Intervention Effect on Abused Women in Drug Treatment

描述(由申请者提供)：这是一份以患者为导向的研究职业发展奖(K23)的申请书。职业发展计划的目标是1)在妇女、药物滥用、包括创伤后应激障碍(PTSD)和亲密伴侣暴力(IPV)在内的精神共病领域发展科学认识，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病史的妇女进一步发生暴力。由哈佛大学的丽莎·纳贾维茨博士开发的CB干预措施，在接受药物滥用治疗的创伤后应激障碍女性中进行了测试。这项研究的具体目标将作为两项试点研究来实施。第一项研究的目的是：1)比较药物滥用妇女与现在的IPV(1年内)、IPV病史(1年以上)和没有身体或性暴力史的妇女的身心健康状况；2)检查IPV的类型、近期和严重程度与接受药物滥用治疗时有IPV史的妇女的基线身心健康状况之间的关系。第二项研究的目标是：1)调整建议的CB干预措施，使其适用于有当前药物滥用治疗IPV病史的妇女，2)获得修改后的CB干预措施的初步结果，这些干预措施针对有目前药物滥用治疗IPV病史的妇女：减少药物使用，改善健康结果，增加安全行为，并防止进一步的暴力。

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.