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. [1 ]
Cavanaugh, Courtenay E. [2 ]
Buckner, Julia D. [3 ]
Edmondson, Donald [4 ]
机构
[1] Yale Univ, Sch Med, Div Prevent & Community Res, Dept Psychiat, New Haven, CT 06511 USA
[2] Johns Hopkins Univ, Bloomberg Sch Publ Hlth, Dept Mental Hlth, Baltimore, MD USA
[3] Louisiana State Univ, Dept Psychol, Baton Rouge, LA 70803 USA
[4] Univ Connecticut, Dept Psychol, Storrs, CT USA
关键词
DOMESTIC VIOLENCE; ALCOHOL-USE; MENTAL-HEALTH; DISORDER; SYMPTOMS; PREVALENCE; ABUSE; VICTIMIZATION; SEVERITY; SAMPLE;
D O I
10.1002/jts.20474
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
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.
引用
收藏
页码:575 / 584
页数:10
相关论文
共 59 条
[21]   Intimate partner violence and mental health symptoms in African American female ED patients [J].
Houry, Debra ;
Kemball, Robin ;
Rhodes, Karin V. ;
Kaslow, Nadine J. .
AMERICAN JOURNAL OF EMERGENCY MEDICINE, 2006, 24 (04) :444-450
[22]   Domestic violence and alcohol use: Trauma-related symptoms and motives for drinking [J].
Kaysen, Debra ;
Dillworth, Tiara M. ;
Simpson, Tracy ;
Waldrop, Angela ;
Larimer, Mary E. ;
Resick, Patricia A. .
ADDICTIVE BEHAVIORS, 2007, 32 (06) :1272-1283
[23]  
Kenny D., 1999, RESPECIFICATION LATE
[24]   POSTTRAUMATIC-STRESS-DISORDER IN THE NATIONAL COMORBIDITY SURVEY [J].
KESSLER, RC ;
SONNEGA, A ;
BROMET, E ;
HUGHES, M ;
NELSON, CB .
ARCHIVES OF GENERAL PSYCHIATRY, 1995, 52 (12) :1048-1060
[25]  
Khantzian E.J., 2003, Primary Psychiatry, V10, P47
[26]   The self-medication hypothesis of substance use disorders: A reconsideration and recent applications [J].
Khantzian, EJ .
HARVARD REVIEW OF PSYCHIATRY, 1997, 4 (05) :231-244
[27]  
KOSS MP, 1987, J CONSULT CLIN PSYCH, V55, P162, DOI 10.1037/0022-006X.55.2.162
[28]   Preventive healthcare use, smoking, and alcohol use among Rhode Island women experiencing intimate partner violence [J].
Lemon, SC ;
Verhoek-Oftedahl, W ;
Donnelly, EF .
JOURNAL OF WOMENS HEALTH & GENDER-BASED MEDICINE, 2002, 11 (06) :555-562
[29]   Mediation analysis [J].
MacKinnon, David P. ;
Fairchild, Amanda J. ;
Fritz, Matthew S. .
ANNUAL REVIEW OF PSYCHOLOGY, 2007, 58 :593-614
[30]   THE BATTERING SYNDROME - PREVALENCE AND CLINICAL CHARACTERISTICS OF DOMESTIC VIOLENCE IN PRIMARY-CARE INTERNAL-MEDICINE PRACTICES [J].
MCCAULEY, J ;
KERN, DE ;
KOLODNER, K ;
DILL, L ;
SCHROEDER, AF ;
DECHANT, HK ;
RYDEN, J ;
BASS, EB ;
DEROGATIS, LR .
ANNALS OF INTERNAL MEDICINE, 1995, 123 (10) :737-+