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Testing a Biopsychosocial Model of Violence Exposure, Minority Stressors, and Hazardous Drinking among Sexual Minority Women

测试性少数女性中暴力暴露、少数压力源和危险饮酒的生物心理社会模型

基本信息

批准号：
10631965
负责人：
Jillian R Scheer
金额：
$ 17.29万
依托单位：
SYRACUSE UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2021
资助国家：
美国
起止时间：
2021-06-01 至 2026-05-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10631965
关键词：
Adult Alcohol consumption Alcohols Biological Cardiovascular system Chicago Childhood Clinical Discrimination Doctor of Philosophy Ecological momentary assessment Ensure Epidemiology Ethnic Origin Exposure to Face Galvanic Skin Response Goals Growth Health Heart Rate Heterogeneity Heterosexuals Homophobia Hydrocortisone Knowledge Laboratories Life Experience Link Literature Longevity Measurement Mental Health Mentored Research Scientist Development Award Mentors Methods Modeling Morbidity - disease rate National Institute on Alcohol Abuse and Alcoholism Outcome Pattern Physiological Play Population Populations at Risk Post-Traumatic Stress Disorders Prevention Principal Investigator Psychophysiology Public Health Race Recording of previous events Reporting Research Research Methodology Research Personnel Research Priority Risk Role Salivary Sampling Scientist Self Medication Sex Orientation Sexual abuse Stigmatization Stimulus Stress Subgroup Surveys Symptoms System Testing Time Training Trier Social Stress Test Universities Variant Violence Woman Work alcohol abuse therapy alcohol craving alcohol intervention alcohol relapse alcohol research alcohol risk alcohol use disorder allostatic load biological adaptation to stress biopsychosocial comorbidity coping drinking effective therapy ethnic difference experience hazardous drinking heart rate variability innovation men minority stressor physical abuse polyvictimization psychosocial stressors racial difference racial diversity reduced alcohol use sexual assault sexual minority sexual minority women sexual victimization skills stress reactivity stressor success theories tool treatment adherence treatment response violence against women violence exposure virtual women of color

项目摘要

Project Summary/Abstract Women disproportionately experience violence compared to men;21-23 however, violence against women is not distributed randomly. Due, in part, to their stigmatized identity, sexual minority women (SMW) are 2-3 times more likely to face violence than heterosexual women.21, 24-26 Many women use alcohol to cope with the negative sequelae of violence (e.g., PTSD).28 This comorbidity may be exacerbated among SMW given their experiences of psychosocial stressors (i.e., violence and minority stressors such as discrimination).11 Despite the public health necessity of developing targeted alcohol treatment approaches for victimized SMW, current alcohol treatment models do not specify unique stressors and clinical needs of this population. Consistent with the NIAAA’s research priorities,11, 14 the K01 will provide major advances in understanding biopsychosocial mechanisms (e.g., minority stressors, physiological reactivity, PTSD) and moderators (e.g., race/ethnicity) influencing the heterogeneity in hazardous drinking among SMW as well as the role that these core factors play in SMW’s differential need for and response to treatment. The project will include: 1) an epidemiologic assessment that uncovers distinct combinations of psychosocial stressors among SMW, identifies racial/ethnic differences in classes of psychosocial stressors, and determines how these patterns of psychosocial stressors predict comorbid PTSD and hazardous drinking over 11 years (n = 450-600); 2) a lab-based study that advances knowledge of the influence of minority stressors on allostatic load (e.g., salivary cortisol, heart rate, heart rate variability, and skin conductance) among victimized SMW (n = 125); and, 3) a once-daily ecological momentary assessment (EMA) approach over 21 days that determines the role of minority stressors as antecedents to daily fluctuations in PTSD and hazardous drinking using the same sample of SMW from the lab-based study. The proposed training plan in this K01 application will provide essential knowledge and skills that the principal investigator, Jillian R. Scheer, PhD, needs to become an independent, interdisciplinary alcohol scientist. The advanced training acquired by Dr. Scheer via this timely and innovative project will target 3 objectives: (1) rigorous alcohol research methodology and its application to studying determinants of hazardous drinking patterns; (2) physiological measurement of stress reactivity as a tool to assess biological mechanisms underlying the influence of minority stressors on comorbid PTSD and hazardous drinking; and, (3) EMA approaches to assess the proximal effects of minority stressors on daily comorbid PTSD and hazardous drinking among racially diverse SMW. Dr. Scheer will be primarily mentored by John Pachankis, PhD, at Yale University, with additional mentoring from Tonda Hughes, PhD (Columbia University), Rajita Sinha, PhD (Yale University), Tami Sullivan, PhD (Yale University), Joshua Warren, PhD (Yale University), and Robert Pietrzak, PhD, MPH (Yale University). Dr. Scheer’s training through the K01 award will ensure her success as an independent scientist whose work informs public health and clinical efforts to reduce alcohol use among SMW.

项目总结/文摘

项目成果

期刊论文数量（23）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Longitudinal associations between childhood sexual abuse-related PTSD symptoms and passive and active suicidal ideation among sexual minority men.

DOI：
10.1016/j.chiabu.2021.105353
发表时间：
2021-12
期刊：
Child abuse & neglect
影响因子：
4.8
作者：
Scheer JR;Clark KA;Talan A;Cabral C;Pachankis JE;Rendina HJ
通讯作者：
Rendina HJ

Alcohol use, behavioral and mental health help-seeking, and treatment satisfaction among sexual minority women.

DOI：
10.1111/acer.14789
发表时间：
2022-04
期刊：
ALCOHOL-CLINICAL AND EXPERIMENTAL RESEARCH
影响因子：
0
作者：
Scheer, Jillian R.;Batchelder, Abigail W.;Bochicchio, Lauren A.;Kidd, Jeremy D.;Hughes, Tonda L.
通讯作者：
Hughes, Tonda L.

Interpersonal Victimization, Substance Use, and Mental Health Among Sexual and Gender Minority Youth: The Role of Self-concept Factors.

DOI：
10.1177/08862605211035868
发表时间：
2022-10
期刊：
Journal of interpersonal violence
影响因子：
2.5
作者：
Scheer JR;Edwards KM;Sheinfil AZ;Dalton MR;Firkey MK;Watson RJ
通讯作者：
Watson RJ

Associations Between Latent Classes of Trauma Exposure and Minority Stressors and Substance Use Among Cisgender Sexual Minority Women.

DOI：
10.1177/08862605231153886
发表时间：
2023-07
期刊：
JOURNAL OF INTERPERSONAL VIOLENCE
影响因子：
2.5
作者：
Scheer, Jillian R.;Wall, Melanie M.;Veldhuis, Cindy B.;Ford, Jessie V.;Cascalheira, Cory J.;Helminen, Emily C.;Shaw, Thomas J.;Jaipuriyar, Virinca;Zaso, Michelle J.;Hughes, Tonda L.
通讯作者：
Hughes, Tonda L.

Expressive writing treatments to reduce PTSD symptom severity and negative alcohol-related outcomes among trauma-exposed sexual minority women and transgender/nonbinary people: Study protocol for a mixed-method pilot trial.