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A randomized clinical trial of acceptance and commitment therapy and the Duluth Model classes for men court-mandated to a domestic violence program.
Journal of Consulting and Clinical Psychology ( IF 7.156 ) Pub Date : 2022-04-01 , DOI: 10.1037/ccp0000722
Amie Zarling 1 , Dan Russell 1
Affiliation  

OBJECTIVE This is the first randomized controlled trial to compare Acceptance and Commitment Therapy (ACT) with the Duluth Model curriculum, which took place in community-based corrections for the treatment of men convicted of domestic violence. ACT is a third-wave cognitive-behavioral approach that utilizes experiential methods to foster psychological flexibility. The Duluth Model curriculum is an educational approach grounded in feminist theory that focuses on changing attitudes toward women and unlearning power and control motivations. This trial was preregistered at ClinicalTrials.gov (registration number: NCT03609801). METHOD This study included 338 men who were court-mandated to complete a domestic violence program after being convicted of assault against a female partner. Participants were randomized to complete the 24 sessions of the ACT program or the Duluth Model Men's Nonviolence Classes. Outcomes included criminal justice data (domestic violence charges, other violent charges, and nonviolent charges) incurred during the 1 year following program dropout or completion, and victim reports of intimate partner violence (IPV; aggression, controlling behaviors, and stalking/harassment). RESULTS In intent-to-treat comparisons to Duluth, ACT participants did not show a difference in domestic assault charges at 1 year posttreatment (p = .44). ACT participants acquired significantly fewer violent charges (p = .04) and nonviolent charges (p = .02) compared to Duluth participants. Data from victims indicated that victims of ACT participants reported significantly fewer IPV behaviors than victims of Duluth participants on the Conflict Tactics Scale (d = .78), the Controlling Behaviors Scale (d = .66) and the Stalking Behavior Checklist (d = .71) at 1 year posttreatment. CONCLUSIONS An ACT-based group intervention delivered in community corrections reduced violent and nonviolent criminal charges compared to the Duluth classes. Domestic violence charges did not differ between groups but victim reports indicated that ACT participants engaged in fewer IPV behaviors. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

中文翻译:

一项接受和承诺治疗的随机临床试验以及针对男性的德卢斯模型课程被法院授权参加家庭暴力项目。

目标 这是第一个将接受和承诺疗法 (ACT) 与德卢斯模式课程进行比较的随机对照试验,该课程在社区矫正中对被判犯有家庭暴力罪的男性进行治疗。ACT 是一种第三波认知行为方法,它利用经验方法来培养心理灵活性。德卢斯模式课程是一种以女权主义理论为基础的教育方法,侧重于改变对女性的态度以及忘却权力和控制动机。该试验已在 ClinicalTrials.gov 上进行了预注册(注册号:NCT03609801)。方法 这项研究包括 338 名男性,他们在被判犯有攻击女性伴侣罪后,被法庭授权完成一项家庭暴力项目。参与者被随机分配完成 ACT 计划或德卢斯模范男子非暴力课程的 24 节课。结果包括在项目退出或完成后 1 年内发生的刑事司法数据(家庭暴力指控、其他暴力指控和非暴力指控),以及亲密伴侣暴力(IPV;攻击、控制行为和跟踪/骚扰)的受害者报告。结果 在与 Duluth 的意向治疗比较中,ACT 参与者在治疗后 1 年的家庭攻击指控方面没有表现出差异(p = .44)。与德卢斯参与者相比,ACT 参与者获得的暴力指控 (p = .04) 和非暴力指控 (p = .02) 显着减少。来自受害者的数据表明,在冲突策略量表 (d = .78)、控制行为量表 (d = .66) 和跟踪行为清单 (d = .78) 上,ACT 参与者的受害者报告的 IPV 行为明显少于德卢斯参与者的受害者。 71) 治疗后 1 年。结论 与德卢斯班相比,在社区矫正中提供的基于 ACT 的团体干预减少了暴力和非暴力刑事指控。不同群体之间的家庭暴力指控没有差异,但受害者报告表明,ACT 参与者的 IPV 行为较少。(PsycInfo 数据库记录 (c) 2022 APA,保留所有权利)。结论 与德卢斯班相比,在社区矫正中提供的基于 ACT 的团体干预减少了暴力和非暴力刑事指控。不同群体之间的家庭暴力指控没有差异,但受害者报告表明,ACT 参与者的 IPV 行为较少。(PsycInfo 数据库记录 (c) 2022 APA,保留所有权利)。结论 与德卢斯班相比,在社区矫正中提供的基于 ACT 的团体干预减少了暴力和非暴力刑事指控。不同群体之间的家庭暴力指控没有差异,但受害者报告表明,ACT 参与者的 IPV 行为较少。(PsycInfo 数据库记录 (c) 2022 APA,保留所有权利)。
更新日期:2022-04-01
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