Addressing intimate partner violence in substance-abuse treatment

Fals‐Stewart, William; Kennedy, Cheryl

doi:10.1016/j.jsat.2005.03.001

Cited by 91 publications

(76 citation statements)

References 79 publications

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“…Como consecuencia de todo ello, algunos grupos de investigación (Easton, et al, 2007;Fals-Stewart y Kennedy, 2005;Goldkamp, et al, 1996;Moore, et al, 2008;Stuart, O´Farrell, Leonard, et al, 2009) han comenzado a estudiar la aplicación de programas conjuntos de tratamiento para pacientes adictos con conductas asociadas de maltrato a la pareja. En realidad, se trata de adaptar los programas de maltratadores existentes en la actualidad a este contexto específico de las conductas adictivas.…”

Section: Conclusionesunclassified

“…En cualquier caso, con arreglo a los datos encontrados, una línea urgente de trabajo para los próximos años debe centrarse en estudiar la relación entre el consumo de sustancias y la violencia contra la pareja, así como en establecer posibles vías específicas de intervención conjunta para ambas problemáticas (Fals-Stewart y Kennedy, 2005;Moore, et al, 2008;). Los programas de tratamiento de drogodependencias son sin duda un contexto adecuado para identificar situaciones de violencia de género.…”

Section: Introductionunclassified

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Tratamiento de agresores contra la pareja en programas de atención a drogodependientes: un reto de futuro

2011

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There is a close relationship between substance abuse (alcohol and other drugs) and intimate partner violence. Studies carried out with male offenders and with addicted patients show a high comorbidity rate between these two phenomena. However, few batterer intervention programmes have been implemented to date in the field of drug addiction. This paper proposes, first, the need to detect cases of intimate partner violence that are camouflaged beneath a drug problem. Thus, it is important to determine the prevalence rate of intimate partner aggressors among users of drug-addiction treatment programmes, as well as identifying the specific characteristics of these patients. Second, once aggressors are identified, it would be possible to develop specific programmes for the simultaneous treatment of the two problems (addiction and intimate partner violence). Some studies have already been carried with joint treatments for addiction and intimate partner violence.The results obtained are encouraging, and show that intervention programs with addictions can be a useful framework for applying also, where necessary, specific treatments for those addicted patients with an associated problem of intimate partner violence. Finally, implications for clinical practice and future research in this field are discussed.Key words: addictions, intimate partner violence, batterers, treatment RESUMEN ABSTRACTExiste una relación muy estrecha entre el consumo de sustancias (alcohol y otras drogas) y la violencia hacia la pareja. Los estudios llevados a cabo con hombres maltratadores y con pacientes adictos muestran una alta comorbilidad entre ambos fenómenos. Sin embargo, hasta la fecha han sido muy escasos los programas de intervención con maltratadores que se han aplicado en el ámbito de las drogodependencias. En este artículo se propone, en primer lugar, la necesidad de detectar los casos de violencia contra la pareja que aparecen camuflados bajo un problema de consumo de drogas. En este sentido, es necesario llevar a cabo estudios que determinen la tasa de prevalencia de agresores contra la pareja entre los usuarios de los programas de tratamiento para el abuso de sustancias, así como conocer las características específicas de este tipo de pacientes. En segundo lugar, una vez detectados los agresores, se podrían desarrollar programas específicos para el tratamiento simultáneo de ambas problemáticas (adicción y violencia hacia la pareja). Se han llevado a cabo algunos estudios con tratamientos conjuntos de la adicción y de la violencia de pareja. Los resultados obtenidos son esperanzadores y muestran que los programas de intervención con adicciones pueden ser un marco útil para aplicar también, en los casos necesarios, un tratamiento específico para aquellos adictos con un problema asociado de violencia contra la pareja. Se comentan las implicaciones de todo ello para la práctica clínica y para las investigaciones futuras.

