DOMESTIC VIOLENCE OUTCOMES FOR BEHAVIORAL COUPLE THERAPY

该R21应用程序的总体目标是“识别和评估酒精相关治疗的有效性和结果。“这个项目将使用来自两个先前NIAAA项目的数据来研究行为夫妇治疗（BCT）后的家庭暴力结果。虽然研究表明，家庭暴力和酒精问题之间有很强的关联，在酒精治疗前一年暴力流行率为50-60%，但直到PI最近资助的VA试点研究才研究治疗后的暴力结果。本研究探讨家庭暴力之前和之后的BCT为88已婚/同居男性酗酒退伍军人，并使用了非酒精的比较样本。结果表明，在BCT前一年，男性对女性的暴力行为的发生率为64%，在BCT后的两年中，这种暴力行为明显减少，并且随着戒酒而几乎消失。在戒酒者中，家庭暴力的发生率达到了无酗酒问题家庭的水平。这个R21项目的总体目标是复制一个更大的，更多样化的男性样本，并扩展到女性酗酒患者，我们的初步试点研究结果显着减少暴力后BCT;并通过检查治疗过程模型，强调禁欲和BCT期间和之后的治疗参与的各个方面所发挥的作用，以了解更多有关BCT后暴力的因素。主要目的是研究男性对女性的暴力行为在男性酗酒患者的关系中使用已经收集的基线数据，并对309名已婚/同居男性酗酒患者及其女性伴侣进行为期2年的随访，这些患者进入BCT治疗计划，作为NIAAA资助的两个早期项目的一部分，以评估BCT的有效性。这一主要目标旨在（1）复制和扩展我们最初的试点研究结果，即BCT后暴力减少，强调治疗参与和禁欲在这些结果中的作用，以及（2）测试BCT前后家庭暴力的解释模型。第二个目标是研究男性对女性的暴力行为的关系中的女性酗酒患者使用的数据从两个先前的NIAAA项目对105已婚/同居女性酗酒患者和他们的男性伴侣。本研究的目的是（1）将我们的初步试点研究结果扩展到女性酗酒患者，（2）探索女性酗酒患者BCT前后家庭暴力的解释模型。

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.