Intervención grupal para reducir la violencia de género entre consumidoras de drogas. Resultados de un estudio piloto en un centro comunitario de tratamiento de adicciones

  1. Judit Tirado-Muñoz 1
  2. Gail Gilchrist 1
  3. Eva Lligoña 2
  4. Louisa Gilbert 3
  5. Marta Torrens 1
  1. 1 Institut Hospital del Mar d'Investigacions Mèdiques
    info

    Institut Hospital del Mar d'Investigacions Mèdiques

    Barcelona, España

    ROR https://ror.org/042nkmz09

  2. 2 Instituto de Neuropsiquiatría y Adicciones
  3. 3 Columbia University
    info

    Columbia University

    Nueva York, Estados Unidos

    ROR https://ror.org/00hj8s172

Journal:
Adicciones: Revista de socidrogalcohol

ISSN: 0214-4840

Year of publication: 2015

Volume: 27

Issue: 3

Pages: 168-178

Type: Article

DOI: 10.20882/ADICCIONES.703 DIALNET GOOGLE SCHOLAR lock_openOpen access editor

More publications in: Adicciones: Revista de socidrogalcohol

Sustainable development goals

Abstract

Background: 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. Methods: 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. Results: 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. Conclusion: 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

Bibliographic References

  • Beck, A. T., Steer, R. A., y Garbin, M.G. (1988). Psychometric properties of the Beck Depression Inventory: Twenty-five years of evaluation. Clinical Psychology Review, 8, 77-100.
  • Boer, A. G., Lanschot, J. J., Stalmeier, P. F., Sandick, J. W., Hulscher, J. B., Haes, J. C., y Sprangers, M. A. (2004). Is a single-item visual analogue scale as valid, reliable and responsive as multi-item scales in measuring quality of life? Quality of Life Research, 13, 311-320.
  • Bonicatto, S., Dew, A. M., y Soria, J. J. (1998). Analysis of the psychometric properties of the Spanish version of the Beck Depression Inventory in Argentina. Psychiatry Research, 79, 277-285.
  • Bourgois, P., Prince, B., y Moss, A. (2004). The everyday violence of hepatitis C among young women who inject drugs in San Francisco. Human Organization, 63, 253-264.
  • Campbell, J. C. (2002). Health consequences of intimate partner violence. Lancet, 359, 1331-1336. doi: 10.1016/s0140-6736(02)08336-8
  • Campbell, J. C., Baty, M. L., Ghandour, R. M., Stockman, J. K., Francisco, L., y Wagman, J. (2008). The intersection of intimate partner violence against women and HIV/AIDS: A review. International Journal of Injury Control and Safety Promotion, 15, 221-231. doi: 10.1080/17457300802423224
  • Carpenter, K. M., Aharonovich, E., Smith, J. L., Iguchi, M. Y., y Nunes, E. V. (2006). Behavior therapy for depression in drug dependence (BTDD): Results of a stage Ia therapy development pilot. The American Journal of Drug and Alcohol Abuse, 32, 541-548. doi: 10.1080/00952990600919450
  • Castillo-Camiglia, A., Pizarro, E., Luengo, D., y Soto-Brandt, G. (2014). Consumo de alcohol y autoinforme de eventos violentos en Chile. Adicciones, 26, 46-53.
  • Cohen, L. R., Field, C., Campbell, A. N., y Hien, D. A. (2013). Intimate partner violence outcomes in women with PTSD and substance use: A secondary analysis of NIDA Clinical Trials Network “Women and Trauma” Multi-site Study. Addictive Behaviors, 38, 2325-2332. doi: 10.1016/j.addbeh.2013.03.006
  • Cohen, L. R., y Hien, D. A. (2006). Treatment outcomes for women with substance abuse and PTSD who have experienced complex trauma. Psychiatric Services, 57, 100-106. doi: 10.1176/appi.ps.57.1.100
  • Connelly, C. D., Hazen, A. L., Baker-Ericzen, M. J., Landsverk, J., y Horwitz, S. M. (2013). Is screening for depression in the perinatal period enough? The co-occurrence of depression, substance abuse, and intimate partner violence in culturally diverse pregnant women. Journal of Women’s Health (Larchmt), 22, 844-852. doi: 10.1089/jwh.2012.4121
  • El-Bassel, N., Gilbert, L., Witte, S., Wu, E., y Chang, M. (2011). Intimate partner violence and HIV among drug-involved women: contexts linking these two epidemics--challenges and implications for prevention and treatment. Substance Use & Misuse, 46, 295-306. doi: 10.3109/10826084.2011.523296
