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      Efficacy of a group intervention program with women victims of gender violence in the framework of contextual therapies Translated title: Eficacia de un programa de intervención grupal con mujeres víctimas de violencia de género en el marco de las terapias contextuales

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          Abstract

          Abstract: The goal of this study was to empirically evaluate the efficacy of an intervention programme with women victims of gender violence. Specifically, Functional Analytic Psychotherapy (FAP) has been used, combined with Acceptance and Commitment Therapy (ACT), and Behavioural Activation (BA). This study was undertaken us intragroup format, during 11 sessions of 2 hours each session. A total of 21 women participated (with an average age of 45 years), who had suffered physical violence and/or emotional abuse by their partners, with different degrees and intensity, and at different periods in their lives. An intra-group design with pre-post measures was used. Three treatment groups were effected in different cities with 6 to 8 women in each city. To measure the intervention, the Clinical Outcomes in Routine Evaluation-Outcome Measure (CORE-OM) questionnaire was applied. The results show a statistically significant decrease in the severity of discomfort, decreased suicide risk indicators, improved problem behaviour both inside and outside of the sessions, and increased openness to others. The usefulness of contextual therapies in improving the quality of life of battered women and the usefulness of those therapies for application in groups in public institutions are discussed.

          Translated abstract

          Resumen: El objetivo de este trabajo es evaluar empíricamente la eficacia de un programa de intervención con mujeres víctimas de violencia de género. El programa en conjunto se enmarca dentro de las Terapias Contextuales, específicamente se ha utilizado la Psicoterapia Analítica Funcional, combinada con la Terapia de Aceptación y Compromiso y la Activación Conductual. Se ha llevado a cabo en formato grupal, durante 11 sesiones de 2 horas cada una. Participaron un total de 21 mujeres (de una media de edad de 45 años), que habían sufrido violencia física y/o abuso emocional por parte de sus parejas, en diferente grado e intensidad, y en diferentes momentos en sus vidas. Se ha utilizado un diseño intragrupo con medidas pre-post. Se realizaron tres grupos de tratamiento en diferentes ciudades con 6 a 8 mujeres cada uno. Para medir la intervención se ha aplicado el cuestionario Clinical Outcomes in Routine Evaluation-Outcome Measure (CORE-OM). Los resultados han mostrado una disminución estadísticamente significativa en la severidad del malestar, han disminuido los indicadores de riesgo de suicidio, y han mejorado las conductas problemáticas dentro y fuera de las sesiones, además de incrementarse la apertura hacia los demás. Se discute la utilidad de las terapias contextuales para mejorar la calidad de vida de mujeres maltratadas, y su utilidad de aplicación en grupos en las instituciones públicas.

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          The Effectiveness of Intervention Programs for Perpetrators and Victims of Intimate Partner Violence

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            Intimate partner violence theoretical considerations: moving towards a contextual framework.

            Several theories have been developed to provide a conceptual understanding of intimate partner violence (IPV) episodes. Although each of these theories has found some degree of empirical support, they are limited in their explanatory power of IPV episodes and their ability to significantly impact the efficacy of IPV prevention and treatment programs. The current paper provides a review and critique of current IPV theories and highlights strategies for improving upon these theories. An alternative theoretical conceptualization is introduced that incorporates existing IPV and functional analytic literature into a contextual framework for conceptualizing IPV episodes. Components of the IPV contextual framework include distal, static and proximal antecedents; motivating factors; behavioral repertoire; discriminative stimuli (i.e. environmental cues/signals); verbal rules; and IPV consequences. The proposed theoretical framework offers two primary advantages over former IPV theories. First, it provides a comprehensive conceptualization of IPV by integrating components of previous IPV theories and their related empirical findings into one, cohesive conceptual framework. Additionally, it allows for a more fine-grained analysis of more proximal variables potentially related to discrete IPV episodes. A discussion of how the proposed theoretical framework may influence future IPV research and clinical practice is provided.
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              Effect of type and severity of intimate partner violence on women's health and service use: findings from a primary care trial of women afraid of their partners.

              Intimate partner violence (IPV) has major affects on women's wellbeing. There has been limited investigation of the association between type and severity of IPV and health outcomes. This article describes socio-demographic characteristics, experiences of abuse, health, safety, and use of services in women enrolled in the Women's Evaluation of Abuse and Violence Care (WEAVE) project. We explored associations between type and severity of abuse and women's health, quality of life, and help seeking. Women (aged 16-50 years) attending 52 Australian general practices, reporting fear of partners in last 12 months were mailed a survey between June 2008 and May 2010. Response rate was 70.5% (272/386). In the last 12 months, one third (33.0%) experienced Severe Combined Abuse, 26.2% Physical and Emotional Abuse, 26.6% Emotional Abuse and/or Harassment only, 2.7% Physical Abuse only and 12.4% scored negative on the Composite Abuse Scale. A total of 31.6% of participants reported poor or fair health and 67.9% poor social support. In the last year, one third had seen a psychologist (36.6%) or had 5 or more general practitioner visits (34.3%); 14.7% contacted IPV services; and 24.4% had made a safety plan. Compared to other abuse groups, women with Severe Combined Abuse had poor quality of life and mental health, despite using more medications, counseling, and IPV services and were more likely to have days out of role because of emotional issues. In summary, women who were fearful of partners in the last year, have poor mental health and quality of life, attend health care services frequently, and domestic violence services infrequently. Those women experiencing severe combined physical, emotional, and sexual abuse have poorer quality of life and mental health than women experiencing other abuse types. Health practitioners should take a history of type and severity of abuse for women with mental health issues to assist access to appropriate specialist support.
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                Author and article information

                Journal
                ap
                Anales de Psicología
                Anal. Psicol.
                Universidad de Murcia (Murcia, Murcia, Spain )
                0212-9728
                1695-2294
                September 2020
                : 36
                : 2
                : 189-199
                Affiliations
                [1] Puerto de Santa María Cádiz orgnameCentro Lansys Spain
                [3] Andalucía orgnameUniversidad de Málaga orgdiv1Facultad de Psicología Spain
                [2] Granada orgnameCentro de Psicología Clínica C.E.D.I. Spain
                Article
                S0212-97282020000200001 S0212-9728(20)03600200001
                10.6018/analesps.36.2.396901
                48201463-cf51-40a6-ac77-045d5c3030a5

                This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

                History
                : 24 September 2019
                : 09 January 2020
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 67, Pages: 11
                Product

                SciELO Spain

                Categories
                Clinical and Health Psychology

                group intervention,contextual therapies,gender violence,battered women,intervención en grupo,terapias contextuales,violencia de género,mujeres maltratadas

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