The Role of Shame in Associations with PTSD and Depression Symptoms and Hazardous Drinking Among Bisexual Women Who Experienced Sexual Violence.

IF 1.4 4区 心理学 Q3 FAMILY STUDIES
Selime R Salim, Prachi H Bhuptani, Lee R Eshelman, Terri L Messman
{"title":"The Role of Shame in Associations with PTSD and Depression Symptoms and Hazardous Drinking Among Bisexual Women Who Experienced Sexual Violence.","authors":"Selime R Salim, Prachi H Bhuptani, Lee R Eshelman, Terri L Messman","doi":"10.1080/10538712.2024.2415554","DOIUrl":null,"url":null,"abstract":"<p><p>Bisexual (i.e. those with attraction to multiple genders) women experience disparities in sexual violence and mental health outcomes, including PTSD, depression, and hazardous drinking, compared to lesbian and heterosexual women. Unique stigma due to bisexual identity (antibisexual stigma), negative reactions to sexual violence (SV) disclosure (e.g. victim blaming), and prior child sexual abuse (CSA) may all contribute to shame. We tested whether shame explained the associations of antibisexual stigma, negative reactions to SV disclosure, and CSA severity with PTSD symptoms, depression, and hazardous drinking among young bisexual women. Participants who self-identified as bisexual women, between the ages of 18-35, residing in the US were recruited via Amazon's Mechanical Turk (MTurk) and completed online questionnaires. Women who reported SV since age 18 that they disclosed to someone were included in the current study, yielding a sample of 156 bisexual women (<i>M</i>age = 25.7; 98.1% cisgender, 86.5% White). Path analysis with bias-corrected bootstrapping was conducted. There were significant direct effects of negative reactions on hazardous drinking and CSA on PTSD, and direct effects of shame on PTSD and depression symptoms. Shame explained the associations of antibisexual stigma, negative reactions, and CSA with PTSD symptoms, depression symptoms, and hazardous drinking. Shame may explain why stigmatizing experiences related to bisexual identity, sexual violence, and CSA history relate to distress among bisexual women. Shame is an important treatment target among bisexual survivors of SV.</p>","PeriodicalId":47645,"journal":{"name":"Journal of Child Sexual Abuse","volume":null,"pages":null},"PeriodicalIF":1.4000,"publicationDate":"2024-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Child Sexual Abuse","FirstCategoryId":"102","ListUrlMain":"https://doi.org/10.1080/10538712.2024.2415554","RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"FAMILY STUDIES","Score":null,"Total":0}
引用次数: 0

Abstract

Bisexual (i.e. those with attraction to multiple genders) women experience disparities in sexual violence and mental health outcomes, including PTSD, depression, and hazardous drinking, compared to lesbian and heterosexual women. Unique stigma due to bisexual identity (antibisexual stigma), negative reactions to sexual violence (SV) disclosure (e.g. victim blaming), and prior child sexual abuse (CSA) may all contribute to shame. We tested whether shame explained the associations of antibisexual stigma, negative reactions to SV disclosure, and CSA severity with PTSD symptoms, depression, and hazardous drinking among young bisexual women. Participants who self-identified as bisexual women, between the ages of 18-35, residing in the US were recruited via Amazon's Mechanical Turk (MTurk) and completed online questionnaires. Women who reported SV since age 18 that they disclosed to someone were included in the current study, yielding a sample of 156 bisexual women (Mage = 25.7; 98.1% cisgender, 86.5% White). Path analysis with bias-corrected bootstrapping was conducted. There were significant direct effects of negative reactions on hazardous drinking and CSA on PTSD, and direct effects of shame on PTSD and depression symptoms. Shame explained the associations of antibisexual stigma, negative reactions, and CSA with PTSD symptoms, depression symptoms, and hazardous drinking. Shame may explain why stigmatizing experiences related to bisexual identity, sexual violence, and CSA history relate to distress among bisexual women. Shame is an important treatment target among bisexual survivors of SV.

羞耻感在遭受性暴力的双性恋女性创伤后应激障碍、抑郁症状和危险饮酒中的作用。
与女同性恋和异性恋女性相比,双性恋(即那些对多种性别有吸引力的人)女性在性暴力和心理健康结果(包括创伤后应激障碍、抑郁和危险饮酒)方面存在差异。由于双性恋身份而产生的独特耻辱感(反双性恋耻辱感)、对性暴力(SV)披露的负面反应(如指责受害者)以及先前的儿童性虐待(CSA)都可能会导致羞耻感。我们测试了在年轻的双性恋女性中,羞耻感是否能解释反性污名、对 SV 披露的负面反应和 CSA 严重程度与创伤后应激障碍症状、抑郁和危险饮酒之间的关联。我们通过亚马逊的 Mechanical Turk(MTurk)招募了自我认同为双性恋女性、年龄在 18-35 岁之间、居住在美国的参与者,并完成了在线问卷调查。本研究纳入了自 18 岁以来向他人透露过 SV 的女性,共收集了 156 名双性恋女性样本(Mage = 25.7;98.1% 顺性别,86.5% 白人)。采用偏差校正引导法进行了路径分析。负面反应对危险饮酒和 CSA 对创伤后应激障碍有明显的直接影响,羞耻感对创伤后应激障碍和抑郁症状有直接影响。羞耻感解释了反性成见、消极反应和 CSA 与创伤后应激障碍症状、抑郁症状和危险饮酒之间的关系。羞耻感可以解释为什么与双性恋身份、性暴力和 CSA 历史相关的污名化经历会对双性恋女性造成困扰。羞耻感是 SV 双性恋幸存者的一个重要治疗目标。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
CiteScore
3.20
自引率
10.50%
发文量
38
期刊介绍: The Journal of Child Sexual Abuse is interdisciplinary and provides an essential interface for researchers, academicians, attorneys, clinicians, and practitioners. The journal advocates for increased networking in the sexual abuse field, greater dissemination of information and research, a higher priority for this international epidemic, and development of effective assessment, intervention, and prevention programs. Divided into sections to provide clear information, the journal covers research issues, clinical issues, legal issues, prevention programs, case studies, and brief reports, focusing on three subject groups - child and adolescent victims of sexual abuse or incest, adult survivors of childhood sexual abuse or incest, and sexual abuse or incest offenders.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信