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减少物质使用障碍患者中亲密伴侣暴力行为的干预措施。

Interventions to reduce intimate partner violence perpetration among people with substance use disorders.

作者信息

Easton Caroline J, Crane Cory A

机构信息

a Department of Biomedical Sciences , Rochester Institute of Technology , Rochester , NY , USA.

出版信息

Int Rev Psychiatry. 2016 Oct;28(5):533-543. doi: 10.1080/09540261.2016.1227307.

DOI:10.1080/09540261.2016.1227307
PMID:27696955
Abstract

The social and economic cost of intimate partner violence (IPV) is exorbitant and highlights the need for policy reform as it pertains to IPV interventions at a global level. There are multiple variables associated with the aetiology of IPV and, hence, multiple treatment needs must be considered. Substance use is one of several factors likely to influence the occurrence of IPV, but often goes unaddressed in standard treatment approaches. This review will discuss several treatment models for substance using offenders of IPV, including Psycho-educational Models, Cognitive Behavioural Therapy, Couples' Treatments, Parenting Programmes, Integration of Care Models, and Pharmacotherapies. Clinical recommendations will be discussed. Treatment outcomes among substance using offenders of IPV may be improved by implementing changes in protocol that increase diagnostic evaluations, integrate care with evidence-based models, require limits to the number of offenders in a group, and require qualifications for clinicians who treat offenders (licensed and trained psychologists, social workers, and/or psychiatrists).

摘要

亲密伴侣暴力(IPV)的社会和经济成本过高,凸显了在全球层面进行与IPV干预相关政策改革的必要性。与IPV病因相关的变量众多,因此,必须考虑多种治疗需求。物质使用是可能影响IPV发生的几个因素之一,但在标准治疗方法中往往未得到解决。本综述将讨论针对IPV涉毒犯罪者的几种治疗模式,包括心理教育模式、认知行为疗法、夫妻治疗、育儿方案、综合护理模式和药物治疗。还将讨论临床建议。通过改变治疗方案,增加诊断评估、将护理与循证模式相结合、限制小组中犯罪者的数量以及要求治疗犯罪者的临床医生具备资质(有执照且经过培训的心理学家、社会工作者和/或精神科医生),可能会改善IPV涉毒犯罪者的治疗效果。

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