The efficacy of cognitive behavioural therapy and advocacy interventions for women who have experienced intimate partner violence: A systematic review and meta-analysis
Open accessAbstract
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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Relatively few interventions have been shown to improve the safety, health or quality of life of women experiencing IPV.
“Relatively few interventions have been shown to improve the safety, health or quality of life of women experiencing IPV”
From Longitudinal impacts of an online safety and health intervention for women experiencing intimate partner violence: randomized controlled trial (2020) · cites this paper as [17]
The Summary of key evidence (page unavailable) reports some evidence that advocacy and CBT interventions reduce physical and psychological IPV, while cautioning that the small effects and heterogeneous trials preclude firm conclusions. This supports the claim's general point that demonstrated improvements in safety are limited. The review assessed IPV occurrence, however, not whether relatively few interventions improve women's health or quality of life, and it does not assess interventions generally beyond advocacy and CBT. (LLM, conf=0.84)
Experimental — accuracy not yet measuredSome types of face-to-face interventions, including advocacy and cognitive behavioural therapy, are effective with some populations and/or under certain conditions.
“although there is growing evidence that some types of face-to-face interventions, including advocacy and cognitive behavioural therapy, are effective with some populations and/or under certain conditions [15–17].”
From Longitudinal impacts of an online safety and health intervention for women experiencing intimate partner violence: randomized controlled trial (2020) · cites this paper as [17]
There is evidence that advocacy and cognitive behavioural interventions can partially address the occurrence and psychological effects of GBV.
“Although there is evidence that advocacy and cognitive behavioural interventions can partially address the occurrence and psychological effects of GBV [11,12] and these need to be scaled up”
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Self-citation
- Authors
- Tirado-Muñoz, J., Gilchrist, G., Farré, M., Hegarty, K., & Torrens, M.
- Affiliations
- Universitat Autònoma de Barcelona (ES)
- King's College London (GB)
- The University of Melbourne (AU)
- Corresponding author
- Torrens, Marta
- Venue
- Annals of Medicine
- Publisher
- Informa UK Limited
- Published
- 2014-09-11
- Volume
- 46
- Issue
- 8
- Pages
- 567-586
- ISSN
- 0785-3890 (ISSN-L)
- 1365-2060
- OpenAlex
- W2139908351
- Cited by
- 72
- References
- 91
- Citations by year
- 2026: 8 · 2025: 5 · 2024: 4 · 2023: 5 · 2022: 5 · 2021: 4 · 2020: 8 · 2019: 8 · 2018: 6 · 2017: 7 · 2016: 5 · 2015: 5 · 2014: 2
- FWCI
- 0.91
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Annals of Medicine (publishedVersion)
- PubMed (publishedVersion)
- Research Portal (King's College London) (submittedVersion)
- Topics
- Social Sciences › Health › Intimate Partner and Family Violence
- Social Sciences › Sociology and Political Science › Stalking, Cyberstalking, and Harassment
- Social Sciences › Gender Studies › Sexual Assault and Victimization Studies
- Keywords
- intimate partner violence, cognitive behavioral therapy, advocacy interventions, women, physical violence, psychological violence, sexual violence, intervention efficacy
- MeSH terms
- Female, Humans, Patient Advocacy, Sex Offenses, Spouse Abuse, Cognitive Behavioral Therapy, Randomized Controlled Trials as Topic
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