Substance use coping as a mediator of the relationship between trauma symptoms and substance use consequences among incarcerated females with childhood sexual abuse histories.

Kia Asberg, Kimberly Renk
Author Information
  1. Kia Asberg: Department of Psychology, Western Carolina University, Cullowhee, North Carolina 28753, USA. kasberg@wcu.edu

Abstract

Rates of substance use and maltreatment are alarmingly high among incarcerated women. Although the direct link between trauma and substance use has been established, less is known about potential mediators. Thus, we examined substance use coping as a mediator between trauma symptoms and substance use consequences among a sample of incarcerated females (N = 111) who were survivors of childhood sexual abuse. Trauma symptoms predicted the severity of substance use consequences, with this relationship being mediated fully by avoidance coping (e.g., using substances to cope). Overall, trauma histories are important in predicting outcomes but must be examined in the context of current coping behaviors and substance use. Findings (data collected in 2007/2008) may help promote interventions that target patterns of coping and/or emotional avoidance among trauma survivors with substance use problems in incarcerated populations. The study's limitations are noted.

MeSH Term

Adaptation, Psychological
Adult
Adult Survivors of Child Abuse
Avoidance Learning
Female
Humans
Prisoners
Substance-Related Disorders
Survivors
Women

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