Childhood Sexual Abuse and Later Alcohol-Related Problems: Investigating the Roles of Revictimization, PTSD, and Drinking Motivations Among College Women
Childhood Sexual Abuse and Later Alcohol-Related Problems: Investigating the Roles of Revictimization, PTSD, and Drinking Motivations Among College Women
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DOI：
10.1177/0886260515591276
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发表时间：
2017-07-01
影响因子：
2.5
通讯作者：
Thompson, Kristen L.
中科院分区：
文献类型：
--
作者：
Hannan, Susan M.;Orcutt, Holly K.;Thompson, Kristen L.
目前的研究试图检查创伤后应激障碍（PTSD）、青少年性侵犯（ASA）和饮酒动机（例如，饮酒调节情绪体验）的症状是否在大学女生的童年性虐待史（CSA）和随后的酒精相关问题之间起到中介作用。参与者是中西部一所大学的579名女学生。参与者被招募作为一项更大的纵向研究的一部分，该研究调查了与性再受害相关的风险和弹性因素。通过一系列中介模型，本研究发现所提出的结构通过两条不同的途径介导CSA与随后的酒精相关问题之间的关系。一方面，CSA与创伤后应激障碍有关，这反过来又预示着饮酒会调节情绪体验，而情绪体验又与成年后的酒精相关问题有关。在第二条路径中，CSA与ASA相关，ASA反过来预测饮酒调节情绪体验，而情绪体验又与成年后的酒精相关问题有关。这些结果表明，有CSA病史的个体在青春期更容易再次受害，成年后更容易出现PTSD症状，这可能通过饮酒来调节情绪体验，从而导致酒精相关问题。这些研究结果表明，将适应性情绪调节策略的技能训练纳入有CSA和ASA病史的个体的治疗是非常重要的。
The current study sought to examine whether symptoms of posttraumatic stress disorder (PTSD), adolescent sexual assault (ASA), and drinking motivations (e.g., drinking to regulate emotional experiences) mediate the relationship between a history of childhood sexual abuse (CSA) and subsequent alcohol-related problems among college women. Participants were 579 female students at a Midwestern university. Participants were recruited as part of a larger longitudinal study that investigated risk and resiliency factors related to sexual revictimization. Using a serial mediation model, the current study found that the proposed constructs mediated the relationship between CSA and subsequent alcohol-related problems via two separate paths. In one path, CSA was associated with PTSD, which in turn predicted drinking to regulate emotional experiences, which then was related to alcohol-related problems in adulthood. In the second path, CSA was related to ASA, which in turn predicted drinking to regulate emotional experiences, which then was related to alcohol-related problems in adulthood. These results suggest that individuals with a history of CSA are more likely to experience both revictimization in adolescence and PTSD symptoms in adulthood, which may lead to alcohol-related problems via drinking to regulate emotional experiences. These findings suggest the importance of incorporating skills training in adaptive emotion regulation strategies into treatment for individuals with a history of CSA and ASA.