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Bhuptani PH, Orchowski LM, Forkus SR, Newberger NG, Weiss NH. The impact of exposure to physical and sexual violence on opioid consequences among trauma-exposed individuals recruited from the community who use opioids. Harm Reduct J 2023; 20:167. [PMID: 37950215 PMCID: PMC10638719 DOI: 10.1186/s12954-023-00901-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2023] [Accepted: 11/04/2023] [Indexed: 11/12/2023] Open
Abstract
Interpersonal violence and opioid use disorder are significant and intersecting public health concerns in the USA. The current study evaluated the consequences associated with opioid use (e.g., physical, social, interpersonal, intrapersonal, and impulse control) as a function of a history of exposure to interpersonal trauma, specifically physical and sexual violence. Participants were 84 trauma-exposed individuals recruited from the community who use opioids (M age = 43.5 50% men; 55% white). Whereas no significant differences emerged in the consequences of opioid use based on a history of physical violence, individuals with a history of sexual violence demonstrated higher levels of impulsive consequences of opioid use compared to individuals without a history of sexual violence. These data highlight the importance of considering the role of exposure to sexual violence in the context of opioid use disorder treatment.
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Affiliation(s)
- Prachi H Bhuptani
- Department of Adult Psychiatry, Rhode Island Hospital, Providence, RI, USA
- Department of Psychiatry and Human Behavior, Brown University Medical School, Providence, RI, USA
| | - Lindsay M Orchowski
- Department of Adult Psychiatry, Rhode Island Hospital, Providence, RI, USA
- Department of Psychiatry and Human Behavior, Brown University Medical School, Providence, RI, USA
| | - Shannon R Forkus
- Department of Psychology, University of Rhode Island, 142 Flagg Rd., Kingston, RI, USA
- Medical University of South Carolina, Charleston, SC, USA
| | - Noam G Newberger
- Department of Psychology, University of Rhode Island, 142 Flagg Rd., Kingston, RI, USA
| | - Nicole H Weiss
- Department of Psychology, University of Rhode Island, 142 Flagg Rd., Kingston, RI, USA.
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2
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Sedgewick AE, Wang CL, Levine EA, Greenfield SF, Sugarman DE. Recovering Safety: A Pilot Study of a Women's Empowerment Group for Survivors of Intimate Partner Violence with Substance Use Disorders. ALCOHOLISM TREATMENT QUARTERLY 2023; 42:62-75. [PMID: 38370979 PMCID: PMC10871666 DOI: 10.1080/07347324.2023.2272799] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/20/2024]
Abstract
This pilot study examined the feasibility and satisfaction of the Recovering Safety group, an outpatient empowerment, psychoeducational skills group for women with substance use disorders (SUDs) who have experienced intimate partner violence (IPV). Patient satisfaction, empowerment, and safety were assessed at three time points. Participants (N=8) reported high satisfaction with the group and rated the IPV-informed content, women-only participants, and female therapist as important factors; empowerment increased from pre- to post group. These results support initial feasibility; further study of such treatments is needed to examine efficacy of this group intervention.
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Affiliation(s)
- Amanda E. Sedgewick
- Division of Alcohol, Drugs, and Addiction and the Division of Women’s Mental Health McLean Hospital, Belmont, Massachusetts
- Harvard Medical School, Boston, Massachusetts
| | - Callie L. Wang
- Division of Alcohol, Drugs, and Addiction and the Division of Women’s Mental Health McLean Hospital, Belmont, Massachusetts
| | - Emily A. Levine
- Division of Alcohol, Drugs, and Addiction and the Division of Women’s Mental Health McLean Hospital, Belmont, Massachusetts
| | - Shelly F. Greenfield
- Division of Alcohol, Drugs, and Addiction and the Division of Women’s Mental Health McLean Hospital, Belmont, Massachusetts
- Harvard Medical School, Boston, Massachusetts
| | - Dawn E. Sugarman
- Division of Alcohol, Drugs, and Addiction and the Division of Women’s Mental Health McLean Hospital, Belmont, Massachusetts
- Harvard Medical School, Boston, Massachusetts
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3
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Bhuptani PH, Orchowski LM, Forkus SR, Newberger NG, Weiss NH. The Impact of Physical and Sexual Violence on Opioid Consequences among Trauma- exposed Individuals Recruited from the Community who Use Opioids. RESEARCH SQUARE 2023:rs.3.rs-2669901. [PMID: 36993534 PMCID: PMC10055686 DOI: 10.21203/rs.3.rs-2669901/v1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/19/2023]
Abstract
Interpersonal violence and opioid use disorder are significant and intersecting public health concerns in the United States. The current study evaluated the consequences associated with opioid use as a function of history of interpersonal trauma, specifically physical and sexual violence. Participants were 84 trauma-exposed individuals recruited from the community who use opioids (M age = 43.5 50% men; 55% white). Whereas no significant differences emerged in the consequences of opioid use based on a history of physical violence, individuals with a history of sexual violence demonstrated higher levels of impulsive consequences of opioid use compared to individuals without a history of sexual violence. These data highlight the importance of considering the role of sexual violence in the context of opioid use disorder treatment.