  • El-Bassel, N., Gilbert, L., Wu, E., Go, H., y Hill, J. (2005). Relationship between drug abuse and intimate partner violence: a longitudinal study among women receiving methadone. American Journal of Public Health, 95, 465-470. doi: 10.2105/ajph.2003.023200
  • Fearday, F., Clark, C., y Edington, M. (Eds.) (2001). Triad Women’s Project Group Facilitator Manual and Workbook. Tampa, FL: Louis de la Porte Florida Mental Health Institute, University of South Florida.
  • Fowler, D. N., y Faulkner, M. (2011). Interventions targeting substance abuse among women survivors of intimate partner abuse: a meta-analysis. Journal of Substance Abuse Treatment, 41, 386-98. doi: 10.1016/j.jsat.2011.06.001.
  • Gilbert, L., El-Bassel, N., Manuel, J., Wu, E., Go, H., Golder, S., . . . Sanders, G. (2006). An integrated relapse prevention and relationship safety intervention for women on methadone: testing short-term effects on intimate partner violence and substance use. Violence and Victims, 21, 657-672.
  • Gilchrist, G., Blazquez, A., y Torrens, M. (2011). Psychiatric, behavioural and social risk factors for HIV infection among female drug users. AIDS and Behavior, 15, 1834-1843. doi: 10.1007/s10461-011-9991-1
  • Gilchrist, G., Blazquez, A., y Torrens, M. (2012). Exploring the relationship between intimate partner violence, childhood abuse and psychiatric disorders among female drug users. Advances in Dual Diagnosis, 5, 46-58.
  • Harris, M., y Community Connections Trauma Work Group (Eds.) (1998). Trauma Recovery and Empowerment: A Clinician’s guide for working with women in groups. New York: Community Connections, Inc.
  • Hearn, K. D., O’Sullivan, L. F., El-Bassel, N., y Gilbert, L. (2005). Intimate partner violence and monogamy among women in methadone treatment. AIDS and Behavior, 9, 177-186. doi: 10.1007/s10461-005-3899-6
  • Hegarty, K., Bush, R., y Sheehan, M. (2005). The composite abuse scale: further development and assessment of reliability and validity of a multidimensional partner abuse measure in clinical settings. Violence and Victims, 20, 529-547.
  • Hegarty, K., O’Doherty, L., Taft, A., Chondros, P., Brown, S., Valpied, J., . . . Gunn, J. (2013). Screening and counselling in the primary care setting for women who have experienced intimate partner violence (WEAVE): a cluster randomised controlled trial. Lancet, 382, 249-258. doi: 10.1016/s0140-6736(13)60052-5
  • Hegarty, K., Sheehan, M., y Schonfeld, C. (1999). A Multidimensional Definition of Partner Abuse: Development and Preliminary Validation of the Composite Abuse Scale. Journal of Family Violence, 14, 399-415.
  • Higgins, S. T., Alessi, S. M., y Dantona, R. L. (2002). Voucher-based incentives. A substance abuse treatment innovation. Addictive Behaviors, 27, 887-910.
  • Higgins, S. T., Budney, A. J., Bickel, W. K., Foerg, F. E., Donham, R., y Badger, G. J. (1994). Incentives improve outcome in outpatient behavioral treatment of cocaine dependence. Archives of General Psychiatry, 51, 568-576.
  • Howard, L. M., Trevillion, K., Khalifeh, H., Woodall, A., Agnew-Davies, R., y Feder, G. (2010). Domestic violence and severe psychiatric disorders: prevalence and interventions. Psychological Medicine, 40, 881-893. doi: 10.1017/s0033291709991589
  • Illangasekare, S. L., Burke, J. G., McDonnell, K. A., y Gielen, A. C. (2013). The impact of intimate partner violence, substance use, and HIV on depressive symptoms among abused low-income urban women. Journal of Interpersonal Violence, 28, 2831-2848. doi: 10.1177/0886260513488682
  • Kaysen, D., Dillworth, T. M., Simpson, T., Waldrop, A., Larimer, M. E., y Resick, P. A. (2007). Domestic violence and alcohol use: trauma-related symptoms and motives for drinking. Addictive Behaviors, 32, 1272-1283. doi: 10.1016/j.addbeh.2006.09.007
  • Liebschutz, J. M., Mulvey, K. P., y Samet, J. H. (1997). Victimization among substance-abusing women. Worse health outcomes. Archives of Internal Medicine, 157, 1093-1097. McKinney, C. M., Caetano, R., Rodriguez, L. A., y Okoro, N. (2010). Does alcohol involvement increase the severity of intimate partner violence? Alcoholism, Clinical and Experimental Research, 34, 655-658. doi: 10.1111/j.1530-0277.2009.01134.x
