Department of Psychobiology, University of Valencia, 46010 Valencia, Spain.
Department of Social Psychology, University of Valencia, 46010 Valencia, Spain.
Int J Environ Res Public Health. 2019 Jul 6;16(13):2402. doi: 10.3390/ijerph16132402.
There is considerable interest in offering insight into the mechanisms that might explain why certain perpetrators of intimate partner violence against women (IPVAW) drop out of interventions. Although several socio-demographic variables and attitudes towards IPVAW have been proposed as risk factors for IPVAW perpetrators' dropout, less attention has been paid to alcohol misuse, and its interactions with empathic and cognitive deficits, in the discontinuation of the treatment. Therefore, the main aim of this study was to compare the profile of a carefully selected sample of IPVAW perpetrators, divided into four groups: those who completed the intervention with low ( = 267) and high alcohol consumption ( = 67); and those who dropped out before the intervention ended with low ( = 62).and high alcohol consumption ( = 27). Furthermore, we also studied the initial risk before the intervention started and the official IPVAW recidivism during the first year after the intervention ended. Our results revealed that IPVAW perpetrators, especially those who did not complete the intervention and had high alcohol consumption/alcohol misuse, were less accurate in decoding emotional facial signals and presented more errors and perseverative errors than those who completed the intervention. These differences were particularly marked in comparison with those who showed less alcohol consumption. Furthermore, the first group also presented the highest risk (assessed by therapists) and official recidivism rate (official records). Conversely, the lowest rate of IPVAW reoffending was presented by IPVAW treatment completers with low alcohol consumption. Hence, our study identifies different targets that should be addressed during the initial stages of interventions in order to prevent or reduce IPVAW dropout, which in turn might reduce violence recidivism in the long term through their effects on emotional information processing and behavioural regulation.
人们对深入研究解释特定亲密伴侣暴力侵害妇女（IPVAW）施害者退出干预措施的原因的机制非常感兴趣。尽管已经提出了一些社会人口变量和对 IPVAW 的态度作为 IPVAW 施害者退出的风险因素，但对于酒精滥用及其与共情和认知缺陷的相互作用，在治疗中断方面，关注较少。因此，本研究的主要目的是比较精心挑选的 IPVAW 施害者样本的特征，将他们分为四组：完成干预且酒精摄入量低（n=267）和高（n=67）的组；以及在干预结束前退出且酒精摄入量低（n=62）和高（n=27）的组。此外，我们还研究了干预开始前的初始风险和干预结束后的第一年中官方的 IPVAW 复发率。我们的研究结果表明，IPVAW 施害者，尤其是那些没有完成干预且酒精摄入量高/酒精滥用的人，在解码情感面部信号方面准确性较低，并且比完成干预的人犯的错误和持续错误更多。与那些酒精摄入量较低的人相比，这些差异尤为明显。此外，第一组还呈现出最高的风险（由治疗师评估）和官方复发率（官方记录）。相反，酒精摄入量低的 IPVAW 治疗完成者呈现出最低的 IPVAW 再犯率。因此，我们的研究确定了在干预的初始阶段应该解决的不同目标，以防止或减少 IPVAW 退出，这反过来又可以通过对情感信息处理和行为调节的影响来降低长期的暴力复发率。
