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男性酒精成瘾患者个体化戒酒治疗前后的伴侣暴力情况

Partner violence before and after individually based alcoholism treatment for male alcoholic patients.

作者信息

O'Farrell Timothy J, Fals-Stewart William, Murphy Marie, Murphy Christopher M

机构信息

Department of Psychiatry, Harvard Medical School and VA Boston Healthcare System, Brockton, Massachusetts 02301, USA.

出版信息

J Consult Clin Psychol. 2003 Feb;71(1):92-102. doi: 10.1037//0022-006x.71.1.92.

Abstract

This study examined partner violence in the year before and the year after individually based, outpatient alcoholism treatment for 301 married or cohabiting male alcoholic patients and used a demographically matched nonalcoholic comparison sample. In the year before treatment, 56% of the alcoholic patients had been violent toward their female partner, 4 times the rate of 14% in the comparison sample. In the year after treatment, violence decreased significantly to 25% of the alcoholic sample but remained higher than in the comparison group. Among remitted alcoholics after treatment, violence prevalence of 15% was nearly identical to the comparison sample and half the rate among relapsed patients (32%). Thus, partner violence decreased after alcoholism treatment, and clinically significant violence reductions occurred for patients whose alcoholism was remitted after treatment.

摘要

本研究调查了301名已婚或同居的男性酗酒患者在接受个体化门诊戒酒治疗前一年和治疗后一年的伴侣暴力情况,并使用了人口统计学匹配的非酗酒对照样本。治疗前一年,56%的酗酒患者对其女性伴侣实施过暴力,这一比例是对照样本中14%的4倍。治疗后一年,暴力行为显著减少至酗酒样本的25%,但仍高于对照组。在治疗后戒酒的酗酒者中,15%的暴力发生率与对照样本几乎相同,是复发患者(32%)发生率的一半。因此,戒酒治疗后伴侣暴力行为减少,且治疗后戒酒的患者在临床上出现了显著的暴力行为减少。

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