  • Miller, D., y Guidry, L. (Eds.) (2001). Addictions and Trauma Recovery: Healing the Body, Mind, and Spirit. New York: W.W. Norton and Co.
  • Miller, B. A., Downs, W. R., y Testa, M. (1993). Interrelationships between victimization experiences and women’s alcohol use. Journal of Studies on Alcohol. Supplement, 11, 109-117.
  • Najavits, L. M. (Ed.) (2009). Psychotherapies for trauma and substance abuse in women: review and policy implications. Trauma, Violence & Abuse, 10, 290-8. doi: 10.1177/1524838009334455.
  • Najavits, L. M. (2002). Seeking Safety: A Treatment Manual for PTSD and Substance Abuse. Nueva York: Guildford Press.
  • Najavits, L. M., Sonn, J., Walsh, M., y Weiss, R. D. (2004). Domestic violence in women with PTSD and substance abuse. Addictive Behaviors, 29, 707-715. doi: 10.1016/j.addbeh.2004.01.003
  • O’Leary, K. D., y Curley, A.D. (1986). Assertion and family violence: Correlates of Spouse Abuse. Journal of Marital and Family Therapy, 12, 281- 289.
  • Okuda, M., Olfson, M., Hasin, D., Grant, B. F., Lin, K. H., y Blanco, C. (2011). Mental health of victims of intimate partner violence: results from a national epidemiologic survey. Psychiatric Services, 62, 959-962. doi: 10.1176/appi.ps.62.8.959
  • Peters, E. N., Khondkaryan, E., y Sullivan, T. P. (2012). Associations between expectancies of alcohol and drug use, severity of partner violence, and posttraumatic stress among women. Journal of Interpersonal Violence, 27, 2108-2127. doi: 10.1177/0886260511432151
  • Singer, M. (1996). A dose of drugs, a touch of violence, a case of AIDS: Conceptualizing the SAVA syndemic. Free Inquiry in Creative Sociology, 24, 99–110.
  • Sobell, L. S., y Sobell, M. B. (1992). Timeline follow-back: A technique for assessing self-reported ethanol consumption. Measuring Alcohol Consumption: Psychological and Biological Methods, 41–72.
  • Sobell, L. C., Maisto, S. A., Sobell, M. B., y Cooper, A. M. (1979). Reliability of alcohol abusers’ self-reports of drinking behavior. Behaviour Research and Therapy, 17, 157-160.
  • Testa, M., Livingston, J. A., y Hoffman, J. H. (2007). Does sexual victimization predict subsequent alcohol consumption? A prospective study among a community sample of women. Addictive Behaviors, 32, 2926-2939. doi: 10.1016/j.addbeh.2007.05.017
  • Tirado-Muñoz, J., Gilchrist, G., Farré, M., Hegarty, K., y Torrens, M. (2014). The efficacy of cognitive behavioural therapy and advocacy interventions for women who have experienced intimate partner violence: A systematic review and meta-analysis. Annals of Medicine, 11, 1-20. doi:10.3109/07853890.2014.941918
  • Tolman, R.M. (1989). The development of a measure of psychological maltreatment of women by their male partners. Violence and Victims, 4, 159-177.
  • Tolman, R. M. (1999). The validation of the Psychological Maltreatment of Women Inventory. Violence and Victims, 14, 25-37.
  • Torrens, M., Gilchrist, G., y Domingo-Salvany, A. (2011). Psychiatric comorbidity in illicit drug users: substance-induced versus independent disorders. Drug and Alcohol Dependence, 113, 147-156. doi: 10.1016/j.drugalcdep.2010.07.013
  • Trevillion, K., Oram, S., Feder, G., y Howard, L. M. (2012). Experiences of domestic violence and mental disorders: a systematic review and meta-analysis. PLoS One, 7, e51740. doi: 10.1371/journal.pone.0051740
  • Wagner, K. D., Hudson, S. M., Latka, M. H., Strathdee, S. A., Thiede, H., Mackesy-Amiti, M. E., y Garfein, R. S. (2009). The effect of intimate partner violence on receptive syringe sharing among young female injection drug users: an analysis of mediation effects. AIDS and Behavior, 13, 217-224. doi: 10.1007/s10461-007-9309-5
  • World Health Organization. (2013). Responding to intimate partner violence and sexual violence against women: WHO clinical and policy guidelines. Recuperado de http://apps.who.int/iris/bitstream/10665/85240/1/9789241548595_eng.pdf?ua=1