Substance Use Coping as a Mediator of the Relationship Between Trauma Symptoms and Substance Use Consequences Among Incarcerated Females With Childhood Sexual Abuse Histories

Substance Use Coping as a Mediator of the Relationship Between Trauma Symptoms and Substance Use Consequences Among Incarcerated Females With Childhood Sexual Abuse Histories
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DOI:
10.3109/10826084.2012.669446
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发表时间:
2012-01-01
影响因子:
2
通讯作者:
Renk, Kimberly
Renk, Kimberly
中科院分区:
医学4区
文献类型:
--
作者:
Asberg, Kia;Renk, Kimberly

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在被监禁的妇女中,药物使用率和虐待率高得惊人。虽然创伤和物质使用之间的直接联系已经建立,但对潜在的介质知之甚少。因此,我们研究了物质使用应对创伤症状和物质使用的后果之间的一个样本被监禁的女性(N = 111)谁是儿童期性虐待的幸存者之间的中介。创伤症状预测了物质使用后果的严重程度,这种关系完全由回避应对(例如,使用物质来科普)。总的来说,创伤史在预测结果方面很重要,但必须在当前应对行为和物质使用的背景下进行检查。调查结果(2007/2008年收集的数据)可能有助于促进干预措施,目标模式的应对和/或情感回避的创伤幸存者与物质使用问题的监禁人口。该研究的局限性被注意到。
Rates of substance use and maltreatment are alarmingly high among incarcerated women. Although the direct link between trauma and substance use has been established, less is known about potential mediators. Thus, we examined substance use coping as a mediator between trauma symptoms and substance use consequences among a sample of incarcerated females (N = 111) who were survivors of childhood sexual abuse. Trauma symptoms predicted the severity of substance use consequences, with this relationship being mediated fully by avoidance coping (e.g., using substances to cope). Overall, trauma histories are important in predicting outcomes but must be examined in the context of current coping behaviors and substance use. Findings (data collected in 2007/2008) may help promote interventions that target patterns of coping and/or emotional avoidance among trauma survivors with substance use problems in incarcerated populations. The study's limitations are noted.