Social Reactions to Sexual Assault Disclosure and Problem Drinking Mediating Effects of Perceived Control and PTSD
Social Reactions to Sexual Assault Disclosure and Problem Drinking Mediating Effects of Perceived Control and PTSD
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DOI：
10.1177/0886260513507137
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发表时间：
2014-05-01
影响因子：
2.5
通讯作者：
Ullman, Sarah E.
中科院分区：
文献类型：
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作者：
Peter-Hagene, Liana C.;Ullman, Sarah E.
性侵犯幸存者收到各种积极和消极的社会反应，攻击披露，但鲜为人知的机制，这些社会反应联系到创伤后应激障碍（PTSD）症状和问题饮酒。用结构方程模型分析了来自经历过成人性侵犯的女性的大样本、不同样本的数据，以检验特定负面社会反应（例如，控制，消毒）和阳性反应（例如，有形的支持），知觉控制恢复，创伤后应激障碍和饮酒的结果（N = 1,863）。一个将控制反应与抑制反应分离的模型表明，抑制反应与较少的感知控制有关，而较少的感知控制又与更多的创伤后应激障碍和问题饮酒有关，而控制反应与感知控制、创伤后应激障碍或问题饮酒无关。情感支持与对恢复的感知控制增加有关，但它对PTSD或问题饮酒没有保护作用。最后，PTSD和饮酒以科普完全介导的影响，知觉控制问题饮酒。实践的启示和建议，为未来的研究进行了讨论。
Sexual assault survivors receive various positive and negative social reactions to assault disclosures, yet little is known about mechanisms linking these social reactions to posttraumatic stress disorder (PTSD) symptoms and problem drinking. Data from a large, diverse sample of women who had experienced adult sexual assault were analyzed with structural equation modeling to test a theoretical model of the relationships between specific negative social reactions (e.g., controlling, infantilizing) and positive reactions (e.g., tangible support), perceived control over recovery, PTSD, and drinking outcomes (N = 1,863). A model disaggregating controlling reactions from infantilizing reactions showed that infantilizing reactions in particular related to less perceived control, which in turn was related to more PTSD and problem drinking, whereas controlling reactions were not related to perceived control, PTSD, or problem drinking. Tangible support was related to increased perceived control over recovery, yet it was not protective against PTSD or problem drinking. Finally, PTSD and drinking to cope fully mediated the effect of perceived control on problem drinking. Implications for practice and suggestions for future research are discussed.