Batterer typologies: substance use, impulsivity and results of an IPVAW offender treatment program in Spain.

IF 3.2 3区 医学 Q2 PSYCHIATRY Frontiers in Psychiatry Pub Date : 2025-01-30 eCollection Date: 2024-01-01 DOI:10.3389/fpsyt.2024.1492218
Pedro V Mateo-Fernández, Iria Osa-Subtil, Román Ronzón-Tirado, María Elena de la Peña Fernández
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Abstract

Introduction: Batterer impulsivity and substance use are relevant factors in the study of gender violence. Impulsivity is defined by the tendency to act suddenly and without forethought. Combined with drunkenness, it can materially increase the likelihood of intimate partner violence.

Methods: The present study examines substance use and impulsivity among a sample of 243 men convicted of IPVAW offences under the Spanish Gender Violence Act (Organic Law 1/2004) in relation to the levels of violence and psychopathologies presented by these perpetrators, in order to understand the results of court-ordered psychological treatments provided under Spain's Gender Violence Offenders Intervention Program. The participants, aged an average 39.1 years, were classified into three types based on demographic factors, substance use and other relevant variables. Meanwhile, the tools used included AUDIT and EuropASI to assess alcohol consumption, CTS2 to measure the frequency and intensity of violent behaviors over the last year, and SCID-II for personality disorders.

Results: Our findings reflected marked improvements in conflict resolution strategies, especially in terms of reduced psychological violence and sexual coercion, but not physical violence. Impulsivity and early-onset alcohol use were identified as key risk factors for violent behavior. Latent class analysis revealed the existence of three sub-types, comprising high-risk batterers displaying high levels of aggression and drinking problems, low-risk batterers displaying high levels of secondary psychopathy, and medium-risk batterers.

Discussion: The study underscores the need for differentiated treatment approaches to address both psychological problems and substance use, while highlighting the need for personalized interventions to rein in violent behavior and prevent reoffending. We We propose a future longitudinal study to throw light on the subsequent developmental paths taken by IPVAW offenders.

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殴打者类型:物质使用,冲动和结果在西班牙的IPVAW罪犯治疗方案。
导言:施暴者冲动和物质使用是研究性别暴力的相关因素。冲动被定义为不经过深思熟虑就突然行动的倾向。再加上醉酒,它会大大增加亲密伴侣暴力的可能性。方法:本研究调查了243名根据西班牙《性别暴力法》(组织法1/2004)被判犯有IPVAW罪行的男性样本中的物质使用和冲动行为,并将其与这些犯罪者的暴力程度和精神病理表现联系起来,以了解西班牙“性别暴力犯罪者干预计划”提供的法院命令心理治疗的结果。参与者平均年龄39.1岁,根据人口因素、药物使用和其他相关变量分为三种类型。与此同时,使用的工具包括用于评估酒精消耗的AUDIT和EuropASI,用于测量过去一年中暴力行为的频率和强度的CTS2,以及用于评估人格障碍的SCID-II。结果:我们的研究结果反映了冲突解决策略的显著改善,特别是在减少心理暴力和性胁迫方面,但没有身体暴力。冲动性和早发性酒精使用被确定为暴力行为的关键危险因素。潜在类别分析显示存在三种亚类型,包括表现出高水平的攻击和酗酒问题的高风险施暴者、表现出高水平的继发性精神病的低风险施暴者和中等风险施暴者。讨论:该研究强调了对心理问题和药物使用采取差异化治疗方法的必要性,同时强调了对控制暴力行为和防止再犯进行个性化干预的必要性。我们建议未来进行纵向研究,以阐明IPVAW违法者随后采取的发展路径。
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来源期刊
Frontiers in Psychiatry
Frontiers in Psychiatry Medicine-Psychiatry and Mental Health
CiteScore
6.20
自引率
8.50%
发文量
2813
审稿时长
14 weeks
期刊介绍: Frontiers in Psychiatry publishes rigorously peer-reviewed research across a wide spectrum of translational, basic and clinical research. Field Chief Editor Stefan Borgwardt at the University of Basel is supported by an outstanding Editorial Board of international researchers. This multidisciplinary open-access journal is at the forefront of disseminating and communicating scientific knowledge and impactful discoveries to researchers, academics, clinicians and the public worldwide. The journal''s mission is to use translational approaches to improve therapeutic options for mental illness and consequently to improve patient treatment outcomes.
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