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Cougle JR, Grubaugh AL. Do psychosocial treatment outcomes vary by race or ethnicity? A review of meta-analyses. Clin Psychol Rev 2022; 96:102192. [DOI: 10.1016/j.cpr.2022.102192] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2021] [Revised: 06/15/2022] [Accepted: 08/04/2022] [Indexed: 11/30/2022]
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Ogden SN, Dichter ME, Bazzi AR. Intimate partner violence as a predictor of substance use outcomes among women: A systematic review. Addict Behav 2022; 127:107214. [PMID: 34933089 PMCID: PMC10007694 DOI: 10.1016/j.addbeh.2021.107214] [Citation(s) in RCA: 12] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2021] [Revised: 07/30/2021] [Accepted: 12/14/2021] [Indexed: 11/17/2022]
Abstract
Although the correlation between experience of intimate partner violence (IPV) and substance use among women has been well-established, there is no consensus on whether or how IPV impacts subsequent substance use behaviors or treatment success. To identify research gaps and implications for substance use treatment, we conducted a systematic review to identify and examine evidence on IPV as a predictor of subsequent substance use behaviors, substance use disorders (SUD), and treatment outcomes among women. We included studies published between 2010 and 2020 that assessed IPV experiences as a predictor of subsequent substance use behaviors (i.e., use initiation, increased use), SUD diagnosis, or treatment outcomes (i.e., incomplete treatment, relapse) among women. From 576 unique records, we included 10 studies (4 longitudinal, 4 cross-sectional, 2 qualitative). Alcohol use and alcohol use disorder were the most commonly studied outcomes (n = 6); findings were mixed regarding the significance of IPV being associated with subsequent alcohol outcomes. Three studies examined illicit drug use, finding that physical and sexual IPV predicted crack/cocaine use and were associated with SUD diagnoses. Four studies examining SUD treatment outcomes found IPV to impede treatment engagement and completion, increasing the likelihood of relapse. To our knowledge, this is the first systematic review of the literature on IPV as a predictor of substance use behaviors and treatment outcomes among women. Findings highlight the need for diverse SUD treatment modalities to incorporate IPV screening and referral to appropriate services into their programming to improve SUD management and the overall health and wellbeing of women.
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Affiliation(s)
- Shannon N Ogden
- Department of Health Law, Policy & Management, Boston University School of Public Health, Boston, MA, United States.
| | - Melissa E Dichter
- Center for Health Equity Research and Promotion, Crescenz VA Medical Center, Philadelphia, PA, United States; Temple University School of Social Work, Philadelphia, PA, United States.
| | - Angela R Bazzi
- Herbert Wertheim School of Public Health and Human Longevity Science, University of California, San Diego, La Jolla, CA, United States; Department of Community Health Sciences, Boston University School of Public Health, Boston, MA, United States.
