Trauma histories, substance use coping, PTSD, and problem substance use among sexual assault victims.
Trauma histories, substance use coping, PTSD, and problem substance use among sexual assault victims.
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性侵犯受害者的创伤史、药物使用应对、创伤后应激障碍和问题药物使用。
DOI：
10.1016/j.addbeh.2013.01.027
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发表时间：
2013
影响因子：
4.4
通讯作者：
Vasquez,AmandaL
中科院分区：
文献类型：
--
作者：
Ullman,SarahE;Relyea,Mark;Peter-Hagene,Liana;Vasquez,AmandaL
性侵犯的历史与女性酗酒和吸毒问题的风险较高，但很少有人知道一般的创伤史与女性酗酒或吸毒问题的联系机制。本研究探讨了各种类型的创伤，物质使用应对和创伤后应激障碍与经历性侵犯的女性过去一年的饮酒和吸毒问题的关系。从一个大的，不同的样本的妇女经历了成人性侵犯的数据进行了分析与结构方程模型，以测试创伤类型，物质使用应对，创伤后应激障碍症状，和过去一年的饮酒和吸毒（N = 1863）之间的关系的理论模型。结果表明，创伤后应激障碍症状完全介导的非人际创伤和使用物质来应对之间的关联。然而，人际创伤和儿童性虐待严重程度之间的关联，对物质使用，以应付只有部分介导的创伤后应激障碍症状。反过来，使用物质来应对完全介导了PTSD和问题药物使用之间的关系，以及部分介导了PTSD对问题饮酒的影响。这些结果表明，不同的创伤类型和物质使用应对可能是重要的危险因素，区分性侵犯的妇女谁发展PTSD和有问题的物质使用从那些谁不。确定妇女的不同创伤的历史可能有助于确定那些在物质使用问题的风险更大。
Sexual assault history is associated with higher risk of problem drinking and drug use in women, yet little is known about mechanisms linking trauma histories in general to women's drinking or drug use problems. This study examined how various types of trauma, substance use coping, and PTSD relate to past-year problem drinking and drug use in women who experienced sexual assault. 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 relationship between trauma types, substance use coping, PTSD symptoms, and past-year drinking and drug use (N=1863). Results show that PTSD symptoms fully mediated the association between non-interpersonal trauma and the use of substances to cope. However, the association between both interpersonal trauma and child sexual abuse severity on substance use to cope was only partially mediated by PTSD symptoms. In turn, use of substances to cope fully mediated the relationship between PTSD and problem drug use as well as partially mediated the effect of PTSD on problem drinking. These results suggest that different trauma types and substance use coping may be important risk factors distinguishing sexually assaulted women who develop PTSD and problematic substance use from those who do not. Identifying women's histories of different traumas may help to identify those at greater risk for substance use problems.