Jallo Nancy, Kinser Patricia A, Eglovitch Michelle, Worcman Nicola, Webster Parker, Alvanzo Anika, Svikis Dace, Meshberg-Cohen Sarah
Department of Family and Community Health Nursing, Virginia Commonwealth University, Richmond, Virginia, USA.
Department of Psychology, Virginia Commonwealth University, Richmond, Virginia, USA.
Womens Health Rep (New Rochelle). 2024 Mar 12;5(1):223-230. doi: 10.1089/whr.2023.0173. eCollection 2024.
Trauma exposure is a risk factor for substance use disorders (SUD) among women. This study explores written content from an expressive writing (EW) intervention conducted within a residential SUD program to examine themes across trauma experiences and characterize their deep insight into such experiences.
This qualitative study is a secondary data analysis of written content of the first writing session from women ( = 44) randomized to an EW condition while in residential SUD treatment.
Nearly all participants (72.7% African American; mean age 37.3 years) reported a significant trauma event (93.2%) with an average of 3.7 types of trauma events (54.4% had a current posttraumatic stress disorder diagnosis). Four primary themes emerged: (1) trauma across the lifespan; (2) loss of safety; (3) altered self-concept; and (4) desire to move on. Most participants identified interpersonal trauma, especially at an early age, as well as parental neglect and physical and/or sexual violence.
Findings highlight the importance of the written word and addressing underlying trauma in addiction treatment to facilitate healing and the woman's desire to move on.
创伤暴露是女性物质使用障碍（SUD）的一个风险因素。本研究探讨了在一个住院SUD项目中进行的表达性写作（EW）干预的书面内容，以研究创伤经历中的主题，并描述她们对这些经历的深刻洞察。
这项定性研究是对44名随机分配到EW组的住院SUD治疗女性在第一次写作 session 的书面内容进行的二次数据分析。
几乎所有参与者（72.7%为非裔美国人；平均年龄37.3岁）报告了重大创伤事件（93.2%），平均有3.7种创伤事件类型（54.4%目前被诊断患有创伤后应激障碍）。出现了四个主要主题：（1）一生的创伤；（2）安全感的丧失；（3）自我概念的改变；（4）向前迈进的愿望。大多数参与者指出人际创伤，尤其是在早年，以及父母的忽视和身体和/或性暴力。
研究结果强调了文字在成瘾治疗中处理潜在创伤以促进康复和女性向前迈进愿望方面的重要性。
