VA Office of Research and Development
This study will address a pressing unmet need for effective and accessible treatment for Veteran couples with intimate partner violence (IPV). The primary objective is to adapt a brief intervention originally developed to reduce general aggression among individual Veterans with PTSD symptoms (Manage Emotions to Reduce Aggression; MERA) to reduce IPV among Veteran couples. First, the investigators will conduct stakeholder interviews to inform the content, dose, and timing of the adapted MERA-Couples manual (MERA-C). Second, the investigators will examine the preliminary feasibility and acceptability of MERA-C through a single-arm feasibility trial among 10 Veteran couples with IPV. Finally, the investigators will conduct a pilot randomized controlled trial (N= 60 couples) to examine the preliminary within- and between-couple effects of MERA-C versus MERA on (1) participant acceptability and retention and (2) physical and psychological IPV occurrence; emotion regulation; relationship functioning; and psychosocial functioning from pre- to post-treatment and at 1-month follow-up.
SPECIFIC AIMS Intimate partner violence (IPV), which includes a wide spectrum of physical and non-physical behaviors, is a serious and prevalent public health problem that disproportionately affects the Veteran population. IPV is most commonly bidirectional, meaning that both partners in a couple use aggression towards one another at both the couple and the event levels. It is also characterized by lower severity, a high degree of frequency and severity symmetry between partners, and reactive rather than premeditated aggression. IPV directly impacts Veterans Health Administration (VHA) operati…
Inclusion Criteria: Veteran and Partner Inclusion criteria 1. At least one partner in each couple must be a U.S. military Veteran 2. Married, cohabiting, or in a committed relationship for at least 6 months 3. Cognitive functioning sufficient to provide informed consent and participate accurately (≥ 23 on the Mini-Mental Status Exam \[MMSE\]) 4. Veteran meets criteria for subthreshold PTSD or greater (Criterion A plus scoring 2 or higher on at least one symptom from each of clusters B, C, D, and E as measured by the PCL-5) 5. At least 1 instance of mild or moderate physical intimate partner…
4 weekly dyadic/couples therapy sessions of 45-60 minutes each.
4 weekly individual therapy sessions of 45-60 minutes each.