title: Partner violence before and after couples-based alcoholism treatment for female alcoholic patients.
abstract: This study examined partner violence before and in the 1st and 2nd year after behavioral couples therapy (BCT) for 103 married or cohabiting women seeking alcohol dependence treatment and their male partners; it used a demographically matched nonalcoholic comparison sample. The treatment sample received M = 16.7 BCT sessions over 5-6 months. Follow-up rates for the treatment sample at Years 1 and 2 were 88% and 83%, respectively. In the year before BCT, 68% of female alcoholic patients had been violent toward their male partner, nearly 5 times the comparison sample rate of 15%. In the year after BCT, violence prevalence decreased significantly to 31% of the treatment sample. Women were classified as remitted after treatment if they demonstrated abstinence or minimal substance use and no serious consequences related to substance use. In Year 1 following BCT, 45% were classified as remitted, and 49% were classified as remitted in Year 2. Among remitted patients in the year after BCT, violence prevalence of 22% did not differ from the comparison sample and was significantly lower than the rate among relapsed patients (38%). Results for male-perpetrated violence and for the 2nd year after BCT were similar to the 1st year. Results supported predictions that partner violence would decrease after BCT and that clinically significant violence reductions to the level of a nonalcoholic comparison sample would occur for patients whose alcoholism was remitted after BCT. These findings replicate previous research among men with alcoholism.
authors.affiliation: Families and Addiction Program, Department of Psychiatry, Harvard Medical School, USA.
authors.forename: Jeremiah A
authors.initials: JA
authors.lastname: Schumm
authors.forename: Timothy J
authors.initials: TJ
authors.lastname: O'Farrell
authors.forename: Christopher M
authors.initials: CM
authors.lastname: Murphy
authors.forename: William
authors.initials: W
authors.lastname: Fals-Stewart
mesh_terms: D000328:Adult; D000368:Aged; D000437:Alcoholism / Q000523:psychology / Q000628:therapy*; D016009:Chi-Square Distribution; D015928:Cognitive Behavioral Therapy; D019546:Couples Therapy; D005260:Female; D006304:Health Status; D006801:Humans; D008297:Male; D008388:Marital Therapy; D008875:Middle Aged; D018579:Patient Selection; D011788:Quality of Life; D013179:Spouse Abuse / Q000523:psychology / Q000628:therapy*; D011795:Surveys and Questionnaires; D016896:Treatment Outcome