Domestic Violence Among Female Alcoholics in Treatment

治疗中女性酗酒者的家庭暴力

• 批准号: 6619612
• 负责人: TIMOTHY JAMES O'FARRELL
• 金额: $ 33.9万
• 依托单位: HARVARD MEDICAL SCHOOL
• 依托单位国家: 美国
• 财政年份: 2002
• 资助国家: 美国
• 起止时间: 2002-08-01 至 2007-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6619612
• 关键词: alcoholic beverage consumption; alcoholism /alcohol abuse; alcoholism /alcohol abuse therapy; behavioral /social science research tag; child abuse; clinical research; crime victims; disease /disorder proneness /risk; domestic violence; drug /alcohol abstinence; epidemiology; experience; female; human subject; interview; longitudinal human study; male; personal log /diary; spouse abuse; substance abuse related behavior; substance abuse related disorder; women's health

DESCRIPTION (provided by applicant): Domestic violence and alcohol problems are closely linked. Men who drink heavily are more likely to perpetrate wife abuse and women who abuse alcohol are more likely to be victims of violence. Fifty to 60% of male alcoholics have been violent toward a female partner in the year before alcoholism treatment, and two-thirds or more of women alcoholic patients have been the victims of violence from a male partner. We have been studying the natural history of domestic violence before and after alcoholism treatment under the hypothesis that violence is reduced after treatment and nearly eliminated with abstinence. Two recent studies with male alcoholics and an initial pilot study with female alcoholics showed that male-to-female domestic violence decreased substantially after behavioral couples therapy. Despite these initial findings, virtually nothing is known about changes in domestic violence after more typical individual treatment for alcoholism. In addition, models designed to explain the occurrence of domestic violence and variations in violence before and after treatment have received very little attention. Our ongoing NIAAA grant examines violence among male alcoholics in individual treatment, and we propose to extend this work to female alcoholic patients. This study will examine a sample of 320 married or cohabiting female alcoholics as they enter traditional individual treatment for alcoholism, along with a demographically similar comparison group of 320 couples without current alcohol problems from the community. We will follow both samples for 18 months in a multi-wave longitudinal design. PROJECT OBJECTIVES are to describe the natural history and to explore explanations of male-to- female violence among female alcoholics and their male partners by addressing 2 aims: (1) to find out if violence is reduced relative to a comparison sample as a function of treatment and associated reductions in drinking; and (2) to explore explanatory models that consider alcohol use and other risk factors for violence. This project will provide clinically important and policy-relevant information about whether treatment for female alcoholics is associated with meaningful reductions in the risk of their violent victimization.

描述（由申请人提供）：家庭暴力和酒精问题 紧密链接。大量喝酒的男人更有可能发生妻子 虐待和滥用酒精的妇女更有可能成为暴力的受害者。 50％至60％的男性酗酒者一直对一名女性伴侣暴力 酒精中毒治疗的前一年和三分之二或更多的妇女 酗酒的患者是男性伴侣暴力的受害者。我们 在研究之前和之后的家庭暴力的自然历史 酗酒治疗在假设下降低了暴力 治疗，几乎被禁欲消除。两项针对男性的两项研究 酗酒者和对女性酗酒者的初步试点研究表明 行为后，男性家庭暴力大幅下降 夫妻疗法。 尽管有这些初步发现，但实际上对变化几乎一无所知 家庭暴力在更典型的个人治疗酗酒后。在 此外，旨在解释家庭暴力发生的模型和 治疗前后暴力的变化很少 注意力。我们正在进行的NIAAA Grant检查了男性酗酒者中的暴力 个人治疗，我们建议将这项工作扩展到女性酒精 患者。这项研究将检查320个已婚或同居的样本 女性酗酒者进入传统的个人治疗 酒精中毒，以及人口统计学上相似的比较组320 夫妻伴侣没有社区的酒精问题。我们将跟随 两个样品在多波纵向设计中持续18个月。 项目目标是描述自然历史并探索 女性酗酒者中男性暴力的解释及 通过解决2个目标，男性伴侣：（1）找出是否减少了暴力 相对于比较样本作为治疗和相关的函数 减少饮酒； （2）探索考虑的解释模型 饮酒和其他暴力风险因素。这个项目将提供 有关是否治疗的临床重要且与政策相关的信息 对于女性酗酒者，与有意义的降低有关 他们的暴力受害。