Integrated cognitive‐behavioral intervention reduced alcohol use and perpetration of intimate partner violence in a man with alcohol dependence syndrome: A case study

2021 ◽  
Author(s):  
Veena A. Satyanarayana ◽  
Srinivasan Krishnamachari
Keyword(s):  
Intimate Partner Violence ◽  
Alcohol Use ◽  
Alcohol Dependence ◽  
Behavioral Intervention ◽  
Partner Violence ◽  
Intimate Partner ◽  
Cognitive Behavioral ◽  
Cognitive Behavioral Intervention ◽  
Alcohol Dependence Syndrome

A Combined Behavioral Economics and Cognitive Behavioral Therapy Intervention to Reduce Alcohol Use and Intimate Partner Violence Among Couples in Bengaluru, India: Results of a Pilot Study

2020 ◽  
pp. 088626051989843 ◽  
Author(s):  
Miriam Hartmann ◽  
Saugato Datta ◽  
Erica N. Browne ◽  
Prarthana Appiah ◽  
Rachel Banay ◽  
...  
Keyword(s):  
Intimate Partner Violence ◽  
Alcohol Use ◽  
Cognitive Behavioral Therapy ◽  
Behavioral Economics ◽  
Partner Violence ◽  
Behavioral Therapy ◽  
Intimate Partner ◽  
Cognitive Behavioral ◽  
Alcohol Reduction ◽  
Therapy Intervention

Hazardous drinking is an important contributing factor to intimate partner violence (IPV) occurrence. However, only a limited number of community-based alcohol reduction interventions have been tested in low- and middle-income countries (LMICs) for their efficacy in reducing IPV. This pilot intervention study tested a 1-month combined behavioral economics and cognitive behavioral therapy intervention to reduce hazardous alcohol use and IPV in Bengaluru, India. Sixty couples were randomized to one of three study arms to test the effect of incentives-only and incentives plus counseling interventions compared with a control condition. Alcohol use among male participants was assessed using breathalyzer tests. Violence experienced by female participants was measured using the Indian Family Violence and Control Scale. Couples in the counseling arm participated in four weekly counseling sessions. Male participants in the incentive arms earned a reward for sobriety (breath alcohol concentration [BrAC] <0.01 g/dl). Results showed that while incentives reduced alcohol use, there was a greater proportion of negative BrAC samples among participants in the counseling arm compared with the control group (0.96 vs. 0.76, p = .03). Violence also decreased in both intervention arms. The estimated mean violence score for the counseling arm was 10.8 points lower than the control arm at 4-month follow-up visit ( p = .02). This study contributes important evidence to the field of alcohol reduction and IPV prevention approaches in LMIC settings and adds to the growing evidence that alcohol reduction is a modifiable means of addressing IPV.

Predictors of Sexual Intimate Partner Violence Perpetration Among Men: A Prospective Analysis

2021 ◽  
pp. 088626052198973
Author(s):  
Hailee K. Dunn ◽  
Deborah N. Pearlman ◽  
Madeline C. Montgomery ◽  
Lindsay M. Orchowski
Keyword(s):  
Intimate Partner Violence ◽  
Alcohol Use ◽  
Young Adulthood ◽  
Partner Violence ◽  
Teen Dating Violence ◽  
Intimate Partner ◽  
Heavy Alcohol ◽  
Peer Approval ◽  
Sexual Intimate Partner Violence ◽  
Heavy Alcohol Use

Research demonstrates that both peer socialization and underage drinking play a significant role in teen dating violence. However, less is known about the lasting effects of these risk factors on boys’ ability to form healthy romantic relationships as they get older. The present study examined whether boys who perceived their peers would respect them more for having sex and those who engaged in past year heavy alcohol use would be more likely to perpetrate sexual intimate partner violence (IPV) in young adulthood compared to boys who did not endorse perceived peer approval for sex or report past year heavy drinking. Analyses were conducted using a sample of boys ( n = 1,189) from Waves I and III of the National Longitudinal Study of Adolescent to Adult Health (Add Health). A logistic regression was conducted to assess the relationship between perceived peer approval to have sex and heavy alcohol use at Wave I and sexual IPV at Wave III, after adjusting for demographic factors and other correlates of sexual IPV at Wave I, including age, race/ethnicity, sexual initiation in adolescence, parental attachment, annual family income, and neighborhood poverty. Boys who believed they would gain peer respect by having sex and boys who reported getting drunk in the last 12 months, regardless of how often, were significantly more likely to report sexual IPV in young adulthood compared to boys who did not endorse either of these factors. Targeting boys’ perceived peer norms regarding sexual activity and heavy alcohol use may therefore be especially important for preventing sexual IPV later in life.

