在拉丁美洲国家范围内,童年虐待/受害,创伤后压力和终身物质使用障碍之间的途径
Amy L Ai1, John Moore2, Yaacov Petscher2
1Department of Behavioral Sciences and Social Medicine, Institute of Longevity, College of Medicine, Florida State University.
Psychological trauma : theory, research, practice and policy
|August 22, 2024
概括
在拉丁美洲人群中,童年身体虐待与终身物质使用障碍有关,创伤后应激障碍作为一个重要的调解者. 这凸显了对创伤幸存者的物质使用评估的需要.
科学领域:
- 行为健康 行为健康
- 心理创伤学 心理创伤学
- 药物使用障碍 药物使用障碍
背景情况:
- 童年虐待 (CM),创伤后应激障碍 (PTSD) 和终身物质使用障碍 (LT-SUD) 是重要的行为健康问题.
- 在一般人群中建立了CM,PTSD和LT-SUD之间的关联,但在拉丁美洲人群中没有研究过.
- 拉丁裔美国人面临着独特的文化和社会经济因素,影响心理健康结果.
研究的目的:
- 调查PTSD在拉丁美洲人中童年虐待和LT-SUD之间的关系中的调解作用.
- 在拉丁人成年人全国代表性样本中检查这些协会.
- 探索美国出生的拉丁人与外国出生的拉丁人之间的潜在差异.
主要方法:
- 利用了来自国家拉丁语和亚裔美国人研究 (N=2,554) 的数据.
- 为整个群体,美国出生的和外国出生的拉丁裔人口 (18岁以上) 采用了三种路径模型.
- 对拉丁美洲社区精神健康的既定预测因素进行控制.
主要成果:
- 拉丁裔个人报告的童年身体虐待 (32%) 和性虐待 (11.8%) 率很高.
- 创伤后应激障碍 (PTSD) 显著调解了童年身体虐待 (CPM) 和LT-SUD之间的联系.
- 在墨西哥,古巴和波多黎各子组之间没有发现路径系数的显著差异.
结论:
- 儿童时期的身体虐待可能会推动物质使用作为应对机制,支持自我治疗假设.
- 经历身体和性虐待都会增加使用物质作为负面应对策略的可能性.
- 强调评估物质使用的重要性,作为拉丁美洲人有童年创伤史的应对机制.
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