Ferkauf Graduate School of Psychology, Yeshiva University, Bronx, New York.
Department of Psychiatry and Behavioral Sciences, National Crime Victims Research and Treatment Center, Medical University of South Carolina, Charleston, South Carolina.
Alcohol Clin Exp Res. 2017 Dec;41(12):2163-2172. doi: 10.1111/acer.13505. Epub 2017 Oct 25.
This study examined whether a brief video intervention (Prevention of Post-Rape Stress [PPRS]) delivered in the emergency department to recent sexual assault (SA) victims reduced alcohol and marijuana use at 3 points over the course of a 6-month follow-up compared to treatment as usual (TAU) and an active control condition (Pleasant Imagery and Relaxation Instruction [PIRI]). Prior assault history, minority status, and pre-SA substance use also were examined as moderators of intervention efficacy.
Women aged 15 and older (N = 154) who participated in a post-SA medical forensic examination were randomly assigned to watch the PPRS video (n = 54) or the PIRI video (n = 48) or receive TAU (n = 52) and completed at least 1 follow-up assessment targeted at 1.5 (T1), 3 (T2), or 6 (T3) months following the examination.
Regression analyses revealed that, relative to TAU, PPRS was associated with less frequent alcohol use at 6 months post-SA among women reporting pre-SA binge drinking and minority women. Relative to TAU, PPRS also was associated with fewer days of marijuana use at T1 among those who did not report pre-SA marijuana use and prior SA. Findings for pre-SA marijuana use were maintained at T3; however, findings for prior SA shifted such that PPRS was associated with fewer days of marijuana use at T3 for women with a prior SA.
PPRS may be effective at reducing substance use for some recent SA victims, including those with a prior SA history, a prior substance use history, and minority women.
本研究旨在探讨在急诊室向近期遭受性侵犯（SA）的受害者提供简短的视频干预（预防强奸后应激[PPRS]）是否能减少酒精和大麻的使用，与常规治疗（TAU）和积极对照条件（愉快想象和放松指导[PIRI]）相比，在 6 个月的随访过程中有 3 个时间点。还检查了既往攻击史、少数族裔地位和性侵犯前物质使用情况，作为干预效果的调节剂。
年龄在 15 岁及以上（N=154）的参加性侵犯后医学法医检查的女性被随机分配观看 PPRS 视频（n=54）或 PIRI 视频（n=48）或接受 TAU（n=52），并在性侵犯后至少完成了 1 次随访评估，目标是在检查后 1.5（T1）、3（T2）或 6（T3）个月。
回归分析显示，与 TAU 相比，PPRS 与报告性侵犯前 binge 饮酒和少数族裔女性的女性在性侵犯后 6 个月的酒精使用频率较低有关。与 TAU 相比，PPRS 还与那些没有报告性侵犯前大麻使用和既往性侵犯的人在 T1 时大麻使用天数较少有关。没有报告性侵犯前大麻使用的人在 T3 时仍保持了大麻使用天数的发现；然而，既往性侵犯的发现发生了变化，PPRS 与既往性侵犯的女性在 T3 时大麻使用天数减少有关。
PPRS 可能对一些近期性侵犯受害者有效，包括有既往性侵犯史、既往物质使用史和少数族裔女性。
