DOMESTIC VIOLENCE OUTCOMES FOR BEHAVIORAL COUPLE THERAPY

这项R21申请的目标是“识别和评估酒精相关治疗的有效性和结果”。该项目将使用NIAAA之前的两个项目的数据来研究行为夫妻治疗（BCT）后的家庭暴力结果。虽然研究表明，在接受酒精治疗前一年，家庭暴力和酒精问题与50-60%的暴力流行率之间存在密切联系，但直到最近私人调查处资助的试点研究才对治疗后的暴力结果进行了研究。本研究对88名已婚/同居男性酗酒退伍军人进行了BCT前后的家庭暴力调查，并使用了不酗酒的比较样本。结果显示，男女性间的暴力行为在戒酒前一年的发生率为64%，在戒酒后的两年内显著减少，并且在戒酒后几乎完全消除。在已戒酒的酗酒者中，家庭暴力变成了没有酗酒问题的家庭所经历的程度。这个R21项目的总体目标是在更大、更多样化的男性样本中重复我们最初的试点研究结果，即BCT后暴力行为显著减少；并通过检查治疗过程模型来了解更多与BCT后暴力相关的因素，该模型强调在BCT期间和之后禁欲和治疗参与的各个方面所起的作用。研究的主要目的是利用基线收集的数据研究男性酗酒患者关系中的男性对女性暴力行为，并对309名已婚/同居的男性酗酒患者及其女性伴侣进行为期2年的随访，这些患者参加了BCT治疗方案，作为NIAAA资助的两个早期项目的一部分，以评估BCT的有效性。本研究的主要目标是：(1)复制和扩展我们最初的试点研究结果，即BCT后暴力减少，强调参与治疗和戒断在这些结果中的作用；(2)测试BCT前后家庭暴力的解释模型。第二个目标是研究女性酗酒患者关系中男性对女性的暴力行为，使用的数据来自前两个NIAAA项目，涉及105名已婚/同居的女性酗酒患者及其男性伴侣。本研究的目的是(1)将我们最初的试点研究结果扩展到女性酗酒患者，(2)探索女性酗酒患者在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.