The comparative effectiveness of Integrated treatment for Substance abuse and Partner violence (I-StoP) and substance abuse treatment alone: a randomized controlled trial

BMC Psychiatry

Paul MG Emmelkamp¹  Agnes Scholing³  Ellen Vedel²  Fleur L Kraanen³ 

[1] King Abdulaziz University, Jeddah, Saudi Arabia;Jellinek Substance Abuse Treatment Centre, Arkin, Amsterdam, The Netherlands;Forensic Outpatient Clinic De Waag, Amsterdam, The Netherlands

关键词: Cognitive behavior therapy;    Comorbidity;    Randomized controlled trial;    Treatment;    Perpetration;    Intimate partner violence;    Substance use disorders;   

Others  :  1124004
DOI  :  10.1186/1471-244X-13-189

 received in 2013-01-24, accepted in 2013-07-12,  发布年份 2013

【 摘 要 】

Background

Research has shown that treatments that solely addressed intimate partner violence (IPV) perpetration were not very effective in reducing IPV, possibly due to neglecting individual differences between IPV perpetrators. A large proportion of IPV perpetrators is diagnosed with co-occurring substance use disorders and it has been demonstrated that successful treatment of alcohol dependence among alcohol dependent IPV perpetrators also led to less IPV. The current study investigated the relative effectiveness of Integrated treatment for Substance abuse and Partner violence (I-StoP) to cognitive behavioral treatment addressing substance use disorders including only one session addressing partner violence (CBT-SUD+) among patients in substance abuse treatment who repeatedly committed IPV. Substance use and IPV perpetration were primary outcome measures.

Method

Patients who entered substance abuse treatment were screened for IPV. Patients who disclosed at least 7 acts of physical IPV in the past year (N = 52) were randomly assigned to either I-StoP or CBT-SUD+. Patients in both conditions received 16 treatment sessions. Substance use and IPV perpetration were assessed at pretreatment, halfway treatment and posttreatment in blocks of 8 weeks. Both completers and intention-to-treat (ITT) analyses were performed.

Results

Patients (completers and ITT) in both conditions significantly improved regarding substance use and IPV perpetration at posttreatment compared with pretreatment. There were no differences in outcome between conditions. Completers in both conditions almost fully abstained from IPV in 8 weeks before the end of treatment.

Conclusions

Both I-StoP and CBT-SUD+ were effective in reducing substance use and IPV perpetration among patients in substance abuse treatment who repeatedly committed IPV and self-disclosed IPV perpetration. Since it is more cost and time-effective to implement CBT-SUD+ than I-StoP, it is suggested to treat IPV perpetrators in substance abuse treatment with CBT-SUD+.

Trial registration

ClinicalTrials.gov: NCT00847873

【 授权许可】

   
2013 Kraanen et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

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