Intervention Effect on Abused Women in Drug Treatment

描述（由申请人提供）：这是一份申请指导患者导向研究职业发展奖（K23）的申请。职业发展计划的目标是：1)发展对妇女、药物滥用、包括创伤后应激障碍（PTSD）在内的精神共病和亲密伴侣暴力（IPV）等领域的科学理解；2)发展实施认知行为（CB）干预所需的研究技能，以减少药物使用，改善健康结果，增加安全行为，并防止有IPV史的妇女进一步遭受暴力。由哈佛大学的Lisa Najavits博士提出的CB干预方法，在药物滥用治疗中的PTSD女性患者中进行了测试。这项研究的具体目标将作为两项试点研究来执行。第一项研究的目的是：1)比较目前有IPV（1年内）、有IPV史（1年以上）和无身体暴力或性暴力史的药物滥用妇女的身心健康状况；2)探讨有IPV病史的妇女在接受药物滥用治疗时IPV的类型、发生率、严重程度与基线身心健康状况的关系。第二项研究的目的是：1)在药物滥用治疗中对有当前IPV史的妇女进行改进的CB干预；2)在药物滥用治疗中对有当前IPV史的妇女进行改进的CB干预在减少药物使用、改善健康结果、增加安全行为和预防进一步暴力方面的初步结果。

DESCRIPTION (provided by applicant): This is an application for a Mentored Patient Oriented Research Career Development Award (K23). Goals of the career development plan are to 1) develop scientific understanding in the area of women, substance abuse, psychiatric comorbidity including posttraumatic stress disorder (PTSD), and intimate partner violence (IPV), and 2) develop the research skills required to implement a cognitive behavioral (CB) intervention to reduce substance use, improve health outcomes, increase safety behaviors, and prevent further violence among women with a history of IPV. The CB intervention proposed, developed by Dr. Lisa Najavits from Harvard, was tested with women with PTSD in treatment for substance abuse. Specific aims for the research are to be implemented as two pilot studies. Aims for the first study are: 1) To compare the physical and mental health among substance abusing women with current IPV (within 1 year), history of IPV (beyond 1 year), and women without a history of physical or sexual violence; 2) To examine the relationship between type, recency, and severity of IPV, and baseline physical and mental health status in women with a history of IPV upon admission to substance abuse treatment. Aims for the second study are: 1) To adapt the proposed CB intervention for women with a history of current IPV in substance abuse treatment, 2) To obtain initial results of the modified CB intervention with women having a history of current IPV in treatment for substance abuse on: reducing substance use, improving health outcomes, increasing safety behaviors, and preventing further violence.