Childhood Sexual and Physical Abuse Histories, PTSD, Depression, and HIV Risk Outcomes in Women Injection Drug Users: A Potential Mediating Pathway

American Journal on Addictions - Tập 16 Số 6 - Trang 431-438 - 2007
Rosalyn E. Plotzker1, David S. Metzger2, William C. Holmes3,4
1Center for the Studies of Addiction, HIV Prevention Division, Department of Psychiatry, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania
2Department of Psychiatry and Center for AIDS Research, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania
3Center for Health Equity Research and Promotion, Philadelphia Veterans Affairs Medical Center, Philadelphia, Pennsylvania
4Departments of Medicine and Epidemiology, Division of General Internal Medicine and Center for Clinical Epidemiology and Biostatistics, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania

Tóm tắt

We explored links between childhood sexual abuse (CSA), childhood physical abuse (CPA), posttraumatic stress disorder (PTSD)/depression, and women injection drug users' (IDUs') risk in 113 women recruited from two syringe exchange sites. More than half (56%) reported CSA, 68% CPA, 23% likely were depressed‐only, and 53% likely had PTSD/depression. CSA was associated with sexual (p = 0.003) and drug risk (p = 0.05); CPA was not. CSA was associated with PTSD/depression (p = 0.03); PTSD/depression was associated with sexual (p < 0.01) and drug (p < 0.03) risk. After PTSD/depression adjustment, CSA was no longer associated with sexual or drug risk. These results suggest that women IDUs' CSA‐to‐risk path is mediated by PTSD/depression.

Từ khóa


Tài liệu tham khảo

Centers for Disease Control and Prevention, 2005, HIV/AIDS Surveillance Report, 2004

10.1016/S0749-3797(99)00084-7

10.1016/j.chiabu.2004.10.014

10.1300/J013v33n01_10

10.2105/AJPH.90.4.560

10.1016/S0145-2134(00)00253-2

10.1037/0022-006X.70.1.252

10.2105/AJPH.86.11.1607

10.1016/j.amepre.2005.01.015

10.1016/S0145-2134(00)00158-7

10.1001/archpsyc.57.10.953

10.2105/AJPH.91.5.753

10.1046/j.1360-0443.1998.93913657.x

10.1016/S0277-9536(02)00403-3

10.1081/ADA-120020527

10.2105/AJPH.2003.019372

10.1111/j.1360-0443.1997.tb02852.x

10.1080/09540129948162

10.1016/S0306-4603(98)00069-0

10.1001/archpsyc.55.10.913

10.1093/jurban/jti028

10.1016/S0145-2134(02)00412-X

10.1046/j.1360-0443.1998.931217875.x

10.1037/h0080272

10.1300/J070v01n04_04

10.1016/0145-2134(85)90060-2

10.1177/019251396017003001

Straus M, 1989, Physical Violence in American Families: Risk Factors and Adaptation to Violence in 8,145 Families

10.1002/jts.2490060405

10.1001/archpsyc.1961.01710120031004

10.1001/archpsyc.1980.01780220037003

10.1037/0022-3514.51.6.1173

Gartner RB, 1999, Betrayed as Boys: Psychodynamic Treatment of Sexually Abused Men

10.1016/S0145-2134(01)00305-2

10.1016/S1286-4579(02)00058-8

10.1097/00126334-200306012-00010

10.1097/00126334-200207010-00010

10.2105/AJPH.2003.02178

10.2307/3090175

Kessler RC, 2000, Posttraumatic stress disorder: the burden to the individual and to society, J Clin Psychiatry, 61, 4

10.1097/00005053-199104000-00001

10.1001/archpsyc.1995.03950240066012

10.1001/archpsyc.1997.01830130087016

Thông tin
Thông tin xuất bản

American Journal on Addictions

Tập 16 Số 6

431-438

Thông tin tác giả