Cognitive behavioural group therapy versus mindfulness-based stress reduction group therapy for intimate partner violence: a randomized controlled trial
Abstract Background Violence in close relationships is a global public health problem and there is a need to implement therapeutic programs designed to help individuals who voluntarily seek help to reduce recurrent intimate partner violence. The effectiveness of such interventions in this population...
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doaj-40ec35b445be4950827b075dfc05d51c2020-11-25T03:54:56ZengBMCBMC Psychiatry1471-244X2020-04-0120111110.1186/s12888-020-02582-4Cognitive behavioural group therapy versus mindfulness-based stress reduction group therapy for intimate partner violence: a randomized controlled trialMerete Berg Nesset0Mariela Loreto Lara-Cabrera1Johan Håkon Bjørngaard2Richard Whittington3Tom Palmstierna4Forensic Department and Research Centre Brøset, St. Olav’s Hospital, Trondheim University HospitalFaculty of medicine and health sciences, Department of Mental Health, Norwegian University of Science and Technology (NTNU)Department of Public Health and Nursing, Norwegian University of Science and Technology (NTNU)Forensic Department and Research Centre Brøset, St. Olav’s Hospital, Trondheim University HospitalForensic Department and Research Centre Brøset, St. Olav’s Hospital, Trondheim University HospitalAbstract Background Violence in close relationships is a global public health problem and there is a need to implement therapeutic programs designed to help individuals who voluntarily seek help to reduce recurrent intimate partner violence. The effectiveness of such interventions in this population remains inconclusive. The aim of the present study was to compare the effectiveness of cognitive-behavioural group therapy (CBGT) vs mindfulness-based stress reduction (MBSR) group therapy in reducing violent behavior amongst individuals who are violent in intimate partnerships and who voluntarily seek help. Methods One hundred forty four participants were randomized using an internet-based computer system. Nineteen withdrew after randomization and 125 participants were randomly assigned to the intervention condition (CBGT, n = 67) or the comparator condition (MBSR, n = 58). The intervention condition involved two individual sessions followed by 15 cognitive-behavioural group therapy sessions. The comparator condition included one individual session before and after 8 mindfulness-based group sessions. Participants (N = 125) and their relationship partners (n = 56) completed assessments at baseline, and at three, six, nine and twelve months’ follow-up. The pre-defined primary outcome was reported physical, psychological or sexual violence and physical injury as measured by the revised Conflict Tactics Scale (CTS2). Results The intent-to-treat analyses were based on 125 male participants (intervention group n = 67; comparator group n = 58). Fifty-six female partners provided collateral information. Baseline risk estimate in the CBGT-group was .85 (.74–.92), and .88 (.76–.94) in the MBSR-group for physical violence. At 12-months’ follow-up a substantial reduction was found in both groups (CBGT: .08 (.03–.18); MBSR: .19 (.11–.32)). Conclusion Results provide support for the efficacy of both the cognitive-behavioural group therapy and the mindfulness-based stress reduction group therapy in reducing intimate partner violent behavior in men voluntarily seeking treatment. Trial registration NCT01653860 , registered July 2012.http://link.springer.com/article/10.1186/s12888-020-02582-4BatterersCognitive-behavioural group therapyDomestic violenceInterventionIntimate partner violenceMindfulness-based stress reduction |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Merete Berg Nesset Mariela Loreto Lara-Cabrera Johan Håkon Bjørngaard Richard Whittington Tom Palmstierna |
spellingShingle |
Merete Berg Nesset Mariela Loreto Lara-Cabrera Johan Håkon Bjørngaard Richard Whittington Tom Palmstierna Cognitive behavioural group therapy versus mindfulness-based stress reduction group therapy for intimate partner violence: a randomized controlled trial BMC Psychiatry Batterers Cognitive-behavioural group therapy Domestic violence Intervention Intimate partner violence Mindfulness-based stress reduction |
author_facet |
Merete Berg Nesset Mariela Loreto Lara-Cabrera Johan Håkon Bjørngaard Richard Whittington Tom Palmstierna |
author_sort |
Merete Berg Nesset |
title |
Cognitive behavioural group therapy versus mindfulness-based stress reduction group therapy for intimate partner violence: a randomized controlled trial |
title_short |
Cognitive behavioural group therapy versus mindfulness-based stress reduction group therapy for intimate partner violence: a randomized controlled trial |
title_full |
Cognitive behavioural group therapy versus mindfulness-based stress reduction group therapy for intimate partner violence: a randomized controlled trial |
title_fullStr |
Cognitive behavioural group therapy versus mindfulness-based stress reduction group therapy for intimate partner violence: a randomized controlled trial |
title_full_unstemmed |
Cognitive behavioural group therapy versus mindfulness-based stress reduction group therapy for intimate partner violence: a randomized controlled trial |
title_sort |
cognitive behavioural group therapy versus mindfulness-based stress reduction group therapy for intimate partner violence: a randomized controlled trial |
publisher |
BMC |
series |
BMC Psychiatry |
issn |
1471-244X |
publishDate |
2020-04-01 |
description |
Abstract Background Violence in close relationships is a global public health problem and there is a need to implement therapeutic programs designed to help individuals who voluntarily seek help to reduce recurrent intimate partner violence. The effectiveness of such interventions in this population remains inconclusive. The aim of the present study was to compare the effectiveness of cognitive-behavioural group therapy (CBGT) vs mindfulness-based stress reduction (MBSR) group therapy in reducing violent behavior amongst individuals who are violent in intimate partnerships and who voluntarily seek help. Methods One hundred forty four participants were randomized using an internet-based computer system. Nineteen withdrew after randomization and 125 participants were randomly assigned to the intervention condition (CBGT, n = 67) or the comparator condition (MBSR, n = 58). The intervention condition involved two individual sessions followed by 15 cognitive-behavioural group therapy sessions. The comparator condition included one individual session before and after 8 mindfulness-based group sessions. Participants (N = 125) and their relationship partners (n = 56) completed assessments at baseline, and at three, six, nine and twelve months’ follow-up. The pre-defined primary outcome was reported physical, psychological or sexual violence and physical injury as measured by the revised Conflict Tactics Scale (CTS2). Results The intent-to-treat analyses were based on 125 male participants (intervention group n = 67; comparator group n = 58). Fifty-six female partners provided collateral information. Baseline risk estimate in the CBGT-group was .85 (.74–.92), and .88 (.76–.94) in the MBSR-group for physical violence. At 12-months’ follow-up a substantial reduction was found in both groups (CBGT: .08 (.03–.18); MBSR: .19 (.11–.32)). Conclusion Results provide support for the efficacy of both the cognitive-behavioural group therapy and the mindfulness-based stress reduction group therapy in reducing intimate partner violent behavior in men voluntarily seeking treatment. Trial registration NCT01653860 , registered July 2012. |
topic |
Batterers Cognitive-behavioural group therapy Domestic violence Intervention Intimate partner violence Mindfulness-based stress reduction |
url |
http://link.springer.com/article/10.1186/s12888-020-02582-4 |
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