Exploring how PTSD and alcohol misuse relate to women's use of intimate partner violence (IPV) is vital to develop our understanding of why some women may engage in IPV, which can serve to maximize intervention efforts for women. This study examined the extent to which posttraumatic stress disorder (PTSD) symptom clusters are directly and indirectly related to women's use of IPV through pathways involving alcohol misuse while controlling for severity of women's IPV victimization. The sample was comprised of substance-using, low socioeconomic status community women (N = 143) currently experiencing IPV victimization. The majority of the sample was African American (n = 115, 80.42%). This sample had an average annual household income of $14,368.68 (SD = $12,800.68) and the equivalent of a high school education (11.94 years, SD = 1.32). Path analyses indicated that the strongest statistical relationship emerged between women's use of IPV and women's IPV victimization. PTSD reexperiencing and numbing symptom severity was related to women's use of psychological, minor physical, and severe physical IPV; however, these relationships were indirect through alcohol misuse. Findings lend preliminary support for the application of the self-medication hypothesis to the study of PTSD, alcohol misuse, and IPV among women.

译文

探索PTSD和酒精滥用与妇女使用亲密伴侣暴力 (IPV) 之间的关系,对于发展我们对为什么某些妇女可能参与IPV的理解至关重要,这可以最大程度地为妇女提供干预。这项研究调查了创伤后应激障碍 (PTSD) 症状群通过涉及酒精滥用的途径与女性使用IPV直接和间接相关的程度,同时控制了女性IPV受害的严重程度。样本由目前正在遭受IPV受害的物质使用,低社会经济地位的社区妇女 (N = 143) 组成。大多数样本是非裔美国人 (n = 115,80.42%)。该样本的平均家庭年收入为 $14,368.68 (SD = $12,800.68),相当于高中教育 (11.94年,SD = 1.32)。路径分析表明,妇女使用IPV与妇女IPV受害之间存在最强烈的统计关系。PTSD的再体验和麻木症状的严重程度与女性使用心理,轻微身体和严重身体IPV有关; 但是,这些关系是通过酒精滥用间接的。研究结果为自我用药假说在PTSD,酒精滥用和IPV研究中的应用提供了初步支持。

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