University of Kentucky Center on Drug and Alcohol Research, Lexington, Kentucky, USA.
Department of Behavioral Science, University of Kentucky College of Medicine, Lexington, Kentucky, USA.
J Trauma Stress. 2024 Jun;37(3):516-526. doi: 10.1002/jts.23030. Epub 2024 Mar 23.
Justice-involved women frequently report maltreatment and intimate relationships characterized by violence and abuse throughout adulthood. The present study aimed to (a) investigate the association between victimization and sexual relationship power (SRP) among justice-involved women with opioid use disorder (OUD) and (b) explore resilience as a potential moderating factor of the association between victimization and SRP. Under the ongoing Kentucky Justice Community Opioid Innovation Network (JCOIN) cooperative, justice-involved women (N = 700) were randomly selected from eight jails in Kentucky, screened for OUD, consented to participate, and interviewed by research staff. SRP was examined using the Sexual Relationship Power Scale, a validated instrument with two distinct subscales measuring decision-making dominance (DMD) and relationship control (RC); prior maltreatment was measured using the Global Appraisal of Individual Needs General Victimization Scale, and resilience was assessed using the Brief Resilience Scale. Linear regression was used to examine the association between maltreatment and SRP, with three models constructed to account for SRP, DMD, and RC, controlled for demographic characteristics. Finally, we examined whether the association between victimization and SRP varied as a function of resilience. Significant negative associations between maltreatment and the SRP were observed, ps < .001. Resilience moderated the association between maltreatment and DMD, p = .005; however, resilience did not moderate the associations between maltreatment and SRP, p = .141, or RC, p = .735. These findings highlight the importance of increasing resilience in justice-involved women with OUD to reduce the impact of maltreatment on SRP. Prioritizing resilience may offer significant benefits for preventing and addressing maltreatment.
涉及司法程序的女性经常报告在整个成年期受到虐待，以及以暴力和虐待为特征的亲密关系。本研究旨在：(a) 调查有阿片类药物使用障碍（OUD）的涉及司法程序的女性中受害与性关系权力（SRP）之间的关联；(b) 探讨韧性作为受害与 SRP 之间关联的潜在调节因素。在正在进行的肯塔基州司法社区阿片类药物创新网络（JCOIN）合作下，从肯塔基州的八个监狱中随机选择了 700 名涉及司法程序的女性，对她们进行了 OUD 筛查、同意参与并接受了研究人员的采访。使用性关系权力量表（Sexual Relationship Power Scale）来检查 SRP，这是一种经过验证的工具，有两个不同的分量表，用于衡量决策主导地位（DMD）和关系控制（RC）；先前的虐待通过全球个体需求综合受害量表（Global Appraisal of Individual Needs General Victimization Scale）进行衡量，韧性通过简短韧性量表（Brief Resilience Scale）进行评估。线性回归用于检验虐待与 SRP 之间的关联，构建了三个模型来解释 SRP、DMD 和 RC，控制了人口统计学特征。最后，我们检验了受害与 SRP 的关联是否因韧性而异。在考虑了人口统计学特征后，观察到虐待与 SRP 之间存在显著的负相关，p<.001。韧性调节了虐待与 DMD 之间的关联，p=0.005；然而，韧性并没有调节虐待与 SRP（p=0.141）或 RC（p=0.735）之间的关联。这些发现强调了在有 OUD 的涉及司法程序的女性中增强韧性的重要性，以减少虐待对 SRP 的影响。优先考虑韧性可能会为预防和解决虐待问题带来显著的益处。
