Ullman Sarah E
University of Illinois at Chicago, 1007 West Harrison Street, Chicago, IL 60607-7140, United States.
Addict Behav. 2016 Feb;53:7-10. doi: 10.1016/j.addbeh.2015.09.010. Epub 2015 Sep 21.
Posttraumatic stress disorder (PTSD) and problem drinking are common and often co-occurring sequelae experienced by women survivors of adult sexual assault, yet revictimization may mediate risk of symptoms over time. Structural equation modeling was used to examine data from a 3-wave panel design with a large (N=1012), ethnically diverse sample of women assault survivors to examine whether repeated sexual victimization related to greater PTSD and problem drinking. Structural equation modeling revealed that child sexual abuse was associated with greater symptoms of PTSD and problem drinking and intervening sexual victimization was associated with greater symptoms of PTSD and problem drinking at both 1 and 2year follow-ups. We found no evidence, however, that PTSD directly influenced problem drinking over the long term or vice versa, although they were correlated at each timepoint. Revictimization during the study predicted survivors' prospective PTSD and problem drinking symptoms inconsistently. Implications and recommendations for future research are discussed.
创伤后应激障碍（PTSD）和问题饮酒是成年性侵犯女性幸存者常见且经常同时出现的后遗症，然而随着时间推移，再次受害可能会介导症状风险。采用结构方程模型来检验来自一项三波面板设计的数据，该设计样本量大（N = 1012）且种族多样，是女性性侵犯幸存者样本，以检验反复性受害是否与更严重的创伤后应激障碍和问题饮酒相关。结构方程模型显示，儿童期性虐待与更严重的创伤后应激障碍症状和问题饮酒相关，而在此期间发生的性受害在1年和2年随访时均与更严重的创伤后应激障碍症状和问题饮酒相关。不过，我们没有发现证据表明创伤后应激障碍会长期直接影响问题饮酒，反之亦然，尽管它们在每个时间点都存在相关性。研究期间的再次受害对幸存者未来的创伤后应激障碍和问题饮酒症状的预测并不一致。本文讨论了对未来研究的启示和建议。
