A greater proportion of drug dependent women are victims of
intimate partner violence (IPV) than women in the general population; however,
few interventions have been developed to reduce IPV among drug dependent women.
An adapted version of the Women's Wellness Treatment, to
address IPV and depressive symptoms, was piloted in a randomized controlled
trial conducted in outpatient treatment program in Barcelona, Spain among 14
women receiving outpatient treatment for a drug use disorder who screened
positive for IPV in the previous month. Participants were randomly assigned to
receive the 10 session cognitive behavioral therapy (IPaViT-CBT) group
intervention or treatment as usual. The frequency of IPV, depressive symptoms,
substance use, quality of life and health status were assessed at baseline and
1, 3 and 12 months post intervention. Intention to treat analysis was performed.
Moderate effects for the intervention were found in reducing
psychological maltreatment, increasing assertiveness of IPV and reducing
aggressiveness in the partner relationship, and in reducing the frequency of
drinking up to 3 months post intervention. The intervention did not
significantly reduce the likelihood of any IPV, depressive symptoms, quality of
life or self-reported health status, up to 12-months post intervention.
This pilot trial suggests some initial support for the
10-session CBT group intervention among IPV victims who received treatment for
drug use. Study findings indicate that it is feasible to deliver the
intervention in a community substance abuse center. An adequately powered
trial is required to replicate these results.
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By:
- 1Addiction Research Group, IMIM-Institut Hospital del Mar d'Investigacions Mèdiques; Universitat Autónoma de Barcelona, Barcelona.
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