Ulibarri Monica D, Ulloa Emilio C, Salazar Marissa
a University of California, San Diego , La Jolla , California , USA.
J Child Sex Abus. 2015;24(1):35-54. doi: 10.1080/10538712.2015.976303.
This study examined self-reported sexually abusive experiences in childhood and adulthood as correlates of current drug use, alcohol abuse, and depression and posttraumatic stress disorder (PTSD) symptoms. Participants were 204 Latina women 18-34 years old. Results indicated significant relationships between history of sexual abuse (regardless of age of occurrence), depression symptoms, PTSD symptoms, alcohol abuse, and drug use. When examined separately, childhood sexual abuse was associated with symptoms of depression, PTSD, and substance use but not alcohol abuse behaviors. Experiencing sexual abuse in adulthood was associated with symptoms of depression, alcohol abuse behaviors, and substance use but not PTSD symptoms. Structural equation modeling showed that substance use partially mediated the relationship between sexual abuse and mental health outcomes. These findings suggest mental health and substance use services should incorporate treatment for trauma, which may be the root of comorbid mental health and substance use issues.
本研究调查了童年期和成年期自我报告的性虐待经历与当前药物使用、酒精滥用、抑郁以及创伤后应激障碍（PTSD）症状之间的相关性。参与者为204名年龄在18至34岁之间的拉丁裔女性。结果表明，性虐待史（无论发生年龄）、抑郁症状、PTSD症状、酒精滥用和药物使用之间存在显著关系。单独研究时，童年期性虐待与抑郁、PTSD和物质使用症状相关，但与酒精滥用行为无关。成年期遭受性虐待与抑郁症状、酒精滥用行为和物质使用相关，但与PTSD症状无关。结构方程模型表明，物质使用部分介导了性虐待与心理健康结果之间的关系。这些发现表明，心理健康和物质使用服务应纳入创伤治疗，创伤可能是心理健康和物质使用共病问题的根源。
