Randomized Controlled Trial of an Attention-Based Intervention for Alcohol-Facilitated Intimate Partner Violence

针对酒精引发的亲密伴侣暴力的基于注意力的干预措施的随机对照试验

• 批准号: 9049940
• 负责人: Joel Gregory Sprunger
• 金额: $ 4.31万
• 依托单位: PURDUE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2015
• 资助国家: 美国
• 起止时间: 2015-09-16 至 2018-09-15
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9049940
• 关键词: Aggressive behavior; Alcohol consumption; Alcoholic Intoxication; Alcohols; Anxiety; Attention; Country; Couples; Cues; Environment; Eye; Female; Health; Health Care Costs; High Prevalence; Intervention; Life; Link; Literature; Measures; Mediating; Methods; Modification; Monitor; Myopia; Pathology; Pathway interactions; Persons; Physical aggression; Probability; Process; Psyche structure; Randomized Controlled Trials; Relative (related person); Social Problems; Stimulus; Testing; Training; United States; Violence; active control; alcohol intervention; attentional bias; base; design; effective intervention; feeding; high risk; intimate partner violence; male; partner violence; preference; psychologic; public health relevance; theories; therapy design; visual search

 DESCRIPTION (provided by applicant): Intimate partner violence (IPV) is a serious social problem that results in millions of male and female victims and over $4 billion in healthcare costs across the country every year. Strikingly high prevalence rates and an array of negative physical and psychological consequences have created a vital need to better understand the mechanisms underlying partner violence perpetration as a means of developing more effective interventions. Alcohol use is related to a greater likelihood of IPV perpetration. The empirically-supported Alcohol Myopia Theory (AMT; Steele & Josephs, 1990) proposes that alcohol increases the probability of aggression by narrowing attention on instigating cues, making it more likely that someone will behave aggressively. However, this attentional pathway for alcohol-facilitated aggression implicated by the AMT and aggression literature represents a significant and untested target for intervention. This study aims to test an AMT-informed intervention targeting the proposed alcohol-aggression mediating pathway. As alcohol's aggression-facilitating effects are proposed to indirectly influence violence through an imposed attentional bias on instigating cues, an intervention specifically designed to modify automatic attention allocation away from provocative stimuli may disrupt the alcohol-IPV relationship. Attention bias modification tasks (ABMTs) have shown promise in altering maladaptive attention biases for threat-cues for those suffering from anxiety by training attention away from the pathology-perpetuating cue over the course of repeated trials. While other AMT-informed interventions attempt to reduce aggression by saturating an inebriate's environment with inhibitory cues (e.g., mirrors, live camera feed to a monitor in the room), an ABMT influences the type of cues toward which an inebriate would be likely to attend. The literature is missing a test of an AMT-informed intervention that is less dependent on the composition of the environment to influence the salience of non-instigating cues. The proposed study will be the first to conduct a CONSORT-compliant randomized-controlled trial of an ABMT that capitalizes on the myopic focus induced by alcohol intoxication to reduce attention toward aggression cues and result in decreased physical IPV in the context of partner provocation.

 描述（由申请人提供）：亲密伴侣暴力（IPV）是一个严重的社会问题，每年导致数百万男性和女性受害者，全国医疗费用超过40亿美元。惊人的高流行率和一系列负面的身体和心理后果，使得迫切需要更好地了解伴侣暴力行为的潜在机制，以此作为制定更有效干预措施的手段。饮酒与IPV犯罪的可能性更大有关。酒精近视理论（AMT; Steele & Josephs，1990）提出，酒精通过缩小对煽动线索的注意力来增加攻击性的可能性，使某人更有可能表现出攻击性。然而，这种注意力通路酒精促进侵略牵连的AMT和侵略文学是一个重要的和未经测试的干预目标。本研究的目的是测试一个AMT知情的干预针对拟议的酒精攻击介导的途径。由于酒精的侵略促进作用，提出间接影响暴力通过施加注意力偏见煽动线索，干预专门设计修改自动注意力分配远离挑衅性刺激可能会破坏酒精IPV的关系。注意偏差修正任务（ABMTs）已经显示出希望在改变适应不良的注意偏差的威胁线索，为那些患有焦虑的训练注意力远离病理持续的线索，在反复试验的过程中。虽然其他AMT知情的干预措施试图通过用抑制性线索饱和醉酒者的环境来减少攻击性（例如，镜子，现场摄像机饲料到监视器在房间里），一个ABMT影响类型的线索，朝着一个醉酒者可能会出席。文献中缺少对AMT知情干预的测试，这种干预较少依赖于环境的组成来影响非煽动性线索的显着性。这项拟议的研究将是第一个进行符合CONSORT标准的ABMT随机对照试验的研究，该试验利用酒精中毒引起的近视焦点来减少对攻击性线索的注意，并导致在伴侣挑衅的背景下降低身体IPV。