Psychology, University of Tennessee - Knoxville, Knoxville, TN, USA.
Psychology, Ohio University, Athens, OH, USA.
Clin Psychol Psychother. 2018 Sep;25(5):692-700. doi: 10.1002/cpp.2300. Epub 2018 Jun 5.
Untreated compulsive sexual behaviour (CSB) poses a risk to efficacious substance use disorder (SUD) treatment. Yet the ways in which CSB manifests in women with SUDs remains poorly understood. Shame and trauma exposure are well-documented correlates for women's CSB. Prior theory suggested women with shame and trauma-related symptoms may engage in CSB in an effort to escape aversive internal experiences. Thus, the present study examined experiential avoidance as a mediator of the relationship between defectiveness/shame beliefs, post-traumatic stress disorder symptoms, and CSB in a sample of women with SUDs.
Cross-sectional, self-report data were collected from 446 women (M age = 37.40) in residential treatment for SUDs.
Experiential avoidance partially mediated the relationship between both post-traumatic stress disorder symptoms and defectiveness/shame beliefs and CSB.
These results extend theoretical conceptualizations of women's CSB to a treatment population. CSB intervention efforts may benefit from targeting women's avoidance of painful experiences.
未经治疗的强迫性行为（CSB）会对有效的物质使用障碍（SUD）治疗构成风险。然而，患有 SUD 的女性的 CSB 表现方式仍知之甚少。羞耻感和创伤暴露是女性 CSB 的公认相关因素。先前的理论表明，有羞耻感和与创伤相关症状的女性可能会通过 CSB 来逃避不愉快的内在体验。因此，本研究在 SUD 女性样本中检验了经验回避作为缺陷/羞耻感信念、创伤后应激障碍症状和 CSB 之间关系的中介。
从接受 SUD 住院治疗的 446 名女性（M 年龄=37.40）中收集了横断面、自我报告数据。
经验回避部分中介了创伤后应激障碍症状和缺陷/羞耻感信念与 CSB 之间的关系。
这些结果将女性 CSB 的理论概念扩展到治疗人群。CSB 干预措施可能受益于针对女性对痛苦体验的回避。