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6
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McKee SA, Hilton NZ. Co-Occurring Substance Use, PTSD, and IPV Victimization: Implications for Female Offender Services. TRAUMA, VIOLENCE & ABUSE 2019; 20:303-314. [PMID: 29333981 DOI: 10.1177/1524838017708782] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/12/2023]
Abstract
The co-occurrence of substance use disorders (SUDs) and post-traumatic stress disorder (PTSD) among women who have been the victims of intimate partner violence (IPV) is complex and causal associations cannot be assumed. Although the presence of co-occurring disorders among IPV victims is a well-established research finding, there is a need for improved understanding of their prevalence and related mental health treatment requirements among female offenders. We review research indicating that service providers working with IPV victims can expect to encounter women with extensive concurrent problems and examine evidence for integrated treatment for SUD, PTSD, and IPV. We propose an outline for assessing and treating SUD and PTSD among female offenders who have experienced IPV victimization. We intend this review to build on previous calls in the co-occurring disorders literature and help integrate the research and treatment evaluation literatures in a way that points to practical implications for policy and practice in female offender services.
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Affiliation(s)
- Shari A McKee
- 1 Waypoint Centre for Mental Health Care, Penetanguishene, Ontario, Canada
- 2 University of Toronto, Toronto, Ontario, Canada
| | - N Zoe Hilton
- 1 Waypoint Centre for Mental Health Care, Penetanguishene, Ontario, Canada
- 2 University of Toronto, Toronto, Ontario, Canada
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Bailey K, Trevillion K, Gilchrist G. What works for whom and why: A narrative systematic review of interventions for reducing post-traumatic stress disorder and problematic substance use among women with experiences of interpersonal violence. J Subst Abuse Treat 2019; 99:88-103. [DOI: 10.1016/j.jsat.2018.12.007] [Citation(s) in RCA: 27] [Impact Index Per Article: 5.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2018] [Revised: 12/20/2018] [Accepted: 12/20/2018] [Indexed: 12/13/2022]
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8
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Armstrong EM, Glover Reed B, Bennett LW. How and How Much: Combined Services for Domestic Violence and Substance Abuse. Violence Against Women 2019; 25:1450-1470. [PMID: 30600781 DOI: 10.1177/1077801218820201] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
This study generates practice-based evidence about organizational strategies for addressing co-occurring domestic violence (DV) and substance abuse (SA) using a survey of organizations working on both issues (N = 204). How (the strategies) and how much (the extensiveness) organizations attend to both issues vary by organizational type (DV, SA, or multiservice) and populations served. While most SA and multiservice organizations address DV internally, most DV organizations use external collaborations; all offer services to DV perpetrators at similar rates. Findings underscore the importance of including multiple, nuanced measures of organizational activities related to co-occurring DV and SA in future research.
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Noori R, Pashaei T, Panjvini S, Khoshravesh S. Treatment needs of drug users: The perspective of Iranian women. JOURNAL OF SUBSTANCE USE 2019. [DOI: 10.1080/14659891.2018.1562573] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Affiliation(s)
- Roghayeh Noori
- Health Education and Health Promotion, Kurdistan University of Medical Science, Sanandaj, Iran
| | - Tahereh Pashaei
- Health Education and Health Promotion, School of Health, Kurdistan University of Medical Sciences, Sanandaj, Iran
| | - Susan Panjvini
- School Nursing & Midwify School, Kurdistan University of Medical Sciences, Sanandaj, Iran
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10
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Choi AWM, Chan PY, Lo RTF, Wong LCL, Wong JYH, Tang DHM. Freeing Chinese Abused Women From Stereotype: A Pretest-Posttest Comparison Study on Group Intervention in Refuge Centers. ACTA ACUST UNITED AC 2018; 15:599-616. [PMID: 30142306 DOI: 10.1080/23761407.2018.1509409] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Abstract
OBJECTIVE The efficacy of heal-change group (HCG) intervention-brief trauma-recovery group intervention applying a gender-specific cognitive behavioral approach-for Chinese-abused women in refuge centers was examined in a pretest-posttest comparison study. METHODS A total of 100 women at three refuge centers in Hong Kong participated. Among them, 50 women from two centers joined the HCG and 50 women from the remaining center participated in a comparison mutual support group. Participants and interviewers were blinded to the group assignment. Both groups were six sessions long. Linear regression analyses were performed using the intention-to-treat framework. RESULTS Significant improvements in PTSD symptoms (overall mean change of -1.6, p < .001; subdomain scores; p < .001 to < .01) and depressive symptoms (BDI-II mean change; p < .01) were recorded in the intervention group. CONCLUSION The results suggest HCG is beneficial to Chinese-abused women. Further research is needed to determine the intervention's effectiveness in improving longer-term outcomes in these women.
