PTSD Symptoms Mediate the Relationship Between Sexual Abuse and Substance Use Risk in Juvenile Justice-Involved Youth

dc.contributor.authorSanders, Jasmyn
dc.contributor.authorHershberger, Alexandra R.
dc.contributor.authorKolp, Haley M.
dc.contributor.authorUm, Miji
dc.contributor.authorAalsma, Matthew
dc.contributor.authorCyders, Melissa A.
dc.contributor.departmentPediatrics, School of Medicineen_US
dc.date.accessioned2019-07-30T18:48:42Z
dc.date.available2019-07-30T18:48:42Z
dc.date.issued2018-08
dc.description.abstractJuvenile justice-involved youth face disproportionate rates of sexual abuse, which increases the risk of post-traumatic stress disorder (PTSD) and substance use disorders (SUDs), both of which are associated with poor long-term outcomes. The present study tested two mediation and moderation models, controlling for age, race, and history of physical abuse, with gender as a moderator, to determine whether PTSD symptoms serve as a risk factor and/or mechanism in the relationship between sexual abuse and substance use. Data were examined for 197 juvenile justice-involved youth (mean age = 15.45, 68.9% non-White, 78.4% male) that completed court-ordered psychological assessments. Results indicated that PTSD symptoms significantly mediated the relationship between sexual abuse and drug (β = 3.44, confidence interval [CI] [0.26, 7.41]; test for indirect effect z = 2.41, p = .02) and alcohol use (β = 1.42, CI [0.20, 3.46]; test for indirect effect z = 2.23, p = .03). PTSD symptoms and gender were not significant moderators. Overall, PTSD symptoms mediate the relationship between sexual abuse and SUDs in juvenile justice-involved youth, which suggests viability of targeting PTSD symptoms as a modifiable risk factor to reduce the effects of sexual abuse on substance use in this high-risk population.en_US
dc.eprint.versionAuthor's manuscripten_US
dc.identifier.citationSanders, J., Hershberger, A. R., Kolp, H. M., Um, M., Aalsma, M., & Cyders, M. A. (2018). PTSD Symptoms Mediate the Relationship Between Sexual Abuse and Substance Use Risk in Juvenile Justice-Involved Youth. Child maltreatment, 23(3), 226–233. doi:10.1177/1077559517745154en_US
dc.identifier.urihttps://hdl.handle.net/1805/20046
dc.language.isoen_USen_US
dc.publisherSageen_US
dc.relation.isversionof10.1177/1077559517745154en_US
dc.relation.journalChild Maltreatmenten_US
dc.rightsPublisher Policyen_US
dc.sourcePMCen_US
dc.subjectPTSDen_US
dc.subjectJuvenile justiceen_US
dc.subjectSexual abuseen_US
dc.subjectSubstance useen_US
dc.subjectYouthen_US
dc.titlePTSD Symptoms Mediate the Relationship Between Sexual Abuse and Substance Use Risk in Juvenile Justice-Involved Youthen_US
dc.typeArticleen_US
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