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针对亲密伴侣暴力男性施暴者的认知训练后认知灵活性和反应时间的改善:一项试点随机对照试验的结果

Cognitive Flexibility and Reaction Time Improvements After Cognitive Training Designed for Men Perpetrators of Intimate Partner Violence: Results of a Pilot Randomized Controlled Trial.

作者信息

Romero-Martínez Á, Santirso F, Lila M, Comes-Fayos J, Moya-Albiol L

机构信息

Department of Psychobiology, University of Valencia, Avenida Blasco Ibañez, 21, 46010 Valencia, Spain.

Department of Social Psychology, University of Valencia, Valencia, Spain.

出版信息

J Fam Violence. 2022;37(3):461-473. doi: 10.1007/s10896-021-00304-2. Epub 2021 Aug 5.

Abstract

Current interventions for intimate partner violence (IPV) perpetrators are designed to reduce IPV recidivism by treating risk factors and increasing protective factors. However, these interventions pay less attention to cognitive functioning in IPV perpetrators and how these variables interfere with the future risk of recidivism. Therefore, the main objective of this research was to compare the effectiveness of Standard Intervention Programs for men who perpetrate IPV [SIP] + cognitive training vs SIP + placebo training in promoting cognitive improvements and reducing recidivism. Furthermore, we also aimed to assess whether changes in the risk of recidivism would be related to cognitive changes after the intervention. IPV perpetrators who agreed to participate were randomly allocated to receive SIP + cognitive training or SIP + placebo training. Several cognitive variables were assessed before and after the interventions with a complete battery of neuropsychological tests assessing processing speed, memory, attention, executive functions, and emotion decoding abilities. Moreover, we also assessed the risk of recidivism. Our data pointed out that only the IPV perpetrators who received the SIP + cognitive training improved their processing speed and cognitive flexibility after this intervention. Furthermore, these participants presented the lowest risk of recidivism after the intervention. Nonetheless, cognitive improvements and reductions in the risk of recidivism after the intervention were unrelated. Our study reinforces the importance of implementing cognitive training to reduce risk of recidivism after SIP. Hence, these results might encourage professionals to incorporate neuropsychological variables in IPV intervention programs.

摘要

目前针对亲密伴侣暴力(IPV)施暴者的干预措施旨在通过处理风险因素和增加保护因素来降低IPV再犯率。然而,这些干预措施较少关注IPV施暴者的认知功能,以及这些变量如何干扰未来的再犯风险。因此,本研究的主要目的是比较针对实施IPV的男性的标准干预项目[SIP]+认知训练与SIP+安慰剂训练在促进认知改善和降低再犯率方面的有效性。此外,我们还旨在评估干预后再犯风险的变化是否与认知变化相关。同意参与的IPV施暴者被随机分配接受SIP+认知训练或SIP+安慰剂训练。在干预前后,通过一系列全面的神经心理学测试评估了几个认知变量,这些测试评估了处理速度、记忆、注意力、执行功能和情绪解码能力。此外,我们还评估了再犯风险。我们的数据指出,只有接受SIP+认知训练的IPV施暴者在干预后提高了他们的处理速度和认知灵活性。此外,这些参与者在干预后呈现出最低的再犯风险。尽管如此,干预后认知改善与再犯风险降低并无关联。我们的研究强化了实施认知训练以降低SIP后再犯风险的重要性。因此,这些结果可能会鼓励专业人员将神经心理学变量纳入IPV干预项目。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b7b/8339689/c4c1f880313a/10896_2021_304_Fig1_HTML.jpg

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