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The Efficacy of Cognitive Behavioural Therapy and Advocacy Interventions for Women Who Have Experienced Intimate Partner Violence: a Systematic Review and Meta-analysis

Overview
Journal Ann Med
Publisher Informa Healthcare
Specialty General Medicine
Date 2014 Sep 12
PMID 25211469
Citations 26
Authors
Affiliations
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Abstract

Objective: To determine the efficacy of Advocacy and Cognitive Behavioural Therapy interventions (CBT) in reducing physical, psychological, sexual, or any intimate partner violence (IPV).

Methods: A systematic review and meta-analysis were conducted using randomized control trials (RCTs) published in MEDLINE, PsycINFO, Scopus, Cochrane, and Clinical trials. The occurrence of physical, psychological, sexual, and/or any IPV measured efficacy.

Results: Twelve RCTs involving 2666 participants were included. Advocacy interventions resulted in significant reductions in physical (standardized mean difference (SMD) -0.13; 95% confidence interval (CI) -0.25, -0.00) and psychological (SMD -0.19; 95% CI -0.32, -0.05) but not in sexual (SMD -0.20; 95% CI -0.43, 0.02) or any IPV (SMD -0.32; 95% CI -0.69, 0.04). CBT interventions showed a significant reduction in physical (SMD -0.79; 95% CI -1.26, -0.33) and psychological (SMD -0.80; 95% CI -1.25, -0.36) but not sexual (SMD -0.35; 95% CI -1.73, 1.03) or any IPV (SMD 0.09; 95% CI -0.05, 0.23).

Conclusions: Both advocacy and CBT interventions reduced physical and psychological IPV but not sexual or any IPV. Limitations include the low number of studies and the heterogeneity of interventions.

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