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
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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。
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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.
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