Examining strength at home couples to prevent intimate partner violence on a military installation: A randomized controlled trial.

IF 4.5 1区心理学 Q1 PSYCHOLOGY, CLINICAL Journal of consulting and clinical psychology Pub Date : 2024-04-01 Epub Date: 2024-01-11 DOI:10.1037/ccp0000863

Casey T Taft, Emily F Rothman, Matthew W Gallagher, Evelyn G Hamilton, Anissa Garza, Suzannah K Creech

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Abstract

Objectives: In this study, the effectiveness of a couples-based group intervention to prevent intimate partner violence (IPV), Strength at Home Couples (SAH-C), was examined on a military installation relative to a comparison intervention, Supportive Prevention (SP). It was expected that greater reductions in use of physical, psychological, and sexual IPV behaviors, as well as reduced suicidality, would be found among service members and their partners in SAH-C relative to SP.

Method: Participants included 138 couples randomized to SAH-C and SP through a clinical controlled trial embedded in a hybrid effectiveness implementation study which took place on a military installation. The Revised Conflict Tactics Scales and Multidimensional Measure of Emotional Abuse were used to measure IPV, and 13 Military Suicide Research Consortium common data elements were used to assess suicidality.

Results: Service members randomized to SAH-C evidenced greater reductions based on effect sizes across the assessment time points for all IPV variables, including use of overall physical IPV, severe physical IPV, sexual IPV, psychological IPV, and coercive control IPV relative to those randomized to SP. Partners of service members demonstrated a similar general pattern for reductions in use of IPV, but findings were not as robust as for service members. Both service members and partners demonstrated greater reductions in suicidality based on effect sizes when randomized to SAH-C relative to SP.

Conclusions: Findings extend prior work demonstrating the promising effects of SAH-C delivered in the military context and highlight the possible benefits of SAH-C in preventing self-harm thoughts and behaviors. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

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研究家庭中夫妻的力量，预防军事设施中的亲密伴侣暴力：随机对照试验。

研究目的在这项研究中，我们在一个军事设施中考察了以夫妻为基础的预防亲密伴侣暴力（IPV）的团体干预措施--"家庭中的夫妻力量"（SAH-C）与对比干预措施--"支持性预防"（SP）的效果。预计与 SP 相比，参加 SAH-C 的军人及其伴侣在使用身体、心理和性 IPV 行为方面会有更大的减少，自杀率也会降低：参与者包括138对夫妇，他们通过一项临床对照试验被随机分配到SAH-C和SP中，该试验嵌入了一项在军事设施中进行的混合有效性实施研究中。修订版冲突策略量表和情感虐待多维测量法用于测量IPV，13个军事自杀研究联盟的通用数据元素用于评估自杀倾向：结果：与随机接受SP治疗的军人相比，随机接受SAH-C治疗的军人在所有IPV变量（包括总体身体IPV、严重身体IPV、性IPV、心理IPV和胁迫性控制IPV的使用）的评估时间点上都有更大的减少（基于效应大小）。服役人员的伴侣在减少使用 IPV 方面表现出了类似的总体模式，但研究结果不如服役人员那样有力。根据效应大小，相对于 SP，随机接受 SAH-C 治疗的服役人员及其伴侣的自杀率都有更大的降低：研究结果扩展了之前的工作，证明了在军队环境中实施SAH-C的良好效果，并强调了SAH-C在预防自残想法和行为方面可能带来的益处。(PsycInfo Database Record (c) 2024 APA，保留所有权利）。

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来源期刊

Journal of consulting and clinical psychology PSYCHOLOGY, CLINICAL-

CiteScore

9.00

自引率

3.40%

发文量

期刊介绍： The Journal of Consulting and Clinical Psychology® (JCCP) publishes original contributions on the following topics: the development, validity, and use of techniques of diagnosis and treatment of disordered behaviorstudies of a variety of populations that have clinical interest, including but not limited to medical patients, ethnic minorities, persons with serious mental illness, and community samplesstudies that have a cross-cultural or demographic focus and are of interest for treating behavior disordersstudies of personality and of its assessment and development where these have a clear bearing on problems of clinical dysfunction and treatmentstudies of gender, ethnicity, or sexual orientation that have a clear bearing on diagnosis, assessment, and treatmentstudies of psychosocial aspects of health behaviors. Studies that focus on populations that fall anywhere within the lifespan are considered. JCCP welcomes submissions on treatment and prevention in all areas of clinical and clinical–health psychology and especially on topics that appeal to a broad clinical–scientist and practitioner audience. JCCP encourages the submission of theory–based interventions, studies that investigate mechanisms of change, and studies of the effectiveness of treatments in real-world settings. JCCP recommends that authors of clinical trials pre-register their studies with an appropriate clinical trial registry (e.g., ClinicalTrials.gov, ClinicalTrialsRegister.eu) though both registered and unregistered trials will continue to be considered at this time.