Satyanarayana Veena A, Nattala Prasanthi, Selvam Sumithra, Pradeep Johnson, Hebbani Sudharshan, Hegde Sudarshan, Srinivasan Krishnamachari
National Institute of Mental Health and Neuro Sciences (NIMHANS), Bangalore, India.
St. John's Research Institute, Bangalore, India.
J Subst Abuse Treat. 2016 May;64:29-34. doi: 10.1016/j.jsat.2016.02.005. Epub 2016 Feb 13.
Alcohol abuse has been associated with intimate partner violence (IPV). The current study examined the effectiveness of an integrated cognitive-behavioral intervention (ICBI) in reducing intimate partner violence (IPV) perpetration among alcohol dependent men, and improving mental health outcomes among their wives and children.
One hundred seventy-seven alcohol dependent male inpatients who screened positive for IPV perpetration in the last 6 months were randomly assigned to receive ICBI which addressed both the alcohol use and IPV (n=88), or TAU (TAU: treatment as usual) (n=89). The ICBI sessions were attended by the patients alone. All patients and their spouses were followed up over 3 months following discharge from the treatment centre.
Compared to TAU participants in the ICBI group reported significantly lower IPV perpetration, and their wives scored significantly lower on depression, anxiety, and stress levels at 3-month follow up. Alcohol consumption in the men and emotional and behavioral problems in their children were not significantly different between the groups, from baseline to follow up.
Findings demonstrate the feasibility and effectiveness of an ICBI which addressed both the IPV and alcohol use in a coordinated manner in a vulnerable sample.
酒精滥用与亲密伴侣暴力（IPV）有关。本研究考察了综合认知行为干预（ICBI）在减少酒精依赖男性的亲密伴侣暴力行为以及改善其妻子和子女心理健康状况方面的效果。
177名在过去6个月中筛查出有亲密伴侣暴力行为的酒精依赖男性住院患者被随机分配接受针对饮酒和亲密伴侣暴力行为的ICBI（n = 88），或常规治疗（TAU：照常治疗）（n = 89）。ICBI课程仅由患者参加。所有患者及其配偶在从治疗中心出院后的3个月内接受随访。
与常规治疗组相比，ICBI组的参与者报告的亲密伴侣暴力行为显著减少，并且在3个月随访时，他们的妻子在抑郁、焦虑和压力水平方面的得分显著降低。从基线到随访，两组男性的饮酒量以及其子女的情绪和行为问题没有显著差异。
研究结果表明，在一个脆弱样本中，以协调方式同时解决亲密伴侣暴力行为和饮酒问题的综合认知行为干预具有可行性和有效性。
