Posttraumatic stress avoidance symptoms as mediators in the development of alcohol use disorders after exposure to childhood sexual abuse in a Swiss community sample.

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State: Public
Version: Author's accepted manuscript
Serval ID
serval:BIB_E06C0B3032AB
Type
Article: article from journal or magazin.
Collection
Publications
Title
Posttraumatic stress avoidance symptoms as mediators in the development of alcohol use disorders after exposure to childhood sexual abuse in a Swiss community sample.
Journal
Child Abuse and Neglect
Author(s)
Müller M., Vandeleur C., Rodgers S., Rössler W., Castelao E., Preisig M., Ajdacic-Gross V.
ISSN
1873-7757 (Electronic)
ISSN-L
0145-2134
Publication state
Published
Issued date
2015
Peer-reviewed
Oui
Volume
46
Pages
8-15
Language
english
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Abstract
This study examined the role of posttraumatic stress disorder (PTSD) symptoms of re-experience, avoidance, and hyperarousal in the relationship between different types of trauma and alcohol use disorders (AUD). We used data from 731 trauma-exposed individuals who participated in the first wave of the PsyCoLaus-study. Trauma characteristics were assessed relatively to the occurrence of lifetime PTSD symptoms and AUD. The results suggest that lifetime and childhood sexual abuse as well as overall childhood trauma were directly linked to AUD and PTSD symptoms, in particular to avoidance symptoms. From single symptom clusters PTSD avoidance was found to specifically mediate the trauma-AUD pathway. Both childhood and sexual trauma strongly contribute to the comorbidity of PTSD and AUD and avoidance-type symptoms appear to play a central role in maintaining this association. Hence, the alleviation of avoidance symptoms might be an important target for therapeutic intervention among victims of sexual abuse before specific addiction treatment is initiated.
Keywords
Adult, Adult Survivors of Child Abuse/psychology, Adult Survivors of Child Abuse/statistics & numerical data, Aged, Alcohol-Related Disorders/etiology, Child, Child Abuse, Sexual/psychology, Female, Humans, Male, Middle Aged, Prospective Studies, Risk Factors, Self Medication/psychology, Self Medication/statistics & numerical data, Stress Disorders, Post-Traumatic/etiology, Switzerland/epidemiology
Pubmed
Web of science
Open Access
Yes
Create date
05/11/2015 11:22
Last modification date
20/08/2019 17:04
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