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Affiliation(s)
- Anna W M Choi
- a Department of Social and Behavioural Sciences , City University of Hong Kong , Hong Kong SAR
| | - P Y Chan
- b Department of Social Work and Social Administration , The University of Hong Kong , Hong Kong SAR
| | - Ruby T F Lo
- b Department of Social Work and Social Administration , The University of Hong Kong , Hong Kong SAR
| | - Liz C L Wong
- b Department of Social Work and Social Administration , The University of Hong Kong , Hong Kong SAR
| | - Janet Y H Wong
- c School of Nursing, Li Ka Shing Faculty of Medicine , The University of Hong Kong, Hong Kong SAR
| | - Debbie H M Tang
- d Integrated Family Services (Family Crisis Support) , Po Leung Kuk, Hong Kong SAR
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11
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Sullivan CM. Understanding How Domestic Violence Support Services Promote Survivor Well-being: A Conceptual Model. JOURNAL OF FAMILY VIOLENCE 2017; 33:123-131. [PMID: 29367804 PMCID: PMC5760592 DOI: 10.1007/s10896-017-9931-6] [Citation(s) in RCA: 46] [Impact Index Per Article: 6.6] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/23/2023]
Abstract
Domestic violence (DV) victim service programs have been increasingly expected by legislators and funders to demonstrate that they are making a significant difference in the lives of those using their services. Alongside this expectation, they are being asked to describe the Theory of Change guiding how they believe their practices lead to positive results for survivors and their children. Having a widely accepted conceptual model is not just potentially useful to funders and policy makers as they help shape policy and practice -- it can also help programs continually reflect upon and improve their work. This paper describes the iterative and collaborative process undertaken to generate a conceptual model describing how DV victim services are expected to improve survivors' lives. The Social and Emotional Well-Being Framework guiding the model is an ideal structure to use to describe the goals and practices of DV programs because this framework: (1) accurately represents DV programs' goal of helping survivors and their children thrive; and (2) recognizes the importance of community, social, and societal context in influencing individuals' social and emotional well-being. The model was designed to guide practice and to generate new questions for research and evaluation that address individual, community, and systems factors that promote or hinder survivor safety and well-being.
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Affiliation(s)
- Cris M. Sullivan
- Psychology Department, Michigan State University, 316 Physics Rd., E. Lansing, MI 48824 USA
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Gilbert L, Jiwatram-Negron T, Nikitin D, Rychkova O, McCrimmon T, Ermolaeva I, Sharonova N, Mukambetov A, Hunt T. Feasibility and preliminary effects of a screening, brief intervention and referral to treatment model to address gender-based violence among women who use drugs in Kyrgyzstan: Project WINGS (Women Initiating New Goals of Safety). Drug Alcohol Rev 2016; 36:125-133. [PMID: 27770541 DOI: 10.1111/dar.12437] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/27/2015] [Revised: 04/18/2016] [Accepted: 05/05/2016] [Indexed: 11/28/2022]
Abstract
INTRODUCTION AND AIMS Intimate partner violence (IPV) and other forms of gender-based violence (GBV) are serious public health threats among women who use drugs or engage in binge drinking in Kyrgyzstan. This study aimed to evaluate the feasibility and preliminary effects of a two-session IPV and GBV screening, brief intervention and referral to treatment model (WINGS) with HIV counselling and testing for women who use drugs or engage in binge drinking in Kyrgyzstan, using a pre/post-design. DESIGN AND METHODS We screened 109 women from harm reduction non-government organisations in Kyrgyzstan, of whom 78 were eligible, 73 participated in the intervention study, and 66 completed a 3-month post-intervention follow-up. To assess the effects of the intervention, we used random-effect Poisson and Logistic regression analyses for continuous and dichotomous outcomes respectively. RESULTS At baseline, 73% reported any physical or sexual IPV victimisation, and 60% reported any physical or sexual GBV victimisation in the past year. At the 3-month follow-up, participants reported experiencing 59% fewer physical IPV incidents in the prior 90 days than at baseline (P < 0.001) and 27% fewer physical GBV incidents than at baseline (P < 0.01). From baseline to the 3-month follow-up, participants also reported a 65% reduction in the odds of using any illicit drugs (P < 0.05) and were more likely to report receiving GBV-related services (P < 0.001). DISCUSSION AND CONCLUSION The high rates of participation, attendance and retention and significant reductions in IPV and GBV victimisation and drug use from baseline to the 3-month follow-up suggest the feasibility and promising effects of this brief intervention. [Gilbert L, Jiwatram-Negron T, Nikitin D, Rychkova O, McCrimmon T, Ermolaeva I, Sharonova N, Mukambetov A, Hunt T. Feasibility and preliminary effects of a screening, brief intervention and referral to treatment model to address gender-based violence among women who use drugs in Kyrgyzstan: Project WINGS (Women Initiating New Goals of Safety). Drug Alcohol Rev 2017;36:125-133].
