Impact of Substance Abuse Treatment on Marital Violence

申请人摘要：此申请是一个辅导的要求 NIAAA的以患者为导向的研究职业发展奖（K23）。 我是 致力于以病人为导向的研究事业。 我相信 教育机会，我将能够参与作为一个 K23奖项的结果将导致必要的技能的进一步发展 成为一个有成效的独立研究者 拟议的培训 经验将包括：与优秀的导师合作（理查德博士 Kenneth伦纳德博士和Robert Stout博士），积极参与 布朗大学酒精和成瘾研究中心学术活动， 多元统计高级课程，并定期在 国家会议。 减少婚姻暴力是美国的一个卫生优先事项。 有 将酗酒和吸毒联系起来的大量理论和经验证据 和婚姻暴力 婚姻暴力在个人中的代表性过高 因酗酒和吸毒寻求治疗 治疗的功效 旨在解决婚姻暴力问题的研究表明， 对婚姻暴力的治疗相对无效。 已经 表明滥用酒精和毒品的婚姻暴力者 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（ 不包括专门针对婚姻暴力的干预措施）将 目前尚不清楚如何改善随后的婚姻暴力。 考虑到高 婚姻暴力、酗酒和吸毒的共同特征， 评估酒精依赖者的药物滥用治疗 患者影响婚姻暴力。 这项拟议的研究评估了药物滥用治疗对 酒精依赖患者的婚姻暴力和心理虐待。 酗酒和吸毒、婚姻暴力、心理虐待，以及 婚姻满意度将在酒精依赖的样本中进行评估 接受药物滥用治疗的患者。 这些变量将 在治疗前以及6个月和12个月随访时进行评估。 在每个 评估点，我们还将联系患者的合作伙伴， 关于病人使用药物，婚姻暴力， 和心理虐待，以及收集关于这些变量的数据， 伙伴

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.