DOMESTIC VIOLENCE OUTCOMES FOR BEHAVIORAL COUPLE THERAPY

这个R21应用的目标是“确定和评估酒精相关治疗的有效性和结果”。该项目将使用之前两个NIAAA项目的数据来研究行为伴侣治疗(BCT)后的家庭暴力结果。尽管研究表明，家庭暴力和酒精问题与酒精治疗前一年50%-60%的暴力流行率之间存在很强的相关性，但治疗后暴力作为一种结果一直没有被研究过，直到PI最近由退伍军人管理局资助的初步研究。本研究以88名已婚/同居的男性酗酒退伍军人为研究对象，采用非酗酒对照样本，考察了戒酒前后的家庭暴力行为。结果表明，男性对女性的暴力行为在预防接种前一年的患病率为%，在预防接种后的两年内显著减少，并在戒酒后基本消除。在戒除的酗酒者中，家庭暴力的程度上升到没有酒精问题的家庭所经历的水平。R21项目的总体目标是在更大、更多样化的男性样本中复制我们关于BCT后暴力行为大幅减少的初步初步研究结果，并将其推广到女性酒精中毒患者；并通过研究强调戒酒和BCT期间和之后参与治疗的各个方面的治疗过程模型，了解与BCT后暴力相关的因素。主要目的是利用已经在基线收集的数据，并对309名已婚/同居的男性酒精中毒患者及其女性伴侣进行为期两年的随访，研究男性酒精中毒患者关系中的男女暴力行为，这些患者和他们的女性伴侣参加了酒精中毒的最佳治疗方案，这是NIAAA资助的两个评估最佳方案有效性的项目的一部分。这一主要目标旨在(1)复制和扩展我们最初关于最佳治疗后减少暴力的试点研究结果，增加对治疗参与和禁欲在这些结果中的作用的强调，以及(2)测试最佳治疗前后家庭暴力的解释性模型。第二个目标是利用前两个NIAAA项目关于105名已婚/同居的女性酗酒患者及其男性伴侣的数据，研究女性酗酒患者关系中的男女暴力行为。本研究的目的是(1)将我们初步的初步研究结果推广到女性酗酒患者；(2)探索女性酗酒患者BCT治疗前后家庭暴力的解释模式。

This R21 application targets the general objective of "identifying and assessing the effectiveness and outcomes of alcohol-related treatment." This project will use data from two prior NIAAA projects to study domestic violence outcomes after behavioral couples therapy (BCT). Although research shows a strong association between domestic violence and alcohol problems and 50-60% violence prevalence in the year before alcohol treatment, violence as an outcome after treatment had not been studied until the PI's recent VA-funded pilot study. This study examine domestic violence before and after BCT for 88 married/cohabiting male alcoholic veterans and used a non-alcoholic comparison sample. Results showed that male-to-female violence, which had a 64% prevalence rate in the year before BCT, was significantly reduced in the two years after BCT, and was nearly eliminated with alcohol abstinence. Among remitted alcoholics, domestic violence turned to the level of experienced by families without alcohol problems. The OVERALL GOALS of this R21 project are to replicate with a larger, more varied sample of males and to extend to female alcoholic patients our initial pilot study findings of dramatically reduced violence after BCT; and to learn more about factors related to violence after BCT by examining a treatment process model that emphasizes the role played by abstinence and by various aspects of treatment involvement during and after BCT. The primary objective is to study male-to-female violence in the relationships of male alcoholic patients using data already collected at baseline, and for a 2-year follow-up period from 309 married/cohabiting male alcoholic patients and their female partners who entered a BCT treatment program for alcoholism as part of two earlier projects funded by NIAAA to evaluate the effectiveness of BCT. This primary objective aims (1) to replicate and extend our initial pilot study findings of reduced violence after BCT, adding an emphasis on the role of treatment involvement and abstinence in these outcomes, and (2) to test explanatory models for domestic violence before and after BCT. The secondary objective is to study male-to-female violence in the relationships of female alcoholic patients using data from the two prior NIAAA projects on 105 married/cohabiting female alcoholic patients and their male partners. This objectives aims (1) to extend our initial pilot study findings to female alcoholic patients and (2) to explore explanatory models for domestic violence before and after BCT among female alcoholic patients.