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Section: Conclusionesunclassified

Section: Introductionunclassified

Tratamiento de agresores contra la pareja en programas de atención a drogodependientes: un reto de futuro

2011

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“…For example, a number of studies have focused on only male-to-female physical aggression (e.g., Brown et al, 1998;Jaffe et al, 1988;Moore and Stuart, 2004), or on only females as the recipients or victims of aggression (e.g., El-Bassel et al, 2004;Fals-Stewart et al, 2002), without examination of female aggression towards partners or males as the recipient of aggression from their partners. Further, as noted by Fals-Stewart and Kennedy (2005) there has been a tendency to treat aggression as a unitary construct, rather than as a spectrum of behaviors that vary from psychological aggression, to physical aggression, to aggression resulting in injury. Recent studies have found that factors such as age, psychiatric distress, patterns of substance use, parental alcohol abuse, and childhood history of abuse correlate with the severity of physical aggression (e.g., Chermack and Blow, 2002;Chermack et al, 2001;Chermack et al, 2006;Testa et al, 2003).…”

Section: Introductionmentioning

confidence: 99%

Partner aggression among men and women in substance use disorder treatment: Correlates of psychological and physical aggression and injury

Chermack

Murray

Walton

et al. 2008

Drug and Alcohol Dependence

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This study examined intimate partner aggression in a sample of 489 participants enrolled in substance use disorder treatment, and expands on prior research by including measures of various forms of aggression, a mixed gender sample (76% men, 24% women), and measurement of several potential risk domains. Aggression measures included both participant-to-partner and partner-to-participant psychological aggression, physical aggression and injury. Analyses focused on the role of distal and proximal risk factors, including demographics, history of childhood physical and sexual abuse, and family history of problems with alcohol, drugs and depression, as well as recent substance use and symptoms of depression. Overall rates of participant-to-partner psychological aggression (77%), physical aggression (54%) and injuring partners (33%) were high, as were rates of partner-to-participant psychological aggression (73%), physical aggression (51%), and injury (33%). Several distal (family history variables, physical abuse) and proximal factors (binge drinking, several different drugs, depressive symptoms) were bivariately related to most of the aggression measures. However, according to multivariate analyses predicting aggression and injury measures, binge drinking and cocaine use were the drugs significantly associated with most measures, depression symptoms also were related to most aggression and injury measures, and a history of reported childhood physical abuse was related to all frequency of aggression and injury measures among those reporting such behaviors. Overall, the high rates of aggression among both men and women observed in this study further illustrate the need for interventions targeting substance use and aggression, and for further research regarding the interrelationships among substance, aggression and depressive symptoms.

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“…Among pregnant women, the rate of any illicit drug use is 5.4% and has not changed significantly since 2010-2011 [12]. Use remains higher in younger women (14.6%, ages 18-25) compared to older women (3.2%, ages [26][27][28][29][30][31][32][33][34][35][36][37][38][39][40][41][42][43][44]. A high proportion of women are using marijuana illegally and fail to disclose their use to their providers.…”

Section: Current Prevalence Estimates Of Prenatal Drug Exposurementioning

confidence: 99%

Review of Current Neuroimaging Studies of the Effects of Prenatal Drug Exposure: Brain Structure and Function

Willford¹,

Smith²,

Kuhn³

et al. 2016

Recent Advances in Drug Addiction Research and Clinical Applications

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Neuroimaging tools have provided novel methods for understanding the impact of prenatal drug exposure on brain structure and function and its relation to development and behavior. Information gained from neuroimaging studies allows for the investigation of how prenatal drug exposure alters the typical developmental trajectory. The current prevalence and characteristics of prenatal drug exposure and its implications for vulnerable periods of brain development are reviewed. Structural and functional neuroimaging methods are introduced with examples of how study results from prenatal alcohol, cocaine, marijuana, and tobacco exposure further our understanding of the neurodevelopment impact of prenatal drug exposure. Prenatal drug neuroimaging studies have advanced our understanding of mechanisms and functional deficits associated with prenatal drug exposure. Studies have identified brain circuits associated with the default mode network, inhibitory control, and working memory that show differences in function as a result of prenatal drug exposure. The information gained from studies of prenatal drug exposure on brain structure and function can be used to make connections between animal models and human studies of prenatal drug exposure, identify biomarkers of documented effects of prenatal drug exposure on behavior, and inform prevention and intervention programs for young children.

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Addressing intimate partner violence in substance-abuse treatment

Cited by 91 publications

References 79 publications

Tratamiento de agresores contra la pareja en programas de atención a drogodependientes: un reto de futuro

Tratamiento de agresores contra la pareja en programas de atención a drogodependientes: un reto de futuro

Partner aggression among men and women in substance use disorder treatment: Correlates of psychological and physical aggression and injury

Review of Current Neuroimaging Studies of the Effects of Prenatal Drug Exposure: Brain Structure and Function

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