Are Men With a History of Head Injury Less Responsive to Cognitive Behavioral Therapy for Intimate Partner Violence?

2017 ◽  
Vol 32 (3) ◽  
pp. 493-505 ◽  
Author(s):  
Felicia A. Akerele ◽  
Christopher M. Murphy ◽  
Megan R. Williams
Keyword(s):  
Intimate Partner Violence ◽  
Head Injury ◽  
Cognitive Behavioral Therapy ◽  
Partner Violence ◽  
Behavioral Therapy ◽  
Intimate Partner ◽  
Criminal Involvement ◽  
History Of ◽  
Violent Men ◽  
Partner Violent Men

Head injury is highly prevalent among intimate partner violence (IPV) offenders. This study investigates responsiveness to cognitive behavioral therapy (CBT) for partner-violent men with and without a history of head injury using archival data on 310 males seeking IPV counseling at a community domestic violence agency. Participants reported on their history of head injury, age at injury, and length of time unconscious in a structured interview at program intake. Criminal justice outcomes were assessed for the 2-year period after scheduled completion of treatment using a publicly available state database. A significantly greater percentage of men with a history of head injury (N = 84) than those without (N = 226) had criminal involvement for incidents of partner abuse during the follow-up period. In addition, men with a history of moderate-to-severe head injury (n = 25) had more criminal involvement for general violence than those with no history of head injury. The findings highlight the need to screen partner-violent men for head injury and to develop and investigate intervention enhancements for those individuals.

scholarly journals Self-reported psychopathology profiles of high risk violent men with and without a history of physical intimate partner violence

2021 ◽  
Author(s):  
◽  
Kelsi Laing
Keyword(s):  
Intimate Partner Violence ◽  
High Risk ◽  
Partner Violence ◽  
Latent Profile Analysis ◽  
Intimate Partner ◽  
Criminal History ◽  
Special Treatment ◽  
History Of ◽  
Violent Men ◽  
Partner Violent Men

<p>Although intimate partner violent men have been found to be different from non-violent men on a number of variables, little research has compared partner violent men to men who engage in violence outside of relationships. The present research explored the similarities and differences between men with and without a history of physical partner violence within a sample of high risk violent men who attended New Zealands' High Risk Special Treatment Units. Pre-treatment psychopathology, measured on the Millon Clinical Multiaxial Inventory III (MCMI-III;Millon, Davis, & Millon, 1997) was compared between these two groups and few differences were found. Comparisons on criminal history, criminal risk and change in dynamic risk also revealed no significant differences between these two groups. This research also explored whether similar or different psychopathology subtypes exist among men with and without a history of intimate partner violence. A latent profile analysis was conducted to examine psychopathology subtypes, and the proportions of men with and without a history of partner violence within each subtype were compared. The results showed that there were similar proportions of men from both groups within each of the subtypes, suggesting that men with and without a history of intimate partner violence share similar psychopathology profiles. The likelihood of reconviction or reimprisonment within 1 year of release from prison was also comapred between men with and without a history of intimate partner violence. The two groups were found to be reconvicted at a similar rate for any offence, violent offences, and were at a similar likelihood of being re-imprisoned. To conclude, the results suggest some similarity between men with and without a history of intimate partner violence, but future research should explore a wider range of factors that may distinguish between these two groups and inform whether men who engage in partner violence are unique from men who engage in other forms of violence.</p>

scholarly journals Self-reported psychopathology profiles of high risk violent men with and without a history of physical intimate partner violence

2021 ◽  
Author(s):  
◽  
Kelsi Laing
Keyword(s):  
Intimate Partner Violence ◽  
High Risk ◽  
Partner Violence ◽  
Latent Profile Analysis ◽  
Intimate Partner ◽  
Criminal History ◽  
Special Treatment ◽  
History Of ◽  
Violent Men ◽  
Partner Violent Men

<p>Although intimate partner violent men have been found to be different from non-violent men on a number of variables, little research has compared partner violent men to men who engage in violence outside of relationships. The present research explored the similarities and differences between men with and without a history of physical partner violence within a sample of high risk violent men who attended New Zealands' High Risk Special Treatment Units. Pre-treatment psychopathology, measured on the Millon Clinical Multiaxial Inventory III (MCMI-III;Millon, Davis, & Millon, 1997) was compared between these two groups and few differences were found. Comparisons on criminal history, criminal risk and change in dynamic risk also revealed no significant differences between these two groups. This research also explored whether similar or different psychopathology subtypes exist among men with and without a history of intimate partner violence. A latent profile analysis was conducted to examine psychopathology subtypes, and the proportions of men with and without a history of partner violence within each subtype were compared. The results showed that there were similar proportions of men from both groups within each of the subtypes, suggesting that men with and without a history of intimate partner violence share similar psychopathology profiles. The likelihood of reconviction or reimprisonment within 1 year of release from prison was also comapred between men with and without a history of intimate partner violence. The two groups were found to be reconvicted at a similar rate for any offence, violent offences, and were at a similar likelihood of being re-imprisoned. To conclude, the results suggest some similarity between men with and without a history of intimate partner violence, but future research should explore a wider range of factors that may distinguish between these two groups and inform whether men who engage in partner violence are unique from men who engage in other forms of violence.</p>

scholarly journals The impact of depressive symptoms on response to integrated cognitive behavioral therapy for substance use disorders and intimate partner violence

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Lourah M. Kelly ◽  
Cory A. Crane ◽  
Kristyn Zajac ◽  
Caroline J. Easton
Keyword(s):  
Intimate Partner Violence ◽  
Substance Use ◽  
Depressive Symptoms ◽  
Cognitive Behavioral Therapy ◽  
Treatment Response ◽  
Partner Violence ◽  
Behavioral Therapy ◽  
Intimate Partner ◽  
Cognitive Behavioral ◽  
Content Type

Purpose Past studies demonstrated the efficacy of integrated cognitive-behavioral therapy (CBT) for substance use disorder (SUD) and intimate partner violence (IPV) as well as high rates of depressive symptoms in this population. However, little is known about how depressive symptoms impact treatment outcomes. The authors hypothesized that integrated CBT, but not standard drug counseling (DC), would buffer the negative effects of depressive symptoms on treatment response. Design/methodology/approach A secondary analysis of a randomized trial compared men assigned to 12 weeks of integrated CBT for SUD and IPV (n = 29) to those in DC (n = 34). Findings Most (60%) of the sample reported any depressive symptoms. Controlling for baseline IPV, reporting any depressive symptoms was associated with more positive cocaine screens during treatment. Among men with depressive symptoms, integrated CBT but not DC was associated with fewer positive cocaine screens. Controlling for baseline alcohol variables, integrated CBT and depressive symptoms were each associated with less aggression outside of intimate relationships (family, strangers, etc.) during treatment. For men without depressive symptoms, integrated CBT was associated with less non-IPV aggression compared to DC. Effects were not significant for other substances, IPV, or at follow-up. Research limitations/implications This study found some evidence for differential response to CBT by depressive symptoms on cocaine and aggression at end of treatment, which did not persist three months later. Future studies should explore mechanisms of integrated CBT for SUD and IPV, including mood regulation, on depressive symptoms in real-world samples. Practical implications Integrated CBT buffered depressive symptoms’ impact on cocaine use, yet only improved non-IPV aggression in men without depressive symptoms. Originality/value Although integrated CBT’s efficacy for improving SUD and IPV has been established, moderators of treatment response have not been investigated.

Sign in / Sign up

Export Citation Format

Share Document