Objective: Past research has linked posttraumatic stress disorder (PTSD) symptoms to increased risk for intimate partner violence (IPV) perpetration. However, little is known about the impact that PTSD may have on treatment engagement or violence recidivism following treatment for IPV. The current study examined whether PTSD predicts treatment engagement and criminal recidivism in a 20-session, community-based, cognitive–behavioral abuse intervention program. Method: Participants (N = 293) completed assessments of PTSD symptoms, depression, drug use, and alcohol problems during agency intake. These variables were examined as predictors of group treatment engagement (session attendance, working alliance, cognitive–behavioral therapy homework compliance, group cohesion, and task orientation) and criminal recidivism during the 2 years after scheduled completion of treatment. Results: Individuals with higher levels of PTSD symptoms at pretreatment had lower homework compliance during treatment. Further, individuals with probable PTSD reported lower task orientation and group cohesion later in treatment. Individuals with a probable PTSD diagnosis at pretreatment had 4 times higher odds of general violence recidivism than those without a probable PTSD diagnosis, and this association remained significant when controlling for substance use and depression. In addition, participants with probable PTSD were more likely to have intimate partner abuse recidivism compared with those without (adjusted odds ratio = 2.5), although this effect was not statistically significant. Conclusions: Trauma symptoms affect violence cessation in IPV treatment, further highlighting the need to address unique clinical issues and underlying mechanisms associated with traumatic stress symptoms in treatments for this population.

中文翻译：

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PTSD可作为虐待对象男性参与治疗和累犯的预测指标。

目的：过去的研究已将创伤后应激障碍（PTSD）症状与亲密伴侣暴力（IPV）犯罪风险增加联系起来。但是，对于PTSD对IPV治疗后可能对治疗参与或暴力再犯产生的影响知之甚少。当前的研究检查了创伤后应激障碍是否通过一个基于社区的20堂认知行为滥用干预计划来预测治疗参与和犯罪再犯。方法：参与者（N = 293）完成机构摄入期间对PTSD症状，抑郁，吸毒和酗酒问题的评估。这些变量被作为组治疗参与度的预测因素（会议出席率，工作联盟，认知行为疗法家庭作业依从性，组凝聚力，和任务导向）和预定完成治疗后2年内的犯罪再犯。结果：预处理期间PTSD症状水平较高的个体在治疗期间的家庭作业依从性较低。此外，可能患有PTSD的患者在治疗后期报告了较低的任务定向和小组凝聚力。在治疗前被诊断为PTSD的个体比没有PTSD可能诊断的个体发生一般性暴力再犯的几率高4倍，并且在控制药物使用和抑郁时这种关联仍然很重要。此外，与没有PTSD的参与者（校正比值比= 2.5）相比，有PTSD的参与者更容易发生亲密伴侣的累犯。结论：