Testing Posttraumatic Stress as a Mediator of Physical, Sexual, and Psychological Intimate Partner Violence and Substance Problems Among Women
被引:55
作者:
Sullivan, Tami P.
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机构:
Yale Univ, Sch Med, Div Prevent & Community Res, Dept Psychiat, New Haven, CT 06511 USAYale Univ, Sch Med, Div Prevent & Community Res, Dept Psychiat, New Haven, CT 06511 USA
Sullivan, Tami P.
[1
]
Cavanaugh, Courtenay E.
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机构:
Johns Hopkins Univ, Bloomberg Sch Publ Hlth, Dept Mental Hlth, Baltimore, MD USAYale Univ, Sch Med, Div Prevent & Community Res, Dept Psychiat, New Haven, CT 06511 USA
Cavanaugh, Courtenay E.
[2
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Buckner, Julia D.
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机构:
Louisiana State Univ, Dept Psychol, Baton Rouge, LA 70803 USAYale Univ, Sch Med, Div Prevent & Community Res, Dept Psychiat, New Haven, CT 06511 USA
Buckner, Julia D.
[3
]
Edmondson, Donald
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Univ Connecticut, Dept Psychol, Storrs, CT USAYale Univ, Sch Med, Div Prevent & Community Res, Dept Psychiat, New Haven, CT 06511 USA
Edmondson, Donald
[4
]
机构:
[1] Yale Univ, Sch Med, Div Prevent & Community Res, Dept Psychiat, New Haven, CT 06511 USA
This study examined whether posttraumatic stress specifically resulting from intimate partner violence (IPV-related posttraumatic stress) mediated relationships between types of IPV and drug and alcohol problems among 212 women currently experiencing IPV Six-month prevalence was high for drug use (48%) and alcohol use (59%). Structural equation modeling revealed that the frequency of physical sexual, and psychological IPV were significantly and positively related to greater IPV-related posttraumatic stress, and IPV-related posttraumatic stress was significantly and positively related to drug problems. Further, IPV-related posttraumatic stress mediated the relationships between physical IPV and drug problems and psychological IPV and drug problems. Findings suggest that prevention and intervention efforts targeting posttraumatic stress among IPV-exposed women may reduce drug problems in this population.