Preventing intimate partner violence via the Internet: A randomized controlled trial of emotion‐regulation and conflict‐management training for individuals with aggression problems

Hesser, Hugo; Axelsson, Sandra; Bäcke, Victoria; Engstrand, Jonna; Gustafsson, Tina; Holmgren, Elin; Jeppsson, Ulrika; Pollack, Maria; Nordén, Kjell; Rosenqvist, Dan; Andersson, Gerhard

doi:10.1002/cpp.2082

Cited by 32 publications

(25 citation statements)

References 89 publications

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“…However, both interventions shared awareness of a patient's emotions, and this common focus might explain why we were unable to show a significant benefit of CBT when compared to MBSR. Similar to the MBSR-condition in our study, other therapies targeting emotion-regulation skills in combination with traditional CBT to manage aggressive feelings have been associated with reduced intimate partner violence [28].…”

Section: Main Findingssupporting

confidence: 61%

Cognitive behavioural group therapy versus mindfulness-based stress reduction group therapy for intimate partner violence: a randomized controlled trial

et al. 2020

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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 predefined 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)).

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Section: Main Findingssupporting

confidence: 61%

Cognitive behavioural group therapy versus mindfulness-based stress reduction group therapy for intimate partner violence: a randomized controlled trial

et al. 2020

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“…One study (Littleton, Grills, Kline, Schoemann, & Dodd, 2016) described an online support group for victims of sexual assault, including those assaulted by a current or former intimate partner; other group-involved interventions included women using tablets individually to complete self-paced modules during a group educational session (Gilbert et al, 2015, 2016; Johnson et al, 2018). Solutions to connect health-care providers—specifically mental health-care providers—to current or former victims of IPV included e-mail- and video-delivery of cognitive behavioral therapy (CBT; Gray et al, 2015; Hassija & Gray, 2011; Hesser et al, 2017) or else video-mediated triage into appropriate services (Thomas et al, 2005), particularly for rural IPV victims.…”

Section: Resultsmentioning

confidence: 99%

Web-Based and mHealth Interventions for Intimate Partner Violence Victimization Prevention: A Systematic Review

Anderson

Krause

et al. 2019

Trauma, Violence, & Abuse

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Mobile health (mHealth) technologies are increasingly used across health programming including intimate partner violence (IPV) prevention to optimize screening, educational outreach, and linkages to care via telehealth. We systematically evaluated current web-based and mHealth interventions, which include web- or mobile-based delivery methods for primary, secondary, and tertiary IPV victimization prevention. We searched MEDLINE/PubMed, Embase, CINAHL, PsycINFO, Open Grey, and Google Scholar for empirical studies published 1998–2019. Studies were included if they considered empirical data, participants in adult romantic relationships, IPV as a primary or secondary outcome, and an mHealth component. The Mixed Methods Appraisal Tool was used to record critical ratings of quality among studies selected for inclusion. We assessed variation in targeted populations, types of IPV addressed, and mHealth approaches used. Of 133 studies identified for full-text review, 31 were included. Computer-based screening with or without integrated education was the most common mHealth approach ( n = 8, 26%), followed by safety decision aids ( n = 7, 23%). Feasibility and acceptability were found to be generally high where assessed (23% of studies, n = 7). There was limited evidence around whether mHealth interventions better addressed population needs compared to conventional interventions. mHealth tools for IPV prevention are especially acceptable in health-care settings, on mobile phone platforms, or when connecting victims to health care. Despite enthusiasm in pilot projects, evidence for efficacy compared to conventional IPV prevention approaches is limited. A major strength of mHealth IPV prevention programming is the ability to tailor interventions to individual victim needs without extensive human resource expenditure by providers.

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“…Of particular interest, and a good example of how ICBT can be seen as taking the lead, with studies not preceded by face-to-face trials, is procrastination ( Rozental et al, 2015b ). Trials on perfectionism ( Rozental et al, 2015b ) and interpersonal violence ( Hesser et al, 2017 ) have also been published, and among the unpublished work we have studies on couple distress and loneliness. There are also studies on transdiagnostic treatments which includes tailored ICBT ( Carlbring et al, 2010 ) and mindfulness ( Boettcher et al, 2014b ).…”

Section: Short-term Effectsmentioning

confidence: 99%

Internet interventions: Past, present and future

Andersson¹

2018

Internet Interventions

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192

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Internet interventions have been around now for about 20 years. While the field still suffers from a scattered terminology a large number of programs and studies exist. In the present paper I present an overview of my experiences of studying internet-supported cognitive-behaviour therapy (ICBT), but also mention other approaches including the use of smartphones. The paper covers the history of ICBT, short-term effects in controlled trials for a range of conditions, long-term effects, comparisons against face-to-face therapy, effectiveness studies, prediction studies, how the treatment is perceived, critique, and finally future directions. I conclude that we have now reached a stage in which we have numerous evidence-based treatments and procedures, and increasingly internet interventions including ICBT are disseminated.

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Preventing intimate partner violence via the Internet: A randomized controlled trial of emotion‐regulation and conflict‐management training for individuals with aggression problems

Cited by 32 publications

References 89 publications

Cognitive behavioural group therapy versus mindfulness-based stress reduction group therapy for intimate partner violence: a randomized controlled trial

Cognitive behavioural group therapy versus mindfulness-based stress reduction group therapy for intimate partner violence: a randomized controlled trial

Web-Based and mHealth Interventions for Intimate Partner Violence Victimization Prevention: A Systematic Review

Internet interventions: Past, present and future

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