Document Detail


Prospective effects of sexual victimization on PTSD and problem drinking.
MedLine Citation:
PMID:  19501469     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Posttraumatic stress disorder (PTSD) and problem drinking are common and often co-occurring sequelae experienced by women survivors of adult sexual assault, yet it remains unclear whether survivors drink to cope with PTSD symptoms or whether PTSD symptoms are exacerbated by drinking. Thus, we used a cross-lagged panel design with a large (N=555), ethnically diverse sample of women assault survivors to determine whether PTSD prospectively led to problem drinking or vice versa. We also examined whether cumulative sexual victimization experiences related to greater PTSD and problem drinking. Structural equation modeling revealed that child sexual abuse was associated with greater symptoms of PTSD and problem drinking and intervening sexual victimization was associated with greater symptoms of PTSD and problem drinking 1 year later. We found no evidence, however, that PTSD directly influenced problem drinking over the long term, or vice versa. Rather, experiencing revictimization during the study predicted survivors' prospective PTSD and problem drinking symptoms. Implications and recommendations for future research are discussed.
Authors:
Cynthia J Najdowski; Sarah E Ullman
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural     Date:  2009-05-19
Journal Detail:
Title:  Addictive behaviors     Volume:  34     ISSN:  1873-6327     ISO Abbreviation:  Addict Behav     Publication Date:  2009 Nov 
Date Detail:
Created Date:  2009-08-12     Completed Date:  2011-01-19     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7603486     Medline TA:  Addict Behav     Country:  England    
Other Details:
Languages:  eng     Pagination:  965-8     Citation Subset:  IM    
Affiliation:
University of Illinois at Chicago, Chicago, Illinois 60607-7137, United States. cnajdo2@uic.edu
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MeSH Terms
Descriptor/Qualifier:
Adaptation, Psychological
Adolescent
Adult
Aged
Alcohol Drinking / psychology*
Alcoholism / complications,  psychology*
Chicago
Child Abuse, Sexual / psychology
Crime Victims / psychology*
Female
Humans
Middle Aged
Prospective Studies
Rape / psychology
Risk Factors
Sex Offenses / psychology*
Stress Disorders, Post-Traumatic / complications,  psychology*
Survivors
Young Adult
Grant Support
ID/Acronym/Agency:
R01 13445//PHS HHS; R01 AA013455-01/AA/NIAAA NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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