Impact of Substance Abuse Treatment on Marital Violence

申请者摘要：这份申请是对一位导师的请求 NIAAA颁发的以患者为导向的研究职业发展奖(K23)。我是 坚定地致力于以患者为中心的研究事业。我相信 我将能够作为一名 K23奖项的结果将导致必要技能的进一步发展 成为一名富有成效的独立研究人员。拟议中的培训 经验包括：与优秀导师合作(理查德博士 布朗博士、肯尼斯·伦纳德博士和罗伯特·斯托特博士)，积极参与 布朗大学酒精与成瘾研究中心学术活动， 多元统计高级课程，并定期在 全国会议。 减少婚姻暴力是美国的一项健康优先事项。的确有 广泛的理论和经验证据表明酒精和药物滥用之间存在联系 和婚姻暴力。婚姻暴力在个人中的比例过高 寻求酒精和药物滥用的治疗。治疗的疗效 旨在解决婚姻暴力的问题是值得怀疑的，研究表明 对婚姻暴力的治疗相对无效。一直以来 表明滥用酒精和毒品的军事暴力个人 在解决他们的暴力行为之前，需要药物滥用治疗。 然而，酒精和药物滥用的治疗程度(确实 不包括专门针对婚姻暴力的干预措施)将 改善随后的婚姻暴力目前尚不清楚。考虑到高价 婚姻暴力与酗酒和吸毒的共病，至关重要的是 评估酒精依赖的药物滥用治疗的程度 患者会影响婚姻暴力。 这项拟议的研究评估了药物滥用治疗对 酒依赖患者对婚姻的暴力和心理虐待。 酒精和毒品的使用和滥用，婚姻暴力，心理虐待，以及 婚姻满意度将在酒精依赖者的样本中进行评估 接受药物滥用治疗的患者。这些变量将是 在治疗前以及6个月和12个月的随访时进行评估。在每个 评估点我们也会联系患者的伴侣获得 附带数据包括患者使用药物，婚姻暴力， 和心理虐待，以及收集这些变量的数据 合伙人。

APPLICANT'S ABSTRACT: This application is a request for a Mentored Patient-Oriented Research Career Development Award (K23) from NIAAA. I am strongly committed to a career in patient-oriented research. I believe that the educational opportunities in which I will be able to participate as a result of a K23 award will lead to further development of the skills necessary to become a productive, independent researcher. The proposed training experiences will include: collaboration with excellent mentors (Dr. Richard Brown"Dr. Kenneth Leonard, and Dr. Robert Stout), active participation in the Brown University Center for Alcohol and Addiction Studies academic activities, advanced courses in multivariate statistics, and regular presentations at national conferences. The reduction of marital violence is a health priority for the US. There is extensive theoretical and empirical evidence linking alcohol and drug abuse and marital violence. Marital violence is over represented in individuals seeking treatment for alcohol and drug abuse. The efficacy of treatments designed to address marital violence is questionable, with research suggesting that treatment for marital violence is relatively ineffective. It has been suggested that maritally violent individuals who abuse alcohol and drugs require substance abuse treatment before addressing their violent behavior. However, the extent to which treatment for alcohol and drug abuse (which does not include interventions specifically targeting marital violence) will ameliorate subsequent marital violence is currently unknown. Given the high comorbidity of marital violence and alcohol and drug abuse, it is critical to assess the extent to which substance abuse treatment for alcohol dependent patients impacts marital violence. The proposed study assesses the impact of substance abuse treatment for alcohol dependent patients on marital violence and psychological abuse. Alcohol and drug use and abuse, marital violence, psychological abuse, and marital satisfaction will be assessed in a sample of alcohol dependent patients receiving substance abuse treatment. These variables will be assessed at pretreatment and at 6-month and 12-month follow-up. At each assessment point we will also contact the patients' partners to obtain collateral data regarding the patients' use of substances, marital violence, and psychological abuse, as well as to collect data on these variables in the partners.