对于使用物质的亲密伴侣暴力行为者的综合激励策略:随机对照试验
Cristina Expósito-Álvarez1, Manuel Roldán-Pardo1, Gail Gilchrist2
1University of Valencia Faculty of Psychology and Speech Therapy Department of Social Psychology Spain Department of Social Psychology, Faculty of Psychology and Speech Therapy, University of Valencia, Spain.
概括
一个针对酒精和/或其他药物使用问题 (ADUPs) 调整的个性化激励计划有效地减少了事者的酒精使用和IPV复发率. 与标准的激励策略相比,这种方法也改善了治疗的坚持.
科学领域:
- 心理学 心理学 心理学
- 犯罪学 犯罪学
- 公共卫生 公共卫生
背景情况:
- 亲密伴侣暴力 (IPV) 犯罪者与酒精和/或其他药物使用问题 (ADUPs) 是一个高风险,耐药的群体,需要专门的干预措施.
- 标准的激励策略可能无法完全满足ADUP的IPV犯罪者的复杂需求.
研究的目的:
- 评估一个针对ADUPs调整的个性化激励计划 (IMP-ADUPs) 是否优于标准激励策略 (IMP) 在减少ADUPs,IPV和增加治疗坚持方面.
- 评估IMP-ADUP对物质使用,IPV复发和IPV犯罪者的治疗参与的影响.
主要方法:
- 一项随机对照试验 (RCT) 涉及140名IPV犯罪者,其中55名具有ADUP的子样本.
- 在干预前,干预后和12个月随访期间收集的数据,评估物质使用,自我报告的IPV,复发风险和治疗坚持.
- 进行了治疗意图 (ITT) 和每协议 (PP) 分析.
主要成果:
- 在全样本和ADUP子样本中,IMP-ADUP干预措施在减少酒精使用方面优于IMP.
- 参与IMP-ADUPs组的参与者表现出更先进的变化阶段和更多的积极参与.
- 所有参与者都表现出更好的转变阶段,减少了酒精使用,并在随访时降低了复发风险.
结论:
- 针对特定风险和需求量身定制的个性化治疗方法,特别是对于ADUP,对于IPV犯罪者至关重要.
- 这些发现强调了积极性干预的重要性,这些干预措施解决了同时出现的物质使用问题,以提高治疗结果和减少暴力.
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