Scott Christy K, Lurigio Arthur J, Dennis Michael L, Funk Rod R
Chestnut Health Systems, Chicago, IL, USA.
Loyola University Chicago, Chicago, IL, USA.
Prison J. 2016 Jan;96(1):102-125. doi: 10.1177/0032885515605490. Epub 2015 Oct 5.
Using data from 810 women entering the Department of Women's Justice Services in the Cook County Jail (Chicago) from 2010 to 2013, this study examines patterns of trauma exposure and the relationship between trauma exposure and mental disorders. Female detainees averaged 6.1 ( = 4.90) types of trauma in their lifetimes, with greater trauma exposure associated with earlier age of trauma onset, more recent trauma exposure, and higher rates of fear for life or injury. Higher rates of trauma exposure were also correlated with higher rates of past-year symptoms of posttraumatic stress disorder as well as other internalizing, externalizing, and substance use disorders. Behavioral health programming for female detainees in jail settings should include more trauma-sensitive mental health and substance use disorder treatments.
本研究利用2010年至2013年期间进入芝加哥库克县监狱妇女司法服务部的810名女性的数据，考察了创伤暴露模式以及创伤暴露与精神障碍之间的关系。女性被拘留者一生中平均经历6.1种（=4.90）创伤类型，创伤暴露程度越高，与创伤开始年龄越早、最近的创伤暴露以及对生命或受伤的恐惧发生率越高相关。创伤暴露率较高还与过去一年创伤后应激障碍以及其他内化、外化和物质使用障碍的症状发生率较高相关。监狱环境中针对女性被拘留者的行为健康规划应包括更多对创伤敏感的心理健康和物质使用障碍治疗。
