认知行为疗法或正念为基础的疗法是否能改善施虐亲密伴侣暴力男性的心理健康和情绪调节？一项随机对照试验。
Does cognitive behavioural therapy or mindfulness-based therapy improve mental health and emotion regulation among men who perpetrate intimate partner violence? A randomised controlled trial.
机构信息
Forensic Department and Research Centre Brøset, St. Olav's Hospital, Trondheim University Hospital, PO 1803 Lade, N-7440 Trondheim, Norway; Faculty of Medicine and Health Sciences, Department of Mental Health, Norwegian University of Science and Technology (NTNU), Trondheim, Norway.
Forensic Department and Research Centre Brøset, St. Olav's Hospital, Trondheim University Hospital, PO 1803 Lade, N-7440 Trondheim, Norway; Faculty of Medicine and Health Sciences, Department of Social Science, Norwegian University of Science and Technology (NTNU), Trondheim, Norway.
出版信息
Int J Nurs Stud. 2021 Jan;113:103795. doi: 10.1016/j.ijnurstu.2020.103795. Epub 2020 Oct 14.
BACKGROUND
Intimate partner violence constitutes a serious health problem worldwide. To date the evidence is sparse on whether intimate partner violence group interventions could improve mental health outcomes among perpetrators and their partners.
OBJECTIVES
To compare the effectiveness of nurse-led cognitive-behavioural group therapy vs. mindfulness-based stress reduction group therapy in improving reported mental health outcomes and emotion regulation at 12 months' follow-up amongst perpetrators who voluntarily seek help for violence in intimate partnerships.
DESIGN
A randomised controlled trial.
PARTICIPANTS
A total of 125 persons at an outpatient service run by a University Hospital in Norway for men who perpetrate intimate partner violence were enroled in the study.
METHODS
The participants were randomly assigned to cognitive-behavioural group therapy (intervention group, N = 67) or mindfulness-based stress reduction group therapy (comparator group, N = 58). The pre-defined outcomes were symptoms of anxiety and depression as reported by the Hopkins Symptom Checklist 25 and general emotion regulation as reported by Difficulties in Emotion Regulation Scale at 12 months' follow-up.
RESULTS
A reduction of symptoms of anxiety and depression was reported, with no between-group differences (intervention group: coefficient: - 0.17, P = 0.009; comparator group: coefficient: - 0.13, P = 0.036). Both groups had a small but statistically significant reduction in the Difficulties in Emotion Regulation Scale scores at 12 months' follow-up (intervention group: coefficient: - 0.47, P = <0.001; comparator group: coefficient: - 0. 34, P = <0.001).
CONCLUSION
Even though there was reduction in symptoms in both groups at 12 months' follow-up with no between-group differences, the total symptom scores remained high in both groups.
TRIAL REGISTRATION
clinicaltrials.gov Identifier: NCT01653860.
背景
亲密伴侣暴力在全球范围内构成了严重的健康问题。迄今为止，关于亲密伴侣暴力团体干预是否可以改善施虐者及其伴侣的心理健康结果的证据很少。
目的
比较护士主导的认知行为团体治疗与基于正念的减压团体治疗在改善自愿寻求亲密伴侣暴力帮助的施虐者 12 个月随访时报告的心理健康结果和情绪调节方面的效果。
设计
随机对照试验。
参与者
挪威一所大学医院的门诊服务中共有 125 名因亲密伴侣暴力而被招募的人参加了这项研究。
方法
参与者被随机分配到认知行为团体治疗（干预组，N=67）或基于正念的减压团体治疗（对照组，N=58）。预先确定的结果是 12 个月随访时霍普金斯症状清单 25 报告的焦虑和抑郁症状以及情绪调节困难量表报告的一般情绪调节。
结果
报告了焦虑和抑郁症状的减轻，但两组之间没有差异（干预组：系数-0.17，P=0.009；对照组：系数-0.13，P=0.036）。两组在 12 个月随访时的情绪调节困难量表评分均有较小但具有统计学意义的降低（干预组：系数-0.47，P<0.001；对照组：系数-0.34，P<0.001）。
结论
尽管两组在 12 个月随访时症状均有所减轻，但两组的总症状评分仍然较高。
试验注册
clinicaltrials.gov 标识符：NCT01653860。
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