Correlates of Posttraumatic Stress Symptoms among Formerly Incarcerated, Homeless Women.
Correlates of Posttraumatic Stress Symptoms among Formerly Incarcerated, Homeless Women.
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DOI：
10.1080/01612840.2020.1720050
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发表时间：
2020-08
影响因子：
2.1
通讯作者：
Nyamathi AM
中科院分区：
文献类型：
--
作者：
Salem BE;Hudson AL;Yadav K;Lucas J;Toyama J;Chen S;Faucette M;Ekstrand ML;Nyamathi AM
创伤后应激障碍是遭受监禁和无家可归的妇女面临的一个紧迫问题。基线数据收集于平均年龄为38.9岁（SD = 11.36，范围19-64）的曾被监禁的无家可归妇女（N=130）中，并招募到一个试点随机对照试验（RCT）干预计划中。Logistic回归分析用于评估PTSD症状的相关性。大多数的样本自我报告目击暴力（85%），并有中度创伤后应激障碍症状（M=1.61，SD=1.62，范围：0-4）。过去一个月没有使用药物（p=0.006），更高的愤怒评分（p=0.002），更大的情感支持（p=0.009）和心理脆弱（p=0.02）与PTSD症状的几率较高显著相关。此外，经历过轻微家庭冲突的女性相对于大部分时间有家庭冲突的女性，PTSD症状的几率较低（p=0.02）。同样，控制所有其他变量，具有较高积极社会互动得分的女性也具有较低的PTSD症状几率（p=0.006）。这些研究结果呼吁学者、服务提供者和卫生从业人员采取行动，制定一种干预措施，将全面的创伤后应激障碍筛查与建立应对技能、与家人和社交网络关系的方法的讨论相结合，并在重返社会期间采用创伤知情方法。
Posttraumatic stress symptoms are a pressing issue among women experiencing incarceration and homelessness. Baseline data were collected among formerly incarcerated homeless women (N=130) who were on average 38.9 (SD = 11.36, range 19–64) years of age and recruited into a pilot randomized control trial (RCT) intervention program. A logistic regression was used to assess correlates of PTSD symptoms. The majority of the sample self-reported witnessing violence (85%) and had moderate PTSD symptoms (M=1.61, SD=1.62, range: 0–4). No past month drug use (p=0.006), higher anger scores (p=0.002), greater emotional support (p=0.009), and psychological frailty (p=0.02) were significantly associated with higher odds of PTSD symptoms. Moreover, women who experienced minor family conflicts had lower odds of PTSD symptoms relative to those that had family conflicts most of the time (p=0.02). Similarly, controlling for all other variables, women who had a higher positive social interaction score also had lower odds of PTSD symptoms (p=0.006). These findings are a call to action for academicians, service providers, and health practitioners to develop an intervention which integrates comprehensive PTSD screening, and discussion of ways to build coping skills, relationships with family and social networks, and utilizes a trauma-informed approach during reentry.
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