Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Palo Alto, CA, USA.
Psychology Department, State University of New York (SUNY Geneseo), Geneseo, NY, USA.
Eur J Psychotraumatol. 2023;15(1):2287911. doi: 10.1080/20008066.2023.2287911. Epub 2024 Jan 31.
Young adult sexual minority women (SMW) are at elevated risk for sexual assault (SA), posttraumatic stress disorder (PTSD), and inadequate social support. While SA and PTSD can lead to reductions in social support from close significant others, the impact of SA and PTSD on SMWs' social support has not previously been assessed. This study examined the associations of past year SA and PTSD with SMW's social support from intimate partners, family, and friends. It was hypothesized that SA and PTSD would be negatively associated with support from partners, family and friends, and that PTSD would moderate the effect of SA on support in early adulthood. Young adult SMW in the United States (= 235) who were = 23.93 ( = 2.15) years old, primarily lesbian or bisexual ( = 186, 79.1%) and White ( = 176, 74.9%) completed measures on past year exposure to SA and non-SA trauma, PTSD, and social support from intimate partners, family and friends. PTSD was associated with less social support from partners, ( = -0.06, 0.02, = .010, R= .02), family, ( = -0.06, 0.03, = .025, R= .02), and friends, ( = -0.07, 0.02, = .008, R= .02). There was a significant interaction between PTSD and SA on social support from partners ( = -0.01, 0.01 = .047, R= .01). Neither non-SA nor SA trauma was associated with support from family or friends. Results underscore the potential impact of recent SA on intimate partnerships for young adult SMW with more severe PTSD. Future work should explore how addressing PTSD and improving social support quality may help SMW recover from traumatic experiences and ameliorate the effects of SA on intimate partnerships.
年轻成年的性少数女性（SMW）处于性侵犯（SA）、创伤后应激障碍（PTSD）和社会支持不足的高风险中。虽然 SA 和 PTSD 可能导致亲密的重要他人提供的社会支持减少，但之前尚未评估 SA 和 PTSD 对 SMW 社会支持的影响。本研究调查了过去一年 SA 和 PTSD 与 SMW 来自亲密伴侣、家庭和朋友的社会支持之间的关联。研究假设 SA 和 PTSD 与伴侣、家庭和朋友的支持呈负相关，而 PTSD 会调节 SA 对年轻成年人早期支持的影响。美国的年轻成年 SMW（=235）年龄为 23.93（=2.15）岁，主要是女同性恋或双性恋者（=186，79.1%）和白人（=176，74.9%），完成了过去一年中暴露于 SA 和非 SA 创伤、PTSD 以及来自亲密伴侣、家庭和朋友的社会支持的测量。PTSD 与来自伴侣、（=-0.06，0.02，=0.010，R=0.02）、家庭、（=-0.06，0.03，=0.025，R=0.02）和朋友的社会支持较少相关，（=-0.07，0.02，=0.008，R=0.02）。PTSD 和 SA 之间在伴侣的社会支持上存在显著的交互作用（=-0.01，0.01=0.047，R=0.01）。非 SA 或 SA 创伤与来自家庭或朋友的支持均无关。结果强调了最近的 SA 对年轻成年 SMW 的亲密关系可能产生的潜在影响，这些女性患有更严重的 PTSD。未来的工作应该探索如何解决 PTSD 和提高社会支持质量，以帮助 SMW 从创伤经历中恢复过来，并减轻 SA 对亲密关系的影响。
