Care of perpetrators of repeat family violence: an integrative literature review

Ferreira, Maria Natalia Xavier; Hino, Paula; Taminato, Mônica; Fernandes, Hugo

doi:10.1590/1982-0194201900046

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Integrative Review • Acta Paul Enferm 32 (3) • May-Jun 2019 • https://doi.org/10.1590/1982-0194201900046 copy

Care of perpetrators of repeat family violence: an integrative literature review

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

Objectives

Identifying the main articles in scientific literature on care of perpetrators of repeat family violence and presenting the most relevant successful experiences.

Methods

Integrative literature review consisting of a survey for articles published from 2008 to 2017 indexed in MEDLINE, CINAHL, and SciELO.

Results

Out of the 1,496 identified articles, 15 met all inclusion criteria. After analysis of all studies included, two categories were elaborated: intervening factors for intra-familial violence and successful measures for the treatment or rehabilitation of perpetrators of family violence.

Conclusion

Literature on the topic is scarce in emerging countries. Aspects such as intergenerational patterns and experience of violence in childhood may be intervening factors for aggressive family behavior. Mindfulness meditation, individual counseling, improvement in sleep pattern, participation in prevention programs, and forms of psychotherapy were shown to be successful measures for the care of perpetrators.

Domestic violence; Family health; Aggression; Delivery of health care

Authors	Year of publication/country of origin	Journal	Study design/level of evidence	Results
Kassis W, Artz S, Maurovic I, Simões C.⁽⁹⁾	2017 Austria, Germany, Slovenia, and Spain	Child Abuse & Neglect	Observational study/level VI	Chances of young people being free of violence and/or depression are significantly lower with increased exposure to family violence.
Mathias CW, Duffing TM, Acheson A, Charles NE, Lake SL, Ryan SR, Liang Y, Dougherty DM.⁽¹⁰⁾	2015 USA	Addictive Disorders & Their Treatment	Observational study/level IV	Family history of substance abuse is a predictor for early onset addiction and family aggression.
Dragioti E, Damigos D, Mavreas V, Gouva M.⁽¹¹⁾	2012 Greece	International Journal of Caring Sciences	Observational study/level VI	High levels of hostility and aggression were observed among individuals exposed to traumatic family events.
Tanaka A, Raishevich N, Scarpa A.⁽¹²⁾	2010 USA	Journal of Interpersonal Violence	Correlational study/level VI	Family conflict was related to increased proactive but not reactive aggression in children with high levels of anxiety.
Karakurt G, Keiley M, Posada G.⁽¹³⁾	2013 USA	Journal of Family Violence	Correlational study/level VI	Individuals presenting higher levels of insecurity were more likely to be victims of persistent aggression in their relationships.
Ruddick L, Davies L, Bacarese-Hamilton M, Oliver C.⁽¹⁴⁾	2015 United Kingdom	Research in Developmental Disabilities	Observational study/level VI	Need for proper support and service to care for children with intellectual disabilities exhibiting aggressive and destructive behavior in the family.
Forster M, Dyal SR, Baezconde-Garbanati L, Chou CP, Soto DW, Unger JB.⁽¹⁵⁾	2013 USA	Ethnicity & Health	Observational study/level IV	Acculturative stress and little family cohesion were associated with bullying and aggressive responses, which in turn increase the connection between depression and smoking.
Levac AM, McCay E, Merka P, Reddon-D’Arcy ML.⁽¹⁶⁾	2008 Canada	Journal of Child and Adolescent Psychiatry Nursing	Qualitative study/level V	Group therapy led to a decrease in stress levels and an increase in confidence for parents and children, thus decreasing family violence.
Elmquist J, Shorey RC, Labrecque L, Ninnemann A, Zapor H, Febres J, et al.⁽¹⁷⁾	2016 USA	Violence Against Women	Observational study/level VI	Interventions such as meditation in programs for perpetrators of intimate partner violence increase capacity for emotional regulation.
Shorey RC, Anderson S, Stuart GL.⁽¹⁸⁾	2015 USA	Journal of Interpersonal Violence	Experimental study/level III	Negative relationship between mindfulness and aggression.
El-Sheikh M, Tu KM, Erath SA, Buckhalt JA.⁽¹⁹⁾	2014 USA	Journal of Family Psychology	Observational study/level IV	Sleep quality and efficiency may affect the association between negative parenting and intellectual capacity.
Seo JY, Lloyd DA, Nam SI.⁽²⁰⁾	2014 South Korea	Journal of Family Violence	Experimental study/level III	Providing counseling to men in the military decreased chances of aggression and family conflict.
Connors AD, Mills JF, Gray AL.⁽²¹⁾	2013 Canada	Psychological Services	Experimental study/level III	A family violence prevention program with incarcerated offenders showed efficient outcomes.
Mohamed AR, Mkabile S.⁽²²⁾	2015 South Africa	Journal of Intellectual Disabilities	Case study/level VI	Attachment-based therapy was effective in the case of a child with intellectual disabilities exhibiting highly aggressive behavior towards her family.
Zamudio SA.⁽²³⁾	2011 Bolivia	Ajayu	Qualitative study/level V	Brief solution-focused therapy with family offenders was shown to be effective.

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[1] Corresponding author Hugo Fernandes E-mail: hugoenf@yahoo.com.br