Childhood and Adult Sexual Violence Exposures as Predictors of PTSD, Dissociation, and Substance Use in Women in Jail.

IF 1.4 4区 心理学 Q3 FAMILY STUDIES
Journal of Child Sexual Abuse Pub Date : 2024-05-01 Epub Date: 2023-06-26 DOI:10.1080/10538712.2023.2226132
Shannon Lynch, Shelby Weber, Stephanie Kaplan, Elizabeth Craun
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引用次数: 0

Abstract

Women involved in the criminal legal system report high rates of interpersonal violence, particularly sexual violence, and mental health problems. Although existing research has linked experiences of interpersonal violence to multiple negative mental health outcomes, few researchers have examined concurrent psychopathology as an outcome of child and adult sexual violence in system-involved women. The purpose of this study was to examine child sexual abuse (CSA) and adult sexual violence, while controlling for other forms of interpersonal violence, as predictors of current symptoms of posttraumatic stress disorder (PSTD), substance use disorder (SUD), and dissociation in women in jail in the Mountain West. Randomly selected participants (N = 146) completed clinician-administered measures of trauma histories and mental health symptoms. The majority of the women (73%) reported experiences of CSA and about half reported experiences of adult sexual violence. Over half of the women reported symptoms consistent with current probable PTSD, about 20% reported dissociation symptoms in a clinical range, and over 70% met criteria for a SUD in the past year. The proposed model was tested with path analysis. CSA significantly predicted current symptoms of PTSD while adult sexual violence exposure predicted symptoms of SUD and dissociation. These results illustrate the high rates of sexual violence exposure as well as the complexity of mental health needs associated with these exposures in system-involved women. Findings highlight the need to comprehensively assess incarcerated women's trauma exposure and psychological distress to better meet the needs of this population.

童年和成年性暴力暴露是狱中妇女创伤后应激障碍、分离和药物使用的预测因素。
刑事法律系统中的女性报告了高比例的人际暴力(尤其是性暴力)和心理健康问题。尽管现有研究已将人际暴力经历与多种负面心理健康结果联系在一起,但很少有研究人员将儿童和成人性暴力的并发心理病理学作为涉案妇女的心理健康结果进行研究。本研究的目的是在控制其他形式的人际暴力的情况下,研究儿童性虐待(CSA)和成人性暴力对西部山区监狱中女性当前创伤后应激障碍(PSTD)、药物使用障碍(SUD)和解离症状的预测作用。随机抽取的参与者(N = 146)完成了由临床医生主持的创伤史和心理健康症状测量。大多数女性(73%)报告了 CSA 的经历,大约一半报告了成人性暴力的经历。半数以上的女性报告了与当前可能的创伤后应激障碍相符的症状,约 20% 的女性报告了临床范围内的解离症状,超过 70% 的女性在过去一年中达到了 SUD 的标准。通过路径分析对提出的模型进行了检验。CSA 可明显预测当前的创伤后应激障碍症状,而成人性暴力暴露可预测 SUD 和解离症状。这些结果表明了性暴力暴露的高发率,以及与这些暴露相关的精神健康需求的复杂性。研究结果突出表明,有必要全面评估被监禁妇女所遭受的创伤和心理困扰,以更好地满足这一人群的需求。
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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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