PTSD Symptoms and Hazardous Drinking Indicators among Trauma-Exposed Sexual Minority Women during Heightened Societal Stress.

PTSD Symptoms and Hazardous Drinking Indicators among Trauma-Exposed Sexual Minority Women during Heightened Societal Stress.
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DOI:
10.1080/08964289.2021.2006132
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发表时间:
2023-04
影响因子:
2.3
通讯作者:
Sullivan, Tami P.
Sullivan, Tami P.
中科院分区:
医学3区
文献类型:
--
作者:
Helminen, Emily C.;Scheer, Jillian R.;Jackson, Skyler D.;Brisbin, Cal D.;Batchelder, Abigail W.;Cascalheira, Cory J.;Sullivan, Tami P.

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与创伤暴露的异性恋女性相比,创伤暴露的性少数女性(SMW)患创伤后应激障碍(PTSD)和危险饮酒的风险较高。为了了解这些问题是否会在社会压力升高的时期加剧,我们收集了2020年4月至2020年8月期间纽约创伤暴露的法定最低工资样本的数据,这是一段显著的复合社会压力时期,包括:(a)居住在2019年冠状病毒病首批震中之一或附近(B)经历多次备受瞩目的种族主义相关警察暴力事件及随后的种族骚乱。SMW(n=68)完成了在线自我报告问卷的创伤,创伤后应激障碍症状,酒精使用,和一个子集(n=29)完成半结构化定性访谈。PsycINFO检索了与SMW,PTSD和酒精使用相关的术语,以确定过去10年内发表的文章中SMW样本的研究,我们可以将我们的样本与之进行比较;这产生了9项研究。Welch的t检验和卡方分析显示,在我们的样本中,SMW报告的PTSD症状严重程度、可能的PTSD和危险饮酒指标(即,2020年4月至2020年8月之间的酒精使用障碍和重度间歇性饮酒)与类似样本(即,创伤暴露的法定最低工资和法定最低工资的一般样本)。定性报告亦指出,二零二零年的社会压力因素导致心理及行为健康问题。这些结果强调,在社会压力加剧的时期,有必要对创伤暴露的法定最低工资进行综合的创伤后应激障碍和酒精使用预防和干预工作。
Trauma-exposed sexual minority women (SMW) are at elevated risk of posttraumatic stress disorder (PTSD) and hazardous drinking compared to trauma-exposed heterosexual women. To understand whether these problems might be exacerbated during times of elevated societal stress, we collected data from a New York-based sample of trauma-exposed SMW between April 2020 and August 2020, a period of notable, compounding societal stressors, including: (a) living in or near one of the first epicenters of the coronavirus disease 2019 (COVID-19) epidemic in the United States and (b) living through multiple high-profile occurrences of racism-related police violence and subsequent racial unrest. SMW (n=68) completed online self-report questionnaires related to trauma, PTSD symptoms, and alcohol use, and a subset (n=29) completed semi-structured qualitative interviews. PsycINFO was searched with terms related to SMW, PTSD, and alcohol use to identify studies with samples of SMW from articles published within the last 10 years to which we could compare our sample; this produced nine studies. Welch’s t-tests and Chi-square analyses revealed that SMW within our sample reported significantly higher PTSD symptom severity, probable PTSD, and hazardous drinking indicators (i.e., alcohol use disorder and heavy episodic drinking) between April 2020 and August 2020 compared to similar samples (i.e., trauma-exposed SMW and general samples of SMW) assessed previously. Qualitative reports also indicated that the societal stressors of 2020 contributed to mental and behavioral health concerns. These results underscore the need for integrated PTSD and alcohol use prevention and intervention efforts for trauma-exposed SMW during times of heightened societal stress.
DOI: 10.1037/tra0000889
发表时间: 2020-07
期刊: Psychological trauma : theory, research, practice and policy
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