Intimate partner violence (IPV) is a serious public health concern worldwide and defined as behavior performed by spouses or other intimate partners that causes physical, sexual, or psychological harm. Internet-delivered cognitive-behavioral therapy (ICBT) may be particularly useful for survivors of IPV for several reasons, including barriers pertaining to limited community recourses and treatment availability, safety concerns, and issues of stigma, guilt and shame, which may prevent members of this population from seeking help via face-to-face interactions. However, Internet interventions are lacking. The primary aim of the present randomized controlled pilot trial was to explore the feasibility of ICBT as guided self-help individually tailored to the predominant symptomatology of PTSD or depression in survivors of IPV. A second aim was to conduct a preliminary evaluation exploring the short- and long-term effects of the treatment in comparison to a waitlist control condition. Results showed that the treatment was feasible. Attrition rate was low (9.4%), and participants were satisfied with treatment. However, treatment adherence was moderate in terms of completed modules (62.5%). Results of the preliminary evaluation of treatment effects showed large and statistically significant between-group effect sizes (Cohen's d = 0.86–1.08) on some measures of PTSD and depression at post assessment, favoring the treatment condition. However, there were no effects on other measures. At follow-up assessment, when the control condition had received delayed treatment, there were large and statistically significant within-group effect sizes (d = 0.96–1.48) on measures of PTSD, depression and anxiety, and small effects (d = 0.48) on a measure of quality of life. The results of the present pilot study are promising and warrant further research on ICBT for this population.

亲密伴侣暴力 (IPV) 是全世界严重的公共卫生问题，被定义为配偶或其他亲密伴侣实施的造成身体、性或心理伤害的行为。互联网提供的认知行为治疗 (ICBT) 可能对 IPV 幸存者特别有用，原因有几个，包括与有限的社区资源和治疗可用性有关的障碍、安全问题以及耻辱、内疚和羞耻问题，这些可能会阻止成员这些人通过面对面的互动寻求帮助。然而，缺乏互联网干预。本随机对照试验的主要目的是探索 ICBT 作为针对 IPV 幸存者 PTSD 或抑郁症主要症状的个性化指导自助的可行性。第二个目的是进行初步评估，探索与等待名单对照条件相比治疗的短期和长期效果。结果表明治疗是可行的。流失率较低（9.4%），参与者对治疗感到满意。然而，就已完成的模块而言，治疗依从性中等（62.5%）。治疗效果的初步评估结果显示，在评估后的 PTSD 和抑郁症的某些指标上，组间效应大小具有统计学意义（Cohen's d = 0.86-1.08），有利于治疗条件。然而，其他措施没有受到影响。在随访评估中，当对照病例接受延迟治疗时，对 PTSD、抑郁和焦虑的测量存在较大且具有统计显着性的组内效应（ d = 0.96-1.48），而对 PTSD、抑郁和焦虑的测量则存在较小的效应（ d = 0.48) 衡量生活质量的标准。目前的试点研究结果是有希望的，值得对这一人群进行 ICBT 的进一步研究。