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Affiliation(s)
- Louisa Gilbert
- Global Health Research Center of Central Asia, Columbia University, New York, USA
| | - Tina Jiwatram-Negron
- Global Health Research Center of Central Asia, Columbia University, New York, USA
| | | | | | - Tara McCrimmon
- Global Health Research Center of Central Asia, Columbia University, New York, USA
| | | | | | | | - Timothy Hunt
- Global Health Research Center of Central Asia, Columbia University, New York, USA
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Abasi I, Mohammadkhani P. Family Risk Factors Among Women With Addiction-Related Problems: An Integrative Review. INTERNATIONAL JOURNAL OF HIGH RISK BEHAVIORS & ADDICTION 2016; 5:e27071. [PMID: 27622169 PMCID: PMC5002339 DOI: 10.5812/ijhrba.27071] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 02/01/2015] [Revised: 06/08/2015] [Accepted: 06/19/2015] [Indexed: 11/16/2022]
Abstract
CONTEXT Recent years have produced many articles about women's addiction and its risk factors and the consequences of substance use and misuse in the emotional, social, psychological, and economic domains of life. Family vulnerabilities are one of the most important variables contributing to addiction among women. Thus, the purpose of this article is to investigate areas of family life that lead to women's taking up and maintaining drug and alcohol abuse. EVIDENCE ACQUISITION A database search of PubMed, ScienceDirect, Springer, and Google Scholar was conducted using the following keywords: "women and addiction", "women addiction and family", "addiction", "substance abuse" and "family". For the first step, we chose studies that were conducted between 2000 and 2015, and for the second step, studies conducted before 2000. We categorized all search results into three main groups: processes related to family disturbances, factors related to parenting styles, and variables related to partners. RESULTS Partners, parenting styles, and family disturbances are three main factors affecting children growing up in a family and their inclination toward addiction. Some of these pathways are complicated and indirect, and some are straightforward. CONCLUSIONS Future research should pay more attention to the mechanisms and pathways mediating or moderating the relationship between family risk factors and addiction in women. Clinicians and researchers should keep in mind these vulnerabilities and take into consideration factors special to processes related to addiction in women.
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Affiliation(s)
- Imaneh Abasi
- Department of Clinical Psychology, University of Social Welfare and Rehabilitation Sciences, Tehran, IR Iran
| | - Parvaneh Mohammadkhani
- Department of Clinical Psychology, University of Social Welfare and Rehabilitation Sciences, Tehran, IR Iran
- Corresponding author: Parvaneh Mohammadkhani, Department of Clinical Psychology, University of Social Welfare and Rehabilitation Sciences, Tehran, IR Iran. Tel: +98-2122180045, Fax: +98-2122180045, E-mail:
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14
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Bender AK. Ethics, Methods, and Measures in Intimate Partner Violence Research: The Current State of the Field. Violence Against Women 2016; 23:1382-1413. [DOI: 10.1177/1077801216658977] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/24/2023]
Abstract
Although intimate partner violence (IPV) is a well-studied topic, surprisingly little consensus among researchers has been reached with regard to the definition and measurement of its major typologies and constructs. The rigorous development and testing of prevention and intervention strategies on a large scale are hampered by many of these methodological difficulties as well as ethical considerations that make conducting IPV research difficult. The author presents a review of the current state of IPV research in these three areas (ethics, methods, and measurement) with suggestions for innovative research possibilities building from this status quo. Moving the field of IPV research forward is necessary to establish a broader evidence base for the prevention and treatment of abuse and to improve outcomes for survivors of IPV.