Brief Report: Associations Between Self-Reported Paternal Relationships, Anger, Alcohol, and Intimate Partner Violence in a Prison Sample

2015 ◽  
Vol 61 (9) ◽  
pp. 1063-1070
Author(s):  
Jessica Bernardi ◽  
Andrew Day ◽  
Erica Bowen
Keyword(s):  
Intimate Partner Violence ◽  
Alcohol Use ◽  
Family Relationships ◽  
Partner Violence ◽  
Intimate Partner ◽  
Developmental Pathways ◽  
High Risk Population ◽  
Effective Prevention ◽  
Assessment Strategies ◽  
Male Prisoners

This study investigates the association between family relationships, anger, alcohol use, and self-reported intimate partner violence (IPV). Participants were 55 male prisoners who completed a survey about their family relationships, anger, alcohol use, and aggression. Exposure to parental IPV predicted rates of self-reported perpetration of IPV, suggesting the importance of understanding more about the developmental pathways to IPV if effective prevention, intervention, and assessment strategies are to be developed for use with this high-risk population.

scholarly journals Negative Affect, Alcohol Consumption, and Female-to-Male Intimate Partner Violence: A Daily Diary Investigation

Partner Abuse ◽  
2013 ◽  
Vol 4 (3) ◽  
pp. 332-355 ◽  
Author(s):  
Cory A. Crane ◽  
Christopher I. Eckhardt
Keyword(s):  
Intimate Partner Violence ◽  
Alcohol Consumption ◽  
Alcohol Use ◽  
Negative Affect ◽  
Partner Violence ◽  
Male Partner ◽  
Intimate Partner ◽  
College Age ◽  
The Status ◽  
Daily Risk

Although research suggests that both negative affect and alcohol use are related to the risk of intimate partner violence (IPV) in male samples, less is known about the status of these risk factors in female samples. Forty-three college-age females who reported a recent history of IPV perpetration submitted 6 weeks of Online daily reports pertaining to their levels of negative affect, alcohol consumption habits, and the occurrence of both male-to-female partner violence (MFPV) and female-to-male partner violence (FMPV). Results indicated that negative affect significantly predicted increases in the daily risk of FMPV. MFPV also significantly predicted FMPV risk. Alcohol consumption failed to predict FMPV perpetration on both levels of analysis. Results are discussed in terms of prevailing models of alcohol use, negative affect, and IPV.

scholarly journals The impact of depressive symptoms on response to integrated cognitive behavioral therapy for substance use disorders and intimate partner violence

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Lourah M. Kelly ◽  
Cory A. Crane ◽  
Kristyn Zajac ◽  
Caroline J. Easton
Keyword(s):  
Intimate Partner Violence ◽  
Substance Use ◽  
Depressive Symptoms ◽  
Cognitive Behavioral Therapy ◽  
Treatment Response ◽  
Partner Violence ◽  
Behavioral Therapy ◽  
Intimate Partner ◽  
Cognitive Behavioral ◽  
Content Type

Purpose Past studies demonstrated the efficacy of integrated cognitive-behavioral therapy (CBT) for substance use disorder (SUD) and intimate partner violence (IPV) as well as high rates of depressive symptoms in this population. However, little is known about how depressive symptoms impact treatment outcomes. The authors hypothesized that integrated CBT, but not standard drug counseling (DC), would buffer the negative effects of depressive symptoms on treatment response. Design/methodology/approach A secondary analysis of a randomized trial compared men assigned to 12 weeks of integrated CBT for SUD and IPV (n = 29) to those in DC (n = 34). Findings Most (60%) of the sample reported any depressive symptoms. Controlling for baseline IPV, reporting any depressive symptoms was associated with more positive cocaine screens during treatment. Among men with depressive symptoms, integrated CBT but not DC was associated with fewer positive cocaine screens. Controlling for baseline alcohol variables, integrated CBT and depressive symptoms were each associated with less aggression outside of intimate relationships (family, strangers, etc.) during treatment. For men without depressive symptoms, integrated CBT was associated with less non-IPV aggression compared to DC. Effects were not significant for other substances, IPV, or at follow-up. Research limitations/implications This study found some evidence for differential response to CBT by depressive symptoms on cocaine and aggression at end of treatment, which did not persist three months later. Future studies should explore mechanisms of integrated CBT for SUD and IPV, including mood regulation, on depressive symptoms in real-world samples. Practical implications Integrated CBT buffered depressive symptoms’ impact on cocaine use, yet only improved non-IPV aggression in men without depressive symptoms. Originality/value Although integrated CBT’s efficacy for improving SUD and IPV has been established, moderators of treatment response have not been investigated.

