Krumrei-Mancuso Elizabeth J
Social Science Division, Department of Psychology, Pepperdine University, 24255 Pacific Coast Hwy, Malibu, CA, 90263, USA.
Arch Sex Behav. 2017 Aug;46(6):1843-1856. doi: 10.1007/s10508-016-0785-4. Epub 2016 Jul 20.
This study examined how characteristics of prostitution and quality-of-life factors related to symptoms of depression and post-traumatic stress among 88 women engaged in prostitution in the Netherlands. Numerous factors were associated with elevated mental health concerns, including the experience of violence in prostitution, engaging in street prostitution, being motivated to engage in prostitution for financial reasons, having less confidence in one's ability to find alternative work, desiring to leave prostitution, and sense of self-transcendence. In contrast, focusing on achievement, having a sense of fair treatment from others and society, and self-acceptance were associated with better mental health outcomes. Finally, mediation analyses indicated that post-traumatic stress associated with engaging in prostitution against one's deeper desire to exit prostitution was, in part, the result of a lack of self-acceptance. The analyses controlled for relevant demographic factors, including age and level of education. The effect sizes for each of the findings ranged from medium to large. Implications for mental health care and public policy are included.
本研究调查了荷兰88名从事性交易的女性的性交易特征和生活质量因素与抑郁症状及创伤后应激之间的关系。许多因素与心理健康问题增加有关，包括性交易中的暴力经历、街头性交易、因经济原因从事性交易、对自己找到其他工作的能力缺乏信心、渴望离开性交易行业以及自我超越感。相比之下，关注成就、有来自他人和社会的公平对待感以及自我接纳与更好的心理健康结果相关。最后，中介分析表明，违背自己更深层次的离开性交易行业的愿望而从事性交易所带来的创伤后应激，部分是缺乏自我接纳的结果。分析控制了相关人口统计学因素，包括年龄和教育水平。每个研究结果的效应大小从中等到较大。文中还包括了对心理健康护理和公共政策的启示。
