Race/ethnicity as a predictor of change in working alliance during cognitive behavioral therapy for intimate partner violence perpetrators.

Psychotherapy ◽  
2012 ◽  
Vol 49 (2) ◽  
pp. 180-189 ◽  
Author(s):  
Sherry Muterspaugh Walling ◽  
Michael K. Suvak ◽  
Jamie M. Howard ◽  
Casey T. Taft ◽  
Christopher M. Murphy
Keyword(s):  
Intimate Partner Violence ◽  
Cognitive Behavioral Therapy ◽  
Working Alliance ◽  
Partner Violence ◽  
Behavioral Therapy ◽  
Intimate Partner ◽  
Cognitive Behavioral ◽  
Race Ethnicity

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.

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