Urban Institute, 2100 M St. NW, Washington, DC 20037, USA.
J Interpers Violence. 2012 Aug;27(12):2348-72. doi: 10.1177/0886260511433517. Epub 2012 Feb 10.
This study examined whether physical and sexual victimization experiences were related to further substance use for a sample of drug-involved adult offenders and whether this increase could be attributed to depression experienced after the victimization occurred. A total of 674 men and 284 women from the longitudinal Multisite Adult Drug Court Evaluation (MADCE) were included in analyses. The study included 23 drug court and 6 comparison sites. Study participants completed three interviews: at baseline enrollment and then at 6 and 18 months after baseline. Multilevel path modeling showed that physical and sexual victimization experiences during the year before the baseline interview were associated with further substance use at 18 months and that this relationship was mediated by depression. All relationships held for both men and women, and beyond the contribution of several control variables, including drug court program participation. Public health and criminal justice personnel working with substance-using offenders should screen individuals for victimization-related trauma and, if identified, provide assistance to evaluate and improve such individuals' mental health and, subsequently, decrease their likelihood of using substances.
本研究调查了物质滥用成年罪犯样本中，身体和性侵害经历是否与进一步的物质使用有关，以及这种增加是否可以归因于侵害发生后经历的抑郁。共有来自纵向多地点成人药物法庭评估（MADCE）的 674 名男性和 284 名女性被纳入分析。该研究包括 23 个药物法庭和 6 个对照地点。研究参与者完成了三次访谈：基线入组时、基线后 6 个月和 18 个月。多层次路径模型显示，基线访谈前一年的身体和性侵害经历与 18 个月时的进一步物质使用有关，这种关系是通过抑郁来介导的。所有关系对男性和女性都成立，并且超出了包括药物法庭项目参与在内的几个控制变量的贡献。与使用物质的罪犯一起工作的公共卫生和刑事司法人员应筛查与创伤相关的受害情况，如果发现，应提供帮助以评估和改善此类个体的心理健康，从而降低他们使用物质的可能性。
