测试创伤后应激作为女性身体、性和心理亲密伴侣暴力和物质问题的中介。
Testing posttraumatic stress as a mediator of physical, sexual, and psychological intimate partner violence and substance problems among women.
机构信息
Department of Psychiatry, Yale University School of Medicine, New Haven, CT 06511, USA.
出版信息
J Trauma Stress. 2009 Dec;22(6):575-84. doi: 10.1002/jts.20474.
Abstract
This study examined whether posttraumatic stress specifically resulting from intimate partner violence (IPV-related posttraumatic stress) mediated relationships between types of IPV and drug and alcohol problems among 212 women currently experiencing IPV. Six-month prevalence was high for drug use (48%) and alcohol use (59%). Structural equation modeling revealed that the frequency of physical, sexual, and psychological IPV were significantly and positively related to greater IPV-related posttraumatic stress, and IPV-related posttraumatic stress was significantly and positively related to drug problems. Further, IPV-related posttraumatic stress mediated the relationships between physical IPV and drug problems and psychological IPV and drug problems. Findings suggest that prevention and intervention efforts targeting posttraumatic stress among IPV-exposed women may reduce drug problems in this population.
摘要
本研究旨在探讨创伤后应激障碍（特别是由亲密伴侣暴力引起的创伤后应激障碍）是否在当前经历亲密伴侣暴力的 212 名女性中，在亲密伴侣暴力的类型与药物和酒精问题之间起中介作用。药物使用（48%）和酒精使用（59%）的 6 个月患病率较高。结构方程模型显示，身体、性和心理亲密伴侣暴力的频率与更大的亲密伴侣暴力相关创伤后应激障碍显著正相关，而亲密伴侣暴力相关创伤后应激障碍与药物问题显著正相关。此外，亲密伴侣暴力相关创伤后应激障碍在身体亲密伴侣暴力与药物问题以及心理亲密伴侣暴力与药物问题之间起中介作用。研究结果表明，针对亲密伴侣暴力暴露女性的创伤后应激障碍的预防和干预措施可能会减少该人群的药物问题。
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