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Gilbert L, Shaw SA, Goddard-Eckrich D, Chang M, Rowe J, McCrimmon T, Almonte M, Goodwin S, Epperson M. Project WINGS (Women Initiating New Goals of Safety): A randomised controlled trial of a screening, brief intervention and referral to treatment (SBIRT) service to identify and address intimate partner violence victimisation among substance-using women receiving community supervision. CRIMINAL BEHAVIOUR AND MENTAL HEALTH : CBMH 2015; 25:314-329. [PMID: 26482019 DOI: 10.1002/cbm.1979] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
BACKGROUND The high rate of intimate partner violence (IPV) victimisation found among substance-using women receiving community supervision underscores the need for effective IPV victimisation screening, brief intervention and referral to treatment services (SBIRT) for this population. AIMS This randomised controlled trial (RCT) aims to assess the feasibility, safety and efficacy of a single-session computerised self-paced IPV SBIRT (Computerised WINGS) in identifying IPV victimisation among women under community supervision and increasing access to IPV services, compared to the same IPV SBIRT service delivered by a case manager (Case Manager WINGS). METHODS This RCT was conducted with 191 substance-using women in probation and community court sites in New York City. RESULTS No significant differences were found between Computerised and Case Manager WINGS arms on any outcomes. Both arms reported identical high rates of any physical, sexual or psychological IPV victimisation in the past year (77% for both arms) during the intervention. Both arms experienced significant increases from baseline to the 3-month follow-up in receipt of IPV services, social support, IPV self-efficacy and abstinence from drug use. CONCLUSIONS Findings suggest that both modalities of WINGS show promise in identifying and addressing IPV victimisation among substance-using women receiving community supervision.
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Affiliation(s)
- Louisa Gilbert
- The Social Intervention Group, Columbia University, New York, NY, USA
| | - Stacey A Shaw
- The Social Intervention Group, Columbia University, New York, NY, USA
| | | | - Mingway Chang
- The Social Intervention Group, Columbia University, New York, NY, USA
| | - Jessica Rowe
- Columbia Center for New Media Teaching and Learning, New York, NY, USA
| | - Tara McCrimmon
- The Social Intervention Group, Columbia University, New York, NY, USA
| | - Maria Almonte
- Bronx Community Solutions, Center for Court Innovation, Bronx, NY, USA
| | - Sharun Goodwin
- The New York City Department of Probation, New York, NY, USA
| | - Matthew Epperson
- The University of Chicago School of Social Service Administration, Chicago, IL, USA
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Weaver TL, Gilbert L, El-Bassel N, Resnick HS, Noursi S. Identifying and intervening with substance-using women exposed to intimate partner violence: phenomenology, comorbidities, and integrated approaches within primary care and other agency settings. J Womens Health (Larchmt) 2015; 24:51-6. [PMID: 25554915 DOI: 10.1089/jwh.2014.4866] [Citation(s) in RCA: 29] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022] Open
Abstract
Substance use and/or disorders (SUDs) have been identified as a significant correlate of intimate partner violence (IPV) exposure and present complex issues that intersect with the topography of IPV, attendant mental health, and physical co-morbidities and may pose barriers to primary care- and other agency-based screening and intervention efforts. Despite substantial research indicating significantly higher rates of all types and severity of IPV victimization among women with SUDs and bidirectional associations between partner or self-use of drugs or alcohol and IPV victimization, effective screening, brief interventions, coordinated systems of care, and treatment approaches to address these co-occurring problems remain very limited. We integrated select research examining the intersection of IPV victimization and SUDs and several comorbidities that have significant public health impact and provided recommendations for scaling up targeted interventions to redress these co-occurring problems among women in primary, emergency, and other care settings.
