Relationships Among Trauma Exposure, Familial Characteristics, and PTSD: A Case-Control Study of Women in Prison and in the General Population
Relationships Among Trauma Exposure, Familial Characteristics, and PTSD: A Case-Control Study of Women in Prison and in the General Population
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DOI：
10.1080/08974454.2013.743376
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发表时间：
2013-01-01
影响因子：
1
通讯作者：
Warda, Umme
中科院分区：
文献类型：
--
作者：
Grella, Christine;Lovinger, Katherine;Warda, Umme
本研究探讨了被监禁和非监禁女性的创伤暴露、家庭风险和保护因素、药物滥用和创伤后应激障碍 (PTSD) 之间是否存在差异关系。采用病例对照方法将 100 名被监禁女性与普通人群中的 100 名女性进行匹配。与对照组相比，被监禁女性遭受创伤的风险明显更高，几率范围为 1.7 至 3.7。当对照组受到控制时，暴露于性或身体创伤会显着增加 PTSD 的几率（优势比 = 5.0；p < .05），为应对创伤性痛苦而使用药物也会显着增加（优势比 = 8.9；p < .001）。家庭相关特征似乎并没有调节这种关系。研究结果表明，由于遭受创伤的比例很高且明显缺乏适当的应对机制，被监禁的女性患创伤后应激障碍的风险很高；结果支持针对这一人群使用针对创伤的干预措施。
This study examines whether there are differential relationships among trauma exposure, familial risk and protective factors, substance abuse, and posttraumatic stress disorder (PTSD) among incarcerated and non-incarcerated women. A case-control method was used to match 100 incarcerated women with 100 women in the general population. Incarcerated women had a significantly higher risk of trauma exposure as compared with controls, with odds ranging from 1.7 to 3.7. When group was controlled, exposure to sexual or physical trauma significantly increased the odds of PTSD (odds ratio = 5.0; p < .05), as did substance use in response to traumatic distress (odds ratio = 8.9; p < .001). Family-related characteristics did not appear to moderate this relationship. The findings suggest that incarcerated women are at high risk for PTSD given their high rates of trauma exposure and apparent lack of appropriate coping mechanisms; the results support the use of trauma-specific interventions for this population.