Abarno Cristina N, De Leon Ardhys, Sharp Amanda G, Moore Kathleen, Boothroyd Roger
Department of Psychology, Louisiana State University, Baton Rouge, Louisiana, USA.
Department of Psychology, University of Central Florida, Orlando, Florida, USA.
J Trauma Stress. 2022 Feb;35(1):42-54. doi: 10.1002/jts.22672. Epub 2021 Mar 20.
Trauma exposure and comorbid substance use are highly prevalent among female drug court participants. Despite the pervasiveness of the issue, few studies have investigated the impact of posttraumatic stress symptoms (PTSS) and nonmedical prescription drug use among this specific population. The present study examined the impact of posttraumatic stress, social support, and nonmedical prescription drug use on graduation outcomes among female participants in a specialized drug court program (N = 210). Participants either received motivational enhancement therapy/cognitive behavioral therapy (MET-CBT; N = 210) or both MET-CBT and Seeking Safety through intensive outpatient treatment (n = 109). The findings indicated that graduation was negatively correlated with posttraumatic stress, r = -.19, p = .007, d = 0.40; past 90-day nonmedical prescription painkiller, opiate, and analgesic use, r = -.19, p = .001, d = 0.44; tangible social support, r = -.24, p = < .001, d = 0.51; and past-month substance use problems, r = -.25, p < .001, d = .50. In addition, past-month substance use problems, OR = 0.84, 95% CI [0.72, 0.97]; PTSS, OR = 0.90, 95 % CI [0.82, 0.99]; and tangible social support, OR = 0.94, 95% CI [0.89, 0.98], were significant negative predictors of graduation. These results speak to the importance of facilitating the development of specialized evidence-based drug court interventions that target and improve comorbid substance use and trauma outcomes among female drug court participants to reduce recidivism and set a precedent for future research to replicate and expand upon these findings.
创伤暴露和共病物质使用在女性药物法庭参与者中极为普遍。尽管该问题普遍存在，但很少有研究调查创伤后应激症状（PTSS）和非医疗处方药物使用对这一特定人群的影响。本研究考察了创伤后应激、社会支持和非医疗处方药物使用对一个专门药物法庭项目中女性参与者毕业结果的影响（N = 210）。参与者要么接受动机增强疗法/认知行为疗法（MET-CBT；N = 210），要么同时接受MET-CBT和通过强化门诊治疗寻求安全（n = 109）。研究结果表明，毕业与创伤后应激呈负相关，r = -0.19，p = 0.007，d = 0.40；过去90天非医疗处方止痛药、阿片类药物和镇痛药的使用，r = -0.19，p = 0.001，d = 0.44；实际社会支持，r = -0.24，p < 0.001，d = 0.51；以及过去一个月的物质使用问题，r = -0.25，p < 0.001，d = 0.50。此外，过去一个月的物质使用问题，OR = 0.84，95% CI [0.72, 0.97]；PTSS，OR = 0.90，95% CI [0.82, 0.99]；以及实际社会支持，OR = 0.94，95% CI [0.89, 0.98]，是毕业的显著负向预测因素。这些结果表明，开展专门的循证药物法庭干预措施很重要，这些措施旨在针对并改善女性药物法庭参与者的共病物质使用和创伤结果，以减少累犯，并为未来研究复制和扩展这些发现树立先例。
