Miller Keva M, Briggs Harold E, Elkins Jennifer, Kim Irang, Mowbray Orion
1School of Social Work, Portland State University, 1800 SW 6th Ave., Portland, OR 97201 USA.
2School of Social Work, University of Georgia, Athens, GA USA.
J Child Adolesc Trauma. 2018 Jul 6;13(1):55-62. doi: 10.1007/s40653-018-0221-0. eCollection 2020 Mar.
The purpose of the current study was to examine the direct effects of child physical abuse on sexual behaviors and whether mental health problems and substance use moderated the associations between exposure to child physical abuse and sexual behavioral practices among adolescents who participated in the National Comorbidity Survey-Adolescent Supplement (NCS-A). The data show statistically significant relationships between physical abuse and risky sexual behaviors for youth who met the clinical criteria for lifetime Posttraumatic Stress Disorder (PTSD) and reported marijuana use. Data from future studies can inform sexual health practice development with adolescents and emerging adults with a history of physical abuse, marijuana use/abuse and PTSD. These findings underscore the importance of exploring presence of symptoms associated with PTSD and marijuana use as part of a comprehensive biopsychosocial assessment for physically abused adolescents and emerging adults to determine if they are engaging in risky sexual behaviors.
本研究的目的是检验儿童身体虐待对性行为的直接影响，以及心理健康问题和物质使用是否会调节参与全国共病调查青少年补充版（NCS-A）的青少年中，遭受儿童身体虐待与性行为实践之间的关联。数据显示，对于符合终身创伤后应激障碍（PTSD）临床标准且报告使用大麻的青少年，身体虐待与危险性行为之间存在统计学上的显著关系。未来研究的数据可为针对有身体虐待史、大麻使用/滥用史和PTSD的青少年及新兴成年人的性健康实践发展提供信息。这些发现强调了探索与PTSD和大麻使用相关症状的存在的重要性，作为对身体受虐青少年及新兴成年人进行全面生物心理社会评估的一部分，以确定他们是否正在从事危险性行为。
