Examining the Effects of Behavioral Couples Therapy on Intimate Partner Violence

检查行为夫妻疗法对亲密伴侣暴力的影响

• 批准号: 7303658
• 负责人: KEITH C KLOSTERMANN
• 金额: $ 18.72万
• 依托单位: UNIVERSITY OF ROCHESTER
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-09-01 至 2009-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7303658
• 关键词: Address; Aftercare; Alcohol consumption; Alcohol dependence; Attention; Behavior Therapy; Behavioral; Clinical Trials; Cognitive Therapy; Condition; Conflict (Psychology); Counseling; Couples; Couples Therapy; Criminal Justice; Development; Disease; Drops; Evaluation; Exploratory/Developmental Grant; Family; Female; Frequencies; Goals; Health Personnel; Individual; Intervention; Investigation; Language; Manuals; Mediating; Mediator of activation protein; Methods; Modeling; NIH Program Announcements; Outpatients; Partner Abuse; Patients; Pharmaceutical Preparations; Physical aggression; Pilot Projects; Prevalence; Provider; Public Health; Purpose; Randomized Clinical Trials; Rate; Reporting; Services; Staging; Standards of Weights and Measures; Substance abuse problem; Surveys; System; Violence; alcohol abuse therapy; base; clinical effect; efficacy trial; group counseling; intervention program; intimate partner violence; male; men; partner aggression; partner violence; problem drinker; programs; response; size; therapy design; therapy development; treatment program

DESCRIPTION (provided by applicant): Intimate partner violence (IPV) is widely recognized as a significant public health concern in the U.S. with the results of a national survey revealing that 15%-20% of couples engage in acts of partner physical aggression each year. As alarming as these prevalence rates appear, they are dwarfed in comparison to rates reported for substance-abusing couples entering treatment, in which it is estimated 50%-60% of these couples engage in IPV. With the use of marital- and family-based assessments and interventions becoming more common as part of treatment for alcoholism and other drug disorders, providers are increasingly faced with addressing IPV, and its negative sequelae, among their patients and their intimate partners. Unfortunately, effective options for treatment providers who confront this issue are extremely limited. The most common approaches used by providers are to (a) ignore this issue and provide treatment-as-usual, or (b) refer these cases to agencies specializing in batterers treatment; there are three fundamental problems with this strategy. While the latter approach appears viable and responsive, available evidence indicates otherwise. First, most of the agencies offering these services only accept individuals legally mandated to complete their programs. Second, among programs that do accept nonmandated patients, most substanceabusing patients do not accept such referrals or drop out very prematurely. Third, available evidence suggests these programs are ineffective in reducing IPV. Thus, it is imperative that substance abuse treatment programs develop and evaluate other intervention alternatives for IPV. Findings from several preliminary studies suggest Behavioral Couples Therapy (BCT) significantly reduced IPV among married or cohabiting alcoholic and drug-abusing patients. Although use of conjoint treatment for IPV is controversial, the reductions in IPV observed among patients and their partners who participate in BCT are substantial and are difficult to ignore. Thus, these promising findings for BCT as an intervention for IPV require further, more rigorous evaluation. Using the stage model described in NIAAA's PA Behavioral Therapies Development Program, the objective of this exploratory/developmental investigation is to conduct a Stage IB (pilot) study, comparing the efficacy of a modified version of BCT designed to specifically address IPV versus a Treatment-As-Usual (TAU) in terms of reducing IPV during and after treatment for domestically violent married or cohabiting alcohol-dependent patients (N = 50) and their partners. Potential mediators of the effect (e.g., reduced alcohol use, reduced use of maladaptive methods of conflict) will also be examined. If the observed effects of this small-scale randomized clinical trial are promising, they will be used to inform the development of a larger efficacy trial (i.e., Stage II study).

描述（由申请人提供）：亲密伴侣暴力（IPV）在美国被广泛认为是一个重要的公共卫生问题，一项全国调查的结果显示，每年有15%-20%的夫妇参与伴侣身体攻击行为。尽管这些流行率令人震惊，但与进入治疗的药物滥用夫妇报告的比率相比，它们显得微不足道，据估计，这些夫妇中有50%-60%从事IPV。随着使用基于婚姻和家庭的评估和干预措施作为酗酒和其他药物失调治疗的一部分变得越来越普遍，提供者越来越多地面临着在其患者及其亲密伴侣中解决IPV及其负面后遗症的问题。不幸的是，面对这个问题的治疗提供者的有效选择非常有限。提供者使用的最常见方法是(a)忽视这一问题，照旧提供治疗，或(b)将这些案件转介给专门治疗殴打者的机构；有三个基本问题