scholarly journals Relative risk of intimate partner violence according to access to instrumental social support among pregnant women in Eswatini whose partners do and do not drink alcohol

2019 ◽  
Author(s):  
Rebecca Fielding-Miller ◽  
Kathryn Barker ◽  
Jennifer Wagman
Keyword(s):  
Social Support ◽  
Intimate Partner Violence ◽  
Relative Risk ◽  
Alcohol Use ◽  
Partner Violence ◽  
Antenatal Clinic ◽  
Intimate Partner ◽  
Protective Role ◽  
Community Context ◽  
Computer Assisted

Abstract Background Intimate partner violence (IPV) affects 1 in 3 women around the world and is the 10th leading cause of death for women in the Africa region ages 15-29. Partner alcohol use, access to social support, and poverty all affect women’s likelihood of experiencing violence. We sought to understand how partner alcohol use differentially affected instrumental social support’s protective role against IPV for a clinic-based sample of women in the Kingdom of Eswatini (Swaziland).Methods We recruited 406 pregnant women from one rural and one urban antenatal clinic in Eswatini. Women used audio computer assisted self-interview software to answer a 45 minute behavioral survey with items on IPV, partner alcohol use, and likelihood that they could access small cash loans, large cash loans, or food loans from their social network. We then calculated the relative risk of experiencing IPV based on access to different forms of loans for the full sample and stratified by partner alcohol use.Results Confidence that she could access a fairly large loan (~$40) was associated with significantly decreased relative risk of IPV for all women. Confidence that she could access a fairly small loan (~$4) was associated with decreased relative risk of IPV for women whose partners did not drink but was insignificant for women whose partners did drink. Confidence that a friend or neighbor would lend her food was associated with decreased relative risk of IPV for women whose partners did drink.Conclusion Access to instrumental support (loans of food or money) is protective against IPV, but there are differential effects according to the type of loan and whether or not a woman’s partner drinks alcohol. Economic empowerment interventions to reduce IPV must be carefully tailored to ensure they are appropriate for a woman’s specific individual, relationship, and community context.

scholarly journals Exploring links between common mental health problems, alcohol/substance use and perpetration of intimate partner violence: A rapid ethnographic assessment with men in urban Kenya

2018 ◽  
Vol 5 ◽  
Author(s):  
A. Schafer ◽  
P. Koyiet
Keyword(s):  
Mental Health ◽  
Intimate Partner Violence ◽  
Substance Use ◽  
Alcohol Use ◽  
Marital Conflict ◽  
Partner Violence ◽  
Mental Health Problems ◽  
High Stress ◽  
Intimate Partner ◽  
Psychosocial Issues

Introduction:Kenya has some of the highest rates of gender-based violence (GBV) in the world, particularly intimate partner violence. World Vision completed a rapid ethnographic assessment to explore common problems faced by men and local perspectives about the links between men, mental health, alcohol use and GBV.Methods:Data from community free-listing surveys (n = 52), four focus group discussions and two key informant interviews formed the basis for thematic analysis and findings.Results:Lack of jobs, ‘idleness’ and finances were viewed as top priority concerns facing men; however, alcohol and substance use were equally prioritised. Family problems, crime and general psychosocial issues (e.g., high stress, low self-esteem) were also reported. Men withdrawing socially, changing behaviour and increasing alcohol consumption were described as signs that men were experiencing mental health challenges. The community observed alcohol use as the biggest cause of GBV, believing men resorted to drinking because of having ‘too much time’, marital conflict, psychosocial issues and access to alcohol. The findings theorise that a circular link between unemployment, alcohol and crime is likely contributing to familial, psychosocial and gender concerns, and that men's mental health support may assist to re-direct a trajectory for individuals at risk of perpetrating GBV.Conclusions:Data confirmed that GBV is a major concern in these Kenya communities and has direct links with alcohol use, which is subsequently linked to mental health and psychosocial problems. Attempting to disrupt progression to the perpetration of violence by men, via mental health care interventions, warrants further research.

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