重度和重度男性对女性伴侣暴力的可能性低于IBT。这些研究结果表明，夫妇治疗可能在治疗药物滥用夫妇之间的IPV中发挥重要作用。
This study examined whether participation in couples therapy, compared with individual therapy, had a differential effect on the day-to-day relationship between substance use and occurrences of intimate partner violence (IPV) among married or cohabiting substance-abusing men. Patients (N = 207) were randomly assigned to either partner-involved behavioral couples therapy (BCT; included non-substance-abusing female partners in conjoint sessions) or individual-based treatment (IBT; male partners only). Couples in BCT reported lower levels of lPV and substance use at a 12-month posttreatment follow-up compared with couples with male partners in IBT. Moreover, treatment assignment was a significant moderator of the day-to-day relationship between substance use and IPV. Likelihood of nonsevere and severe male-to-female partner violence on days of male partners, substance use was lower among couples who received BCT compared with IBT. These findings indicate couples therapy may play an important role in the treatment of IPV among substance-abusing couples.