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Affiliation(s)
- Terri L Weaver
- 1 Department of Psychology, Saint Louis University , Saint Louis, Missouri
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Fish JN, Maier CA, Priest JB. Substance abuse treatment response in a Latino sample: the influence of family conflict. J Subst Abuse Treat 2014; 49:27-34. [PMID: 25216811 DOI: 10.1016/j.jsat.2014.07.011] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/05/2014] [Revised: 07/14/2014] [Accepted: 07/22/2014] [Indexed: 11/19/2022]
Abstract
Latino Americans report underutilization of treatment and poor treatment response for substance use and abuse compared to other racial/ethnic groups; thus, it is important to assess factors that contribute to these disparities. The current study objective was to assess the influence of family conflict on substance abuse treatment response in a sample of Latino Americans using two different yet complementary analyses. First, ordinary least squares regression was used to assess the association between overall family conflict and pre- and post-treatment substance use. Second, repeated measures latent class analysis was used to identify groups based on family member conflict and timing of conflict during treatment. Findings indicated that family conflict contributed unique variance to concurrent substance use; however pre-treatment family conflict was not related to post-treatment outcomes. Results also identified three distinct family conflict groups: no/low conflict, pre-treatment conflict, and post-treatment conflict who differed in pre- and post-treatment substance use. Post hoc investigation revealed that those who experienced pre-treatment conflict but low post-treatment conflict showed the greatest decrease in substance use. Findings highlight the importance of considering family conflict during all stages of treatment for Latino American substance users.
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Affiliation(s)
- Jessica N Fish
- Florida State University, Department of Family and Child Sciences, College of Human Sciences, 120 Convocation, Tallahassee, FL 32306, United States.
| | - Candice A Maier
- University of Iowa, Department of Rehabilitation and Counselor Education, N372 Lindquist Center, Iowa City, IA 52242, United States
| | - Jacob B Priest
- University of Iowa, Department of Rehabilitation and Counselor Education, N372 Lindquist Center, Iowa City, IA 52242, United States
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Drabble L, Trocki KF, Hughes TL, Korcha RA, Lown AE. Sexual orientation differences in the relationship between victimization and hazardous drinking among women in the National Alcohol Survey. PSYCHOLOGY OF ADDICTIVE BEHAVIORS 2013; 27:639-48. [PMID: 23438246 DOI: 10.1037/a0031486] [Citation(s) in RCA: 79] [Impact Index Per Article: 7.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
Abstract
This study examined relationships between past experiences of victimization (sexual abuse and physical abuse in childhood, sexual abuse and physical abuse in adulthood, and lifetime victimization) and hazardous drinking among sexual minority women compared to exclusively heterosexual women. Data were from 11,169 women responding to sexual identity and sexual behavior questions from three National Alcohol Survey waves: 2000 (n = 3,880), 2005 (n = 3,464), and 2010 (n = 3,825). A hazardous drinking index was constructed from five dichotomous variables (5+ drinking in the past year, drinking two or more drinks daily, drinking to intoxication in the past year, two or more lifetime dependence symptoms, and two or more lifetime drinking-related negative consequences). Exclusively heterosexual women were compared with three groups of sexual minority women: lesbian, bisexual, and women who identified as heterosexual but reported same-sex partners. Each of the sexual minority groups reported significantly higher rates of lifetime victimization (59.1% lesbians, 76% bisexuals, and 64.4% heterosexual women reporting same-sex partners) than exclusively heterosexual women (42.3%). Odds for hazardous drinking among sexual minority women were attenuated when measures of victimization were included in the regression models. Sexual minority groups had significantly higher odds of hazardous drinking, even after controlling for demographic and victimization variables: lesbian (ORadj = 2.0, CI = 1.1-3.9, p < .01; bisexual (ORadj = 1.8, CI = 1.0-3.3, p < .05; heterosexual with same-sex partners (ORadj = 2.7; CI = 1.7-4.3, p < .001). Higher rates of victimization likely contribute to, but do not fully explain, higher rates of hazardous drinking among sexual minority women.
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