Despite the high prevalence and severity of intimate partner violence (IPV) perpetration among men with mental health (MH) problems and substance use (SU), there is limited evidence on the most effective ways to reduce IPV within these groups. Hence, the present systematic review aims to evaluate the effectiveness of psychological interventions for male IPV perpetrators with MH issues and SU problems. Five databases (B-On, Pubmed PsycInfo, Science Direct, and Scopus) were searched for studies examining the effectiveness of IPV interventions. Twenty-three studies met the inclusion criteria, with 13 interventions described. Interventions were grouped into (1) specific interventions for SU among IPV perpetrators ( k = 8), (2) nonspecific interventions for SU among IPV perpetrators ( K = 3), and (3) specific interventions targeting MH among IPV perpetrators ( k = 2). Cognitive behavioral therapy and motivational interviewing techniques were the most common approaches. Both specific and nonspecific programs addressing SU problems showed some positive effects on perpetrators’ behavior and attitudes. However, data from the two intervention programs focusing on MH showed reduced symptoms and re-assaults but without significant differences between the conditions. Despite methodological shortcomings in the studies, the specific and nonspecific interventions targeting SU and IPV show promise, which hinders drawing firmer conclusions. Nonetheless, further research is necessary to deepen our understanding of the MH impact interventions on IPV perpetrators.

中文翻译：

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干预计划对药物滥用和/或精神障碍的亲密伴侣暴力肇事者的有效性：系统评价


尽管在有心理健康 （MH） 问题和物质使用 （SU） 的男性中，亲密伴侣暴力 （IPV） 的实施率和严重程度很高，但关于在这些群体中减少 IPV 的最有效方法的证据有限。因此，本系统评价旨在评估心理干预对患有 MH 问题和 SU 问题的男性 IPV 肇事者的有效性。检索了五个数据库 （B-On、Pubmed PsycInfo、Science Direct 和 Scopus） 以查找检查 IPV 干预有效性的研究。23 项研究符合纳入标准，描述了 13 项干预措施。干预措施分为 （1） IPV 肇事者 SU 的特异性干预 （k = 8），（2） IPV 肇事者 SU 的非特异性干预 （K = 3），以及 （3） 针对 IPV 肇事者 MH 的特异性干预 （k = 2）。认知行为疗法和动机性访谈技术是最常见的方法。解决 SU 问题的特定和非特异性计划都显示出对犯罪者的行为和态度的一些积极影响。然而，来自两个专注于 MH 的干预计划的数据显示症状减轻和再次发作，但条件之间没有显着差异。尽管研究存在方法学缺陷，但针对 SU 和 IPV的特异性和非特异性干预措施显示出前景，这阻碍了得出更明确的结论。尽管如此，还需要进一步的研究来加深我们对 MH 影响干预对 IPV 肇事者的理解。