An acute post-rape intervention to prevent substance use and abuse
An acute post-rape intervention to prevent substance use and abuse
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DOI：
10.1016/j.addbeh.2003.08.043
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发表时间：
2003-12-01
影响因子：
4.4
通讯作者：
Holmes, M
中科院分区：
文献类型：
--
作者：
Acierno, R;Resnick, HS;Holmes, M
强奸的创伤通常伴随着极度的痛苦。这种事件周围焦虑增加了发生精神病理和强奸后药物使用或滥用的风险，最初的痛苦程度积极地预示着未来的问题。不幸的是，强奸后法医证据收集程序的性质可能会加剧最初的痛苦，从而加剧强奸后的负面情绪后遗症。因此，为了减轻这种痛苦，药物的使用可能会增加。为了解决这一问题，在强奸后的紧急时间框架内，开发了一个由两部分组成的视频干预，以(a)尽量减少法医强奸检查期间的焦虑，从而减少未来情绪问题的风险，以及(b)防止强奸后药物使用和滥用的增加。124名强奸受害者的初步研究数据表明，这种低成本、易于管理的干预措施在6周内有效降低了大麻滥用的风险。大麻使用的减少也有明显的非统计显著趋势。在强奸前积极使用药物的妇女亚组中，也注意到倾向于干预的趋势（在强奸前酗酒者中，28%的观看者对43%的不观看者符合强奸后酗酒标准；在强奸前吸食大麻者中，17%对43%吸食大麻）。(C) 2003 Elsevier Ltd.版权所有。
The trauma of rape is routinely associated with extreme acute distress. Such peri-event anxiety increases risk of developing psychopathology and substance use or abuse post-rape, with the degree of initial distress positively predicting future problems. Unfortunately, the nature of post-rape forensic evidence collection procedures may exacerbate initial distress, thereby potentiating post-rape negative emotional sequelae. Consequently, substance use may increase in an effort to ameliorate this distress. To address this, a two-part video intervention was developed for use in acute post-rape time frames to (a) minimize anxiety during forensic rape examinations, thereby reducing risk of future emotional problems, and (b) prevent increased post-rape substance use and abuse. Pilot study data with 124 rape victims indicated that the low-cost, easily administered intervention was effective in reducing risk of marijuana abuse at 6 weeks. Nonstatistically significant trends also were evident for reduced marijuana use. Trends were also noted in favor of the intervention in the subgroup of women who were actively using substances pre-rape (among pre-rape alcohol users, 28% viewers vs. 43% nonviewers met criteria for post-rape alcohol abuse; among pre-rape marijuana users, the rates of post-marijuana use were 17% vs. 43%). (C) 2003 Elsevier Ltd. All rights reserved.