title: Integrated Cognitive Behavioral Intervention Reduces Intimate Partner Violence Among Alcohol Dependent Men, and Improves Mental Health Outcomes in their Spouses: A Clinic Based Randomized Controlled Trial from South India.
abstract: OBJECTIVE
  Alcohol abuse has been associated with intimate partner violence (IPV). The current study examined the effectiveness of an integrated cognitive-behavioral intervention (ICBI) in reducing intimate partner violence (IPV) perpetration among alcohol dependent men, and improving mental health outcomes among their wives and children.
  
  
  METHODS
  One hundred seventy-seven alcohol dependent male inpatients who screened positive for IPV perpetration in the last 6 months were randomly assigned to receive ICBI which addressed both the alcohol use and IPV (n=88), or TAU (TAU: treatment as usual) (n=89). The ICBI sessions were attended by the patients alone. All patients and their spouses were followed up over 3 months following discharge from the treatment centre.
  
  
  RESULTS
  Compared to TAU participants in the ICBI group reported significantly lower IPV perpetration, and their wives scored significantly lower on depression, anxiety, and stress levels at 3-month follow up. Alcohol consumption in the men and emotional and behavioral problems in their children were not significantly different between the groups, from baseline to follow up.
  
  
  CONCLUSIONS
  Findings demonstrate the feasibility and effectiveness of an ICBI which addressed both the IPV and alcohol use in a coordinated manner in a vulnerable sample.
authors.affiliation: National Institute of Mental Health and Neuro Sciences (NIMHANS), Bangalore, India.
authors.forename: Veena A
authors.initials: VA
authors.lastname: Satyanarayana
authors.affiliation: National Institute of Mental Health and Neuro Sciences (NIMHANS), Bangalore, India.
authors.forename: Prasanthi
authors.initials: P
authors.lastname: Nattala
authors.affiliation: St. John's Research Institute, Bangalore, India.
authors.forename: Sumithra
authors.initials: S
authors.lastname: Selvam
authors.affiliation: St. John's Research Institute, Bangalore, India.
authors.forename: Johnson
authors.initials: J
authors.lastname: Pradeep
authors.affiliation: St. John's Research Institute, Bangalore, India.
authors.forename: Sudharshan
authors.initials: S
authors.lastname: Hebbani
authors.affiliation: St. John's Research Institute, Bangalore, India.
authors.forename: Sudarshan
authors.initials: S
authors.lastname: Hegde
authors.affiliation: St. John's Research Institute, Bangalore, India. Electronic address: srinivas@sjri.res.in.
authors.forename: Krishnamachari
authors.initials: K
authors.lastname: Srinivasan
mesh_terms: D000328:Adult; D019973:Alcohol-Related Disorders / Q000523:psychology / Q000628:therapy*; D015928:Cognitive Behavioral Therapy; D005260:Female; D006801:Humans; D007194:India; D007297:Inpatients; D008297:Male; D054526:Men's Health; D011569:Psychiatric Status Rating Scales; D013179:Spouse Abuse; D016320:Substance Abuse Treatment Centers; D016896:Treatment Outcome
keywords: Alcohol dependence; Children of alcohol dependent men; Cognitive–behavioral intervention; Intimate partner violence; Spouses of alcohol dependent men