Examining the association between posttraumatic stress disorder and sexual risk-taking in dually diagnosed adolescents

IF 2.4 3区 医学 Q2 PSYCHIATRY Journal of traumatic stress Pub Date : 2024-07-31 DOI:10.1002/jts.23086
Aakanksha Lahoti, Lauren M. Berny, Emily E. Tanner-Smith
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Abstract

Prior research has identified traumatic experiences and substance use as risk factors for adolescent engagement in sexual risk-taking; however, these studies have relied upon subthreshold or non–dually diagnosed samples. The present study examined differences in sexual risk behaviors between adolescents with a substance use disorder (SUD) and co-occurring posttraumatic stress disorder (PTSD) versus those with an SUD and another co-occurring psychiatric disorder. Participants were 269 adolescents who met the clinical screening criteria for an SUD and at least one psychiatric disorder. Bivariate comparisons and generalized linear models were used to compare sexual risk behaviors in participants with co-occurring PTSD (30.0%) and those with a different psychiatric disorder (70.0%). Participants with co-occurring PTSD were twice as likely to have multiple sex partners during the same period compared to those without PTSD, odds ratio (OR) = 2.35, p = .012. They also reported, on average, over twice the incidence rate of unprotected sexual encounters, incidence rate ratio (IRR) = 2.06, p = .034, and a 51.0% higher incidence of sexual risk behaviors, IRR = 1.51, p = .008, than participants without co-occurring PTSD. The results suggest dually diagnosed adolescents with co-occurring PTSD are more likely to engage in sexual risk behaviors than those with a different co-occurring disorder, placing them at higher risk for adverse health effects, such as sexually transmitted infections and unplanned pregnancies. As such, this population is likely to benefit from targeted trauma-informed sexual health education programs focused on sexual risk reduction.

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研究双重诊断青少年创伤后应激障碍与性冒险之间的关联。
先前的研究发现,创伤经历和药物使用是青少年参与性冒险行为的风险因素;然而,这些研究依赖于阈值以下或非双重诊断的样本。本研究考察了患有药物使用障碍(SUD)并发创伤后应激障碍(PTSD)的青少年与患有药物使用障碍并发其他精神障碍的青少年在性冒险行为上的差异。参与研究的 269 名青少年符合药物使用障碍和至少一种精神障碍的临床筛查标准。我们使用双变量比较和广义线性模型来比较共患创伤后应激障碍的参与者(30.0%)和患有另一种精神障碍的参与者(70.0%)的性风险行为。与没有创伤后应激障碍的参与者相比,同时患有创伤后应激障碍的参与者在同一时期有多个性伴侣的可能性是后者的两倍,几率比(OR)= 2.35,P = .012。与没有并发创伤后应激障碍的参与者相比,他们报告的无保护性接触发生率(发生率比 (IRR) = 2.06,p = .034)平均高出两倍多,性危险行为发生率(IRR = 1.51,p = .008)高出 51.0%。研究结果表明,与那些同时患有创伤后应激障碍的青少年相比,同时患有创伤后应激障碍的青少年更有可能参与性风险行为,从而使他们面临更高的不良健康影响风险,如性传播感染和意外怀孕。因此,这一人群很可能会受益于以降低性风险为重点的有针对性的创伤知情性健康教育计划。
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来源期刊
CiteScore
5.80
自引率
6.10%
发文量
125
期刊介绍: Journal of Traumatic Stress (JTS) is published for the International Society for Traumatic Stress Studies. Journal of Traumatic Stress , the official publication for the International Society for Traumatic Stress Studies, is an interdisciplinary forum for the publication of peer-reviewed original papers on biopsychosocial aspects of trauma. Papers focus on theoretical formulations, research, treatment, prevention education/training, and legal and policy concerns. Journal of Traumatic Stress serves as a primary reference for professionals who study and treat people exposed to highly stressful and traumatic events (directly or through their occupational roles), such as war, disaster, accident, violence or abuse (criminal or familial), hostage-taking, or life-threatening illness. The journal publishes original articles, brief reports, review papers, commentaries, and, from time to time, special issues devoted to a single topic.
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