Strength At Home Couples Intervention is Associated with Improvements in Alexithymia Among Male Veterans at Risk for Intimate Partner Violence Use
摘要
Intimate partner violence (IPV) against a romantic partner is used by between 22% and 49% of military personnel and is associated with various harmful consequences for survivors. Findings suggest that Strength at Home Couples (SAH-C), an 8-week, trauma-informed group prevention program, is effective in preventing physical and psychological IPV in military couples, as well as suicidality. The current study examined whether veterans receiving SAH-C evidenced greater reductions in alexithymia, a risk factor for IPV that refers to difficulty identifying and communicating emotions, than those receiving a Supportive Prevention (SP) couple intervention.
MethodParticipants completed the Toronto Alexithymia Scale before completion of SAH-C (n = 38) or SP (n = 29) and at 6- and 12-month follow-up.
ResultsRelative to veterans who received SP, veterans who received SAH-C demonstrated greater reductions in total alexithymia scores, driven by reductions in two factors (difficulty identifying feelings and externally-oriented thinking), at 6-month follow-up, Hedge’s g = -0.69, 95% CI [-1.19:-0.19]. Partners demonstrated the opposite pattern, such that those who received SP demonstrated greater reductions in difficulty identifying feelings at 12-month follow-up.
ConclusionsFor male veterans at risk for IPV use, participation in a couples IPV prevention program increased their ability to recognize and communicate emotions. However, their female partners may experience greater benefit in these areas when given the opportunity to discuss their experiences with others in high-conflict relationships. Findings underscore the importance of tailoring interventions to match the unique needs of members of a dyad.