Easton Caroline J, Mandel Dolores L, Hunkele Karen A, Nich Charla, Rounsaville Bruce J, Carroll Kathleen M
Department of Psychiatry, Division of Substance Abuse, Yale University School of Medicine SATU, 1 Long Wharf, New Haven, CT 06511, USA.
Am J Addict. 2007 Jan-Feb;16(1):24-31. doi: 10.1080/10550490601077809.
This pilot study evaluated the efficacy of a twelve-session cognitive behavioral group therapy for alcohol-dependent males with co-occurring interpersonal violence (IPV). Participants were 85 alcohol-dependent males who were arrested for domestic violence within the past year. Seventy-eight male adults were randomized to either a cognitive behavioral Substance Abuse Domestic Violence (SADV) group (N = 40) or a Twelve-Step Facilitation (TSF) Group (N = 38). There was no significant difference between SADV versus TSF in the number of sessions attended. Regarding substance use, the group assigned to SADV reported using alcohol significantly fewer days (eg, 90 days of abstinence across the 12 weeks of treatment) as compared to the TSF group. Regarding physical violence, there was a trend for participants in the SADV condition to achieve a greater reduction in the frequency of violent episodes across time compared to individuals in the TSF group. These data suggest the promise of the SADV group therapy approach for alcohol-dependent males with a history of IPV who present for substance abuse treatment.
这项试点研究评估了为期十二节的认知行为团体疗法对伴有人际暴力（IPV）的酒精依赖男性的疗效。参与者为85名在过去一年内因家庭暴力被捕的酒精依赖男性。78名成年男性被随机分为认知行为药物滥用家庭暴力（SADV）组（N = 40）或十二步促进（TSF）组（N = 38）。SADV组和TSF组参加的疗程数量没有显著差异。在药物使用方面，与TSF组相比，分配到SADV组的人报告饮酒天数显著减少（例如，在12周的治疗期间有90天戒酒）。在身体暴力方面，与TSF组的个体相比，SADV组的参与者在一段时间内暴力事件频率有更大程度降低的趋势。这些数据表明，对于有IPV病史且前来接受药物滥用治疗的酒精依赖男性，SADV团体疗法有前景。
