Evidence map›Paper›PMID 42135990›Full record

ArticleSubstance use & misuse2026

Therapist Drift from CBT is Associated with Substance Use Among IPV Offenders.

Kaitlyn McElroy, Victoria Pezzino, Celeste Sangiorgio, Neha Pawar, Cassandra Berbary, Cory Crane, Caroline J Easton

Registry-linked trialAbstract read
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In one paragraph

Article in Substance use & misuse, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07140276 (An Integrated Substance Abuse-Domestic Violence), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07140276 nacompletednot on this map

An Integrated Substance Abuse-Domestic Violence (SADV) Treatment Outcome Study: A Stage 1 Trial for SADV

TypeinterventionalSponsorYale UniversityRan2007 to 2010Enrolled63ConditionsSubstance Abuse, Domestic ViolenceArmsIndividual Therapy, Individual Drug Counseling manual
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Kaitlyn McElroyDepartment of Psychology, Oklahoma City University, Oklahoma City, Oklahoma, USA.ORCID 0009-0000-5816-070X
Victoria PezzinoDivision of Addiction Psychiatry and Research Program in Psychiatry, University of Rochester Medicine, Rochester, New York, USA.ORCID 0009-0004-8356-2398
Celeste SangiorgioDepartment of Clinical Health Professions, College of Health Science and Technology, Rochester Institute of Technology, Rochester, New York, USA.ORCID 0000-0002-2111-3624
Neha PawarDivision of Addiction Psychiatry and Research Program in Psychiatry, University of Rochester Medicine, Rochester, New York, USA.ORCID 0000-0001-8958-5655
Cassandra BerbaryDivision of Addiction Psychiatry and Research Program in Psychiatry, University of Rochester Medicine, Rochester, New York, USA.ORCID 0000-0003-1882-9928
Cory CraneDivision of Addiction Psychiatry and Research Program in Psychiatry, University of Rochester Medicine, Rochester, New York, USA.ORCID 0000-0003-4562-2949
Caroline J EastonDivision of Addiction Psychiatry and Research Program in Psychiatry, University of Rochester Medicine, Rochester, New York, USA.ORCID 0009-0005-5428-1287

Funding

Postdoctoral Training in Suicide Prevention Research (supplement 2)T32MH020061 · NIMH · UNIVERSITY OF ROCHESTER · PI VAN ORDEN, KIMBERLY ALLISON · 2001 to 2025
$5.9M
A Therapy Approach for Subst. Abuse & Domestic ViolenceR01DA018284 · NIDA · YALE UNIVERSITY · PI EASTON, CAROLINE J. · 2006 to 2008
$850k
NIDA NIH HHS R01 DA018284NIMH NIH HHS T32 MH020061
6 · The paper itself

Abstract

backgroundAlcohol and substance abuse are associated with increased rates of intimate partner violence (IPV). Manualized treatments that target both problems are associated with improved outcomes; however, therapist drift is an understudied factor that may influence outcomes.

objectiveThis secondary, observational analysis, part of a National Institute of Health (NIH) funded randomized control study (RCT; NCT07140276), examined associations between therapist drift and treatment outcomes among court-mandated male IPV offenders with alcohol and substance use disorders. Therapist drift was not randomized; therefore, findings should be interpreted as associational rather than causal.

methodsSixty-two (

resultsOutcomes included substance use (alcohol and cocaine) and self-reported violence. Analyses included descriptives, logistic regressions, t-tests, and ordinary least squares; due to small sample size and limited therapists, multilevel modeling was not feasible. Therapist drift was high (40.3%) across both treatment conditions and linked to poorer substance use outcomes. Within the SADV condition, higher drift was associated with increased substance use, t(15) = -3.40,

conclusionFindings highlight the importance of maintaining fidelity in manualized treatments to reduce substance use among IPV offenders. Future research should examine these associations in larger, non-court mandated and more diverse samples.

Indexed as

arrestfidelityIntimate partner violenceperpetratorstreatment

Identifiers

PMID42135990
PMCPMC13262350

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.