Romero-Martínez Ángel, Lila Marisol, Martínez Manuela, Pedrón-Rico Vicente, Moya-Albiol Luis
Department of Psychobiology, University of Valencia, Valencia 46010, Spain.
Department of Social Psychology, University of Valencia, Valencia 46010, Spain.
Int J Environ Res Public Health. 2016 Mar 31;13(4):394. doi: 10.3390/ijerph13040394.
Research assessing the effectiveness of intervention programs for intimate partner violence (IPV) perpetrators has increased considerably in recent years. However, most of it has been focused on the analysis of psychological domains, neglecting neuropsychological variables and the effects of alcohol consumption on these variables. This study evaluated potential neuropsychological changes (emotional decoding, perspective taking, emotional empathy and cognitive flexibility) and their relationship with alcohol consumption in a mandatory intervention program for IPV perpetrators, as well as how these variables affect the risk of IPV recidivism. The sample was composed of 116 individuals with high alcohol (n = 55; HA) and low alcohol (n = 61; LA) consumption according to self-report screening measures who received treatment in a IPV perpetrator intervention program developed in Valencia (Spain). IPV perpetrators with HA consumption were less accurate in decoding emotional facial signals and adopting others' perspective, and less cognitively flexible than those with LA consumption before the IPV intervention. Further, the effectiveness of the intervention program was demonstrated, with increases being observed in cognitive empathy (emotional decoding and perspective taking) and in cognitive flexibility. Nevertheless, the HA group showed a smaller improvement in these skills and higher risk of IPV recidivism than the LA group. Moreover, improvement in these skills was related to a lower risk of IPV recidivism. The study provides guidance on the targeting of cognitive domains, which are key factors for reducing IPV recidivism.
近年来，评估针对亲密伴侣暴力（IPV）施暴者的干预项目有效性的研究大幅增加。然而，其中大部分研究集中在心理领域的分析，忽视了神经心理学变量以及酒精消费对这些变量的影响。本研究评估了在一项针对IPV施暴者的强制干预项目中潜在的神经心理学变化（情绪解码、换位思考、情感共鸣和认知灵活性）及其与酒精消费的关系，以及这些变量如何影响IPV再犯风险。样本由116名根据自我报告筛查措施确定为高酒精消费（n = 55；HA）和低酒精消费（n = 61；LA）的个体组成，他们在西班牙巴伦西亚开展的一项IPV施暴者干预项目中接受治疗。与低酒精消费的IPV施暴者相比，高酒精消费的IPV施暴者在IPV干预前解码面部情绪信号和换位思考方面准确性较低，认知灵活性也较差。此外，该干预项目的有效性得到了证明，认知同理心（情绪解码和换位思考）以及认知灵活性均有所提高。然而，高酒精消费组在这些技能方面的改善较小，IPV再犯风险高于低酒精消费组。此外，这些技能的改善与IPV再犯风险降低有关。该研究为认知领域的靶向治疗提供了指导，而认知领域是降低IPV再犯率的关键因素。
