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在遭受亲密伴侣暴力的社区女性中,创伤后应激障碍症状群与物质使用存在不同程度的关联。

PTSD symptom clusters are differentially related to substance use among community women exposed to intimate partner violence.

作者信息

Sullivan Tami P, Holt Laura J

机构信息

Division of Prevention and Community Research, Department of Psychiatry, Yale University School of Medicine, New Haven, CT 06511, USA.

出版信息

J Trauma Stress. 2008 Apr;21(2):173-80. doi: 10.1002/jts.20318.

Abstract

Women who experience intimate partner violence (IPV) have higher rates of posttraumatic stress disorder (PTSD) and substance abuse compared to women who do not experience IPV. However, the extent to which IPV-related PTSD symptoms are related to women's substance use involvement largely has been unexplored. The current study investigated PTSD symptomatology and substance use in a community sample of 212 IPV-exposed women. Drug-using women reported higher PTSD severity scores compared to women who reported no substance use or alcohol use only. Moreover, the reexperiencing, avoidance and numbing, and arousal clusters demonstrated unique associations with substance use involvement. Findings not only elucidate the associations among IPV-related PTSD symptoms and substance use, but they also can inform community-based preventive interventions.

摘要

与未经历亲密伴侣暴力(IPV)的女性相比,经历过IPV的女性创伤后应激障碍(PTSD)和药物滥用的发生率更高。然而,与IPV相关的PTSD症状在多大程度上与女性的药物使用情况相关,这在很大程度上尚未得到探索。当前的研究调查了212名遭受IPV的女性社区样本中的PTSD症状和药物使用情况。与报告未使用药物或仅饮酒的女性相比,使用药物的女性报告的PTSD严重程度得分更高。此外,再体验、回避与麻木以及觉醒集群与药物使用情况呈现出独特的关联。研究结果不仅阐明了与IPV相关的PTSD症状和药物使用之间的关联,还可为基于社区的预防性干预措施提供参考。

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